Loading...
HomeMy WebLinkAboutBLD2014-00255 - MECHANICAL IUILDING PERMIT APPLICATION BLD14-00255 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00255 Received Date: 7/22/2014 SITE ADDRESS: 325 CAMERON DR PORT LUDLOW, 98365 OWNER: RICHARD OSTLUND TRSTEE PHONE: 360-437-7747 VOLLEA OSTLUND TRUSTEE 325 CAMERON DR PORT LUDLOW WA 98365-8724 9956 SUBDIVISION: Block: Lot: PARCEL NUMBER: 995600018 Section: 21 Township: 28 N Range: 1E CONTRACTOR: COAST MECHANICAL LLC PHONE: 360-437-7558 P.O. BOX 65484 Contractor's License COASTML934JE Expires 4/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION New 120 gallon Propane tank Include gas lines- and gas log set TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 07/22/14 148900 Total: $228.00 APPROVED JUL 2 2 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/22/2014 1 • r P 5- (1-> L- ) 1� G 1S > n G 0 r.) \i r 6 o if= C C) m C UAL � N N z o UUU ll.. C3 N o G V m 0 0 �4i�'gON Cabs JEFFERSONNUNTY • _ 4 , • .,, DEPARTMENT OF COMMUNITY DEVELOPMENT N �� "' '4 621 Sheridan Street • Port Townsend •Washington 98368 4. 360/379-4450 • 360/379-4451 Fax is p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): _7V5 ' L P.f6Je GA-5" -' 67,04-s Sc-r Tax.Parcel Number: 946 _ Leap^0(ii_ Property Size: (acres/square feet) Site Address and/or Directions to Property: 3025 C,4rV)CR-o,) /7e. 707E/ 2...-LCOC-0 a , WA, . 9oF3/'v5— Property Owner(s)of Record: /C i9-72-a (/o L/err/ C,5-i L-t+NLl Telephone: 36.0 VS7 - 77q-7 . Fax: email: ((�� 2 Mailing Address: S mE n f l " L� -� Applicant/Agent(if different from owner): J Telephone: Mailing Address: Fax: _ email: t JUL 2 2 2014- What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ❑Building ❑ Critical Areas Stewardship PI=n JEFFERSON COUNTY ❑ Demolition Permit ❑Variance(Minor, Major or Re- • -1.'11 -:-.11,"-L'-'11,=1VEIOPMENT ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .❑ Modular ❑ Discretionary"0"or Unnamed Use Classification O 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 L/Nc .1- Lod, S-' ❑ Long Plat** Oro ❑ Plannea 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 I hereby designate Co 4.51-m,<'c//linv/e4-{, LLG to act as my agent in matters relating to this application for permit(s). OWNER SIGNATZlir '.1 ��—ice►= Date: 2( 20( By 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatir„ha he or he wan - •rior notice. Signature: /.�i, Date: � 2 1 2o( The action or actions Appl -nt will undertake as a result of the issuance of this permit may negatively impact upo 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 a pp licant that the actions s that will be undertaken because this permit has been issued will not violate h p the ESA. Any individual,group or agency can file a lawsuit on behalf of an 9 p 9 Y a i endan ered species regarding 9 p Y our 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-transferab re ponsibility for dhering to and complying with the ESA. The Applicant has read this disclaimer and si ns and dates it below. Signature: Date: 7/2/ I Y G:\PermitCenter\###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. Si re: Date: _NERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: `PHONE: FAx: �©,45% eviecbi ewCo4L e-I-- e- (9 ) '/37_755x' ( ) 'mE MAILING ADDRESS: P '°„ &)C 45 YC'f _ EMAIL: e..20457714 EC({An/4ICA-L y,4/yo,CO '11 CONTRACTORS LICENSE WAINS /J NUMBER: Coos T m c_9.3 uo-f NUMBER ARCHITECT/ENGINEER: / PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: r New ❑ Wood Existing: ❑ Sewer ❑ Addition U Steel Proposed: Bank 0 Community System E Atteratio iemodel- - 07 Concrete Total: _ Height: ❑ Individual System ❑ Repair ' :, 2. . C" Masonry — SEP Permit# _ 0, Demo Bedrooms:litiop ❑ Other: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this4s-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 • ■BC 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 H'Above ground Tank Size of Propane Tank: f,20 Cc L i Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove It-ether .1-06, S`E.� 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 submi 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. -I Square Footage Current Proposed For Office Use Only _ Amount Revision Main Floor Heated EH Bld App Review: 2 °Floor Heated Consistency Review: _ Other Heated Base fee: Mezzanine • Additional Section: � LC1 -IA) Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: r r 1 . i ... -Other D C V C 1 V TOTAL: $ cifl - Co L I Receipt Number: j L,t 7o7) iCash/Check Number: / /� ,.5 ESTIMATED COST(REQ Date: J� 34 'Fair market value of a I labored i . gfgh�j f } h // v PM Initials: ,// _ G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc COAST MECHANICAL LLC Page 1 of 2 • Washington State Department off Labor & Industries COAST MECHANICAL LLC Owner or tradesperson P 0 BOX 65484 JEROMCHEK, ROBERT A PORT LUDLOW, WA 98365 360-437-7558 Principals JEFFERSON County JEROMCHEK, ROBERT A, PARTNER/MEMBER Doing business as COAST MECHANICAL LLC WA UBI No. Business type 602 654 088 Limited Liability Company ILicense 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. COASTML934JE Effective—expiration 04/05/2007—04/05/2015 Bond CBIC $12,000.00 Bond account no. SD2239 Received by L&I Effective date 04/05/2007 02/05/2007 Expiration date Until Canceled Insurance Truck Ins Exchange $1,000,000.00 Policy no. 602315215 Received by L&I Effective date 02/19/2014 02/01/2007 Expiration date 03/29/2015 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602654088&LIC=COASTML934JE&SAW= 7/22/2014 COAST MECHANICAL LLC Page 2 of 2 Lawsuits against the bond or saving No lawsuits against the bond or savin accounts during the previous 6 year pert . L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. 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 closed. 574,180-02 Doing business as COAST MECHANICAL LLC Estimated workers reported N/A L&I account representative T1 /IDA HAYNES (360)902-5635-Email: HAYN235 @lni.wa.gov IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Acct Washington* 0.031i,w,.Covorninvo V.V.,141W https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602654088&LIC=COASTML934JE&SAW= 7/22/2014 Parcel Details Page 1 of 2 • • ''*77-'2-7-----?4:::'': ?1;44'' ' Jefferson County ....,„,,, ,, - . _,,,- .,,, ....,-,,,,. __ „ .....____.„.„ ,. &_ .; , ,,,,,, ..... ..,.....„, ,„ ... �m.w [ vl- rL - , , :& Home . our Info ..Departments °Q Seorch Parcel Number: 995600018 SEARCH Parcel Number: 995600018 Printer Friendly Owner Mailing Address: RICHARD OSTLUND TRSTEE VOLLEA OSTLUND TRUSTEE OSTLUND REV LIVING TRUST 325 CAMERON DR PORT LUDLOW WA98365-8724 Site Address: 325 CAMERON DR PORT LUDLOW 98365 Section: 21 School District:Chimacum (49) Qtr Section: SW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Sub Division: 9956 - SOUTH BAY NO. 2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: SOUTH BAY #2 LOT 18 Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survev, Septic Monitoring Info r, J er do County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?PARCEL NO=995600018 7/22/2014 Cases Associated with a Parcel Page 1 of 1 • • , , • Jefferson Home County Info : Departments Cases Associated with Parcel No: 995600018 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number BLD93-00231 Description single family residence Last Name JEVAS Received Date 4/20/1993 No Images Case Number BLD90-00175 Description single family residence Last Name JEVAS Received Date 3/27/1990 No Images 4 ,..,.J fferson U€I HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=995600018 7/22/2014 f 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#: BLD14-00255 Received Date 7/22/2014 SITE ADDRESS: 325 CAMERON DR Issue Date 7/22/2014 PORT LUDLOW, 98365 APPLICANT: RICHARD OSTLUND TRSTEE PHONE: 360-437-7747 VOLLEA OSTLUND TRUSTEE 325 CAMERON DR PORT LUDLOW WA 98365-8724 SUBDIVISION: 9956 Block: Lot: PARCEL NUMBER: 995600018 Section: 21 Township: 28N Range: 1E CONTRACTOR: COAST MECHANICAL LLC PHONE: 360-437-7558 P.O. BOX 65484 Contractor's License COASTML934JE Expires 4/5/2015 OWNER, RICHARD OSTLUND TRSTEE PHONE: 360-437-7747 if different: VOLLEA OSTLUND TRUSTEE 325 CAMERON DR PORT LUDLOW WA 98365-8724 PROJECT DESCRIPTION: New 120 gallon Propane tank Directions Include gas lines-and gas log set 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 7/22/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: '712t� i 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 7/22/2014 ,s ON C,O 4. ' 4' JEFFERSON COUNTY �-Ys �N ' DEPARTMEI)F COMMUNITY DEVELOPII IT Date: 7/213 Time Received: / /.. Ole 111X6Prn Mon. Tue. Wed. dr. Fri. Date: BLD: J - Z.- • Contact Name: g,r „ Owner: aJy` - z( Ocril"'` r--dt Contact Number: 360 %37 - 77.4'7 Address: 32-5 Xft.) . ,- . 206 Notes: iML I - 'm^-t- 7` L 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 I Block&Tile Ceiling • Inspections are required to be calleby 3:00 pm to receive an inspection the nday. Do to staffing issues,at this time,we can uarantee that you will receive an inspect he 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. „4,,,d w °,. JEFFERSON COUNTY DEPARTME F COMMUNITY DEVELOPIONT / '. g9'r97N6��� Date: 7/d1h4iime Received: am/pm Mon Tue. Wed. Thur. Fri. Date: '7/ rl j +- BID: A — 0 ,c Contact Name: Owner: VC grataing Contact Number: 360 .4 3 "7. 7747 Address: _ ' I ,A/I)A . alklin1/n+1h 206 _0() 2 \ � ' s ( �Notes: C@ I t ■ ,/, 1 dos , U r /1 Vr-DiA( [ ('I«, -t-0 t d Watt '-H( ( 6e Foundation Plumbing Framing Propane Tank Mechanical stilt, A-0 Y'S Setbacks Under-ground Framing Under ground Furance c 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 • Inspections are required to be calle by 3:00 pm to receive an inspection the riday. Do to staffing issues, at this time,we can uarantee that you will receive an inspecthe 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.