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HomeMy WebLinkAboutBLD2014-00107 •LDING PERMIT APPLICA Tla BLDI4-00107 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00107 Received Date: 3/20/2014 SITE ADDRESS: 310 COOK AVE PORT TOWNSEND, 98368 OWNER: JOHN D SCHNEIDER PHONE: 360-385-3084 310 COOK AVENUE EXT PORT TOWNSEND WA 98368-9627 TIBBALS LAKE PARK • SUBDIVISION: Block: Lot: PARCEL NUMBER: 999001901 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE OLD WOOD FIREPLACE AND INSTALL PROPANE FIREPLACE 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 Total: APPROVED Jefferson County DOD \\4iriomor4\rlofa\fnrme\I RI fl Ann Rlrl rn4 1/0r1/1n1n , ca JEFFERSON LINTY'-k •- DEPARTMENT OF COMMUNITYDEVELOPMENT'W 4\ '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax k�1 �pwww.co.jefferson.wa.us/commdevelopment INe Master Permit Application MLA: Project Description(include separate sheets as necessary): TA tkir" LO o 0 A i r e e l�cz r•.?1gce Tax Parcel Number: 9 J Q 0 O l Q 01 Property Size: (03 DS0 $ ..c4171-(acres/square feet) Site Address and/or Directions to Property: 3) 0 Cook P uc, W-, `for+ T w r.sev4-- Property Owner(s)of Record: So\vn. - } vv\ ScANv\e,� `r•- Telephone:.3%%5 3 O$y � Fax: email: ' oo.h.S 4_011 Pew ,C-ow� Mailing Address: 310 (rook IQJe &Ii �0 TO 2�SCV\ck , (3a., 98364 g 1 Applicant/Agent(if different from owner): Telephone: Fax: email: _ Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑ Critical Areas Stewart '. - -- ❑ Demolition Permit ❑Variance(Minor, Maj. - ;r•J -. ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a) a,(. •i• �,V ❑ Manufactured Home .❑ Modular - ❑ Discretionary"D"or d Use Classification 0 Commercial* ❑Special Use Essenti„I dic Facilities)** .,ornmercia P ❑ Change of Use ❑ Boundary Line Adjus lit j MAH 2 0 L;i ❑ Address ❑Road Approach_ ❑Short Plat** 1 Ly ❑ Home Business ❑Cottage Industry 0 Binding Site Plan** L.___-.__ NI Propane ❑ Long Plat** JEFFERSON 7 ❑Sign • ❑ Plannea Rural Resit-ntiafi tollgpgri ` �}`Amendme is** ❑Allowed"Yes”Use Consistency Analysis ❑Plat Vacation/Alteration** tLumENT ❑ 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 ❑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: —— DESIGNATION OF AGENT I hereby designate /� / to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE , i' i f As Date: 8- 4-/Y 1 By signing this applica ion 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app :tion` at he or s -wa • prior not -. 9 !' Signature: ,?� J <«t _.r_'_ _ Date: c3 1 T /7 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 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-tra ra le respo2sibil'y for ad erng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Si g nature: t.- -d :et., Date: 3-/9"1 G:\PermitCenterr\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • 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. Signature: Qoz4s.*. ...A 3 p t'-/ ` . Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PFICNE: FAx: a 11".. <4t/ 1 O7t( 6,0 j5a,33(p a ( )MAILINGADDRE : EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline:Addition n Type e of Sewage Disposal: r; New ❑ Wood Existing: 0 ❑ Swer Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry — SEP Permit# Demolition II Other: Bedrooms: Water Supply: Existing: Setback: Type of Heat: Proposed: ❑ Private well 0 Two Party 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: i Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove 1 Woodstove I Fireplace Insert i Hot Water Tank I Pellet Stove I Other 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 Onl Main Floor Heated Y Amount Revision EH Bld App Review: -2"d Floor Heated Consistency Review: - Other Heated Base fee: j Mezzanine e � `- 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: I 14g°45 Cash/Check Number: 1 ESTIMATED COST(REQUIRED) Date: 3)2;01)-1 j r •Fair market value of all labor and materials foundation to finish I Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08 doc r 1 Kaman Industrial Technologies II 0 KAMAN 2410 Pacific Highway East Tacoma, WA 98424 (253) 896-2543 Phone (253) 896-0573 Fax Sc Lk/LC...A v- , ,3 8-5•–3 0 Yq ., k ,...„ "f 4 fi , \,..\(:) hvk C c ..1,. U),-(pev•t ,c7I`4A- 1 i 31 0 1 . J , +. -,. . 1 , , . — ,. AC11- 4- ... 9?93 0/90/ i . 3./ô Coo .(-- --, 1 oN---t- 16.10 fel 7.,e ift c. i i = r , 1 \\.,N ,. "1-40-11,k 1 l) rkb 1 i cy ix'.fe, It • v■ , 1 1 11 . U . - . , I i ' ...' 1 , i 1 ; ; , 1 1 1 , I ____ I, , ' * , TCCN't'IN i i r■&C.' ,. 1 -- , I ‘. ------, , / •P (:))( .----- L ; i 1 Quo D i Q-6 o rt 0 c-.1 I 20 i4. ■ www.kamandirect.com in-rtRol.,,,coumr( OFT7 OF COMMUNITY DFVEL_OPMF_NT_______ EVERWARM INC Page 1 of 2 • Washington State Department of Labor & Industries EVERWARM INC Owner or tradesperson 257151 HWY 101 MCCARTNEY,TERRENCE J PORT ANGELES, WA98362 360-452-3366 Principals CLALLAM County MCCARTNEY, TERRENCE J MCCARTNEY,VIRGINIA RIMSTAD Doing business as EVERWARM INC WA UBI No. Business type 601 361 016 Corporation Governing persons TERRENCEJMCCARTNEY 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. EVERWI*088NL Effective—expiration 08/13/1992—08/17/2014 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 206809004 Received by L&I Effective date 08/09/2001 08/02/2001 Insurance Nautilus Ins Co $1,000,000.00 Policy no. BN958693 Received by L&I Effective date 01/17/2014 01/20/2014 Expiration date 01/20/2015 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 3/20/2014 EVERWARM INC Page 2 of 2 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. 447,103-01 Doing business as EVERWARM HEARTH& HOME Estimated workers reported Quarter 4 of Year 2013"11 to 20 Workers" L&I account representative T1 /JAN BENTLEY(360)902-4652 -Email: STRO235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. C© Washington State Dept. of Labor&Industries. Use of this site is subject to the laws of the state of Washington. Access Washirtgtoe https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 3/20/2014 MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Received Date 3/20/2014 PERMIT#: BLD14-00107 Issue Date 3/20/2014 SITE ADDRESS: 310 COOK AVE PORT TOWNSEND, 98368 APPLICANT: JOHN D SCHNEIDER PHONE: 360-385-3084 310 COOK AVENUE EXT PORT TOWNSEND WA 98368-9627 SUBDIVISION: TIBBALS LAKE PARK Block: Lot: PARCEL NUMBER: 999001901 Section: 4 Township: 30N Range: 01W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2014 OWNER, JOHN D SCHNEIDER PHONE: 360-385-3084 if different: 310 COOK AVENUE EXT PORT TOWNSEND WA 98368-9627 PROJECT DESCRIPTION: REPLACE OLD WOOD FIREPLACE AND INSTALL PROPANE FIREPLACE 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 312012015. REQUIRED INSPECTIONS: / Installation per Manufacturer Specifications/CO2: /v5fi r g- 9/7 i k/Line/A lianc k)/<- d L/kW' /*Jr 414 f/11/1"Tan pp Final Approval: A 447/f, 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 3/20/2014 gsON ,-, / w``� %, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT --,4 N�O$ Date: 3f-71( ' Time Received: am/pm Mon. Tue. Wed. Th Fri. Date: 4 — 1 '—j BLD: ( 4 –t"077 Contact Name: Owner: 10l 0. G A -A Contact Number: 360 "' i;....�Dgck Address: fit ) & /1 tie_ / K. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground -404 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 r � Final Insp ction 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.