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BLD2014-00213 - MECHANICAL
• BUILDING PERMIT APPLICION BLD14-00213 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00213 Received Date: 6/13/2014 SITE ADDRESS: 675 S POINT RD PORT LUDLOW, 98365 OWNER: FREDRIC C DUNLAP PHONE: 220 SW CLARK ST APT B104 ISSAQUAH WA 980273717 SQUAMISH HARBOR BCH SUBDIVISION: Block: Lot: PARCEL NUMBER: 996600023 Section: 5 Township: 27 N Range: 01 E 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 MOUNT GRID TIED PV(PHOTOVOLTAIC SYSTEM) 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: outing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 SRE 06/12/14 148744 APPROVED Total: $228.00 JUN 132014 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 6/13/2014 III I �s0N co JEFFERSON COUNTY tiw G. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street/Port Townsend,WA 98368/Web: www.co.Jefferson.wa.us/communitvdevelopment �9S c.,+O+ 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? CI Yes El 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 @powertripenergy.com Site Owner Name: Fredric C.Dunlap Project Address: 675 South Point Rd,Port Ludlow,WA 98365 PV System Description: Roof mounted,Grid-tied PV 2. Determine if your project needs a building permit(check all that apply): 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 by Labor&Industries. 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: Questions 3-5 Apply to Rooftop Systems 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 Note: Question 7 Applies to Ground Mounted Systems 7. Ground-mounted solar PV systems using racking components installed per the X manufacturer's specifications. If you answered yes or N/A to all of the above questions,no separate building permit is required. P -C 94 Eby 6,/p-ito/if Ap ant Signature Dat III • 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 ❑No Staff Initials Date:Click here to enter text. Staff Initials Date:Ciick here to enter text, TO BE COMPLETED BY APPLICANT Oroject Information Project Applicant: Power Trip Energy Corp,83 Denny Ave, Port Townsend,WA 98368,360-643-3080 Site Owner Name: Fredric C Dunlap Project Address: 675 South Point Rd, Port Ludlow,WA 98365 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 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 ❑ Co men s: Click ere • - ext. - • Tes4{w 5. �Er��l4 If you answ ed yes to all he aboire questions,no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 �gON c • • 4-...T 44' , oGa JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.ustcommunitvdevelopment 9sh'ING�G Tel:360.379.4450(Fax:360.379.4451 I Email:dcdanco.jefferson.wa.us Building Permits&Inspections 1 Development Consistency Review l Long Range Planning 1 Watershed Ste p Resource Center Master Permit Application MLA: b 1 L r- 2-1 . — Project Description(include separate sheets as necessary): Roof Mounted, Grid-tied PV (Solar Electric) Tax Parcel Number: 996 600 023 Property Size: 1.1 (+/-)acres (acres/square feet) Site Address and/or Directions to Property: 675 South Point Rd, Port Ludlow,WA 98365 Property Owner(s)of Record: Fredric C. Dunlap Telephone: 425-736-2684 Fax: hhhallman email: @gmail.com Mailing Address: 22494 SE 42nd Ter,Issaquah,WA 98029 Applicant/Agent(if different from owner): 170(4.0-1-114 eiarrecei Co. So7uu Ft-,- ltrcrs Telephone: 360-643080 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 ❑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),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *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: Labor & Industries Electrical Permit Please see attached si RE IGNATION OF AGENT I hereby designate 9 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE el-11-4 UN ottry Date: 6/12/2014 By signing this applicati n form,the owner nt 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 a 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 ap.licatiorja -, . he wants prior notice. Signature: 1 C'S i elLZR-ti ER4 N Date: 6/12/2014 The action or a 'ons Applicant will —rtake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead 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-tranaf rabl ------'-ility for adhering to and oomplying with the EGA. The Applicant has read this disclaimer and signs and dates it below. Signature: - e1- 1-1.4", eft rry Date:6/12/2014 0 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 EI be sumin. .: - -• sibility of the General Contractor for the proposed project. Signature: 1:11,06-K11.4 y Date: 6/12/2014 GENERAL. TRACTOR OR MA CTURED HOME INSTALLER: PHONE: FAX: Power Trip Energy Co. ( 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 063-472-00 ARCHITECT/ENGINEER: (,1/A 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: LI Private well ❑ Two Party Type of Heat: Proposed: Total: ❑ Public 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 BId App Review: 2"0 Floor Heated Consistency Review: Other Heated Base fee: aG t Mezzanine Additional Section: Heated Basement Plan Check fee: ICi •C'47 Unheated Basement State Surcharge fee: Other Unheated - Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ ?7 t op Receipt Number: I ` '1 `-T t_) Cash/Check Number: cc:. t� I Li n RP- ESTIMATED COST(REQUIRED) Date: n .Fair market value of all labor and materials foundation to finish jw +4 14 Initials: Ce 07/24/2013 III . ,,&d `#,+-_ 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 Fred Dunlap ,.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 comp and sign the .: --; application on my behalf. w Signature: /t 1.A f' AA. , !_! Date: . teif May 23,2014 Page 5 of 8 Fred Dunlap 6/12/14 , Jefferson Co Dept of Corm Dev WA-Online Palk } Jefferson County �6fJ'Riti' C�. •�,, .y �WwXi�y aC�RfXYF Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 14073237 Your payment has been authorized successfullyand payment will be processed. Jefferson County Department of Comm unityDevelopment thanks you for your payment For questions about your account,please call 360-379-4452 Thank you for using our bill payment services. Please save or print a copyof this receipt for record keeping purposes. My Bills Residential Applications payment of$247.00 on Parcel Number 996600023 $247.00 Subtotal: $247.00 Customer Information Convenience Fee: $7.50 First Name: Power Trip Total Payment: $254.50 Last Name: Energy Co. Address Line 1: 83 Denny Ave Address Line 2: City. Port Townsend State: Washington Zp Code: 98368 Phone Number: 3606433080 Email Address: john@powertripenergy.com Payment Information Card Number: 8600 Expiration Date: "P• httpsi/clientpointandpay net/weh/JeffersoiCoDeptafCommDeANA 1/1 Point&Pay - Search Payme. • Page 1 of 1 Search Minutes until logout:30 • Customer Name Status Amount Power Trip,Energy C... Approved-Comp $247.00 Summary Payment Details Customer Details 14073237 Type: Purchase Name: Power Trip Energy Co. $247.00 Created: 06/12/14 05:01 PM Address: 83 Denny Ave NA $7.50 Status: Approved-Comp City/ST/Zip: Port Townsend WA 98368 US $254.50 Channel: WEB Email: iohn @oowertrioenerciv.com Credit or Debit Card Partner. Jefferson County Dept of Community Development(WA) Phone: 3606433080 558828****8600 Office: (No Office u Mobile: User: Birthdate: Related: Comments: I Details )etails Product Account Qty Amount Total Fee Additional Details N Residential Applications 996600023 1 $247.00 $247.00 $7.50 Click To View I1 • https://agent.pointandpay.net/pointandpay_counter/paymentSearch.do?method=prepPayme... 6/13/2014 . Point &Pay - Create Orde. • Page 1 of 1 ,rte Thank you for your payment! Y°`., r This service has been provided by Jefferson County Dept of Community Development, WA and f Point & Pay. We value your business. Please keep this receipt for future reference. •-... You have made a payment to Jefferson County Dept of Community Development, WA . Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 • Name: Power Trip Energy Co. Address: 83 Denny Ave, Port Townsend WA, US, 98368 Contact: 3606433080 Comments: Payment ID: 14073237 Date: 06/12/14 05:01 PM Subtotal: $247.00 Fee: $7.50 Total: $254.50 Method: Credit or Debit Card(************8600) Item Purchased Transaction Description Account Amount Residential Applications Jefferson Co C D GOV 996600023 $247.00 Signature: Date: / / By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be 9 Y p identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window httns://agent.nnintancinav net/nnintandnav RM1nterIv1PWRPOP/Ili" eirt9m?thnA=viPxxrPavm4.nt A/t 2/7111 A Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY Parcel # 000996600023 Geo Cd 272105008231 Auto Roll : OFF SQUAMISH HARBOR BCH Nbhd Cd 3415 LOTS 22 & 23( INC TL'S ADJ) BND TGTH THRU BLA#102911 Loc ID * Taxpayer Cd DUNL 1570 DUNLAP, FREDRIC C T/P Chg Dt 5/16/2008 * Title Owner T/P Chg Usr JA Tax Code 0231 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 111237 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer DUNL1570 FREDRIC C DUNLAP 220 SW CLARK ST APT B104 ISSAQUAH WA 98027-3717 Search Key CMD 6: End Window CMD 7: End of Job • 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#: BLD14-00213 Received Date 6/13/2014 SITE ADDRESS: 675 S POINT RD Issue Date 6/13/2014 PORT LUDLOW, 98365 APPLICANT: FREDRIC C DUNLAP PHONE: 220 SW CLARK ST APT B104 ISSAQUAH WA 980273717 SUBDIVISION: SQUAMISH HARBOR BCH Block: Lot: PARCEL NUMBER: 996600023 Section: 5 Township: 27N Range: 01 E 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, FREDRIC C DUNLAP PHONE: if different: 220 SW CLARK ST APT 8104 ISSAQUAH WA 980273717 PROJECT DESCRIPTION: ROOF MOUNT GRID TIED PV(PHOTOVOLTAIC SYSTEM)SOLAR Directions ELECTRIC 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 6/13/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 'K 7)1.1 j tuA4- aiS ft•ea'ititAL ?��iI£) f' Tank/Line/Appliance: 01)+ Final Approval: OX 7/2.4/141 flb 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 6/13/2014 Ar 4. JEFFERSON COUNTY 4140._ DEPARTMENT OF COMMUNITY DEVELOPMENT Date: `7//i Time Received: 338 am/Nyy e Tue. Wed. Thur. 'Fn. Date: BLD: /171—.-2, )j Contact Name: Owner: Contact Number: 360 6(f334.1.kv Address: b 73- (5' rd/k71- gt7 206 Notes: d&Al< 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 JEFFERSON COUNTY D No. 17 DATE (/481144 1 1 RECEIVED FROM ©wer Trip b &c - Co . DESCRIPTION BARS# AMOUNT • CURRENCY `a a3 5 COIN S i;� ✓`IC -oc) {, .°( 111UFILbi tQ Iii HECKS ` V` cn C �� `L'lJ''Coff. 140313'7- 0 i d m 9Q�` io� o 0 RECEIVED BY 4 TOTAL a4