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Home My WebLink AboutBLD2014-00130 B ING PERMIT APPLICATION BLDI4-00130 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00130 Received Date: 4/14/2014 SITE ADDRESS: 1161 GRIFFITH POINT RD NORDLAND, 98358 OWNER: WILLIAM DOUGLAS PHONE: 360-385-4285 1161 GRIFFITH POINT RD NORDLAND WA 98358-9503 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021321022 Section: 32 Township: 30 N Range: 01 E 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 DUCTLESS HEAT PUMP 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 $152.00 JLA 04/14/14 148547 �y y� Total: $152.00 APPROVED ED Jefferson County DCD +irlomorWAofo\fnrmc\G RI 11 Ann 1:1I,1 rn+ A/9A/9MA �V,sON `°o EFFE N COUNTY ��I S ,4� DEPARTMENT OF COMMUNITY DEVELOPMENT ... l 621 Sheridan Street Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelooment iS�INO�e Tel:360.379.44501 Fax:360.379.4451 I Email:dcdt.co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review(Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: 1 t Project Description(include separate sheets as necessary): Install ductless Heat Pump System Tax Parcel Number: Q I J l L'Z-- Property Size: (acres/square feet) Site Address and/or Directions to Property: 1161 Griffith Point Road Property Owner(s)of Record: 1111 L7 ,Ci S Telephone:360-385-4285 Fax: email: outsider @olypen.com Mailing Address: 1161 Griffith Point Road Applicant/Agent(if different from owner): All Weather Heating&Cooling Telephone:360-452-9813 Fax: 360-452-5177 email: kinckeown@allweatherhc..com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d), r - ** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnam=• - - . ti; CD Commercial* 0 Special Use(Essential Pubi- ,i•i )L.. e Q ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑Propane ❑Long Plat*' APR 7 t �. ❑Sign ❑Planned Rural Residenti- De •pment(PRRD)/Ar4tme ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration ❑Stormwater Management ❑Shoreline Master Prog . Exti•r9i "`s 1 ** 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Subs is r r.:f , -1Y ❑Temporary Use ❑Shoreline Management Variance I EVE(OPM. ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Ame • ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May r equire a -Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if know : Ajl 1Neather sting & CoS�ttl NATION OF AGENT I hereby designate_ to act as my agent in matters relating to this applica on for permit(s). X OWNER SIGNATURE /ILI/.�"�' I Date: Q' By signing this application form,the owner/agent a.- that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falseh... 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 Cou and its employees,representatives or agents for the sole purpose of application review and any required later ins.• i•ns. .i access and ri/ of entry will be assumed unless the applicant info the my in writing at the time of the application th t h e w is prior nob.-. X Signature: 1' .1 Date: z d / The action or actions Applicant will undertake a`i"tlt 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 •, p, -nee 4th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r. 04:14'4 for adfferiog t. -oct comp' s with.the ESA. The Apt i:ao..ia read t i di,_t�,:: Q:.;i -iunb and _ _xluw. X Signature: i i � / Date: �C/ 1�2 a/L)/ 07/24/2013 BUILDER STATEMENT The signer of this statement does,hereby certify that they are t - Owners of the parcel referen =• herei that they are not licensed contractors and that they will be assuming t h e ree ability of the :neral Cont -•or for the proposed project.r L� X Signature: 1,1 Lam-- r�..a,�,.r Date: d GENERAL CONTRACTOR OR MANUFACTURED.•'2 E INSTALLER: PHONE: FAX: (360-3$5-4285 ( ) MAILING ADDRESS: 1161 Griffith Point Road EMAIL: outsider @olypen.com CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-$5-4285 FAX:( ) MAILING ADDRESS: 1161 Griffith Point Road EMAIL outsider@olypen.com Project Type: I Frame Type: 1 Bathrooms: Shoreline: I Type of Sewage Disposal: • New + Wood 1 Existing: I n Sewer • Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# P. Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: I I I I If this is a Commercial Protect you must answer the following':, •Number of Parking Spaces: Current: Proposed: /in - • ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current IBC Occupancy: IBC Type of construction: Wif *+ - t' yr • If this is a Pro ne Tank and/or A.•fiance Installation ,•rmit mark all items •` at a' 'I : v Underground Tank Above ground tank Size of Propane T f �� Heat Stove Cook Stove Woodstove Fireplace.nsert r- ri evofStilleF)'1,4 IspaT reta • Is this appliance being'installed in a Manufactured/Mobile Home? Yes / o 4014 When applying for a permit to install a propane tank you must also subm a sit- .Ian �. .. all of the b/ ,� ,all property lines,tank location and size,distances from the propane tank to all p •• - " -' •, ;.:'r.. � �; r• omponents, including the reserve area. Un1 � (uPMf Square Footage Current Proposed For Office Use Only Amount ion Main Floor Heated EH Bid App Review: 2"°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 • 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#: BLD14-00130 Received Date 4/14/2014 SITE ADDRESS: 1161 GRIFFITH POINT RD Issue Date 4/14/2014 NORDLAND, 98358 APPLICANT: WILLIAM DOUGLAS PHONE: 360-385-4285 1161 GRIFFITH POINT RD NORDLAND WA 98358-9503 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021321022 Section: 32 Township: 30N Range: 01E 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, WILLIAM DOUGLAS PHONE: 360-385-4285 if different: 1161 GRIFFITH POINT RD NORDLAND WA 98358-9503 PROJECT DESCRIPTION: DUCTLESS HEAT PUMP 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 4/14/2015. REQUIRED INSPECTIONS: : - '. • : . - urer ._ ' ' _ Final Approval: 'r� 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 4/14/2014 e,`'SON co, JEFFERSON COUNTY «/ DEPARTMENT OF COMMUNITY DEVELOPMENT ssK 0 Date: 11[1f Time Received: //:3 y 'pm Mon. Tue. Wed. T ur. Fri. Date: 1 ,Z31 eV BLD: i I/ Or)l.3 a Contact Name: Owner: DcztAGLA s Contact Number: 360 3 e S z95 Address: //4-1 G,-1PFlrN2a;01: 8 206 Notes: If f ifllLV.111.— 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