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BLD2014-00177
• BUILDING PERMIT APPLIION BLD14-00177 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00177 Received Date: 5/21/2014 SITE ADDRESS: 51 MOLENDA LN PORT TOWNSEND, 98368 OWNER: LAUREEN ELIZABETH TRSTE PHONE: 860-669-7366 LAUREEN ELIZABETH LIV TRS 21 SNAPDRAGON LN SEQUIM WA 98382-4202 DISCOVERY BAY VILLAGE SUBDIVISION: Block: Lot: PARCEL NUMBER: 947400066 Section: 13 Township: 29 N Range: 02 W CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ROOF MOUNTED GRID-TIED PV SOLAR ELECTRIC TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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 $228.00 MEB 05/21/14 148649 Total: $228.00 APPROVED MAY 21 2014 Jefferson County DCD firlcmorle rie+o\fnrme\F RI Il Ann Rid rnt Rill P)(11A osoN J• . QN COUNTY 0 D PARTME T P OMM ITl DEVELOPMENT 621 Sheridan Street(Port Townsend,WA 98368 I Web:www.co.ieferrs .wa.usicommunitydevelopment Tel:360.379.4450 f Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us Building Permits&Inspections 1 Development Consistency Review'Long Range Planning(Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Roof mounted, Grid-tied RV(Solar Electric) Tax Parcel Number 947 400 066 Property Size: 0.7 acres (+/-) (acres/square feet) Site Address and/or Directions to Property: 51 Molenda Ln, Port Townsend,98368 Property Owner(s)of Record: Laureen Elizabeth,Living Trust,Laureen Elizabeth Trustee • Telephone:0-669-7366 Fax email: laureenelizabethi@gmaii.com Mailing Address: 51 Molenda Lane,Port Townsend,WA 98368 Applicant/Agent(if different f r o m owner): V e n k 01--111,1? 1.1 0 1 ' p. Telephone:380-643-3080 Fax: 360-539-1857 email:john @powertripenergy.com Mailing Address: 83 Denny Ave,Port Townsend,WA 98368 What kind of Permit?(Check each box that applies El Lot or Road Segregation ❑Building 0 Critical Areas Stewardship Plan • Demolition Permit ❑Variance(Minor,Major o ' --••-• conomic Use) ❑Single Family ❑Garage Attached I Detached ❑Conditional Use[C(a),C • : r ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unn;y Yg1o� E l o Commercial* ❑Special Use(Essential • °:cilities CI Change of Use 0 Boundary Line Adjustm ❑ Address 0 Road Approach 0 Short Plat** MAY 9 201 ❑Home Business ❑Cottage Industry ❑Binding Site Plan** 4 ❑Propane ❑Long Plat** ❑Sign El Planned Rural Reside ial De - •. -' •a r,s:Amend ii,..Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteratio, ** JEFFERSON COUNTY ❑Stormwater Management ❑Shoreline Master Prog . ..f R.....•.itPiftltpl ** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial DevelopmenturmAIT ❑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-A •lication Conference — Please identify any other local,state or federal permits required for this proposal,if known: See/attached DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 5/19/2014 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app catio. -i,, •r she ,. prior notice. _ t �� Signature: - 0 Date: j The action or acti ns Applicant will in ertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lea =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 rable • for a. :ring to and complying with the ESA. The Applicant has read this disclaimer nndd signs and dates it below. Signature: ‘, lm `i. .i+ , r t eN P . Date: In i t 0 i 07/24/2013 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 as min. .. ,:ibility of the General Contractor for the proposed project. Signature: '`� 1 t Y-Elie Date: 5/19/2014 GENERAL CONT CTOR OR MAN TURED HOME INSTALLER: PHONE: FAX: Power Trip Energy Corp (360 )643-3080 (360 )539-1857 MAILING ADDRESS: 63 Denny Ave., Port Townsend, WA 98368 EMAIL: john @powertripenergy.com CONTRACTOR'S LICENSE WAINS �6 NUMBER: POWERTE934QE NUMBER 063-472-00 ARCHITECT/ENGINEER: it PHONE (360 ) 643-3080 FAX:(360 )539-1857 MAILING ADDRESS: 63 Denny Ave.,Port Townsend,WA 98368 EMAIL john @powertripenergy.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition Li Steel Proposed: Bank ❑ Community System Li Alteration/Remodel ❑ Concrete Total: Height: CI Individual System h Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ❑ 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(indgdes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes I 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 retaW toH i Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit to install a proopane 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 tare 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: 21c) •00 0 Mezzanine Additional Section: `t q .co 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: $ 24_1 .00 Receipt Number: 144,6y-C1 Cash/Check Number: . ESTIMATED COST(REQUIRED) Date: r ICl/ , ` .Fair market value of all labor and materials foundation to finish 'mil 't Initials: S. 07/24/2013 JEFFERSON COUNIe 1CD N 1.48649 DATE SiZI/10 RECEIVED FROM ou el t DESCRIPTION BARS# AMOUNT CURRENCY Lb 7 28 ®Q COIN A q . bD ''; )iq `'O4 Ti-- CH KS 0 K m 0 dam. 4 <,,n t ...* RECEIVED BY : (.4�` TOTAL L17` oV , POWER TRIP ENERGY CORP Page 1 of 2 • Washington State Department of Labor & Industries POWER TRIP ENERGY CORP Owner or tradesperson 83 Denny Ave COCHRANE,ANDREW P PORT TOWNSEND, WA 98368 360-643-3080 Principals JEFFERSON County COCHRANE, ANDREW P, PRESIDENT CARR, STEPHEN E, VICE PRESIDENT Doing business as POWER TRIP ENERGY CORP WA UBI No. Business type 602 349 562 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 GENERAL License no. POWERTE934QE Effective—expiration 11/05/2007—11/05/2016 Bond CBIC $12,000.00 Bond account no SH5957 Received by L&I Effective date 11/05/2007 11/02/2007 Insurance GENERAL INS CO OF AMERICA $1,000,000.00 Policy no. 24CC21330840 Received by L&I Effective date 10/08/2013 11/02/2010 Expiration date 11/02/2014 Insurance history Savings ... https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 5/21/2014 POWER TRIP ENERGY CORP Page 2 of 2 No savings accounts during the ious 6 year period. • Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. IWorkers' 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. 063,472-00 Doing business as POWER TRIP ENERGY CORPORATION Estimated workers reported Quarter 1 of Year 2014"4 to 6 Workers" L&I account representative T1 /NICOLE BUTLER(360)902-4918 -Email: BUTQ235 @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, ACecS;* AlliWashingtor0 rt-�x a i n-a€nr iret''rA+Sdt� https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 5/21/2014 „c„raON co JEFFERSON COUNTY DEPART E T COMMUNITY DEVELOPMENT 62 Sheridan Str t/Pest Tt 73 n7 WA 92 ..�j web: co,ieffers on.wa.uslcommunitvdevelopment l'S'Atj N , p Tel; 360.379.4450/Fax: 0.3 51¢ Email: ed co.gefferson,a a.as EXPEDITED PERMITTING CHECKLIST FOR SOLAR PHOTOVOLTAIC SYSTEMS **TO BE COMPLETED BY COUNTY STAFF*** Building Permit Required? El Yes p No Staff Initials Date Fee: ***TO BE COMPLETED BY THE APPLICANT*** 1. Project Information Project Applicant: Power Trip Energy,83 Denny Ave,Port Townsend,WA 98368,360-643-3080,john @powert ilstAkar �•e Site Owner Name: 11) e-0 Laureen Elizabeth Living Trust,Laureen Elizabeth Trustee v ia, Project Address: ' 51 Molenda Lane,Port Townsend,WA 98368 PV System Description: I ` • 2014 Roof mounted,Grid-tied PV DEPT. JEFFERSON COUNIy 2. Determine if your project needs a building permit(check all that apply): OF COMMUNITY DEy i, viagg Yes No Not App i . . 1. Mounting equipment is engineered and designed for solar PV equipment. X 2. The solar PV system will comply with the National Electric Code(NEC) X including obtaining an electrical inspection. 3. To address uplift the solar modules will be mounted no higher than 18 inches X above the surface of the roofing to which they are affixed. Note:amnions 3 5-Apply to ROoftoP,SjStems . ... . , 4. Total dead load of panels,supports,mounting,raceways,and all other X appurtenances shall weigh no more than one of the following. If YES indicate which: L.: Conventional solar modules(one layer of glass)or frameless solar modules(two layers of glass)that weigh three and one-half(3.5)pounds per square foot(PSF)or less on any roof. ❑ Frameless solar modules(two layers of glass),on sloped roofs of at least 3:12 but less than 5:12 pitch,that weigh no more than four and one-half(4.5) pounds PSF. 0 Frameless solar modules(two layers of glass),on sloped roofs of 5:12 pitch or greater,that weigh no more than five(5)pounds PSF. 5. Supports for the solar modules are installed to spread the dead load across as X many roof-framing members as needed to ensure that point loads do not exceed fifty(50)pounds at any location. 6. Attachment to the roof is specified by the mounting system manufacturer. X Note:.Ctt tion:.7 1ppli t round Mounted- yste , 7. Ground-mounted solar PV systems using racking components installed per the X manufacturer's specifications. If you answered yes or NJA to all of the above questions,no separate building permit is required. ..t. 6 t Signature Da e • • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED -----TO BE COMPLETED BY CITY STAFF Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? ❑Yes ONo Staff Initials Date:Click here to enter text. Staff Initials Date:Click here to enter text. -------_TO BE COMPLETED BY APPLICANT roject Information Project Applicant: Power Trip Energy Corp,83 Denny Ave, Port Townsend,WA 98368,360-643-3080 Site Owner Name: Laureen Elizabeth Living Trust, Laureen Elizabeth Trus Project Address: 51 Molenda Lane, Port Townsend,WA 98368 b l O PV system description: Roof mounted,Grid-tied PV �8 Y7 •etermine if your project needs a building permit (check all t apply): 9 20/4 Otp7 sr c� �ON,0UN Y �' 1. PV system is designed and proposed for a detached single family house. Nini0 TY ■ 2. PV system is designed for rooftop of a house in general compliance with applicable codes.£ ---- T X ❑ 3. Mounting system is engineered and designed for PV. X ❑ 4. Rooftop is made from lightweight material such as shingles. X ❑ 5. PV system has been pre-approved by electrical permitting agency. X ❑ 6. To address uplift,panels are mounted no higher than 18"above the surface of the roofing to X ❑ which they are affixed. Except for flat roofs, no portion of the system may exceed the highest point of the roof. 7. Total dead load of panels,supports,mountings, raceways and all other appurtenances weigh no X ❑ more than one of the following. If YES,indicate which: X No more than three and one-half(3.5)pounds per square foot{PSF) ❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF ❑ Frameless panels on at least 5/12 pitch roof weighing no more than five(5.0)PSF 8. Supports for solar panels are installed to spread the dead load across as many roof-framing X ❑ members as needed to ensure that at no point are loads in excess of fifty(50) pounds are created. 9. Attachment to the roof is specified by the mounting system manufacturer. X ❑ 10. Method and type of weatherproofing roof penetrations is provided X ❑ 11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for X ❑ solar panels. 12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) X ❑ Cy mints: Clic here t n - ...r....... ..- If you answe ed yes to all of above questions,no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 • • Power Trip Energy Corp PV Installation contract 83 Denny Ave Port Townsend, WA 98368 (360) 643-3080 www.powertripenergy.com lic # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Laureen Elizabeth ,grant Power Trip Energy Corp.Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: 44-14.0-61c ,, /t Date: C; f'7 <` L z May 19,2014 Page 1 of 1 Laureen Elizabeth • • Jodi Adams From: Mary Blain Sent: Tuesday, May 20, 2014 8:29 AM To: Jodi Adams Subject: solar panel application Attachments: LAUREEN ELIZABETH apn 947400066 Solar Permit Application$247.pdf;Jefferson Co Dept of Comm Dev WA-Online Payments.pdf From:j flem [mailto:johnOpowertripeneroy.com] E Sent: Monday, May 19, 2014 6:56 PM To: Mary Blain v Cc:Jeff Randall; Andy Cochrane; Steve Carr; Nicole Mason ��A' 79127014 Subject: Re: Pay by credit card ' JEFFERSON COUNTY Good Day Mary: U-- E— P-�F Coti?VNiTY DEVELOPMENT Please find attached the permit application and fee receipt for$228 for roof mounted, grid-tied PV/ solar electric, and $19 scanning fee,plus $7.50 processing fee. When approved, can you please email back the permit? We are ready to install as soon as it is received! Many thanks, John Fleming On Tue, Jan 21, 2014 at 8:16 AM, Mary Blain<mblainAco.jefferson.wa.us>wrote: John, We do accept credit card payment, but we use an outside agency so there is a fee. The fee schedule is$2.00 for the first $50,$2.50 for the next$50 and$2.50 for every$100 after that. A$228 permit runs about$7.00 if I remember correctly. You can pay on our website http://www.co.iefferson.wa.us/commdevelopment/Credit%20Card.htm or over the phone. Mary Blain Permit Technician Dept of Community Development 621 Sheridan St 1 Port Townsend,WA 98368 • • ph: 360-379-4452 fax: 360-379-4451 mblain@co.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. Additionally, all email to and from the county is captured and archived by Information Services. From:j flem [mailto:john @powertrineneray.com] Sent: Thursday, January 16, 2014 10:36 AM To: Mary Blain Subject: Pay by credit card Good Morning Mary: Do you accept credit card payment? If so, is there a special process& service fee? Thank you! Sincerely, John S. Fleming PE Solar Engineer Power Trip Ene,i Corp 2 • • 83 Denny Ave. Port Townsend, WA 98368 360-643-3080 office 360-452-8500 cell iohn @powertripenergy.com email Sincerely, John S. Fleming PE Solar Engineer Power Trig F er9y for D LE 0 E O V @ 83 Denny Ave. Port Townsend, WA 98368 r`ij �I � MAY 1 9 X014 360-643-3080 office LJ 360-452-8500 cell JEFFERSON COUNTY iohn(a�powertripenergy.com email DFPTOFCOMMIINITYDEVEIOPMEN. 3 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY 411 • Auto Roll : OFF Parcel # 000947400066 Geo Cd 290213105151 DISCOVERY BAY VILLAGE Nbhd Cd 5440 LOTS 65 & 66 BND TGTH THRU BLA#112170 Loc ID * Taxpayer Cd ELIZ 4500 ELIZABETH TRSTE, LAUREEN T/P Chg Dt 12/23/2013 * Title Owner T/P Chg Usr JA Tax Code 0151 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 120328 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer ELIZ4500 LAUREEN ELIZABETH TRSTE LAUREEN ELIZABETH LIV TRS 21 SNAPDRAGON LN SEQUIM WA 98382-4202 Search Key CMD 6: End Window CMD 7: End of Job A, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 5 3v Time Received: /17 am/6 Mon. Tue. Wed. Thur. Fri. Date: 6' -2. BED: /q—l 1 7 Contact Name: Owner: Contact Number: 360 Co ct j 3020 Address: J!'/ /144ip4 206 Notes: a, I— , l 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 • MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00177 Received Date 5/21/2014 SITE ADDRESS: 51 MOLENDA LN Issue Date 5/21/2014 PORT TOWNSEND, 98368 APPLICANT: LAUREEN ELIZABETH TRSTE PHONE: 860-669-7366 LAUREEN ELIZABETH LIV TRS 21 SNAPDRAGON LN SEQUIM WA 98382-4202 SUBDIVISION: DISCOVERY BAY VILLAGE Block: Lot: PARCEL NUMBER: 947400066 Section: 13 Township: 29N Range: 02W CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 OWNER, LAUREEN ELIZABETH TRSTE PHONE: 860-669-7366 if different: LAUREEN ELIZABETH LIV TRS 21 SNAPDRAGON LN SEQUIM WA 98382-4202 PROJECT DESCRIPTION: ROOF MOUNTED GRID-TIED PV SOLAR ELECTRIC 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 5/21/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: -- 61?-/t/ BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 5/21/2014