Loading...
HomeMy WebLinkAboutBLD2012-00026 • • PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD12-00026 Received Date 1/30/2012 SITE ADDRESS: 92 N RHODODENDRON DR Issue Date 1/30/2012 PORT TOWNSEND, 98368 APPLICANT: ROBERT J MARETT PHONE: 360-385-0390 SUSAN A MARETT 92 N RHODODENDRON DR PORT TOWNSEND WA 98368-9485 6 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 7 Lot: PARCEL NUMBER: 938400706 Section: 12 Township: 30N Range: 02W CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2013 OWNER, ROBERT J MARETT PHONE: 360-385-0390 if different: SUSAN A MARETT 92 N RHODODENDRON DR PORT TOWNSEND WA 98368-9485 PROJECT DESCRIPTION: INSTALL 2 NEW DUCTLESS HEAT PUMPS 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 1/30/2013. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: /c244' / BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/19 JILDING PERMIT APPLICATIN BLD12-00026 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00026 Received Date: 1/30/2012 SITE ADDRESS: 92 N RHODODENDRON DR PORT TOWNSEND, 98368 OWNER: ROBERT J MARETT PHONE: 360-385-0390 SUSAN A MARETT 92 N RHODODENDRON DR PORT TOWNSEND WA 98368-9485 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: 7 Lot: 6 PARCEL NUMBER: 938400706 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971 OB Expires 9/2/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr INSTALL 2 NEW DUCTLESS HEAT PUMPS TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 8,166.00 ADD'L: HEAT TYPE CODE EDITION. 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: 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 $167.25 LYK 01/30/12 131405 Plan Check $108.71 LYK 01/30/12 131405 State Building Code $4.50 LYK 01/30/12 131405 Total: $280.46 4� oe, JEFFERSON COUNTY W �,` DEPARTMENT OF COMMUNITY DEVELOPMENT '' ''4 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 4 - p, www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: NO EF-Qt6 '1 Project Description(include separate sheets as necessary): INSTALL 24K 2 ZONE DAIKIN HEAT PUMP SYSTEM Tax Parcel 938400706 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 92 N RHODODENDRON DR, PORT TOWNSEND 98368 Property Owner(s)of Record: BOB&SUSAN MARETT Telephone:360-385-0390 Fax: email: Mailing Address: 92 N RHODODENDRON DR,PORT TOWNSEND 98368 Applicant/Agent(if different from owner): WASHINGTON ENERGY SERVICES Telephone: 360-945-2787 Fox: 360-945-2091 elnaii: NAIDA©N'.*,'?ERraaT.001,1 Mailing Address: 2800 THORNDYKE AVE W,SEATTLE WA 98199 What kind of Permit?(Check each box that applies Building Ell Variance(Minor, Major or IITsaso n c ❑ Demolition Permit [3 Conditional Use[C(a),C(dj,nr- n U J Single Family 0 Garage Attached/Detached DI Discretionary"D"or Unnamed tfse t°tasstf ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use [3 Short Plat** J�1� 3 O 20�2 ❑ Address 0 Road Approach[ I 0 Binding Site Plan** 0 Home Business ❑Cottagelndustry 0 Long Plat** ❑ Propane ID Planned Rural Residential Develo fiEeiile(MMIttnendments '* ❑Sign ❑ Plat Vacation/Alteration** .PT fli C('';i11!i 'IV Dfl'f-I 0PMENT ❑Allowed"Yes"Use Consistency Analysis Ell Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management [3 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* [3 Shoreline Management Variance ❑Temporary Use Et Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment P3 Forest Practices Act/Release of Six-Year Moratorium U Tree Vegetaion Request *May require a Pre—Application Conference **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 NORTHWEST PERMIT INC. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /L.4.fJj Date: L ja,•-t, /44 24, /'2— - 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 it's 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap I ati that or sly wants prior notice. Signature: Date: _.. The action or actions Ap icant 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-transf e spo ility hering to lying with the ESA. The Applicant has read this disclaimer and suns and dates it below. Signature: Date:l. i lam_ pci /Z,©/ C:\Documents and Settings\cara]\Local Settings\Temporary Internet Files\OI.K86\,Master Permit Application 12-19-2006.doc • • 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 responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: WASHINGTON ENERGY SERVICES ( 800)398-4663 (Q) MAILING ADDRESS: 2800 THORNDYKE AVE W SEATTLE 98199 EMAIL: 2800 THORNDYKE AVE W SEATTLE 98199 CONTRACTORS LICENSE WAINS NUMBER: WASHIES971 OB NUMBER ARCHITECT/ENGINEER: I PHONE 4 D FAX: MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: Bank 0 Community System Alteration/Remodel 0 Concrete Total: Height• ❑ Individual System ❑ Repair 0 Maso I SEP Permit#1 ❑ Demolition Other Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑Two Party Type of Heat: Proposed: 0 Public EXEC HEAT PUMP Totai: I I ' Name of System: I 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 I Proposed I I IBC Occupancy:I I IBC Type of construction:I Will you have Food Service?FeTil No I If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: ,—, ,f \ ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet StoJe bthe� I`=_ [ \I\ Is this appliance being installed in a Manufactured/Mobile Home? MI/ lid ;I i 1 When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings)alllproperty lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system coihplonents, including the reserve area. Square Footage Current Proposed For Office Use Only Arppupt, r , ,( prevision Main Floor Heated I, EH Bld App Review: 2"d Floor Heated Consistency Review: Other Heated Base fee: �J I (eq. Z5 Mezzanine Additional Section: Heated Basement Plan Check fee: I ICE ' 1 Unheated Basement F---1 I State Surcharge fee: A ` 56 Other Unheated U 1 Pot Water Review fee: Garage/Carport I— U I SUBTOTAL Decks U l 911/Rd Approach fee: Other I TOTAL: $ a sD L co Receipt Number: 15 I (-I' cs ICash/Check Number: ► ESTIMATED COST(REQUIRED) Date: 3031 .Fair market value of all labpr and materials foundation to finish _ I. lap -1- j I0 (lt(1{ Initials: �_ l C:ADocuments and Settings\carat\Local Settings\Temporary Internet Files\OI.K86\Master Permit Application I2-19-20( . • , • • • , Property Owners Name: 006 M are T T Assessor's parcel Site Address: ej 2. A) g A o fo el e,,.Jr,"'J IX. Site Plan North i. Legend: ----property line Building perimeter Map Scale:I'(in)=20'(ft) �o Z 1)( � . Its' — 7 . , 1\ 3b w 12 /ID d oc(e,J#fr'a, J2 1r,5T-11 /61 02 DucT1{rs h e,,I Fv s I -7) IP . r. JAN 3 ' 201.2 L; IJ l I • JEFFERSON COUNTY I __DFPT.OF COMMUNITY DFVFIOPMENT