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HomeMy WebLinkAboutBLD2014-00454 - MECHANICAL LD ILDING PERMIT APPLICATI Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: SITE ADDRESS: BLD14-00454 61 SADDLE DR Received Date: 12/4B/2014 14-00454 PORT TOWNSEND, 98368 OWNER: MARY HUERTA PHONE: 360-344-2009 PO BOX 278 HAMILTON NY 13346-0278 9411 SUBDIVISION: Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30 N Range: 2' CONTRACTOR: ABODE CONTRACTING ONC PHONE: 425-319-8217 12414 HWY 99#6 EVERETT WA 98204 Contractor's License ABODECI931JW Expires 10/12/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT INSTALL A NEW PROPANE TANK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: HTP OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: A r -t 1 Permit $228.00 SRE 12/04/14 153893 '•` � Total: $228.00 DEC 0 4 2014 Jefferson Cot: ;L, , \\tidemark\data\forms\F_BLD_App_Bld.rpt 12/4/2014 ef-s°N ` e,. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT -14W iNQ Date: "" / ..f Time Received: f_Its am/pm Mon. Tue. ed. Thur. Fri. �f'`// Date: BLD: / 477 Contact Name: Owner: Contact Number: 360 3'fi/ Z�`j Address: 206 Notes: AA,4' , 1 -- lc -c2. ; Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • EIS CQ i JEFFERSON COUNTY *_ 4, DEPARTMENT OF COMMUNITY DEVELOPMENT Date: n Time Received: 3oL an-et rr> Mon. Tue. Wed. 4110 C7 Date: /111,-14/ jq BLD: P. – Ci-e."'ZI Contact Name: Owner: Contact Number: 360 g'iti' 2.4101 Address: I '5-ApDts, Dv' 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove X Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00454 Received Date 12/4/2014 SITE ADDRESS: 61 SADDLE DR Issue Date 12/4/2014 PORT TOWNSEND, 98368 APPLICANT: MARY HUERTA PHONE: 360-344-2009 PO BOX 278 HAMILTON NY 13346-0278 SUBDIVISION: 9411 Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30N Range: 2W CONTRACTOR: ABODE CONTRACTING ONC PHONE: 425-319-8217 12414 HWY 99#6 EVERETT WA 98204 Contractor's License ABODECI931JW Expires 10/12/2015 OWNER, MARY HUERTA PHONE: 360-344-2009 if different: PO BOX 278 HAMILTON NY 13346-0278 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL A NEW PROPANE TANK To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/4/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance:_ Final Approval: BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 12/4/2014 w�SON co DEPAOMENT OF COMMUNITY DESLOPMENT �t4 �� 621 Sheridan Street,Port Townsend,\\'A 98368 Tel:360.379.4450 Fax:36:379.4451 ti Web:www.co.jeffeison.wa.us/comununitclevelopmera E-mail:dcd)co.jefferson.wa.us N G`O° MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Receipt#: Date: Related Application Us: Payment U:: Is this application for use in a Mobile/ Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries,not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I - 360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 Required Submittal Items—for propane tank only ✓ Complete Site plan - Please refer to the site plan checklist to ensure all items are on the site plan. Required Submittal Items for Solar Panel installation only Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number: 9`} l{ DD 0 1 Site Address and/or Directions to Property: to l (AGDLE 1.4+, ti 6 Access (name of street(s) from which access will be gained: ifs t» -C)12. C Description of Work: ...fit , ikk ,. {�co >. l „. �{t�° f ": 1. C- t, ?vt 4 I`y4. f, t&&. C t Property Owner Name: 1<1\lea. U&P-T/\ co Address: to n Le, 0 r7 Phone #: b 0 ► 344-, a Dv) E-mail Address: s L� , ) . .aD ec,00,4 Please contact Autho ized„Agent/Representative with project info. Property Owner Signature: Date: 3 ,, 20 S'T Applicant/Contractor: Authorized Agent/Representative Name: M30 DI; Coi C11( tJ Phone #: A ? e 'fit;3') t 42c `,4"4-c )E-mail Address: License #: PR BD D 'C. (`�) l -1/V Expiration Date: 4 I(0 2015- .f3 i Mechanical Application 1 • • Heat Source Electric Heating Oil Propane* Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. 1 Fireplace -Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 12€7 Fireplace -Wood Fireplace-wood, Wood Stove, or gallons require a minimum Pellet Stove setback of 10 ft. from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, and a site plan must be Propane (LP) Gas Furnace Propane Furnace+/- Ducting submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the I Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is { Propane Tank LP Fuel Tank(#gallons: ) over 500 gallons, a site plan is Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related t this a station and subsequent permit issuance. . ��� Name: IAuL Date: 3 a,. 2.014 Signature: Print Na OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap woodstove furnace etc) $152.00 Propane-Lines, tank, and appliance (add'l $76.00) _ i(,,U 0 Project Scanning Fee $19.00 _ Total Fees* *Additional fees may apply. 40A'pl— 1 ('P3 ,, .i chece If gc2. Mechanical Application 2 ABODE CONTRACTING INC • • Page 1 of 2 C. Washington State Department of Labor & Industries ABODE CONTRACTING INC Owner or tradesperson 12414 HWY 99#6 STUMPF, MARK EVERETT, WA 98204 425-319-8217 Principals SNOHOMISH County STUMPF, MARK, PRESIDENT Doing business as ABODE CONTRACTING INC WA UBI No. Business type 602 700 487 Corporation License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ABODECI931JW Effective—expiration 04/16/2007—04/16/2015 Bond Lexon Ins Co $12,000.00 Bond account no. 9805190 Received by L&I Effective date 03/30/2011 04/11/2011 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $500,000.00 Policy no. BKS55283171 Received by L&I Effective date 09/02/2014 10/12/2012 Expiration date 10/12/2015 Insurance history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602700487&LIC=ABODECI931 JW&SAW= 12/4/2014 ABODE CONTRACTING INC Page 2 of 2 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 130,079-00 Doing business as ABODE CONTRACTING INC Estimated workers reported Quarter 3 of Year 2014"1 to 3 Workers" L&I account representative TO/GARY HONC (360)902-4823- Email: HONC235 @lni.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access .WastiiT1 ton'. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602700487&LIC=ABODECI931JW&SAW= 12/4/2014 ABODE CONTRACTING INC Page 1 of 2 • Washington State Department of Labor & Industries ABODE CONTRACTING INC Owner or tradesperson 12414 HWY 99#6 STUMPF, MARK EVERETT, WA 98204 425-319-8217 Principals SNOHOMISH County STUMPF, MARK, PRESIDENT Doing business as ABODE CONTRACTING INC WA UBI No. Business type 602 700 487 Corporation License • Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. ABODECI931JW Effective—expiration 04/16/2007—04/16/2015 Bond ................. Lexon Ins Co $12,000.00 Bond account no. 9805190 Received by L&I Effective date 03/30/2011 04/11/2011 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $500,000.00 Policy no. BKS55283171 Received by L&I Effective date 09/02/2014 10/12/2012 Expiration date 10/12/2015 Insurance history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602700487&LIC=ABODECI931JW&SAW= 12/4/2014 ABODE CONTRACTING INC Page 2 of 2 Savings • No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 130,079-00 Doing business as ABODE CONTRACTING INC Estimated workers reported Quarter 3 of Year 2014"1 to 3 Workers" L&I account representative TO/GARY HONC (360)902-4823-Email: HONC235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access WashiT1Lkrn''' https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602700487&LIC=ABODECI931 JW&SAW= 12/4/2014 Parcel Details Page 1 of 2 • • r -N, f c i ,, / , , e erson aunt ,, , , , / ‘ , , ,,,,,, .,..,-,,,,,- i ..: ' - ' e,.....,, ,,, ., ..„ A..... ,62 Lass Tn j ; ...,att Home County Info Departments el rch Parcel Number: 941100016 SEARCH Parcel Number: 941100016 Printer Friendly Owner Mailing Address: MARY HUERTA PO BOX 278 I HAMILTON NY13346-0278 Site Address: 61 SADDLE DR PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sub Division: 9411 - CAPE GEORGE VILLAGE #5 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE VILLAGE DIV 5 LOT 16 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel •lats &Surve s Septic Monitoring Info jf ''',, Jefferson COURty HOME I COUNTY INFO I DEPARTMENTS I SEARCH i'_ Best viewed with Microsoft Internet Explorer 6.0 or later ie Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=941100016 12/4/2014 o MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00454 Received Date 12/4/2014 SITE ADDRESS: 61 SADDLE DR Issue Date 12/4/2014 PORT TOWNSEND, 98368 APPLICANT: MARY HUERTA PHONE: 360-344-2009 PO BOX 278 HAMILTON NY 13346-0278 SUBDIVISION: 9411 Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30N Range: 2W CONTRACTOR: ABODE CONTRACTING ONC PHONE: 425-319-8217 12414 HWY 99#6 EVERETT WA 98204 Contractor's License ABODECI931JW Expires 10/12/2015 OWNER, MARY HUERTA PHONE: 360-344-2009 if different: PO BOX 278 HAMILTON NY 13346-0278 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL A NEW PROPANE TANK To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/4/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: 119:y [(1 l� Final Approval: BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 12/4/2014