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HomeMy WebLinkAboutBLD2015-00273 - MECHANICAL • • 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 #: BLD15-00273 Received Date 8/5/2015 SITE ADDRESS: 64 WREN CT Issue Date 8/5/2015 PORT LUDLOW, 98365 APPLICANT: FEDERAL NATIONAL MORTGAGE PHONE: 14221 DALLAS PARKWAY#1000 DALLAS TX 75254-2946 SUBDIVISION: 9905 - PORT LUDLOW NO. 4 Block: Lot: PARCEL NUMBER: 990500006 Section: 17 Township: 28N Range: 1E CONTRACTOR: SANDRA L PAUL PHONE: 360-229-2139 P.O. BOX 2085 SHELTON WA 98584 Contractor's License ARCHMMI902MN Expires 7/14/2016 OWNER, FEDERAL NATIONAL MORTGAGE PHONE: if different: 14221 DALLAS PARKWAY#1000 DALLAS TX 75254-2946 PROJECT DESCRIPTION: Replace Gas Furnace Directions 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 8/5/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 9i_ cj I I I i 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_Perm it_Propa ne.rpt 8/5/2015 •ILDING PERMIT APPLICATII B Review 0273 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00273 Received Date: 8/5/2015 SITE ADDRESS: 64 WREN CT PORT LUDLOW, 98365 OWNER: FEDERAL NATIONAL MORTGAGE PHONE: 14221 DALLAS PARKWAY#1000 DALLAS TX 75254-2946 9905 - PORT LUDLOW NO. 4 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990500006 Section: 17 Township: 28 N Range: 1E CONTRACTOR: SANDRA L PAUL PHONE: 360-229-2139 P.O. BOX 2085 SHELTON WA 98584 Contractor's License ARCHMMI902MN Expires 7/14/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP Replace Gas Furnace TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: GAS 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 HAC 08/05/15 156407 APPROVED Total: $156.00 AUG 052015 Jefferson County DCL U4ieln nnrle1AM.lfnen,e\F RI fl Ann Rlel ene R/A/911 F II 0 • 4�¢5oN c,U D4EPARTMENT OF COMMUNITY DEVELOPMENT } l Tel X611379.449) 1 I .<m 360379.451 -< VI.I www.co.c tiers()n w tU5/communitc'k ..1upmcnt .1 .,(-0 NG ' 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&l-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 LGeneral 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 Information Assessor Tax Parcel Number: 990500006 Site Address and/or Directions to Property: 64 Wren Ct., Port Ludlow, WA 98365 Access(name of street(s)from which access will be gained: LOCK BOX CODE 7998 Description of Work: replace gas furnace Property Owner Name: Federal National Mortgage co Address: 14221 Dallas Parkway, #1000, Dallas, TX 75254-2946 o n Phone#: E-mail Address: m E Li Applicant/Contractor: Authorized Agent/Representative x Name: ARCH Mechanical, Inc. Phone#: 360-229-2139 E-mail Address: sandy©archmechanical.coni, c' License #: ARCHMMI902MN Expiration Date: 06/28/2016 8 Mechanical Application 1 LA Y • • • Heat Source { Electric El Heating Oil Ej Propane* 1� 1 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 unsafeiy 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, 1 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: 1 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. licant may request notice of the County's intent to enter upon the property for visits related to this application an subsequent permit issuance. Property Owner__ Paul - Signature: int Name: ' Date: 08/03/15 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* *Additional fees may apply Mechanical Application 2 ARCH MECHANICAL INC • • Page 1 of 2 Home Inicio en Espanol Contact Search L&I A-Z Index Help My Secure I&I Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of Labor & Industries ARCH MECHANICAL INC Owner or tradesperson PO BOX 2085 SHELTON,WA 98584 Principals 360-432-0214 PAUL,SANDRA LYNN,PRESIDENT MASON County PAUL,THOMAS JOSEPH,VICE PRESIDENT Doing business as ARCH MECHANICAL INC WA UBI No. Business type 603 025 747 Corporation Governing persons SANDRA LYNN PAUL THOMAS LYNN PAUL; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no. ARCHMMI902MN Effective—expiration 07/1512010—06/28/2016 Bond CBIC $6,000.00 Bond account no. SI6867 Received by L&I Effective date 07/15/2010 07/14/2010 Expiration date Until Canceled Insurance Security National Insurance $1,000,000.00 Policy no. NA102878101 Received by L&I Effective date 06/29/2015 07/14/2013 Expiration date 07/14/2016 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603025747&LIC=ARCHMMI902MN&SAW= 8/5/2015 ARCH MECHANICAL INC . Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts uring 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. 213,958-00 Doing business as ARCH MECHANICAL INC Estimated workers reported Quarter 2 of Year 2015"4 to 6 Workers" L&I account representative T5 f THAO NGUYEN(360)902-4276-Email: NGUV235@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. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603025747&LIC=ARCHMMI902MN&SAW= 8/5/2015 Parcel Print • • Page 1 of 1 Parcel Number:990500006 05/12/2015 Owner Mailing Address: FEDERAL NATIONAL MORTGAGE 14221 DALLAS PARKWAY#1000 DALLAS TX 75254-2946 Site Address: 64 WREN CT PORT LUDLOW 75254-2946 Section: 17 School District: Chimacum(49) Qtr Section: NE1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 75254-2946 PLSEWER- Sewer: Connected(No CWF) Drainage: PLDD-YES Bank: View 1: View 2: Zoning 1: MPR-SF-4 - Master Planned Resort- Single Family Zoning 2: Zoning 3: Sub Division: 9905 - PORT LUDLOW NO. 4 Land Use Code: 1100 75254-2946 Property Description: PORT LUDLOW #4 LOT 6 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=990500006 8/5/2015 I VO I C E Da 8/5/2015 Inv ID: DCD15BLD15-00273 wes°N co JEFFERSON COUNTY °��. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street Port Townsend, WA 98368 360-379-4450 I email: dcd @co.jefferson.wa.us RSXiNG�°� www.co.jefferson.wa.us/commdevelopment Date Due: BILLING ADDRESS: 9/4/2015 FEDERAL NATIONAL MORTGAGE 14221 DALLAS PARKWAY#1000 DALLAS TX 75254-2946 Permit 156.00 Scanning Fee 19.50 REMIT TO: Total Amount Due: $175.50 Jefferson County DCD 621 Sheridan St. Port Townsend, WA 98368 • Please return the above portion with your payment Permit Number: BLD15-00273 Permit 156.00 Scanning Fee 19.50 Total Amount Due: $175.50 Rat oi� Payment is accepted by cash, check, debit or credit card (Visa, Mastercard, Discover, American Express) To pay by credit card, go to www.co.jefferson.wa.us/commdevelopment, and click on the "Online Credit Card & echeck Payments" link on the left side of the page. (questions: call 360-379-4450) SON wo- °2,, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 9SH)tiCS� Date: - 7Time Received: .2_C/; art .@:, Mon. Wed. Thur. Fri. Date: '.-/ ( BLD: /5- -, 7 3 Contact Name: Owner: Contact Number: 360 > 9 1 See Address: 6 cl 4/1-)11-"eeq z r // 206 Notes: %