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HomeMy WebLinkAboutBLD2014-00086 tUILDING PERMIT APPLICAAON BRevie00086 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00086 Received Date: 3/11/2014 SITE ADDRESS: 65 HUCKLEBERRY PL PORT TOWNSEND, 98368 OWNER: JOSEPH L PLATT PHONE: 365-582-7023 CAROLE J PLATT PO BOX 1966 PORT TOWNSEND WA 98368-0068 CAPE GEORGE VILLAGE DIV 6 SUBDIVISION: Block: Lot: PARCEL NUMBER: 941400017 Section: 13 Township: 30 N Range: 02 W 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 DESCRIPTIOI INSTALL HEAT PUMP SYSTEM TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: �f CODE EDITION: 2012 HEAT BASE: HEAT HEAT TYP TYP a I C 0 " I OCCUPANCY: UNHEATED: #OF STO OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELI II MAR I 0 ? 114 !j CONST TYPE: SETBACK DECK: BANK HEI HT:l I� SEWAGE DISPOSAL: JEFFERSON COUNTY rcpt.Or CYMUNITY DEVELOPMErT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 MEB 03/10/14 148429 Total: $152.00 APPROVED Jefferson County DCC. \\fir7cm.rWrhfo\fnrmc\C RI Il Ann RIrI rnf '2/11 MIN A III 0 /6/ — 1 q) JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT . + 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax 41.4tft4.,e.:11,-41-...„," www.coofferson.Wa.us/comrndevelopment Master Permit Application MLA: .. Project Description(include separate sheets as necessary): 1146114L-L- PET Pt)Jkp `{6Te? Tax Parcel Number: J —I (D `�I I-- , Px Size: (aa uame feet) Site Address and/or Directions to Property: g C u ( 4r .e.r-g c-y k U 4-e I Po-- (o trry e k c • L.)i0 1<t36' Property Owner(s)of Record: eM11131111nr.ie•4Tr-- - ' it-. ` �� y Telephone: 36 Cr.?. - 01.1 fax ---°' era . f * °-1 oj r✓° C.�. rx ( . 4 P -1 r: _.. I..�4 �~Sr Mailing Address: �=����:. - - - - Applicant/Agent(If different from owner): : C Tut 0 ,. ?.i r fl . Telephone:'.drat*teeb-aPIO% Fax -3" •"fit smut:L'tte n(afi14' ttt . •iM - • Mailing Address: &2.V W.Ceti ' St- Seattaa,M >J A cleatmer ' What kind of Permit?(Chedc each box that applies �g 0 Orifice!Areas stewardship Plan ❑ oemoktion t O Varianrc a(Minor.fir or.': y/Jr • ❑Single Family ❑Garage Attached/Detached ❑�tee[O(a}. * • "' •1 `/ I , - ❑ Rome ❑ Modrr [7 `fir or ri � ��. ,*. ❑ Change of Use 0 Boundary Line Adjustme n ❑ Address ❑Road Approach ©Strout Piat't 1 , , M , L' ";14 I 0 Home Business b Industry 0 "" J I;J Long Plat** 0 Plarwed Rural ` Demo .*Reside 0 Allowed`Yes Use Consistency Analysis 0 Plat VaCationiAiteration N, 0 Stdrrr Ater Management f �� r.�', .t :,..*:-•-"FNT , ❑Stange Master Program�<- l;�- ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** . CF TAY Use ❑Shoreike Management Variance 0 Wireless Telecommunication ion* D Comprehensive Pl mlUhCJtand Use Dishict Mapionepdment p Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoredne Master Program Anion/kno t **laymen*.a Pre-Appfcaffan Conference 0 Tree Vegetation Re ti n quest • *. . ..a ., ContaBnce: Please identify any other local,state or federal permits required forthis proposal.,if known: . — , ' .DESIGNA f OF AGENT I hereby designate fl t . V kte�t i • to actas my agent in matters relating to this application for permit(s). ., . 1 1 fie: ! Srst+A ,. ...6„r.. 3 By signing this .'. . form,the Gamer/agent Gamer/agent attests that the information provided herein,and in any attachments.is true and correetto the best of i his,her or its knowledge. Any material falsehood or any omission of a material fact made bythe owner/agent with respect to this application packet may recut in this permit being dull and void. • i further agree to save.irderr c and hold harmless Jefferson Courtly against all llabaftes,judgments.court coats.reasonable attorney's fees and expenses which may hi any way accrue against Jefferson County as a resat of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson totally and as employees,remsentalives or agents for the sole purpose of application review and any 1 ., -- inspections. Staff's access and right of oil be assumed unless the applicant informs the County in voting at the lime of the .,- � he.. wards pr or notice. Q �?/ t� Signalise; 'l'...4 ` `�f`r[ "7 The action or--: Appicant will undertake as a rent of issuance of Ids peer*may negatively impact upon one Or MOM threatened or endangered species and could lead to a potential lake"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 appica rd that the actions that will be undertaken because this perms*has been issued will not violate the ESA. Any i ndividuat.group or agency can file a hawk on behalf of an endangered species deg :your actions)even if you = in r.:, • with the Jef etsan County development code.The Applicant acknowledges that he.she or it kids and Tree•tra - .. — i „. for ad to and w�ESA. The Ani ant has reed this and signs and dies it below. \ • 's Oats: If 11, I 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: c*d) te 83-y10 . (3(00 683;3911 MAILING ADDRESS: �, (`„Q Ete`N G. EMAIL: U�® �;�,.E..t...�.,1. , (nix__ CONTRACTOR'S LICENSE . csOft tJEQt)\M WAINS o NUMBER: NUMBER 1k'k FL I),d 0 13 6-- ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System rV Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Tye of HProposed: 0 Public LeL'1-Heat,\C. Total: Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of NM Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed 1 IBC Occupancy: IBC Type of construction: WIf 1 L ha •e If this is a Propane Tank and/or Appliance Installation permit.mark all items blel tea- ' r 1 Underground Tank 1 Above ground Tank Size of Propane Talk L i 11 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tani I Pellet ove- 1 Other 1v ; I �nfi 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 septfesystim components, including the reserve ants. i� .�U �!UrdTY S•uare Foota.a Current Pro.• ed < <1 , Main Floor Heated . EH Bid App Review: 2 °Floor Heated Consistency Review: Other Heated Base fee: Mezzanine ;!! Additional Section: Heated Basement Plan Check fee: Unheated Basement "4,-,1-.-- , - ' State Surcharge fee: Other Unheated �cZ = Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ ex c No.M e ` .- Receipt Number. Si M -t Cash/Check Number. ESTIM, ED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish U 14..b 14..b X . �/ Initials: ' • G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc �e sOx co JEFFERSON CGY el DEPARTMENT OF COMMUNITY DEVELOPMENT �sII I N G-c° Date: a /7,1Time Received: 27 am/r Mon. Tue. Wed. Thur. 40 / Date: IZT- BLD: /l f'- 8 Contact Name: Owner: Contact Number: 360 S'e Z 702 3 Address: ("5— 1-6:44,11.4,7 19 L, 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 '-------b Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ,c,1-y°t< e J', °� . s .tr I �; t6.-- 4 r • -. 'C� i{ thi ,H .. , . . , 0 ..-,1 . . r - flD N 14 . --vi ' . . . -,`-'''-> a 2 3 LS t ,..,, 4 _ al P _ . 3 1 � J © off* clic pir. . . A P l W r:5-el-J ,Y, Q � —s V o er"t,, W o 7.. �W \ o . (C"::'- ) (_._.-------3 .nib I .10 o t g ., ' Cr .6... 4' A"- v ... . ., ,:.,, ,....4 , ) ., 0 0 -.• Te . . . . . . . . ....:-. . 0 b COD I. cp '1. 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AIR FLO HEATING COMPANY lick Number: 42032 4 2 0 3 2 Jefferson County Building Departmeill Date Description Amount 03/05/2014 Platt permit 171.00 JEFFERSON CO Y (, NO. 148429 o IL DATE � RECEIVED FROpriy- 2 ` `-'- Fib - DESCRIPTION BARS# AMOUNT CURRENCY �! J5Z.. 8 COI "y kalob `-,:,'''.ii ,� CHEC be _fix, l ° �� -C RECEIVED BY _ TOTAL r • S 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#: BLD14-00086 Received Date 3/11/2014 SITE ADDRESS: 65 HUCKLEBERRY PL Issue Date 3/11/2014 PORT TOWNSEND, 98368 APPLICANT: JOSEPH L PLATT PHONE: 365-582-7023 CAROLE J PLATT PO BOX 1966 PORT TOWNSEND WA 98368-0068 SUBDIVISION: CAPE GEORGE VILLAGE DIV 6 Block: Lot: PARCEL NUMBER: 941400017 Section: 13 Township: 30N Range: 02W 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, JOSEPH L PLATT PHONE: 365-582-7023 if different: CAROLE J PLATT PO BOX 1966 PORT TOWNSEND WA 98368-0068 PROJECT DESCRIPTION: INSTALL 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 3/11/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 7271/1. 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 3/11/2014