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HomeMy WebLinkAboutBLD2014-00410 - MECHANICAL 0 •UILDING PERMIT APPLICA•N B Type:Reeviewview Typ : e: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00410 Received Date: 11/4/2014 SITE ADDRESS: 661 ARABIAN LN PORT TOWNSEND, 98368 OWNER: DAVID R BOMMER PHONE: 360-385-7947 DIANE H BOMMER 661 ARABIAN LN PORT TOWNSEND WA 98368-9283 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071038 Section: 7 Township: 30 N Range: 1V1 CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT INSTALL 3 TON HEAT PUMP SYSTEM 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: OCCUPANCY: UNHEATED: #OF STORIES: 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 11/04/14 151684 APPROVED Total: $152.00 �ii APPROVED NOV U4 2014 Jefferson County DCD LYS -1 Weir \1Lki � � \\tidemark\datalform s1F_BLD_Ap p_Bld.rpt 11/4/2014 ~k�w`zSON coGy JEI RSON COUNTY _-- L O -4 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 1..e o, 621 Sheridan Street Port Townsend,WA 983681Web:www.co.iefferson.wa.us/communitvdevelooment '4/I./NG• Tel:360.379A4501 Fax:360.379.4451 I Email:dcd(aco.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Itnbi(41 3 dhot1 hi?uk pomp Sys -m Tax Parcel Number: 0 0 107 l 03>33 Property Size (acres/square feet) Site Address and/or Directions to Property: Io c,I A o\bi&n Lr Property Owner(s)of Record: 11 2. d.ck 1 OJ1.< [b 14: Telephone: 3(0O- 33-Y 7S9 7 Fax: email: Mailing Address:Jp(pI PtYrx.k)'U-rl r-r. PofA- TixonSf.u& WA 018S__. j ApplicanUAgent(if different from owner): 6 i ‘,1\i0.1),.4(14.11 t-if' "t t:oo II Y1} Telephone:360.452-9813 Fax: 360-452-5177 email: kmckeown@allweathencc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ®Building 0 Critical Areas Stewardship 0 Demolition Permit 0 Variance(Minor, Major or gar Imr gs�1y7v E -�— ❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d) p Ll ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unna Classification O Commercial* 0 Special Use(Essential Pu i � lities)** O Change of Use 0 Boundary Line Adjustment + NOV - 3 2014 0 Address 0 Road Approach 0 Short Plat** �I .)❑Home Business 0 Cottage Industry 0 Binding Site Plan** u 0 Propane 0 Long Plat** ❑Sign ❑Planned Rural Residential Deve 1e@ ,94Riments"" ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration*' MMUN TY DEVELOPMENT 0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions"* 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 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 gpermits required for this proposal, if known: All Weather Heating & Collll NATION OF AGENT I hereby designate ,(� 9 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 4-C.Q,..v ( --- Date: t`7 .a ./i' 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 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 and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app/�irtien thhaa /ojr she wants prior notice. Signature: • � l Date: (WOW I Lk 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 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-transfer esponsibili r adhering to and complying with the ESA. The Applicant has read this disclaimer a d f g(ls and dates it below. Signature: Date: 10 Nog 1 1 07/24/2013 44°T 7 7 0.E bi, eti2 1/3/(4- • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the esponsibility of the General Contractor for the proposed project. Signature: Date: titddii GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: LT New • Wood Existing: E Sewer H Addition Steel Proposed: Bank E Community System Alteration/Remodel = Concrete Total: Height: a Individual System 72 Repair Masonry SEP Permit# Demolition Other: Bedrooms: • Water Supply: Existing: Setback: E Private well Two Party Type of Heat: Proposed: C Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP i knaT retaWtoH Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2 °Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: 07/24/2013 ALL WEATHER HTG & COOLING INC Page 1 of 2 • 0 Washington State hepar hnent of :10 Labor & industries ALL WEATHER HTG & COOLING INC Owner or tradesperson 302 KEMP ST MCKEOWN, THOMAS J JR PORT ANGELES, WA 98362 360-452-9813 Principals CLALLAM County MCKEOWN, THOMAS J JR MCKEOWN, IDA L MCKEOWN, THOMAS J, AGENT Doing business as ALL WEATHER HTG &COOLING INC WA UBI No. Business type 600 485 640 Corporation License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Electrical Contractor .............. Expired. License holder did not renew. License specialties Suspend date HVAC/RFRG 10/28/2007 License no. ALLWEHC003DC Effective—expiration 03/03/2000—03/03/2008 Bond CBIC $4,000.00 Bond account no. SC6847 Effective date 02/28/2000 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. 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. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC003DC&SAW= 11/4/2014 ALL WEATHER HTG & COOLING INC Page 2 of 2 L&I Account ID • Account is curre• 482,580-00 Doing business as ALL WEATHER HEATING &COOLING Estimated workers reported Quarter 2 of Year 2014"21 to 30 Workers" L&I account representative T1 /TYRONE COLEMAN (360)902-4807- Email: COTI235@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. Amos s ANL Washington'' https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600485640&LIC=ALLWEHC003DC&SAW= 11/4/2014 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 9`t'HING'S Date: 0/7 Time Received: /2 58 a pm Mon. Tue. Wed. Thur. Fri. Date: i '//9/ BID: 14- - 0041" Contact Name: Owner: B Contact Number: 360 ,S95"..7.9 lc/ 7 Address: /o%! flJow LQ 206 Notes: /4T �rg P 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 _ _.. . Ceiline Permit Number: BLD Jefferson County Building Division 1 5-4 BUILDING PERMIT INSPECTION APPROVALS Applicant: BOMMER To schedule inspections, call (360)379-4455 no later than 3:00PM the daybee of e the inspection Code: 2012 nis needed. l Building Codes 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 Ell is MIN Miscellaneous 1111111110111111111111111111111111111111111111111111111111111.1, 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 o FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 111 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00410 Received Date: 11/4/2014 SITE ADDRESS: 661 ARABIAN LN Issue Date 11/4/2014 PORT TOWNSEND, 98368 Expiration Date 11/4/2015 OWNER: DAVID R BOMMER PHONE: 360-385-7947 DIANE H BOMMER 661 ARABIAN LN PORT TOWNSEND WA 98368-9283 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071038 Section: 7 Township: 30 N Range: 1V1 CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT INSTALL 3 TON HEAT PUMP SYSTEM 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 11/04/14 151684 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 Deb No. 151684 / /� �/ Q�� DATE /� RECEIVED FROM I Ut f/�liN (1-7 -'r`` 1�/ l en/l DESCRIPTION n AB AR 1 AMOUNT I CURRENCY /3/nl 01 A' /5z //����••�jvv�7 COIN ,cc f / q. M� CHECK CF'Lf , C/ V x ' 75 2 0 E cm a iobi Cit . Sgo 0( 117 / 1 ,, 0 Ha � 49 yini��//a% RECEIVED BY L ,L ., , 1141// TOTAL rho o at)