HomeMy WebLinkAboutBLD2015-00068 - MECHANICAL S S
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD15-00068 Received Date: 3/9/2015
SITE ADDRESS: 247 MACHIAS LOOP Issue Date 3/9/2015
PORT LUDLOW, 98365 Expiration Date 3/9/2016
OWNER: RICHARD ABRAHAMSON PHONE: 360-437-8006
247 MACHIAS LOOP RD
PORT LUDLOW WA 98365-8705
9904
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990400476 Section: 9 Township: 28 N Range: 1 E
CONTRACTOR: BRENNAN HEATING &A/C LLC PHONE: 206-248-7900
4601 S 134TH PL
SEATTLE WA 98168
Contractor's License BRENNHA971R9 Expires 7/13/2015
PROJECT DESCRIPTION: NEW MECHANICAL PERMIT
REPLACE EXISTING HEAT PUMP
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:
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 03/09/15 154146
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
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Jefferson County Building Division Permit Number: BLD15-00068
Applicant: ABRAHAMSON
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 '311.1115
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 3/9/2015
' BUILDING PERMIT APPLICION BLD15-00068 Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD15-00068 Received Date: 3/9/2015
SITE ADDRESS: 247 MACHIAS LOOP
PORT LUDLOW, 98365
OWNER: RICHARD ABRAHAMSON PHONE: 360-437-8006
247 MACHIAS LOOP RD
PORT LUDLOW WA 98365-8705
9904
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990400476 Section: 9 Township: 28 N Range: 1 E
CONTRACTOR: BRENNAN HEATING &NC LLC PHONE: 206-248-7900
4601 S 134TH PL
SEATTLE WA 98168
Contractor's License BRENNHA971R9 Expires 7/13/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW MECHANICAL PERMIT
REPLACE EXISTING HEAT PUMP
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 03/09/15 154146 /� ��
Total: $156.00 MP
MAR 0 9 2015
Jefferson County DCD
\\tidemark\data\forms\FBLDApp_Bld.rpt 3/9/2015
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�'c''<' N C'Q DEPARTMENT OF COMMUNITY DEVELOPMENT
W 631 Sheridan Street, Port'I(A nsend,AV'_1 98368
— -< Tel:360.3'9.4450 i Fax.360.3-9.-4431
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Email.dcd6/co ictEersou w a.us
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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.
-Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days.
For Department Use Only Receipt#: I-(4 fry Date:"3/Vic I
Related Application #5: C -' 'j'3vj Payment#: 116_5(D
Ste_
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 structure T.
l!U
Required Submittal Items—for Solar Panel installation only 9 ' .
Complete first page and signature block only of Mechanical Permit Application. o ,, -17, i
A complete solar panel supplemental application. I i
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co 1=i
,.
Site Information
Assessor Tax Parcel Number: q q QLi 00 q---AA„ 1 U u u
z
Site Address and/or Directions to Property: a,�-4. yy a Lk\a S t ao? C_"=�
--?z,(--k- vck1bvJ ten_ Q la3( ___
Access (name of street(s) from which access will be gained:
Description of Work: ft.-kQ c- . -e ‘kk Y..c k- c '-
Property Owner ,r c 4,,_p.,d 4447, ,4n,Lco
Name: / y;. 4 4,1E1 rt,.t _ 1/1,C4.4 14 ao
Address: _2 7 %� c1,, S L�c2in ht�e/�dt-C� GO - e)_..3 Jr o
Phone #: / (34,0 �s7,-8�
E-mail Address: ��� / ,��� Z ��Gb , lc
l'Z Please contact Authorized Agent/Representative with project info. "
Property Owner Signature: i c1 �11� Ad4y4/ac tyo-"- 1 Date: / /,c"°i #
Applicant/Contractor: Authorized Agent/Representative
Name: _■ ■ • &
Phone #: app gap,� ` p0 E-mail AddressJ0., rt. �ra v\,nari .a-�1nq .
License #: ,2j4.r�.r,Y\O-Q',AQA Expiration Date: )a q 1 E Corn
Mechanical Application 1
• I
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.
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
Water Heater- Gas Gas WH Vent and Combustion Air submitted with the
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
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 r- a .-d to this application and subsequent permit issuance.
Signatu e: � .�Ak �„` rint Name:,3p. YN\'\-<. \� Date0)a5I(3
OFFICE USE ONLY
Building Permit Fees
Mechanical Permit fee (tank swap,woodstove,furnace,etc) $156.00
Propane— Lines, tank, and appliance (add'I $78.00)
Project Scanning Fee $19.50
Total Fees* \ . 5
*Additional fees may apply.
Mechanical Application 2
Parcel Details Page 1 of 2
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Parcel Number: 990400476 SEARCH
Parcel Number: 990400476 Printer Friendly
Owner Mailing Address:
RICHARD ABRAHAMSON
247 MACHIAS LOOP RD
PORT LUDLOW WA98365-8705
Site Address:
247 MACHIAS LOOP RD
PORT LUDLOW 98365
Section: 9 School District: Chimacum (49)
Qtr Section: SW1/4 Fire Dist: Port Ludlow (3)
Township: 28N Tax Status: Taxable
Range: 1E Tax Code: 0231
Planning area: Port Ludlow (7)
Sewer: PLSEWER - Connected(No CWF) Drainage: PLDD - YES
Bank: View 1:
View 2: Zoning 1:
Zoning 2: Zoning 3:
Sub Division: 9904 - PORT LUDLOW NO. 1
Assessor's Land Use Code: 1100 - Residential - Single Unit
Property Description:
PORT LUDLOW NO. 1 AREA 4, LOT 80
Tax, A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Plats&Surveys
Septic Monitoring Info
Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH
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BRENNAN HEATING & A/C LLC Page 1 of 2
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BRENNAN HEATING &A/C LLC
Owner or tradesperson 4601 S 134TH PL
ERDAHL,DARRIN PAUL SEATTLE,WA 98168
206-248-7900
Principals KING County
ERDAHL,DARRIN PAUL,PARTNER/MEMBER
Doing business as
BRENNAN HEATING&A/C LLC
WA UBI No Business type
602 346 866 Limited Liability Company
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.
BRENNHA971R9
Effective—expiration
12/29/2003-12/29/2015
Bond
FEDERATED MUTUAL INS CO $12,000.00
Bond account no.
9127230
Received by L&I Effective date
11/04/2004 12/22/2004
Expiration date
Until Canceled
Insurance
Federated Mutual Ins Co $1,000,000.00
•
Policy no.
9820726
Received by L&I Effective date
06/13/2014 07/13/2007
Expiration date
07/13/2015
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
Infraction no.
Satisfied
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 3/9/2015
BRENNAN HEATING & A/C LLC Page 2 of 2
PPEJP00330 • RCW1 AC
•
issue date 18.106.020
09/14/2012 Violation amount
Violation city $250.00
Seattle
Type of violation
PLUMBER INFRACTION
Description
Contractor employed a person to engage in
the trade of plumbing without a current
journeyman,specialty or trainee certificate,
temporary permit or medical gas endorsement
as required.On 9/11/12,Brennan Heating&
A/C LLC employed Levy Malcom Steere to
perform plumbing related duties without
proper plumbing certification.
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.
803,761-08
Doing business as
BRENNAN HEATING&AIR CONDIT
Estimated workers reported
Quarter 4 of Year 2014"Greater than 100 Workers"
L&I account representative
T4/ALISON WOODWARD(360)902-4629-Email:WOAL235 @Ini.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
J Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 3/9/2015