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HomeMy WebLinkAboutBLD2014-00472 - MECHANICAL • BUILDING PERMIT APPLIAION BR view T pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00472 Received Date: 12/30/2014 SITE ADDRESS: 560 MOUNTAIN TRAIL RD BRINNON, 98320 OWNER: DELRAY STANDERFER TRST PHONE: 360-796-3266 MARLENE STANDERFER TRUSTE 560 MOUNTAIN TRAIL RD BRINNON WA 98320-9618 9813 SUBDIVISION: Block: Lot: PARCEL NUMBER: 981301448 Section: 16 Township: 25 N Range: 2V) CONTRACTOR: SUNSET AIR INC PHONE: 360-456-4956 5210 LACEY BLVD SE LACEY WA 98503 Contractor's License SUNSEA*220CM Expires 2/3/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MECHANICAL PERMIT GAS FURNACE SWAP OUT- TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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 $0.00 SRE 12/30/14 Total: $0.00 "4PPR VED DEC 302014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 12/30/2014 81Q,f' pGfi.l glut -ffirk if 4( 1.±-,‘,ON c DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 .< Tel 360.379.4450 Fax 360379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment E-mail:dcd(l co.iefferson.wa.us ;y1 n skiNco 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#: Date: Related Application#s: Payment#: 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 �.�� l Complete first page and signature block only of Mechanical Permit Application. / !` ■ A complete solar panel supplemental application. it _______,...j Site Information ,. Assessor Tax Parcel Number: �1 �`5 ©i Li ,,.'`ner Site Address and/or Directions to Property: 0 bMbuJl�Q,111 'frail �( Access (name of street(s)from which access will be gained: 11(01,0W/ b Description of Work: Property Owner ' Name: Vyti(0i, t111diir'F„Et7 Address: 5(JD i4m( 'i-run firs+( t. � Phone#: �Q —1 c 0-3) (v E-mail Address: rk _ Please contac uthorized Agent/Representative with project info. K Property Owner Signature: Date: 1279C-7//y Applicant/Contractor: Authorized Agent/Representative Name: i.L(U (AAA-- LAA dil Phone#: e --Lf 54 r 4451p E-mail Address: r � ( (61v�_ License 44: Jtnd(� a L Expiration Date: t(31J Mechanical Application 1 .. a • • 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 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 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 rel. ed t• this application and subsequent permit issuance. Signature: 0 Print Name: �O � V1J' J v Date: 12-,,1, OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $152.00 Propane—Lines, tank, and appliance (add'I $76.00) Project Scanning Fee $19.00 ---1 - rte Total Fees* *Additional fees may apply. I . Ne(e,i 6400'1- , �t1vSCJ "I Mechanical Application 2 1 - 1 e ?s ' ()Mt T I f • QQ"rt2r 70.4'TJ;C- In i;' Dee i O lno. ArFyT SUNSET AIR INC • Page 1 of 4 0 Washington State Department of Labor & Industries SUNSET AIR INC Owner or tradesperson 5210 LACEY BLVD SE FLUETSCH, PETER N LACEY, WA 98503 360-456-4956 Principals THURSTON County FLUETSCH, PETER N, PRESIDENT FLUETSCH, BRIAN A, VICE PRESIDENT FLUETSCH, KATHRYN THERESA, SECRETARY Doing business as SUNSET AIR INC WA UBI No Business type 600 240 865 Corporation ILicense 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. SUNSEA`220CM Effective—expiration 02/14/1978—02/03/2016 Bond FIDELITY& DEPOSIT CO OF MD $12,000.00 Bond account no. 30727415 Received by L&I Effective date 01/07/2002 02/03/2002 Expiration date Until Canceled Insurance Continental Western Ins Co $1,000,000.00 Policy no, CWP6012985 Received by L&I Effective date 01/31/2014 02/03/2014 Expiration date hops://secure.lni.wa.gov/verify/Detail.aspx?UBI=600240865&LIC=SUNSEA*220CM&SAW= 12/30/2014 SUNSET AIR INC Page 2 of 4 02/03/2015 • Insurance history 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. This company has multiple workers' comp accounts. Active accounts L&I Account ID Account is current. 310,757-00 ......................._... Doing business as SUNSET AIR INC Estimated workers reported Quarter 3 of Year 2014"Greater than 100 Workers" L&I account representative T2/HAN CHUNG (360)902-4713 -Email: CHUK235 @Ini.wa.gov Track this contractor 0 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 11/14/2014 No violations Inspection no. 317610590 Location 1651 S. Pilgram St. Moses Lake,WA 98837 Citation issue date 01/06/2012 No violations Inspection no. 315581512 Location 3707 Steamboat Loop NW Olympia, WA 98502 SUNSET AIR INC • Page 3 of 4 Citation issue date 05/17/2010 No violations Inspection no. 314391822 Location 1305 168th St E Spanaway,WA 98387 Citation issue date 03/03/2010 Violations inspection no. 314087107 Location Neah Bay Gymnasium Neah Bay,WA 98357 Citation issue date 02/26/2010 Violations Inspection no. 314086851 Location 5210 Lacey Blvd S.E. Lacey,WA 98503-2444 Citation issue date 10/13/2009 No violations Inspection no. 313657959 Location 7083 Wagner Way Gig Harbor,WA 98329 Citation issue date 09/28/2009 No violations Inspection no. 313589871 Location 3434 12th Ave NE Olympia,WA 98506 Citation issue date 01/29/2009 No violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600240865&L1C=SUNSEA*220CM&SAW= 12/30/2014 SUNSET AIR INC • Page 4 of 4 Inspection no. 312788656 Location 20029 12th ST E Lake Tapps,WA 98391 Citation issue date 01/1612009 No violations Inspection no. 312788128 Location 105 7th St W Puyallup,WA 98371 ®Washington State Dept. of Labor&Industries. Use of this site is subject to the laws of the state of Washington. ACCe'ss Allio,Washingtee iiM.,1Ibituit Lc.h SA* II https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600240865&LIC=SUNSEA*220CM&SAW= 12/30/2014 • Page 1 of 1 •Washington State Department of 4L40 Labor & Industries Loading information...LI) License Workers' comp Workplace safety and health ©Washington State Dept of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access , ,!#'ashingtone Otkol State 49:WIun oI WO^Site https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600240865&LIC=SUNSEA*220CM&SAW= 12/30/2014 w aso` co I( 1Jc1 110,e:*.L gAr7Ai. V? ' J'r L .i.4,A ^ `? JEFFERSON COUNTY 0,Aa RD 1123 L' @- �4 DEPARTMENT OF COMMUNITY DEVELOPMENT -i.AllwcoD AR a(>4" 9I'rN1,,,,,.° /. Date: D� /v�is Time Received: \, : a(4) eIl pm Mon. Wed. Thur. Fri. ` �1 Date: 3/�'/00 (S BLD: 14- (7? "7.,2, Contact Name: `�tc.rvz. Owner: �'a1'� -i{,y Contact Number: 360 rvj(,„ —3Z , Address: (SID ii&an. A v.. 1 • 6 rir101:7 -2-96.., Notes: o lXP1f�(O_ s-W( -cTIA 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 1 Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling _> CO _ = n E 7 E 2 d 5 2 A r -g § \ co \ \ k\ \ r)a \ . . g. \ \ = H / O OW r 7 .1 g ■ ° \ \ / \ \ \ i f f GO ri- \ o 2 _ \ tll E \ \ �� § / % \ IiI / \ \ k \ I ? \ f ~ & \ \ \ / 3 , § \. / \ fli ƒ \ •} \ \ I s_ \ j Jefferson County Building Division Permit Number: BLD14-00472 Applicant: STANDERFER TRST 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 days 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 Eby/js 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 519V/5 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : III \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 12/30/2014 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00472 Received Date: 12/30/2014 SITE ADDRESS: 560 MOUNTAIN TRAIL RD Issue Date 12/30/2014 BRINNON, 98320 Expiration Date 12/30/2015 OWNER: DELRAY STANDERFER TRST PHONE: 360-796-3266 MARLENE STANDERFER TRUSTE 560 MOUNTAIN TRAIL RD BRINNON WA 98320-9618 9813 SUBDIVISION: Block: Lot: PARCEL NUMBER: 981301448 Section: 16 Township: 25 N Range: 2V1 CONTRACTOR: SUNSET AIR INC PHONE: 360-456-4956 5210 LACEY BLVD SE LACEY WA 98503 Contractor's License SUNSEA*220CM Expires 2/3/2016 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT GAS FURNACE SWAP OUT- TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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 $152.00 SRE 12/30/14 154007 Exist: Exist: Total: $152.00 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