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HomeMy WebLinkAboutBLD2014-00117 IN UILDING PERMIT APPLICA N BLDI4-00117 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00117 Received Date: 3/31/2014 SITE ADDRESS: 2232 WEST VALLEY RD CHIMACUM, 98325 OWNER: JOHN P PIERCE PHONE: 360-732-0705 HOLLY J HUGHES PO BOX 382 INDIANOLA WA 98342-0382 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901224018 Section: 22 Township: 29 N Range: 01 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 DESCRIPTION ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC (PV) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: 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 $228.00 JLA 03/31/14 148520 APPROVED Total: $228.00 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/31/2014 • 2345X Power Trip Energy Corp 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 lo tin P. R• .rc-e 4 �`1 /t *3• "-"I l , 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: / ✓k-r't-f Date: 3/I 9/z/y fl-1 A-c p 1°1 A4 L 2,ory �k� SON `O°� JE SON COUNTY • ti a DEPARTMENT OF COMMUNITY DEVELOPMENT .i. iwitto, 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment -iSXINolo Tel:360.379.4450(Fax:360.379.4451 I Email:dcd(sa.co.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): Roof Mounted, Grid-tied Solar Electric (PV) Tax Parcel Number: 901 224 018 Property Size: 5 acres (acres/square feet) Site Address and/or Directions to Property: 2232 West Valley Rd, Chimacum,WA 98325 Property Owner(s)of Record: John P. Pierce&Holly J. Hughes Telephone: 360-732-0705 Fax: email: jpierce @flyingspress.com Mailing Address: 2232 West Valley Rd,Chimacum,WA 98325 Applicant/Agent(if different from owner): I'O v—rxtp E *YL yr C Telephone: 360-643-3080 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 ❑Lot or Road Segregation [Mudding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Ma'• or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C : . • , ** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"o : jft' ification ❑ Commercial* 0 Special Use(Ess: y.. ❑ Change of Use ❑Boundary Line A•j t k, Q /;� ❑ Address ❑ Road Approach ❑Short Plat** ra ❑Home Business ❑Cottage Industry ❑Binding Site PI- / ❑Propane ❑Long Plat** Li i, �� ❑Sign ❑Planned Rura Resid:• 'al Development�{ f2D)/' , - ents** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacatio ;'Alter tion** ❑Stormwater Management ❑Shoreline Maste 4tr• _ IN, �■• -rmit R;•❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Managemen •�,`r:•Lf 10 • - op : - ❑Temporary Use ❑Shoreline Management Variance DFUF(pp M ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use Dis ,a• • endment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Ames • vent *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: L&I Electrical Permit Power Trip Energy Corp DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: Please see attached form 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 an 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 ap.li-cati •r she want •nor notice. Signature: - 4- lr f Ltv0--(Cy Date: 3 .1 j.3 L The action or a. ons Applicant will un, - -ke as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead t' - ••otential"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-trans erabl •• -''.ty for adhering to and complying with the ESA. The Applicant has read this disclaimer apd signs and dates it below. Signature: t. - A _ ' 'tli.t 4 fE N F Date: 3`2--1/ZO(4 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. su I'.- -N•- ..risibility of the General Contractor for the proposed project. J g a ?Ow Oil:I-Vie 4Nt'l ''( Date: St4 i I'LO t 4' Signature: GENERAL CONTRACTOR OR MAN ,CTURED HOME INSTALLER: PHONE: FAX: Power Trip Energy Corp ( 360) 643-3080 (360 )539-1857 MAILING ADDRESS: 83 Denny Ave, Port Townsend,WA 98368 EMAIL: john @powertripenergy.com CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER 063-473-00 ARCHITECT/ENGINEER: PHONE ( 360) 643-3080 FAX:(360 )539-1857 MAILING ADDRESS: 83 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 ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: i Number of Parking Spaces: Current: Proposed: Number of ADA P ki • Number of occupants(includes owners,tenants,employees,etc) Current Pro f 1L1 IBC Occupancy: IBC Type of construction: Will you have Food 1 ry 1? Ye 11:101-E:-8 l If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply //I t// Underground Tank Above ground tank Size of Propane Tank: U !, ;'' frr,/� Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS t leP i`''knaT retawlbH i Is this appliance being installed in a Manufactured/Mobile Home? Yes / No '` -.. �`1 When applying for a permit to install a propane tank you must also submit a site plan showingalllo,ttib' `i gs,all pro lines,tank location and size,distances from the propane tank to all property lines,buildings ands ;. . 0;. .•,on. , including the reserve area. '%/Tk F iy Square Footage Current Proposed For Office Use Only Amount ; Revision ett Main Floor Heated EH Bld App Review: 2"tl Floor Heated Consistency Review: Other Heated Base fee: Mezzanine s 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 • • ,40N coG JEFFERSON COUNTY 4. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street/Port Townsend,WA 98368/Web: www.co.iefferson.wa.us/communitvdevelopment -9 Nr N,,c0 Tel: 360.379.4450/Fax: 360.379.4451/Email: dcd @co.jefferson.wa.us 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: /% )GS Power Trip Energy,83 Denny Ave, Port Townsend,WA 98368,360-643-3080,john @powertripen . i `v Q Site Owner Name: i r7;, John P. Pierce&Holly J. Hughes / " / if /,/4,, Project Address: ` ■,:7' ' 2232 West Valley Rd,Chimacum,WA 98325 .. %4 �., r, J�Cr'�., PV System Description: `P 0f rLRSo`-- Roof mounted,Grid-tied PV `'°��N�i/jq %Ally 2. Determine if your project needs a building permit(check all that apply): �FC�pMFNT Yes No Not Applicable 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 through permit#2342627E. 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 Ousit*Is314.Apply to' p stems , : , h . •„ .• j 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: ® 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. ❑ 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 NO : Queue ' Si to r Mounted S, t £" , 7. Ground-mounted solar PV systems using racking components installed per the X manufacturer's specifications. If y u answered es or N/A to all of the above questions,no separate building permit is required. ta- IL- t EN ./Z(iO l . Appl ant Signature Dat • • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED TO BE COMPLETED BY CITY STAFF Building Permit Required? ❑Yes ❑Na Qualifies for Electrical OTC? ❑Yes DNo Staff Initials Date:Click here to enter text. Staff Initials Date:Click here to enter text. TO BE COMPLETED BY APPLICANT , <,, Oroject Information ;. �,� ��i ' ` \� Project Applicant: Power Trip Energy Corp,83 Denny Ave, Port Townsend,WA 983 8;3(6D-697080 \� Site Owner Name: John P. Pierce& Holly J. Hughes y Project Address: 2232 West Valley Rd,Chimacum,WA 98325 i PV system description: Roof mounted,Grid-tied PV � �� ' ' ������''®etermine if your project needs a building permit (check all that apply): Yes No 1. PV system is designed and proposed for a detached single family house. X ❑ 2. PV system is designed for rooftop of a house in general compliance with applicable codes. 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 Y ES, 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 ❑ I solar panels. 12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) X ❑ Comments: ick 1ST:Tiler texts v.au It-Te.Cp '31z Zo 6I If you answered yes to a ii if the above questions, no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 2. POWER TRIP ENERGY CORP Page 1 of 2 ID • inWashington State Department of ) Labor & Industries POWER TRIP ENERGY CORP e Owner or tradesperson 83 Denny Ave COCHRANE,ANDREW P PORT TOWNSEND, WA 98368 360-643-3080 Principals JEFFERSON County COCHRANE,ANDREW P CARR,STEPHEN E Doing business as POWER TRIP ENERGY CORP WA UBI No. Business type 602 349 562 Corporation Governing persons ANDREW P COCHRANE 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—11/05/2015 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 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 3/31/2014 POWER TRIP ENERGY CORP . Page 2 of 2 Savings • No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings 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. 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. 063,472-00 Doing business as POWER TRIP ENERGY CORPORATION Estimated workers reported Quarter 4 of Year 2013"4 to 6 Workers" L&I account representative T1 /JAN BENTLEY(360)902-4652-Email: STR0235©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. ?access Washington 00 .4 aN4e Wcbhav https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 3/31/2014 • . . 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#: BLD14-00117 Received Date 3/31/2014 SITE ADDRESS: 2232 WEST VALLEY RD Issue Date 3/31/2014 CHIMACUM, 98325 APPLICANT: JOHN P PIERCE PHONE: 360-732-0705 HOLLY J HUGHES PO BOX 382 INDIANOLA WA 98342-0382 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901224018 Section: 22 Township: 29N Range: 01W 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, JOHN P PIERCE PHONE: 360-732-0705 if different: HOLLY J HUGHES PO BOX 382 INDIANOLA WA 98342-0382 PROJECT DESCRIPTION: ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC (PV) 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 3/31/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: q)z4I� 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 3/31/2014 JEFFERSON COUNTY NO. 52O ssJJ � DATE S7 `, -H RECEIVED FROM f6,I\ NC.P \ ` eA r DESCRIPTION BARS# AMOUNT CURRENCY P�rr,,,� �� 2 i COIN \�,,St,r,-„- /1 , 00 �� � (2 1 7-24 of( -7g30 C - J`1 ))11 CO 73 RECEIVED BY ek TOTAL7--Cjb