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HomeMy WebLinkAboutBLD2014-00238 - MECHANICAL • BUILDING PERMIT APPLICATIOP B 0238 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00238 Received Date: 7/8/2014 SITE ADDRESS: 90 FERNRIDGE LN PORT LUDLOW, 98365 OWNER: CHRISTOPHE MONROE PHONE: 253-565-6624 1927 SUNSET DR W UNIVERSITY PLACE WA 98466-2926 9957 SUBDIVISION: Block: Lot: PARCEL NUMBER: 995700026 Section: 20 Township: 28 N Range: 1E CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI"0440W Expires 10/18/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW HEAT PUMP- (Exchange Electric Heat to New 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 SRE 07/08/14 148871 Total: $152.00 APPROVED E JUL 082014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/8/2014 L G 5 - SSSIIVzS) Ceti& ill � , 96,14s. cNew r _______ RN I s Peck- +—__ t, _.- -- _ _ +.4 , of _ 14.1 $. i . f . ECEOVE ,,, , ) ; .(f `t......t -. 41 f if C I JUL - 8 2014 0 J NU, Fug • '"` J V■I iftk 4147n- JEFFERSON 1 1 DEPT.OF CDMMUN D EVELCPMEM I E.] 616; ) 3 c 1 G1/1M'.' 't __ ,� _A CaUTA. tAd J4yn sin,- r I` r �G.��d�l3/�� o f Pilvdt, I+ -1~' P go _ ' 11- 6 0 21 . ,c0,....tioitte,te i.Anaidewil., d ` oy 1v`Q- .1 fI WA") ¢SON • '� -Z w c,06 2 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ti NG�os. 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdt�co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): 12,1C cu ft ek TO 1t A PuuP C w►3G,F, out Tax Parcel Number. C 2- Property Size: (acres/square feet) Site Address and/or Directions to Property: ROM P ogi-uUD .outer *1 le gvicf at . Sartt-k. TPtCE PR LEF1- OsJ PAeLAptSE 2AH k . (V&A-M0IJ 1En-1,w% 4. et6t-t-c Do ok&Ittu,N06. alC j1 Du pt"NSI.AU la. , It Property Owner(s)of Record: .s L . , l II Telephone: •- ispG- Fax: email: CrhanrOCe1/0 nn Mailing Address: / . r ,,,, -KQi . • i. iddA. i% , Will Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation © [ II FED *Wilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reaso a Economic Use) Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C. Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed use assitialtiorr 8 2014 I ❑ Commercial* ❑Special Use(Essential Public Facil es)** ❑ Change of Use ❑ Boundary Line Adjustment - , ❑ Address ❑ Road Approach ❑Short Plat** JEFFERSON COUNTY ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** DEPT.OF COMMUNITY DEVELOPMENT ❑Propane 0 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 ❑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 J I hereby designate 7- Sufc CO • to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ______, Date: , ?1•07-4 By signing this application form,the er/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 inspe s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicat' 'r�G e or sh: s prior notice. / Signature: /,� Date: D Wel !// Y The action or actions Appli.=nt 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-transfe -.t •..ponsibil fo/�,hexing to and complying with the ESA. The Applicant has read this disclaimer�d signs and dates it below. Signature: 4/., , Date: 0 / / O 07/24/201: III 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: F e MNSu LA iFEh i (33o) 4.8/- 3333 (340 &.g -2490 MAILING ADDRESS: P.1, O 11 ./ EMAIL: u du/ /' r, ` •A -A � - Cray CONTRACTOR'S LICENSE owl,. WAINS NUMBER: Pe/i,Nn.0 VOW NUMBER ARCHITECT/ENGINEER: r �l , PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New U Wood Existing: 17,Sewer U Addition I F Steel Proposed: Bank U Community System U Alteration/Remodel U Concrete Total: Height: U Individual System U Repair U Masonry SEP Permit# U Demolition U Other: Bedrooms: Water Supply: Existing: Setback: U Private well U Two Party Type of Heat: Proposed: Public Weal U Puglia 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 reh O evotS telleP knaT retaWtoH Is this appliance being installed in a Manufactured/Mobile Home? Yes /(2 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: 1 1 1 C' I I \ / 1 2 Floor Heated Consistency Review: ` .�, � r „ Other Heated Base fee M portsc , 1 0 ! ni Mezzanine A.•tional Section: I t j 16. Ov IV Heated Basement Plan Check fee: .IEFFERSO ■COUNTY DEPT.OF COMMUNI DEVELOPMENT Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: i'7 4-Vg 7 1 Cas _Number. 1? / pTIMATED COST(REQUIRED) • Date: Q s�`t t air market value of all la rand mat ' Is r>dation to finish p�(0/�' #' /3 Z, Initials: y.., , 07/24/20 • • Mary Lofstrom From: Chris Monroe <cmonroe @rocktenn.com> Sent Monday,July 7, 2014 9:44 AM To: Mary Lofstrom Subject: RE:Jeff Co. Permit Yes! You have our permission to obtain the necessary permits for the new Heat Pump. From: Mary Lofstrom [mailto:mary@peninsulaheat.com] Sent: Monday,July 07, 2014 9:42 AM To: Chris Monroe Subject: Jeff Co. Permit Good morning Chris. We are on our way to obtain the permit for the heating system change out.Jefferson County requires that I have authorization from you to act as your agent in filing the permit. This is a mechanical permit application and is needed so that your home improvement is recorded. Chris,could you simply respond to this email with a yes that you authorize us to act as your agent so that I can include it with the application? Thanks very much, Mary Lofstrom ) ICEEIJV1 - 8 2014 JUL JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 1 Parcel Details Page 1 of 2 A \ , „..-7--,,,,,,,- 4,..„, , _ _ , , , \-5, ,,,„ ,, ,,,..,,x- ---:,--,,,,.'':','"'7T7:"'"-''''I-r': ,;:- .7 -7:-' '''''---- ":::--7--2- ,,l'.7-. ,7,::'----774:: " -- n Home County Info x Departments Search Parcel Number: 995700026 SEARCH Parcel Number: 995700026 Printer Friendly Owner Mailing Address: CHRISTOPHER MONROE 1927 SUNSET DR W UNIVERSITY PLACE WA98466-2926 Site Address: 90 FERNRIDGE LN PORT LUDLOW 98365 Section: 20 School District: Chimacum (49) Qtr Section: Fre Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Sub Division: 9957 - SOUTH BAY NO. 3 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: SOUTH BAY #3 26 & 27 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH y, Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac 1 http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=995700026 7/8/2014 MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of y artment p Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00238 Received Date 7/8/2014 SITE ADDRESS: 90 FERNRIDGE LN Issue Date 7/8/2014 PORT LUDLOW, 98365 APPLICANT: CHRISTOPHE MONROE PHONE: 253-565-6624 1927 SUNSET DR W UNIVERSITY PLACE WA 98466-2926 SUBDIVISION: 9957 Block: Lot: PARCEL NUMBER: 995700026 Section: 20 Township: 28N Range: 1 E CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 10/18/2014 OWNER, CHRISTOPHE MONROE PHONE: 253-565-6624 if different: 1927 SUNSET DR W UNIVERSITY PLACE WA 98466-2926 PROJECT DESCRIPTION: NEW HEAT PUMP- Directions (Exchange Electric Heat to New Heat Pump) 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 7/8/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval .71 17)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 7/8/2014 irgs°T' coca JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT H,SKING'S° /�,/O Qpm Mon. Tue. Wed. Fri. ate: 7 22i Time Received: Date: 7/24 LD: 4` - 007,3g Contact Name: A��O Contact Number: 360 ►caner: �'/ 206 ,ddress: 9° fg,v IZIr'CE LN $3 - S GS 4'z Dotes: /,17 ,Pir Propane Tank Mechanical Foundation Plumbing Framing Pro p round Furance Setbacks Under-ground Framing Under ground Footing Rough In Air Seal Above ground Stemwall Hydronic Exterior shear Exterior lines Oil Ducts Straps Hot Water Htr Interior shear Interior lines Appliance Post Hole Ventilation Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted - fleck&Tile Ceiling JEFFERSON CITY �D •NO. 148571 n o/ DATE I/®:;:: I� ;nsJa_RECEIV ED FROM �M `)"7-/7C-- DESCRIPTION BARS# NT CURRENCY 1�t eC H I6 ?. oo' Cn COIN SCAB CHEC KS i 46�� '15 2 rrl XI . r;'` � /,/CPL-Gt]� /r ./L i 0 RECEIVED BY �� . ���.. �t�! TOTAL CO ed