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HomeMy WebLinkAboutBLD2013-00349 S •BUILDING PERMIT APPLICATION B Review Type: Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00349 Received Date: 11/5/2013 SITE ADDRESS: 123 EAGLE VIEW LN PORT LUDLOW, 98365 OWNER: BRIAN A MAHER PHONE: TRINA G MORGAN PO BOX 6765 SILVERDALE WA 983156765 BRIDGEHAVEN DIV 6 SUBDIVISION: Block: Lot: 27 PARCEL NUMBER: 935400027 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr INSTALL DUCTLESS HEAT PUMP TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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 MEB 11/05/13 145524 Total: $152.00 APPROVED NOV 0 5 2013 Jefferson County DCD WirlomerL\rleM\forme\G RI 11 Ann Rlrl rnf 11/F/91114 • I 6 1/D 1 3 .__ 3 141 ____ a':--40:01)riffi&w co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 1 4 F ' V,1 621 Sheridan Street• Port Townsend•Washington 96368 tteiairx4 360!3794450. 360/379-4451 Fax ,gyp wow.co.Jefferson.wa.us/oommdevelopment Master Permit Application MLA: Pro . Description(Include separate sheets as necessary): Dvcrt_e Ss ■eINT '0,. ' 6 e a . Tax Parcel Number. 93 5 4 o o 0 a '7 Property Size: 15 X /ad ' (acres/Square feet) Site Address and/or Directions to Property: /.?3 CAW4g j1/Er4) ill/ Pe.eT L uZLaex) 4}i9 gg.86 5 Property Owner(s)of Record: ,e/.0m./ 01 - .A_ .- A.- /A/R 17769-A -e atti►Ilj" - Jt.1 Telephone:_31a p-1131- 4 74'7 Fax emit: • 4. _ - • i, i , •Gm-- Mailing Address: PQ Z)X le 7645 tS/L R..11 Ar E tz)A q g.3 15 Applicant/Agent(if different from owner): 44■r . %0 irig c%c Telephone:340-WSW-EP101 Fax: 685-3e171•' emaR:eite.nee s►aohc it+ia. • Mairng Address 1.2.1 1,4.Cedar et• seaktum .WF1 ga3sz. ' What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan 0 Demolition Permit O Variance(Minor,Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached Ci Conditional Use IC(a).C(d),or C)" ❑ Manufactured Home 0 Modular 0 Discretionary•D'or Unnamed Use Classification ❑ Commercial• 0 Special Use(Essential Public Facilities)•" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat'• 0 Home Business 0 Cottage industry 0 Binding Site Plan'• 0 Long Plat" 0 Sign Propane 0 Planned Rural Residential Development(PRRpYAmendments" 0 Allowed`Yes"Use Consistency Analysis 0 Plat Vecalion/Akeration" O Storrnwater Management 0 Shoreline Master Program Exemption/Permit Revisions" ©Site Plan Approval Advance Determination(SPAAD)• O Shoreline Management Substantial Development" 0 Temporary Use 0 Shoreline Management Variance O Wireless Telecommunication• 0 Comprehensive PIanlUDCA and Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment `Mayregrdre a Pre—Application Conference 0 Tree Vegetation Request "Raffilkesa Prs.AppUcatlon Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNA •N OF A GENT I hereby ' 4t1' 1 O }seat 141 to act as my agent in matters relating to this application for permii(s). OWNER SIGMA 7 'h---- Date: gy 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 omiseton eta material feet made by the owner/agent with seeped to this application Padua may result in this permit being null and void. t further agree to save.indemnity and hold harmless Jefferson County against all liabilities,Judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or In consequence of the granting of this penult 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 waking at the time of the�hew�nts prior notice. / Signature: Q ��' Date:_ P Al '7 1 r • The action or actions Applicant will undertake as a result of the Issuance of this game may negatively Impact upon one or more threatened or endangered Varian and could lead tea potential"titan"of an endangered species es these terms are defined in the federal law knewn as the "Endangered Spades Art or'ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this j permit has been Issued will not violate the ESA. Any individual,group or agency can She•lawsuit on behalf of an endangered species regarding your accords)even a'you are.In compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and no nsferable respons 4 for adherig to and complying with the ESA. The Applicant has read this�'°r and and dates it below. Date: '7 t s ONferi i'snm\'✓lkiFORNISIMIWttD PORA6Vdawts?conk.Apptiwta'a 5-29.084" • • ) Q3( 4 (\ ' (b` IvPY \AVcAeokel Vt30-6a, 3(A) v, G@ Ntistry\rzAIL a3)0)2- iE) ESL f€YL • • r CC N H O 0 O CS LL N _0 Z LL � O H O O � O •• •• CO � ¢ <+- CU — di- ti LLJ O "O - CT) J O O L C7 ID E CC 'G +-' O Z C U 0 0 H LLI O C] CO O H C7 CT I -- ++7 L L .0 CO f-- Q .o U C, U Lu Z O 0: m J o_ a = • � U I- I-- O O CL) CD N "O LCD O CO C, C� nC •O CO L1J C O X I 3 I- CO �. 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I— X 4■ I- CO CO ci- X X 1— Q 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#: BLD13-00349 Received Date 11/5/2013 SITE ADDRESS: 123 EAGLE VIEW LN Issue Date 11/5/2013 PORT LUDLOW, 98365 APPLICANT: BRIAN A MAHER PHONE: TRINA G MORGAN PO BOX 6765 SILVERDALE WA 983156765 27 SUBDIVISION: BRIDGEHAVEN DIV 6 Block: Lot: PARCEL NUMBER: 935400027 Section: 9 Township: 27N Ranqe: 01 E CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2014 OWNER, BRIAN A MAHER PHONE: if different: TRINA G MORGAN PO BOX 6765 SILVERDALE WA 983156765 PROJECT DESCRIPTION: INSTALL 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 11/5/2014. REQUIRED INSPECTIONS: Tar L aplionce: Vile ks Tit a4K 7 !6 i•T FinalApproval: 4 r- .4, 2/ IOW/ Ye' 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 11/5/2013 AIR FLO HEATING COMPANY ,(4 1 4(t(E Check Number: 41444 Jefferson County Building Department Date Description Amount 10/31/2013 Permit for Maher 152.00 • 1 4,ON c m4. ?°t JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT N,y+xINO�O 1./Date: Time Received: am/pm Mon. Tue. Wed. Thur. Fri. � Date: BID: ) --0(Ti 3 j9 Contact Name: Owner: o r 1 a # t g Contact Number: 3-67)-4-731----717-47 7 Address: MMMAPIIIMThl A Notes: qr 35i---0. I 7 fbr+ l � •• 3( O - ✓j - 4g4. I 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 H,Qa.}- I Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. - Commercial projects require 24 hour notice for inspection. JEFFERSON COUNTY Q� NO. 145524 DATE t t/�/i� RECEIVED FROM plJ DESCRIPTION BARS# AMOUNT CURRENCY pV "'G,�- I 5-1, eAN COIN AlCHECK ) r, co 67� loUO2_1-- o c IIIE RECEIVED BY / I (-5 ,-� TOTAL �S 2. x