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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 • • 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 1,Y1 u tJ C • • 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 • • �'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 \deb: a-vv-vv.co.ictterson.«t i<;/communittdcvelopinent Email.dcd6/co ictEersou w a.us l's�INGp i 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 c 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 0 • , f erson County e FHome Info Departments Search 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 Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=990400476 3/9/2015 BRENNAN HEATING & A/C LLC Page 1 of 2 • • Hem, Inicio t n Espanol Contact Search L&I F , -Z Index Help Ni}Secure I.8,I Safety Claims&insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & industries 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