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HomeMy WebLinkAboutBLD2014-00271 - MECHANICAL • BLD14-00271 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00271 Received Date: 7/28/2014 SITE ADDRESS: 31 BRINNON LN BRINNON, 98320 OWNER: ROYAL A SCHINDLER TRSTE PHONE: 360-796-3122 VALERIE J SCHINDLER TRSTE 270 RHODODENDRON LN BRINNON WA 98320-9737 9417 SUBDIVISION: Block: 1 Lot: 2 PARCEL NUMBER: 941700102 Section: 2 Township: 25 N Range: 2V1 CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION New Ductless Heat Pump System TYPE OF WORK NON 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 $152.00 SRE 07/28/14 151312 Total: $152.00 APPROVED JUL 28 2014 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/28/2014 • • soN oc) ((-k, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ,o4 621 Sheridan Street I Port lownsend,WA 98368 I Web www.co lefterson.wa.us/cornmunityclevelopment I'm I NO Tel 360.379.4450 I Fax'360.379 4451 J Email:dcdPco.iefferson.wa.us Building Permits&Inspections Development Consistency Review I Long Range Planning Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary) Install ductless heat pump system Tax Parcel Number 941700102 Property Size: (acres/square feet) Site Address and/or Directions to Property: 31 Brinnon Lane Property Owner(s)of Record: Valerie Schindler Telephone:360-301-9911 Fax: email: vaischindier©windermere.com Mailing Address: 270 Rhododenren Lane Bannon,WA 98320 Applicant/Agent(if different from owner): ail weckther 14 4 Coo Telephone:360-452-9813 Fax: 360-452-5177 xmciwown@ameatherilc.cx)m Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation Madding 0 Critical Areas Stewardship Plan 0 [PVIED 0 Demolition Permit 0 Variance(Minor, Major or ReasoIIor,Hc Use 0 Single Family El Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C I o Manufactured Home 0 Modular Discretionary"0"or Unnamed 144 r seificatio O Commercial* 0 Special Use(Essential Public Fa;i)i JUL 28 2014 O Change of Use 0 Boundary Line Adjustment O Address 0 Road Approach D Short Plat** L Li 0 Home Business 0 Cottage Industry 0 Binding Site Plan** JEFFERSON COUNTY O Propane 0 Long Plat** D ! Li ill •kji 0 Sign 0 Planned Rural Residential Devel . --- mk -. . O Allowed'Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance O Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment fp Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference _ Please identify any other local, state or federal permits required for this proposal,if known: AN Weather Heatin• k Co to OF AGENT I hereby designate 1"4 ":11"'W to act as my agent in matters relating to this application for permit(s). X OWNER SIGNATURE - / Date: '7 c / 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. Staff's ace- and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio tha e or she want ply notice X Signature: Date: 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 thal 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-transferab'e reponsibIlity for. d ring to complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. X Signature: Cr Date: 4g/24/m13 S • 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 assu g responsibility o Gen I Contractor for the proposed project " X Signature: (aj Date. 0 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (360-311-9911 ( ) MAILING ADDRESS: 270 Rhododenren Lane Brinnon,WA 98320 EMAIL. valschindler@windermere.corn CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-301-991 1 FAx( ) MAILING ADDRESS: 270 Rhododenren Lane Bannon.WA 98320 EMAIL valschindlenavAndermers,com Project Type: Frame Type: Bathrooms: Shoreline: I 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: Private well Two Party Type of Heat: Proposed: Public _ Total: Name of System: If this la 0 cnrnmercial Protect you must answer the followina; 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 tiliotieftynppane Tank en1/or Appliance Insteiletion permit.mark all Kerne below Oat Apply; Underground Tank Above ground tank Size of Propane Tank: _ _ Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP i k .T 1.4.0104E Is this appliagce bean insta led in a Manufacturectaobile Nome? Yes / No 7 When applying for a permit to install a propane tank you must also submit a site plan showing a I 4 buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings arm se- systfyncocpooneias including the reserve area. .0 an4 ""- L i I Square Footage Current Proposed For Office Use On! Amount - Revision Main Floor Floor Heated EH Bid App Review, JEFFERSON COUNTY DEP-.OF COMMUNITY DEULDI NT ... Floor Heated Consistency Review: Other Heated Base fee: ik-Ici-i Mezzanine Additional Section. Heated Basement Plan Check fee: - . Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: , .., Garage/Carport SUBTOTAL SC AP q . .-3 i , , Decks 911/Rd Approach fee: Other TOTAL: $ J/i 00 Receipt Number: /6/ Cash/Check Number: aQ 7 4.4 q ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish 1 Initials: A - .4 07/24/2013 . _ Parcel Details • • Page 1 of 2 41 Jefferson County � a 1. Home County Info Departments Search Parcel Number: 941700102 SEARCH Parcel Number: 941700102 Printer Friendly Owner Mailing Address: ROYAL A SCHINDLER TRSTE VALERIE 3 SCHINDLER TRSTE R &V SCHINDLER REV TRUST 270 RHODODENDRON LN BRINNON WA98320-9737 Site Address: 31 BRINNION LN BRINNON 98320 Section: 2 School District: Brinnon (46) Qtr Section: NW1/4 Fire Dist: Brinnon (4) Township: 25N Tax Status: Taxable Range: 2W Tax Code: 0440 Planning area: Brinnon (11) Sub Division: 9417 - CARROLLS HOOD CANAL VIEW EST Assessor's Land Use Code: 5900 - Other Retail Trade Not Coded Property Description: CARROLL'S HOOD CANAL VIEW EST #1 BLK 1 LOT 2 (LS E15') Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info ffer on ou :- HOME I COUNTY INFO I DEPARTMENTS I SEARCH .e, Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=941700102 7/28/2014 • • 41111 „, 4 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#: BLD14-00271 Received Date 7/28/2014 SITE ADDRESS: 31 BRINNON LN Issue Date 7/28/2014 BRINNON, 98320 APPLICANT: ROYAL A SCHINDLER TRSTE PHONE: 360-796-3122 VALERIE J SCHINDLER TRSTE 270 RHODODENDRON LN BRINNON WA 98320-9737 2 SUBDIVISION: 9417 Block: 1 Lot: PARCEL NUMBER: 941700102 Section: 2 Township: 25N Range: 2W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC150KU Expires 9/4/2015 OWNER, ROYAL A SCHINDLER TRSTE PHONE: 360-796-3122 if different: VALERIE J SCHINDLER TRSTE 270 RHODODENDRON LN BRINNON WA 98320-9737 PROJECT DESCRIPTION: New Ductless Heat Pump System 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 7/28/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 4I//iy 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 7/28/2014 C.ry CQ ,°?� JEFFERSON COUNTY D / EPARTMENT OWOMMUNITY DEVELOPMEI'I Nci Date: O--L1 Time Received: /2. 52 am0- Mon. Tue. Wed. Thur. Fri. Date: 8_,.,- BLD: /6/—0,Z7/ Contact Name: Owner: Contact Number: 360 115-240 5 Address: r1 / er/!?/►Ai L/d 206 Notes: 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 \ CD NO. 151312 DATE or) j� U/) 4 \ " F4ec( nG, Q CZtt'RECEIVED FROM ' & DESCRIPTION BAR AMOUNT cn le) CHECK CURRENCY 1 M I�q�� Cl)•IN SCE 1 . v ) e rn ��� 2 0 ''''' '''.,4 4 ex / 00-- _ . ., , . . . ,. , . oi , , 7 9 RECEIVED BY P S,Zp____71 1 4 TOTAL