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HomeMy WebLinkAboutBLD2014-00125 likUILDING PERMIT APPLICA N BLDI4-00125 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00125 Received Date: 4/10/2014 SITE ADDRESS: 750 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE: 360-531-4518 % GOODING O'HARA&MACKEY PORT TOWNSEND WA 98368-5717 BECKETT POINT FISHERMAN'S CLUB SUBDIVISION: Block: Lot: PARCEL NUMBER: 932200515 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL DUCTLESS HEAT PUMP SYSTEM TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW 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 $152.00 MEB 04/10/14 148527 Total: $152.00 ApPROVPD tferson County DCr \\4irlcmerlAr1.4.\forme\F RI f1 Ann Rlrl rn4 A/Ini')nln /� °c- JEFFERSON COUNTY b())Ilk -(7<_, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd@coiefferson.wa.us Building Permits&Inspections(Development Consistency Review!Long Range Planning( Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Install ductless heat pump system Tax Parcel Number: 932200515 Property Size: (acres/square feet) Site Address and/or Directions to Property: 750 Beckett Point Property Owner(s)of Record: Beckett Point Fishermans Club Telephone:360-531-4518 Fax: email: Mailing Address: 750 Beckett Point Road Applicant/Agent(if different from owner): Telephone:360452-9813 Fax: 360-452-5177 email: kmckeown@allweatherhc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation WiBuilding ❑Critical Areas Stewardship Plan El Demolition Permit ❑Variance(Minor, Major- *easonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), • oil% ** ❑ Manufactured Home 111 Modular ❑Discretionary"D"or U, ..p-.-t '?{�� : '.n ❑ Commercial* ❑Special Use(Essenti. ' >� )-- CI Change Change of Use Boundary Line Adju lie ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑Propane ❑Long Plat** �'�� j ❑Sign CI Planned Rural Re.identl. Development(PR kme ** o Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alt:ration** -❑Stormwater Management ❑Shoreline Maste -• -A-a:p,f jr--' -evisi. ❑Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management s- -'8t 6I1afen O Temporary Use ❑Shoreline Management Variance NI/F(0p Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District ',— e end ent ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendmen *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: All Weather Heating & Coorr NATION OF AGENT g I hereby designate U to act as my agent in matters relating to this application for permit(s). Katherine .Joh Digitally signed by Katherine Johnson erne nson X OWNER SIGNATURE Date.2014 03 27 15.35.53-0700 Date: 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 application that he or she wants prior notice. X Signature: j1�iII� JOA nso1 Diffitgliy0;igtgaibby4g1thearine Johnson DLti1ana1113 2as9ae13;-9Y 155 Date: 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"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 hasbeen 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. X Signature: Katherine Johnson Digitally signed by Katherine Johnson Date: Date:2014.03.27 15:37:27-0700 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 assuming the responsibility of the General Contractor for the proposed project. Digitally signed by Katherine x Signature: Katherine Johnson tohnson Date: Date:2014.03.27 15:38:17-0700 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (360-511-4518 ( ) MAILING ADDRESS: 750 Beckett Point Road EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-51-4518 FAX:( ) MAILING ADDRESS: 750 Beckett Point Road EMAIL 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: 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 retaW toH i 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"o 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 0 0 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#: BLD14-00125 Received Date 4/10/2014 SITE ADDRESS: 750 BECKETT POINT RD Issue Date 4/10/2014 PORT TOWNSEND, 98368 APPLICANT: BECKETT POINT FISHERMEN'S CLUB PHONE: 360-531-4518 % GOODING O'HARA& MACKEY PORT TOWNSEND WA 98368-5717 SUBDIVISION: BECKETT POINT FISHERMAN'S CLUB Block: Lot: PARCEL NUMBER: 932200515 Section: 23 Township: 30N Range: 02W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 OWNER, BECKETT POINT FISHERMEN'S CLUB PHONE: 360-531-4518 if different: % GOODING O'HARA&MACKEY PORT TOWNSEND WA 98368-5717 PROJECT DESCRIPTION: INSTALL DUCTLESS HEAT PUMP SYSTEM 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 4/10/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: Li-2-3)1 II 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 4/10/2014 � ,*.,¢5°'� cae JEFFERSON COUNTY / { DEPARTMENT OF COMMUNITY DEVELOPMENT /t9sy c Date: ! ,Z t Time Received: /2iv3 am/pm Mon. Tue. Wed. Thur. Fri. Date: #"7144 BLD: 7 7 b®/z5 Contact Name: Owner: B P. rar0 riSblei!`MI11 -S L—ug Contact Number: 360 63/. 415/f Address: 750 Be1;JL&fr ir'crnne RA 206 Notes: Af FGf1f9Uicoth, 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 All Weather Heating&Cooling Inc. 27153 Jefferson Country Building Permit • 3/31/2014 COG-DIR:575 Permits & Fees In addition to Check#27151/$117. The check shout 54.00 156 p-);\-7 Business Checking Fir plus Check#27151 for mechanical permit: Beck 54.00 JEFFERSON COUNT. btt • No.48527 DATE / 2/I11 - RECEIVED FROM � " " " 11\17-#A1S- "k 6" ' DESCRIPTION BARS# AMOUNT CURRENCY it f S.71 W COIN ( i 114 °`' _CHEJ CF 2-:HT3 2 n i. e c 2.-1-K1 co o C m 13 ri 8 RECEIVED BY TOTAL f