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HomeMy WebLinkAboutBLD2014-00376 - MECHANICAL •UILDING PERMIT APPLICA•N BLD14-00376 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00376 Received Date: 10/16/2014 SITE ADDRESS: 10621 CENTER RD QUILCENE, 98376 OWNER: JOHN P BOBO PHONE: 360-765-3890 PO BOX 190 QUILCENE WA 98376-0190 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801324001 Section: 32 Township: 28 N Range: 11/1 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 DESCRIPTIOP INSTALL NEW HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION CODE EDITION: 2012 ADD'L: HEAT TYPE: HTP OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 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 $152.00 SRE 10/16/14 151636 APPROVED Total: $152.00 OCT 16 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/16/2014 w�`�Q 06 JEFFERN COUNTY • } DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax ''1 $ O� www.cojefferson.waus/commdevelopment • Master Permit Application - MLA: Project Description(include separate sheets as necessary): . itr• ■/ I .I_ / 'I) AAA .,v Tax Parcel Number: ( 1"I / GO 1 Property Size: (acres/square feet) Site Address and/or Directions to Property: 10 Q. -.-ey e01. GI)id fiiyi t' r I'i'iA ---- Property Owner(s)of Record: , S fi N N i)(f) Telephone: fly( 0 Fax: email: Mailing Address: Applicant/Agent(if different from owner): ft%r 1-le t(1 Telephone: Nat() �J��a� Fax: Lee' - &'r1r' email: IN aM.at(l C ' Mailing Address: 211 W. Cedar St• Se_,Gt.Wr•n ,wPt ete383 • What kind of Permit?(Check each box that applies L JBuilding ❑ Critical Areas Stewardship Plan ❑ ,Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) 0/Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C)" ❑ Manufactured Home ❑ Modular ❑ Discretionary`D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)" ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat" ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan" 1. ❑ Propane ❑Long Plat" ❑ Sign ❑ Planned Rural Residential Development(PRRD)/Amendrnents" ❑ Allowed'Yes"Use Consistency Analysis ❑ Play.Vacation/Alteration" ❑ Stonnwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑ Site Plan Approval Advance Determination(SPAAD)• ❑Shoreline Management Substantial Development" ❑ Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication" ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices AcURelease of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment •May require a Pre—Application Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference, Please Identify any other local, state or federal permits required for this proposal, if known: • DESIGNATION OF AGENT I hereby designate E_l r�-k 0 A-ke 1 411 to act as my agent in matters relating to this application for permit(s). • OWNER SIGNATURE Age, AllMer ;T/ Date: % By signing this appllcg•n 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson Courtly against all liabilities,judgments,court costs, reasonable attorney's fees and • expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further 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 require. later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of theap.It'-.n at he or she sp ,. n•f•:. Signature: ��4 - I _ - Date: (/ /J '/T The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take'of an endangered species as those terms are defined in the federal law known as the 'Endangered Species Act'or'ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabl ponsibiliity for/ad en plying with the ESA. The Applicant has read this disclaimer and signs/and dates it below. Signature: 1 C P I ( 1 �° Date: /6-73 -/ G:\PemvtCenter\###FORMS###\DRD FORMS\Master PeanitApplication 5-29-08.doc If(i't„[ \4- \ InC C 1F. 1Y' AIR FLO HEATING COMPANY 4 3 0 2 2 Check Number: 43022 Jefferson Co. Building Dept Date Description Amount 10/10/2014 Permit for Bobo 171.00 • 4,04yO‘' `'%L JEFFERSON COUNTY .,FMS o DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 67,1 L f Time Received: wpm Mon. , j Wed. Thur. Fri. Date: q.--0- BLD: /y 7 J`-g; Contact Name: Owner: ,w_13v19-= Contact Number: 360 Address: o L-Z 1 elat -cam iL–i 206 Notes: r-1 re--1 –11e..-4-4- /a-0 9 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground 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 X Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling /pN 1..5oN cr) DEPARTMENT OF COMMUNITY DEVELOPMENT '"1., 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment y •¢per E-mail: dcd(aco.jefferson.wa.us SH/N61 September 09, 2015 JOHN P BOBO PO BOX 190 QUILCENE WA 98376-0190 RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE SITE ADDRESS: 10621 CENTER RD PERMIT#: BLD14-00376 LEGAL DESCRIPTION: BLOCK: LOT: PROJECT DESCRIPTION: INSTALL NEW HEAT PUMP DEAR JOHN P BOBO PERMIT# BLD14-00376 WAS ISSUED BY THIS DEPARTMENT ON 10/16/2014 , WAS VALID FOR ONE YEAR AND IS NOT RENEWABLE. According to our records, a final inspection has either not been scheduled or has not been passed. TO SCHEDULE A FINAL INSPECTION, CONTACT THE DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION HOTLINE AT 379-4455 and leave your request after the recorded message. In the event a final inspection is not passed, the inspector will give you a written notice of required corrections. You must call for a re-inspection to receive final approval. A FINAL INSPECTION MUST BE SCHEDULED BY 10/10/2015. Please contact the Department of Community Development (360) 379-4450 with any questions. Sincerely, Permit Technician cc: file \\tidemark\data\forms\F_BLD_pro_exp_ntc.rpt 9/9/2015 • This combination qualifies for a Federal Energy 4191/11 va i CERTIFIED® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013./ www,ahridirectory.org Certificate 1 , P" AHRI Certified Reference Number: 5021416 Date: 10/13/2014 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: 4TWR5030G1 Indoor Unit Model Number: *AM7A0B30H21 Manufacturer: TRANE Trade/Brand name: TRANE Series name: XR15 WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity(Btuh): 31600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh)@ 47 F: 30000 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 18900 ^Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced:copied:disseminated: I entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual. personal and confidential reference. AIR•CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www,ahridirectory.org,click on'L`e-■fy Geat.ficate"link r t'rim's f ,�,rr and enter the AHRI Certified Reference Number and the date on which the certificate was issued. which is listed above.and the Certificate No,.which is listed at bottom right. ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130576937113440907 • • cl T C' Parcel Details Page 1 of 2 S f s n County . w,w� Home County Info Departments Search Parcel Number: 801324001 SEARCH Parcel Number: 801324001 Printer Friendly Owner Mailing Address: JOHN P BOBO PO BOX 190 QUILCENE WA98376-0190 Site Address: 10621 CENTER RD QUILCENE 98376 Section: 32 School District:Chimacum (49) Qtr Section: SE1/4 Fire Dist: Quilcene (2) Township: 28N Tax Status: Taxable Range: 1W Tax Code: 0221 Planning area:Quilcene (10) Sub Division: Assessor's Land Use Code: 8300 - Open Space Agricultural (A) Property Description: S32 T28 R1W S1/2 N1/2 NW SE(1AC HMST) &TAX 29 LESS 0/S PTN#801324016 ax,A/V, Sales, Photos, and Permit Data Blflo Data Map Parcel Plats&Survev, Septic Monitoring Into ^., Jefferson County `,,, HOME 1 COUNTY INFO I DEPARTMENTS 1 SEARCH Ida Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=801324001 10/16/2014 Parcel Details Page 2 of 2 • . http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=801324001 10/16/2014 AIR FLO HEATING CO INC Page 1 of 3 0 Washington State Department of Labor & Industries AIR FLO HEATING CO INC Owner or tradesperson 221 W CEDAR ST BEQUETTE, MICHAEL SEQUIM, WA 98382-3320 360-683-3901 Principals CLALLAM County BEQUETTE, MICHAEL FULLAWAY, MICHAEL BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY RGDC(lrsl inm D TDCACI !DMZ. License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties HVAC/RFRG License no. AIRFLHCOO9C8 Effective—expiration 02/28/2000—02/28/2016 Designated administrator BERSON, JOEL RAY Active. Meets current requirements. License type License no. Master Electrician BERSOJR975LB Bond ...._....._.... CBIC $4,000.00 Bond account no. si6233 Received by L&I Effective date 05/19/2010 07/06/2010 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations ......_.........._.._....._......_._.._..._. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/16/2014 AIR FLO HEATING CO INC Page 2 of 3 Infraction no. + Satisfied • ......_............__.. EDORN00206 RCW/WAC Violation date 19.28.161(6) RCW 03/28/2013 Violation amount Violation city $250.00 Sequim Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to accurately verify electrical training hours on an Affidavit of Experience. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 351,432-00 Doing business as AIR FLO HEATING COMPANY INC. Estimated workers reported Quarter 2 of Year 2014"21 to 30 Workers" L&I account representative T1 ! FEARAED FEROZE (360)902-4797 -Email: FERH235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for Citation issue date 07/24/2012 Violations Inspection no. 315954529 Location 125 Horizon View Dr. Sequim,WA 98382 hops://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/16/2014 AIR FLO HEATING CO INC Page 3 of 3 • ©Washington State Dept.of Labor&Industries. Use of this site is subject to the laws of the state of Washington. Access Washingtcx14 {'e�tyl,440t1 iyef,:iirtn!$t1 Siht https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLHC009C8&SAW= 10/16/2014 JEFFERSON COUNTY (-)( D NO. 151636 DATE IU/ItiILi RECEIVED FROM i 1- 10 DESCRIPTION BARSI AMOUNT CURRENCY NZ Cw,‘E 152 .OU Tc1 COIN SdVi IS - G (_% _ `[ t 6H--E-A<.) I Q P Yip p 11 n O RECEIVED BY TOTAL I 7 I Vv BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00376 Received Date: 10/16/2014 SITE ADDRESS: 10621 CENTER RD Issue Date 10/16/2014 QUILCENE, 98376 Expiration Date 10/16/2015 OWNER: JOHN P BOBO PHONE: 360-765-3890 PO BOX 190 QUILCENE WA 98376-0190 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801324001 Section: 32 Township: 28 N Range: 1■1 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: INSTALL NEW 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/16/14 151636 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 • • Jefferson County Building Division Permit Number: BLD14-00376 Applicant: BOBO 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 FINAL FINAL Building 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 q 15 r5---I FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR