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HomeMy WebLinkAboutBLD2014-00371 - MECHANICAL BUILDING PERMIT APPLICADN BLD14-00371 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00371 Received Date: 10/14/2014 SITE ADDRESS: 24 HEMLOCK CT PORT TOWNSEND, 98368 OWNER: JEW FAMILY TRUST PHONE: 253-632-5102 JERRY& DIANNE JEW, TRUSTEES 16027 SE 267TH CT COVINGTON WA 98042-8216 9650 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000350 Section: 27 Township: 30 N Range: 1V\ 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 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW HEAT PUMP INSTALL 3 TON 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 $152.00 SRE 10/14/14 151600 aoa Atuno3 uosio}far Total: $152.00 1/i0Z I 130 OBAO dd\ \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/14/2014 ,g�Qx 'be,be, JEFFERSON COUNTY ,\ kiliiit DEPARTMENT OF COMMUNITY DEVELOPMENT \- 621 Sheridan Street• Port Townsend •Washington 98368 Fax ck 4. E $ www.co.efferson.waus/o m evelopment lSBII�TC#� Master Permit Application MLA: Project Description(indu sepa to sheets a necessary): 1n AL . nn a- Tax Parcel Number. (v5 bDO '_) 1.-.) Property Size: (acres/square feet) Site Addre and/or Directions to Property: 4 L ,t/,,1\0( \L G. hoc-\ —cover Ifujt a Q3L4C)R Property Owner(s)of Record: 1---)■0.+-■hp— ..k-N3 Telephone: rJ • L/,'D • n I O c(.. Fax: email: Mailing Address: -+lV`t 0. 1 < Applicant/Agent(if different from owner): (t l.-1/■ -C\ I- - ', Telephoneo ��� 0.t,`, Fax: C)•O Dyg COs email: 7 C u r '�`� Mailing Address:A\oo� °J v�y Q�.. ./2_12‘. -t- Q Q) \.o i) CA/1'1 What kind of Permit?(Check each box that applies ❑Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ....St-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•` ❑Propane ❑Long Plat" ❑Sign ❑Planned Rural Residential Development(PRRO)/Amendments" ❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)• El Shoreline Management Substantial Development" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release 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: 1 �, QESIGNATION OF AGENT I hereby designat . to act as my agent in matters relating t this application for permit(s). OWNER SIGNATUR. b `..111A .a.. Date: 1 O L pJ 1 '1 By signing this ap 401111L 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 County 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 an. any 'equired later inspections. tars access and right of entry will be assumed unless the applicant informs the County in writing at the time oft e appf,.-tion that he or she wan • p or notice. I I Signatu ,. llli..�J1, _ Date: 1 The acti d • 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 : ev- if you are in compliance wit the Jefferson County development code.The Applicant acknowledges that he,s or it holds individual and on-trans'-rable responsibility for ad e g to and co I ing with the ESA. The Applicant has read this disclain{er nd ig s a d dates it below. Sign- re: I - Date: 10 G:\Pemu enter\###FORMS###\DRD FORMS\Master Permit Application 5.29-O8.doc • • 4 ,_,..01,.. c JEFFERSON COUNTY 4.- U$ DEPARTMENT OF COMMUNITY DEVELOPMENT q'rHI NV Date: 2,2 ...Time Received: am/ Mon. Tue. Wed. Thur. 0 Date: q/mo,o BLD: I q'" 37 / Contact Name: Owner: Contact Number: 360 25-3 63Z .51C)?- Address: 24 N- L c 206 Notes: 1TV P V f 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 Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling Parcel Details Page 1 of 2 • • Jefferson County y Home County Info Departments Search I Parcel Number: 965000350 SEARCH Parcel Number: 965000350 Printer Friendly Owner Mailing Address: JEW FAMILY TRUST JERRY & DIANNE JEW, TRUSTEES 16027 SE 267TH CT COVINGTON WA98042-8216 Site Address: 24 HEMLOCK CT PORT TOWNSEND 98368 Section: 27 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Tri-Area (4) Sub Division: 9650 - KALA POINT 3-8 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KALA POINT #10 LOT 303 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survey Septic Monitoring Info ,,, ff \, Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later g6Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=965000350 10/14/2014 BRENNAN HEATING & A/C LLC Page 1 of 2 • Washington State Department oil? Labor & Industries BRENNAN HEATING & NC 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. BRENNHA971 R9 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&( 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 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 10/14/2014 BRENNAN HEATING & A/C LLC Page 2 of 2 No lawsuits against the bond or sail accounts during the previous 6 year pai. 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. PPEJP00330 Satisfied Violation date RCW/WAC 09/14/2012 18.106.020 Violation city Violation amount Seattle $250.00 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 2 of Year 2014"76 to 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. ©Washington State Dept of Labor&Industries. Use of this site is subject to the laws of the state of Washington. .Access Allik Washington" https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602346866&LIC=BRENNHA971R9&SAW= 10/14/2014 • Jefferson County Building Division Permit Number: BLD14-00371 Applicant: JEW FAMILY TRUST 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 ' I �i✓fl j FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00371 Received Date: 10/14/2014 SITE ADDRESS: 24 HEMLOCK CT Issue Date 10/14/2014 PORT TOWNSEND, 98368 Expiration Date 10/14/2015 OWNER: JEW FAMILY TRUST PHONE: 253-632-5102 JERRY& DIANNE JEW, TRUSTEES 16027 SE 267TH CT COVINGTON WA 98042-8216 9650 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965000350 Section: 27 Township: 30 N Range: 1V1 CONTRACTOR: BRENNAN HEATING &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 7/13/2015 PROJECT DESCRIPTION: NEW HEAT PUMP INSTALL 3 TON 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: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/14/14 151600 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 rF,, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,W,\.98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.iefferson.wa.us/communitvdevelopment bye E-mail:dcd@aco.iefferson.wa.us 5ftl N<*� September 09, 2015 JEW FAMILY TRUST JERRY& DIANNE JEW, TRUSTEES 16027 SE 267TH CT COVINGTON WA 98042-8216 RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE SITE ADDRESS: 24 HEMLOCK CT PERMIT#: BLD14-00371 LEGAL DESCRIPTION: 9650 - KALA POINT 3-8 BLOCK: LOT: PROJECT DESCRIPTION: NEW HEAT PUMP INSTALL 3 TON HEAT PUMP DEAR JEW FAMILY TRUST PERMIT# BLD14-00371 WAS ISSUED BY THIS DEPARTMENT ON 10/14/2014 , 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