Loading...
HomeMy WebLinkAboutBLD2013-00148 • BUILDING PERMIT APPLIAION BLD13-00148 U Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00148 Received Date: 5/15/2013 SITE ADDRESS: 250 VICTORIA LOOP PORT TOWNSEND, 98368 OWNER: BRUCE FREELAND PHONE: 360-379-6992 PO BOX 245 PORT TOWNSEND WA 98368-0245 CAPE GEORGE COLONY DIV 1 SUBDIVISION: Block: 2 Lot: 18 PARCEL NUMBER: 937800218 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr PROPANE TANK, FIREPLACE INSERT, EXISTING INTERIOR PIPE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 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 $228.00 JLA 05/15/13 142088 APPROVED Total: $228.00 A V G MAY 15 2013 Jefferson County DCE elofolfnrmclF RI fl Ann Rlrl rn+ F/1F/7(114 ON �W 1 3'i4 .• JEFFERSO:N`COUNTY ,, e I , .. , .DEPARTMENT OF COMMUNITY DEVELOPMENT . 621 Sheridan Street Pert Tgvfirsend 'Washington 98,388 .• . 360/3794450. 3.60/37944 •'i Fax e- ww w co:efferson wa•..us/comrridevelomeet • Master Permit Application - MLA; , Project Description:(include separate sheetsas necessary),:: ; • ( gmpett ''370ô2 I Rroperty.Size (agres/aquare feed:. Site Address.and/or Directions to Property:. • M 4 c_-� Property.Ovine s):of Record �n� - t1t 'rr__•Telephone:��". 11?CL:qq-! Fax - email: ..Mailing:Address: • Appllcant/Agerit:(lf different from owner). . •Telephone: 8 - vim? 7 Faux 8.$ 87 :i email' Y - a `". R'-a 'co Mailing,Address: O 8 3 ; 0 4 ,QP PT'. }/,i'J-v cl� �.R, IWhat-kind of Petinlit(.Check oath b©x that applies- - ❑Lot or Road Segregation OBulidiaag - ❑CriticalAreas SteWardship Plat • 01 Demolition Permit . .. 0 Veriande(Minor,Major or FReas'onable•Economic.Use) t Single Pamiiy C3 Garage Attathied l;Oetached •- ,0 ConditipQRal Usf r0(a),:C(d),.or g•''''' 0 Manufactured Home :. p Modular .. q DiscretionaryY"D"Or'Unnamed Classification • 0 Oommerdal* q•s SpRca(rse(Easentiat:Pubiio`Faclltes *t., ' 0 Change of Ue El Boundary Lne:Adjustfr en 0 :Address .• „ Q Road Approach . •.Short Flat** ❑Home Business •: .0 Cottage 9rtdustty 0 Binding Site Pima** (?l'bpane Ll Lontg at*" .• q$!gn 0 Planned Rural Raesidentiiaal,Devetopmer#t(RRRD)1Arnet drnenta** ' L7 Allowed,'NYas"Use Consistency Analysis a Plat Vajtion/Alteration .• Q Stormwater•Management •0 Shorelitie Master•Program.Exemption/Perrnit.Jeyisions** • 0 Sjte Plan Apprgaa#Advance Qeterrrlilla#ibn 1SPAAD)* q Sho'rel{�e Manegerllehit Substantial.Development** - t1 Tetpti i UseF N N o 8horelipeMane'gementVartana e . s - 8ieie'Te'a iltlunrcatiiiri C1 Comptfti risfve Pisan-/.t10C/Land UserDistnct Map Amendment: Q -Forfeitpractices Act/Release of Six-Year moratorium 0 JeffetBerl our fy,Shoreiine Master Program Amendment. ..*:.May require a Pre Application Conference .;: , .0 Tree .. getattcit Request **isec)pfres Pre-Application Conference•Please identify.any csther iiocal'.state otfetteraf per iitsi:iec(uired'fo ails proposal, if kr0461s. . .* t NATION OF AG EN, .:ereby designate•.. • .. , ..• to act as my ager • tinmatters relatingo this application for permit().: • l�WNER SIGTUR � 45 6. 4 -* By signing this app116tion form,the owner/agent attests thatthe infortnetion provii.ed herein,and in any attachments,is true and correct to the,best of ~ - his,her or.its knowledge. my material falsehood or aniyeemtssiori-.of a-material fact m derby ttie,owner/agent with•respect to`thts applicrittsn pa lcet:' may'result in this pednit'being_null and void .; • 1 further agree to save;indemnify and hold harmless JeffersorrCounty.against all llabll(tiesrjudgments,court costs,reasonable attorneyy`s'•fees and' • • expenses which.may in any accrue against Jefferson.County as a result of orin cythsequence'of the granting.of this permit: • . i furtheragree:to provide access=and right.of entry to Jefferson Cotmty;'and.Its empioy$es,representatives or agents for.the sole purpose of application review and any required-later inspections. Stairs•access and right of entry will be assumed unless the.applicant..informs•:the County-lik:wdthrg at.the r . .,time of the.ap ucation that he•or she wants prior notice .••nature: '. - s ale• 4/ The,action or actionsApplicant.will uhdertake as.a result of the Issuance of this psrnlitimaynegatively krapaotsupon one..or.mote.threatened or endangered species end�could,lead to.a.potential;"take".cf an endangered species as:*,ose terms are defined.in.the federal law known as the "Endangered:Specles•Ace'or"ESA,"Jefferson.County make's no assurances to.the appiioant•that the;aactlons.that will¢e undertakenbecausp.this:.. . permit has-been'issued will•not violate the ESA. Any.individual,group or agency can file a lawsuit:on behalf of an-ehdtingei-ed species.regarding:your. .action(s)even if yqu are in compliance with the Jefferson County deveiopment code.The:Applicant.acicnowleedgesihat lie,she•onit.holip lndlvrdttal'- and non-trap -.'rable•responsibilityfor •:arin to.and complyingwith.the:ESA The Applicant-has read this dlscl mer•and.signs and dates itbeiow: . ,-,\Peirnirrinter\#tdiFORM.S###\TMn RfRMClrnrrrnr TWn RA.:n•\7,,(een..P...r:r n....G....r:....4,K1 no A..... ' • • . • . • BUILDER.STATEMENT .. . The signer of this statement does hereby certify that they are the Owners of the parCet referenced herein;that they are not licensed contractors:and that they.will be assuming the responsibility of the General Contractor'forthe proposed project; •Signature: oat ;•y . GENERAL CONTRACTOR e . : w• •• • „ • ft:• PHONE: FAX: ,$..u..►-%, at0 i:n e pc)2 1? P (?6c1 ) 3 S- 1'7 17 ; . • MAILING ADDRESS: 36� .3 a''S S a� ?S r p EtufA. . 'CONTRACTOR'S LICENSE WAINS . BR . S'Tt lt S� ' h NUMBER • :M ARCHITECT%EhlGtlEtR: PHONE (:. ). Fn : ). MAILING ADDRESS: • EMAI . Project Type: Frame Bathrooms: Shoreline: Type of Sewage Dis osal: 0 'New • 0 Wood • .Existing: Sewer[] o Addition Cl. Steel Proposed: Bank 0 Alteration/ieernodei • • 0 Concrete . Total: Height: • • 0 Communtry System•• :o Repair • ❑ Masonry ual�Sys, . p n•yid d Demolition 0 Other., Bedrooms: SEP Permit existing: Setback: • Water-Supply:ate wel • Type'of Heat: Proposed: 0: Private wall 0 Two Parry, . .. Tots o�Public Name of System:- if this-is a Commercial Proiect.uqu must anawertho•followinq: • Number of`Parking Spaces: Current: Proposed Number of9�8 Parking Spaces :Number of occupants.(includes owners,:tenants,employees,etc) Current , •-. Proposed • IBC Occupancy: .`• IBC Type•of construction: Will you have F:atittService?? Yes J`No f th is•__ .;s • . 1e•Ta , •,• 1• a irietallatiott eYmit,_mark all Items:below^that apply: • .f Underground'tank o ove ground Tank Si a of Propane Tank: ))..-4.)..: .: 1.Herat Stove• I Cook Stove "oo.stove plieplaoe.'-insert 1 Hof Water k I. Other • ReNet:Stove I : Is•this aplallance•beinfInstalled:.Iri a Manufactured Mobile Home? Yes No •• IA e,ej pin fora per i it to install a fropano fanifyoru must also submit ai s te•plan showing ell=of the buildings,ell�property lines,tank location,and Size, distances=f.i`om t.e propane tank to all property.liness,buildings and septic system components, includlri`d:ffie..resdive area. : :. Y:tIti 3 z m�b xp i�T ; 5 r � t,.. i h;s d f t� ' �, . `n ,+r <`� y :tq4Y I a tv :r N;��'4k4. 4`.b� rw ti,��t yi's'r l-n t.e,:3 •#C,.4; ;, t:; 3 r r'. [i_ w5i,t '3.Mote FoGta Q Current Pre eSe4ll 4 7c c �T A.,!f )i ', ` i>�. ,'.{' t' x `, ` i,f, t{• as� � : nor f ' �• . r3 � App Review: .. ,. fr v$� plc t f L ,off a MaIn..FrloorHeated : , ���,� �.��� �a.,. � .,t7a,�.�.��,+. l .;t • 2 ` :EH •.. p 2." Floor Heated• . � ,, Consistency Review .• ..Other Heated • '; M, Me2zarilne ii.rz .• Additional Seotlon: rx Iiiiiiiiill111111.111 ,; .'- .� `,' Plan Check fee::. •• Unheated.Basement ' Fes. 'State-Surcharge fee: Ot er.•riheate. f',i lr _ e �*-Pot Water ,evlew fee:• •Garage/Carport. 1;,,��x ,,, •#u��� ,. SUBTOTAL�� Decks . :-. z f zl '_-911/t2d;Approach fee • Other }Y rorAL 1 • • t; • r z F� C • 110001pt wool-1* - , r y y "yrt Cash/Cf eck t umber., ` :, ",,c 1 �y ESTIMATED COST EQUI:" 01....... . .. • •Date . •Falrrmnericet value•of alliaborand materials foundatlon:tofinish; ' • tills:° . G:\PermitCenter\###FORMS###\DRD FORMS\Ciutent DRD Fo vtpster PM.unit, .pprlic t oin 5-24-08.doe • il III SITE VISIT REPORT • (PLOT PLAN) JOB cJ.1� LCA 111 DATE: 4 I2-Zl(3 . CONTACT: ADDRESS PHONE #: . DIRECTIONS FAX #: Email PLANNER: IX V-C.. L . Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and buildings,septic,wells;wetland areas,distance to water bodies. i i is /i4 2.O P 2 6 , V, L ars%09 L'v\ ■ W -„, 3 -\------\ 1 cd__________...--"I 1 ,...: I-2—C) 1-4 \. l Ncl I v41-fi7 r' , Si--1 Nuefk L i t/1'tom . \\Sunshinel\E\BUSINESSTORMS\PROJECT PLANNING\SITE VISIT REPORT-PLOT PLAN.doc a -I 0 X -F) 0) CO -I -b x -I -I CD 0) -• -• 01 -0 CO 01 X 0- n r+ X 01 0 - -o at o - -o � -s o o C a CD 01 O CD = T CC -• CD CC CD CD 73 CD r+ O CD - 7 sC M -z E 's -- cD m o = it c o _% � CD n ti _‘ - -s 0. o 0 O CO - O -• o N o N T CO � ao W M ti M CO 0 0 0 �I m o � C co o co O r+ - 01 T C- C) \ r+ 73 07 n G7 O O O O -0 C m I- D CD 73 a 0 CO M 7C -3 o -I CO Z -0 CO I- m O z r CD -I a Iv n 7J -I X D m X Z G7 IZ m M o - C) r m 3> � X IV T m - o O GJ r co cn m 37 3> C_ G7 0 -O 67 m m C] � X O -. m IV .7=I Z I- 0 D 3a CO • O O 3> D CO Z n R) M Z m I- Z O CO m D 0 OD m a I- O z7 CL CO O N -I M Z -‘ -< � 3> X -< -- H � = D Z 0 D C_ CO 0 n 1- H U) O co o \ 01 C -I E w c o m CO C1 -. 70 o n 1 O C o O. CA R7 CD CD cn O O -i -I C) = -o v r- ;=1 m o z m n n o c a � Cn = 7- = C -- 1 CO CO H C3• r+ CO 0 O M H C O n 7 Z CA r+ d XI 3 0_ G7 -s o 0 r cn - n O m C- CJl 01 - CD -1, 3> • IV -- -- 0 L -P O H O T Z or R) T a o C H CO 73 Contractors or Tradespeopliiinter Friendly Page • Page 1 of 1 Electrical Contractor A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account.They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name SUNSHINE PROPANE UBI No. 600342368 Phone 3603855797 Status Active Address 10853 Rhody Drive License No. SUNSHP"98483 Suite/Apt. License Type Electrical Contractor City Port Hadlock Effective Date 1/23/2002 State WA Expiration Date 1/23/2014 Zip 98339 Suspend Date County Jefferson Specialty 1 Hvac/Rfrg Ltd Energy Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Effective Expiration License Name Type Specialty 1 2 Date Date Status ENVIRH1004D9 ENVIRONMENTAL Electrical Hvac/Rfrg Ltd Unused 3/29/2000 3/29/2002 Archived HOUSING INC Contractor Energy Master Electrician INFORMATION License CHAWER*954JE Name CHAWES, RICHARD Status Active Business Owner Information Name Role Effective Date Expiration Date ROSS,LEVI K Agent 01/23/2002 PETERSEN,JAMES F President 01/23/2002 EWING, MICHAEL H Secretary 01/23/2002 YOURISH, ROBERT Treasurer 01/23/2002 BISHOP, RON M Vice President 01/23/2002 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 RELIANCE SURETY CO 6086432 03/20/2000 Until Cancelled $4,000.00 01/23/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 3/12/2013 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#: BLD13-00148 Received Date 5/15/2013 SITE ADDRESS: 250 VICTORIA LOOP Issue Date 5/15/2013 PORT TOWNSEND, 98368 APPLICANT: BRUCE FREELAND PHONE: 360-379-6992 PO BOX 245 PORT TOWNSEND WA 98368-0245 18 SUBDIVISION: CAPE GEORGE COLONY DIV 1 Block: 2 Lot: PARCEL NUMBER: 937800218 Section: 12 Township: 30N Range: 02W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((336g0� 338g5-5875 Contractor's License SUNSHP*077QP Expires 1'(/17/2013 OWNER, BRUCE FREELAND PHONE: 360-379-6992 if different: PO BOX 245 PORT TOWNSEND WA 98368-0245 PROJECT DESCRIPTION: PROPANE TANK, FIREPLACE INSERT, EXISTING INTERIOR PIPE 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 5/15/2014. REQUIRED INSPECTIONS: lArr Tank/Line/Appliance: 'e^ "" fb Y 1,, F CLi- 5/. / FinalApproval: Oh -P0 r l ca 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 5/15/2013 oN cb �, °�, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT -45.HINO-O �,p--� t Date: Time Received: `/ ' /1/7 7pm Mon. Tue. tad/ Thur. a2) Date: 2- BLD: 13 - i c18 Contact Name: Owner: Contact Number: 360 / 699Z Address: 5`0 1frc,tori-ok- L✓ocj$' 206 Notes: �. ratAz..-2 l N T t--t Ga/Ir, 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