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Home My WebLink AboutBLD2015-00073 - NECHANICAL I • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD15-00073 Received Date: 3/11/2015 SITE ADDRESS: 45 REDEEMER WAY Issue Date 3/11/2015 CHIMACUM, 98325 Expiration Date 3/11/2016 OWNER: LUTHERAN CHURCH OF THE REDEEMR PHONE: 360-385-6977 PO BOX 70 45 REDEEMER WAY CHIMACUM WA 98325-0070 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901114000 Section: 11 Township: 29 N Range: 1V1 CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT INSTALL HEAT PUMP &AIR HANDLER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP CODE EDITION. 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $156.00 SRE 03/10/15 154185 Exist: Exist: Total: $156.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am - 4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY • • Jefferson County Building Division Permit Number: BLD15-00073 Applicant: LUTHERAN CHURCH OF THE RE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes • Mechanical Systems Miscellaneous A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION 317:1\ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development BLD15-00073 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00073 Received Date: 3/11/2015 SITE ADDRESS: 45 REDEEMER WAY CHIMACUM, 98325 OWNER: LUTHERAN CHURCH OF THE REDEEMR PHONE: 360-385-6977 PO BOX 70 45 REDEEMER WAY CHIMACUM WA 98325-0070 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901114000 Section: 11 Township: 29 N Range: 1V\ CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MECHANICAL PERMIT INSTALL HEAT PUMP & AIR HANDLER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $156.00 SRE 03/10/15 154185 Total: $156.00 MAR 1 1 2015 Jefferson County DCD \\tidemark\data\forms\F_BLDApp_Bld.rpt 3/11/2015 �� MM98}6S OUNITY • S�cm,Ru`zv«o*oG. ��3 Tel: i6().i79.4450 36OIr9/w51 Yorly*nn r^icxfeo"u.vv.u,/o,cumunbJdev,k.pcucni cic6��oiu0fersvc."a,u, MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Feesaredueattimeofsubmitta|, Mechanica| permitsuregenera||yissuedwithin5businesxdays. For Department Use Only Receipt#: �� Date: g/./0/e20/S Related Application#5: Payment#:4„,„„ I 3 /-7- 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 General Site plan—showing propane tank, lines, and distance from tank to all existing structures. — — 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 I n - . -_ v Assessor /i ^� - ~ r Site Address and/or Directions toProperb: 14c - /� i. v�� Wig �� u�- --' - » �� " ""w��8� « �W�� =«��~��-�� Access (name ofstreetb\from which access will be gained: Description of Work: ( »lc 'f~ �Lu^�� ep. Vr �m�x Property Owner 0 , Name: ' '� �� '�4�� ^^ �� ' ` - r~° .�� ^� _� co _4. �� Address: . _AA ' Phone #: '- • $ eolt ~ - E-mail Address: P|easecontactAuthohzedA8e»�/R presentative 1.roject i nfo�_ _ Property Owner Si natune: ; Date: 3—/0 Applicant/Contractor: Authorized Agent/Representative • Name: 11 ^ ' .141 k} �� W ��» • ''-• Phone#: ^w " E-mail Addres . I NA License #: ~0(:+r)Die4 Expiration Date,. � ^^ JEFFERSON c;OLJNiY _ OF COMMUNITY DEVELOPMENT • Heat Source Electric .1 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. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 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, Propane (LP)Gas Furnace Propane Furnace+/-Ducting and a site plan must be submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the 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 1 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 to this application and subsequent permit issuance. Signature: ` 7'J(]c('7)"Ot Print Name: 04 Date: OFFICE USE ONLY Building Permit Fees mechanical Permit fee(tank swap,woodstoue,furnace,etc�, $156.00 Propane—Lines,tank, and appliance (ad dl $78.00) Project Scanning Fee $15.50 Total Fees* `- 1"7 *Additional fees may apply '_. , (1-1) : M6 9 7 r) 2015 Mechanical Application 2 1.612- &ctrt-j-ct,10 f/- re ctem4if Oatf Parcel Details • 6 Page 1 of 2 IJeffeon County Home County Info Departments Search Parcel Number: 901114000 SEARCH Parcel Number: 901114000 Printer Friendly Owner Mailing Address: LUTHERAN CHURCH OF THE REDEEMR PO BOX 70 CHIMACUM WA98325-0070 Site Address: 47 REDEEMER WAY CHIMACUM 98325 Section: 11 School District:Chimacum (49) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: STATE Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 6911 - Churches Synagogues Temples Property Description: S11 T29 R1W NW SE(N422' OF W1034')LS E516' EXEMPT PORTION LESS R/W#81241 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info ° . Jefferson County . . . HOME l COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=901114000 3/11/2015 AIR FLO HEATING COMPANY S Page 1 of 2 $� t3oant^ I�licio en Espanol Espanol C;o3itacst Search L&! � �x 1,-14 A-L Index Help My Secure I&1 Safety Claims&Insurance Workplace Rights Trades&Licensing CoWashington State Department of Labor & Industries LAIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR BEQUETTE,MARK A SEQUIM,WA 98382 360-683-3901 Principals CLALLAM County BEQUETTE,MARK A,PRESIDENT BEQUETTE,SANDRA A,VICE PRESIDENT BERSON,JOEL R,SECRETARY FULLAWAY,MICHAEL (End:04/01/2010) Doing business as AIR FLO HEATING COMPANY INC WA UBI No. Business type 600 347 761 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 Heating/Vent/Air-Conditioning and Refrig (HVAC/R) License no. AIRFLI*206DG Effective—expiration 03/0711980—04/25/2016 Bond CBIC $6,000.00 Bond account no. S15215 Received by L&I Effective date 02/05/2010 02/01/2010 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 Received by L&I Effective date 04/18/2014 04/25/2014 Expiration date 04/25/2015 Insurance history Savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 3/11/2015 AIR FLO HEATING COMPANY Page 2 of 2 No savings accounts during the previous 6 Wperiod. 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. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 4 of Year 2014"21 to 30 Workers" L&I account representative T1/FEARAED FEROZE(360)902-4797-Email:FERH235 @Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 III t Washington State Dept.of Labor&Industries.Use of this she is subject to the laws of the state of Washington. it https://secure.lni.wa.gov/verify/Detail.aspx?UB1=600347761&LIC=AIRFLI*206DG&SAW= 3/11/2015