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HomeMy WebLinkAboutBLD2014-00393 - MECHANICAL BLD14-00393 UILDING PERMIT APPLICAbN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00393 Received Date: 10/23/2014 SITE ADDRESS: 52 CHURCH RD OWNER: BRINNON COMMUNITY CHURCH PHONE: SUBDIVISION: Block: Lot: PARCEL NUMBER: 602344020 Section: 34 Township: 26 N Range: 2' 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 2 DUCTLESS HEAT PUMPS 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: SHORELINE: GARAGE: SETBACK: CONST TYPE: 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 10/22/14 151649 AP i.V`. ,,y, a tom; Total: $152.00 OCT Z 3 2(14 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/23/2014 °Nro, DEPARTMENT OF COMMUNITY DEVELOPMENT �� ✓� 621 Sheridan Street,Port Townsend,WA 98368 J Tel:360.379.4450 Fax:360.379.4431 Web:www.co.jefferson.wa.us/communitydevelopment �t9 , ct E-mail:dcd@co.jefferson.wa.us Sit NG' September 09, 2015 BRINNON COMMUNITY CHURCH • RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE SITE ADDRESS: 52 CHURCH RD PERMIT#: BLD14-00393 LEGAL DESCRIPTION: BLOCK: LOT: PROJECT DESCRIPTION: INSTALL 2 DUCTLESS HEAT PUMPS DEAR BRINNON COMMUNITY CHURCH PERMIT# BLD14-00393 WAS ISSUED BY THIS DEPARTMENT ON 10/23/2014 , 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_B LD_pro_exp_ntc.rpt 9/9/2015 AIR FLO HEATING COMPANY INC Page 1 of 2 ILAillik Washington State Department of Labor & Industries AIR FLO HEATING COMPANY INC Owner or tradesperson 221 W CEDAR BEQUETTE, MARK A SEQUIM, WA 98382 360-683-3901 Principals CLALLAM County BEQUETTE, MARK A, PRESIDENT BEQUETTE, SANDRA A, VICE PRESIDENT BERSON, JOEL R, SECRETARY FULLAWAY, MICHAEL (End: 04/01/2010) Doing business as AIR FLO HEATING COMPANY INC WA UBI No. Business type 600 347 761 Corporation 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. Al RFLI`206DG Effective—expiration 03/07/1980—04/25/2016 Bond ._........... CBIC $6,000.00 Bond account no. SI5215 Received by LAI Effective date 02/05/2010 02/01/2010 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL483619 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC—AIRFLI*206DG&SAW= 10/23/2014 AIR FLO IIEATING COMPANY INC Page 2 of 2 Received by L&I Effective date 04/18/2014 04/25/2014 Expiration date 04/25/2015 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&l 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. 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 ©Washington State Dept. of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access 1tashinglon"- . https://securc.lni.wa.gov/verify/Detail.aspx?UBI=600347761&LIC=AIRFLI*206DG&SAW= 10/23/2014 .• I• 4i ° %jj JEFFERSON COUNTY `� e DEPARTMENT OF COMMUNITY DEVELOPMENT I 1$441,',..1 sl 621 S endan 9-4450 St 60/379-44Townsend •Washington 98368 a�T Z 2 2014 " ax 1 p' www.co.jefferson.wa.us/commdevelopment \�8ID7(� l• Of!pm, Master Permit Application MLA: _, Project Description(include separate sheets as necessary): gad_ & QkL s K�� ?tr,.tft CZJ Tax Parcel Number. 4 V a 3`f"-f e•-) Properly Size: (acres/square feet) Site Address andlor Directions to Property: / / n / 13 ri Loll Co,:viv+zu.rn f-4 CL -vc6 1 SZ c - ti R4-' ,eYiv,nor 7 %32.o 1 Property Owners)of Record: Telephone: Faxemail:Mailing Address: ?•0-ecbt. l31 tilsrumwo %"14=, s I Applicant/Agent(If different from owner): GAS Cl a Hr. !fl RS Telephone: -.•_•)- 1.. "5 54 ax: • anatl: �. ,,/�,, • ' Mailing Address: - ! Lt)> • ) I _•..a _ " .....a...- — : - . s a .l.r+rte► ' What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor,Major or Reasonabi:Economic Use) ❑Single Family ❑Garage Attached!Detached 0 Conditional Use[C(a),C(d),or C)*" ❑ Manufactured Home 0 Modular 0 Discretionary 11 or Unnamed Use C asstfication O Commercial" ❑Special Use(Essential Public Facilities)" ❑ Change of Use 0 Boundary tine Adjustment ' 0 Address 0 Road Approach 0 Short Plat" ❑Home Business ❑Cottage Industry 0 Binding Site Plan" ❑Propane ❑Lang Plat" " 0 Sign 0 Planned Rural Residential Developm ant(PRRO)fAmendrnents"" ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration" . ❑Stormwater Management ❑Shoreline Master Program Exemphor/Permit Revisions'" ❑Site Plan Approval Advance Determination(SPAM))• ❑Shoreline Management Substantial C Development" ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication" 0 Comprehensive Plan/UDC/Land Use District Map Amendment O Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master P-ogram Amendment 'May require a Pre-Application Conference 0 Tree Vegetation Request • "Requires a Pre-Application Con ereace Please identify any other local,state or federal permits required for this proposal,if know'n: 1 A DESIGNATION OF AGENT I hereby designate A r F(C /l Pe..'i, .5 (C c. to act as my agent in matters relating to this application for per it(s). i OWNER SIGNATURE '".� �/� // /!Date: iO -f J// !. By signing this application form,the owner/agen�That the Information provided herein,and In any attachments,is true and corectto the best of his,her or Rs 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 aii liabilities,judgments,court coals,real onable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of thi:permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents fol the sole purpose of application review and any required later Inspections, Staffs-• . = • right of- wii *Limed unless the applicant infom s the County in at the time the appl(f alio.that hq or she wan —L Signature: /6 V` 7 J7 Siggnatt ure: tlKa it 09 V/V----7 ♦ Date: 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 lake of an endangered species as those terms are defined in the fel leral taw known as the 'Endangered Species Ace'or'ESA."Jefferson County makes no assurances to the applicant that the actions that will b: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 ends altered species regarding your action(s)even If you are incompliance with the Jefferson County development code.Ther Applicant acknowledges that ie,she or it holds Individual and non-tra ble responsi ity for adh ` and cornp� The Applicant has read this d' /,rammer arida' ns and dates' low. Signature: — d�/ -• ` 1 &Li A Date: / —17 — Gc\PernitCenter\###FORMS###\DRDFORMS\MastaPemritAppliw4oaS-29-OB.doc ^ ,,, ace i p} 151 Ivy-1�1 a)20 2°o5L . ,o0 can . •• •• ® c� . .0 E ,L `EC [� � M [[ ) I OCT 222014 j c) c) JEFFERSON COUNTY C-4DEPT OF COMMUNITY DEVELOPMENT i Col N Li �f \ ("--g) 1 Li, , ,T J 1 i-; c) 6 -fib • 0i) 7-5-- /-It ' 11 of' .3 J rd I �- N c—.1 S -- C_) `� W C Parcel Details Page 1 of 2 • • Jefferson County „.J It` kVea her atii n_:..`: [YafabaseToo1s".:"akt Maps "6-.4j/iv- [rfebc,aan . Home County Info -- Departments Search Parcel Number: 602344020 SEARCH Parcel Number: 602344020 Printer Friendly Owner Mailing Address: BRINNON COMMUNITY CHURCH Site Address: Section: 34 School District: Brinnon (46) Qtr Section: SE1/4 Fire Dist: Brinnon (4) Township: 26N Tax Status: STATE Range: 2W Tax Code: 0440 Planning area: Brinnon (11) Sub Division: Assessor's Land Use Code: 9700 - Exempt Property Property Description: S34 T26 R2W TAX 8(LESS R/W) Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info i M, Jo : a C t t` HOME l COUNTY INFO l DEPARTMENTS l SEARCH 000 Best viewed with Microsoft Internet Explorer 6.0 or later ,.Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=602344020 10/23/2014 AIR FLO HEATING COMPANY 4 3 0 8 0 Check Number: 43080 Jefferson County Building Dpet Date Description Amount 10/17/2014 Brinnon Community Church Permit 171.00 • • ?4 O" cb JEFFERSON COUNTY T DEPARTMENT OF COMMUNITY DEVELOPMENT ��_ 9sNING� Date: /0 f Time Received: 4.-1 a . p Mon. Tue. Wed. Thur. Fri. Date: BLD: / y— 3Q3 Contact Name: Owner: Contact Number: 360 -794-L'YO Address: 5-2- di that iLb ��// /� 206 Notes: /-i f Uw 2$ 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 JEFFERSON COUNTY r( i No. 151649 DATE 10ja49/I I •CEIVED FROM Ij / F ( G UePTION BARN AMOUNT CURRENCY f LY) J 5 up r-ijl--1 / TRY t1 QCON Scct lc/ `' ( (- -5 1 -02_ CHECKS) 4 O rn 33 O RECEIVED BY S- E QP 11'1 TOTAL 17 ('L.' I Jefferson County Building Division Permit Number: BLD14-00393 Applicant: BRINNON COMMUNITY CHURCI- 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 /0/2 1//-1—.. 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 (ply lis FINAL INSPE TIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : 11tidemark1data\forms\F_BLD_Permit_BIdg.rpt 10/23/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00393 Received Date: 10/23/2014 SITE ADDRESS: 52 CHURCH RD Issue Date 10/23/2014 Expiration Date 10/23/2015 OWNER: BRINNON COMMUNITY CHURCH PHONE: SUBDIVISION: Block: Lot: PARCEL NUMBER: 602344020 Section: 34 Township: 26 N Range: 2V\ 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 2 DUCTLESS HEAT PUMPS 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 10/22/14 151649 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