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HomeMy WebLinkAboutBLD2014-00278 - MECHANICAL BUILDING PERMIT APPLICA N B 0278 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00278 Received Date: 7/31/2014 SITE ADDRESS: 673 BYWATER WAY N PORT LUDLOW, 98365 OWNER: THOMAS K LEWELLEN PHONE: 206-498-4501 BARBARA L LEWELLEN 673 BYWATER WAY PORT LUDLOW WA 98365-9237 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821265018 Section: 26 Township: 28 N Range: 1E CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 REPRESENTATIVE: JOHN FLEMING NONE: 360=6$9=3156 83 DENNY AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION Roof Mounted, Grid Tied PV (Photovoltaic-Solar Electric) System TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION , CODE EDITION: 2012 ADD L. HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: F STORIES: OCCUPANCY: UNHEATED: #O S O OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE SETBACK: DECK: 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 $228.00 SRE 07/31/14 151295 Total: $228.00 APPROVED JUL 3 0 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/31/2014 •,esON co At' & JEFORSON COUNTY ... -ti gll DEPARTMENT OF COMMUNITY DEVELOPMENT 4 . . 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.usicommunitydevelooment Tel:360.3794450 I Fax:360.379.4451 I Email:dodAco.lefferson.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): Roof Mounted, Grid-tied PV(Photovoltaic-Solar Electric) System Tax Parcel Number 821 265 018 Property Size: 3 acres (acres/square feet) Site Address and/or Directions to Property:673 Bywater Way N.,Port Ludlow,WA 98365 Property Owner(s)of Record: Thomas&Barbara L Lewellen Telephone:2064984501 . Fax: email: tomlewellen@mac.com Mailing Address: 673 Bywater Way N,Port Ludlow,WA 09365 Applicant/Agent(if different from owner): its 0- 'TP4P Es eR-Q1 eo- Telephone:360-643-3080 Fax: 360-539-1857 email: john@powertripenergy.com Mailing Address: Power Trip Energy Co,83 Denny Ave,Port Townsend,WA 98368 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation 0Builcling 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) O Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** 0 Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment O Address 0 Road Approach 0 Short Plat** 0 Home Business El Cottage Industry 0 Binding Site Plan** 0 Propane CI Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 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 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment O 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: L&I Electrical permit DESIGNATION OF AGENT Please See Aftached I hereby designate to act as my agent in matters relating to this application for permit(s). -- .- ,..,...,..„..., .., OWNER SIGNATURE :: "--.' reNeit'ate ViniLAVI c-o. Date: 7/30/2014 By signing this application fo ,the owner/agent att:-ts at 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 a ,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 r uired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic tion th. . s, • ants prior notice. \s, 7/30/2014 Signature: <----, F ...aq 0,0A-? ce,. Date: The action or act° Applicant will unde ak as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to adfential"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 yc are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran era e rest---II.II r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: roweit-'al COL-al Co. Date: 7/30/2014 07/24/2013 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 assu ng :r;.• 'bility of the General Contractor for the proposed project. Signature: ?ewe 17-t "f Date: 7130/2014 GENERAL CONTRACTOR OR MANU AC RED HOME INSTALLER: PHONE: FAX: Power Trip Energy Co. (360 )643-3080 (360 )539-1859 MAILING ADDRESS: 83 Denny Ave,Port Townsend EMAIL: john @powertripenergy.cam CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER 063-472-00 ARCHITECT/ENGINEER: PHONE (360 ) 643-3080 FAX:(360 )539-1859 MAILING ADDRESS: 83 Denny Ave,Port Townsend EMAIL john@powertripenergy.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: H New C Wood Existing: L Sewer i', Addition Cl Steel Proposed: Bank ❑ Community System C Alteration/Remodel C Concrete Total: Height: FA Individual System i Repair u Masonry SEP Permit# C1 Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: I., Private well C Two.Party Type of Heat: Proposed: L1 Public Total: Name of System: If this is a Commercial Protect 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 andlor 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 rehtO i evotS telleP i knaT retaWtoH i 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 Only Amount Revision Main Floor Heated EH BId`App Review: 2°a Floor Heated Consistency Review: Other Heated Base fee: ,a'a/�D, Mezzanine Additional Section Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL ay .00 Decks 911/Rd Approach fee: Other TOTAL: $ , i✓—4..•Ob Receipt Number: 1 1 3-1C Cash/Check NumCra- C ,9691 ESTIMATED COST(REQUIRED) Date: 1� / *Fair market value of all labor and materials foundation to finish /:31/I 4 Initials: S5 ' 07/24/2013 . • Power er Tn ner. y Corp PV Installation contract 83 Denny AVE Port Townsend, WA 98368 (360) 643-3080 w.po ' strip€nErgy.cor Lit # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Tom Lewellen , grant Power Trip Energy Corp.Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: ,._ Date: 7/18/14 July 17,2014 Page 5 of 8 Tom&Barbara Lewellen • • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED _—,-TO BE COMPLETED Y CITY STAFF----- Building Permit Required? ❑Yes ONo Qualifies for Electrical OTC? ❑Yes 0 No Staff Initials Date CIIn:k net to enter text.: Staff initials, Date:Glick here to ?net text. TO E COMPLETED BY APPLICANT--- roject Information Project Applicant: Power Trip Energy Co,83 Denny Ave, Port Townsend,WA 98368 Site Owner Name: Thomas&Barbara L. Lewellen Project Address: 673 Bywater Way N.,Port Ludlow,WA 98365 PV system description: Roof Mounted,Grid-tied PV(Solar Electric) •etermine if your project needs a building permit (check all that apply): Yes No 1, PV system is designed and proposed for a detached single family house. X ❑ 2. PV system is designed for rooftop of a house in general compliance with applicable codes. X ❑ 3. Mounting system is engineered and designed for PV. X ❑ 4. Rooftop is made from lightweight material such as shingles. X ❑ 5. PV system has been pre-approved by electrical permitting agency. X 6. To address uplift, panels are mounted no higher than 18"above the surface of the roofing to X ❑ which they are affixed. Except for flat roofs,no portion of the system may exceed the highest point of the roof. 7. Total dead load of panels,supports, mountings, raceways and all other appurtenances weigh no X 0 more than one of the following. If YES,indicate which: X No more than three and one-half(3.5)pounds per square foot(PSF) ❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF ❑ Frameless panels on at least 5/12 pitch roof weighing no more than five(5.0)PSF 8. Supports for solar panels are installed to spread the dead load across as many roof-framing X ❑ members as needed to ensure that at no point are loads in excess of fifty(50)pounds are created. 9. Attachment to the roof is specified by the mounting system manufacturer. X ❑ 10. Method and type of weatherproofing roof penetrations is provided X ❑ 11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for X ❑ solar panels. Ii 12. Panels are mou ed noj.er an the roof ridge or apex of roof(applies only to pitched roofs) X ❑ Applicant Signature:' Printed Name: John S.Fleming, Power Trip Energy Date:7/21/2014 If you answered yes to all oft e above questions, no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 • • Jefferson County Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 14589399 Your payment has been authorized successfully and payment will be processed. Jefferson County Department of Community Development thanks you for your payment.For questions about your account,please call 360-379-4452 Thank you for using our bill payment senvices. Please save or print a copy of this receipt for record keeping purposes. My Bills 'Residential Applications paymentof$247.00 on Parcel Number 821265018 $247.00 Subtotal: $247.00 Customer Information Convenience Fee: $7.50 I First Name: power Trip Total Payment $264.60 Last Name: Energy Co I( Address Line 1: 83 Denny Ave Address Line 2: City. Port Townsend State: Washington Zip Code: 98368 Phone Number: 3606433080 Email Address: john@powertripenergy.com Payment Information Card Number: ************8600 Expiration Date:"f** • Power Trip Enermj Corp Your Receipt support©pointandpay.com <support@pointandpay.com> Wed, Jul 30, 2014 at 4:10 PM To: john@powertripenergy.com Greetings, Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Your payment ID is: 14589399 Items Paid For: Description: Residential Applications Amount Paid: $247.00 Parcel Number: 821265018 Description of Project : 4 Customer Information: First Name: Power Trip Last Name: Energy Co Address Line 1: 83 Denny Ave Address Line 2: City: Port Townsend State: Washington Zip Code: 98368 Phone Number: 3606433080 Email Address: john@powertripenergy.corn Payment Information: Subtotal: $247.00 Fee Total: $7.50 Total: $254.50 Datetime: 07/30/2014 16:10:49 Point& Pay - Create Order Page 1 of 1 •• Thank you for your payment! This service has been provided by Jefferson County Dept of Community Development, WA and Point& Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Dept of Community Development, WA. Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Name: Peter Leland Address: 2612 West Boston Street, Seattle WA, US, 98199 Contact: 2063553621 Comments: Payment ID: 14583320 Date: 07/30/14 10:54 AM Subtotal: $76.00 Fee: $2.50 Total: $78.50 Method: Credit or Debit Card(************4071) Item Purchased Transaction Description Account Amount CAM Meeting Jefferson Co C D GOV Peter Leland $76.00 Signature: Date: / / By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window https://agent.pointandpay.net/pointandpay_counter/viewReceipt.do?method=viewPayment... 7/31/2014 POWER TRIP ENERGY CORP Alh Page 1 of 2 O11/ • Washington State Department of Labor & Industries POWER TRIP ENERGY CORP Owner or tradesperson 83 Denny Ave COCHRANE,ANDREW P PORT TOWNSEND, WA 98368 360-643-3080 Principals JEFFERSON County COCHRANE, ANDREW P, PRESIDENT CARR, STEPHEN E, VICE PRESIDENT Doing business as POWER TRIP ENERGY CORP WA UBI No. Business type 602 349 562 Corporation 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. POWERTE934QE Effective—expiration 11/05/2007—11/05/2015 Bond CBIC $12,000.00 Bond account no. SH5957 Received by L&I Effective date 11/05/2007 11/02/2007 Insurance GENERAL INS CO OF AMERICA $1,000,000.00 Policy no 24CC21330840 Received by L&I Effective date 10/08/2013 11/02/2010 Expiration date 11/02/2014 Insurance history Savings https://securelni.wa.gov/verify/Detail.aspx?UBI-602349562&LIC=POWERTE934QE&SAW= 5/21/2014 Parcel Details Page 1 of 2 • . , .. t e erson,‘ , County \c 7 � �� name County info Departments r, Search Parcel Number: [821265018 SEARCH Parcel Number: 821265018 Printer Friendly Owner Mailing Address: THOMAS K LEWELLEN BARBARA L LEWELLEN 673 BYWATER WAY PORT LUDLOW WA98365-9237 Site Address: 673 N BYWATER WAY PORT LUDLOW 98365 Section: 26 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: Paradise Bay (8) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: WHITE ROCK COVE TRACTS DIV II TRACT 6 W/PTN OS V10/P105 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County " HOME 1 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=821265018 7/31/2014 Point&Pay - Create Order Page 1 of 1 • • Thank you for your payment! This service has been provided by Jefferson County Dept of Community Development, WA and Point&Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Dept of Community Development, WA. Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Name: Power Trip Energy Co Address: 83 Denny Ave, Port Townsend WA, US, 98368 Contact: 3606433080 Comments: Payment ID: 14589399 Date: 07/30/14 04:10 PM Subtotal: $247.00 Fee: $7.50 Total: $254.50 Method: Credit or Debit Card(************8600) Item Purchased Transaction Description Account Amount Residential Applications Jefferson Co C D GOV 821265018 $247.00 Signature: Date: By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window https://agent.pointandpay.net/pointandpay_counter/viewReceipt.do?method=viewPayment... 7/31/2014 JEFFERSON COLSY O 4". 151295 DATE 7/3)Ji4 RECEIVED FROM O-U ( (p Cø ~ DESCRIPTION BARS# AMOUNT CURRENCY L {D 0, - X 0 co ww �C/Gl j"\ `i ci .C` 0 °Y`�Iif�G� 1 ..acs,^oto it_i9cici 2 _ 1 , - m 8 RECEIVED BY `TA,I ;S TOTAL 0 fl- . 0. •. to ��son c ` , ;_ °�, JEFFERSON COUNTY { gsHt,40.,e DEPARTMEOOF COMMUNITY DEVELONT ,/ '` Date: q- Time Received: 105 b/pm Mon. 4910 Wed. Thur. Fri. Date: th BLD: ILF 91'icj Contact Name: Owner: Contact Number: 360 6kiG3 3, D Address: V73 ~ .,t ,, ...t,, 206 Notes: S— 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 Block&Tile Ceiling • • 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#: BLD14-00278 Received Date 7/31/2014 SITE ADDRESS: 673 BYWATER WAY N Issue Date 7/31/2014 PORT LUDLOW, 98365 APPLICANT: THOMAS K LEWELLEN PHONE: 206-498-4501 BARBARA L LEWELLEN 673 BYWATER WAY PORT LUDLOW WA 98365-9237 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821265018 Section: 26 Township: 28N Range: 1 E CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 OWNER, THOMAS K LEWELLEN PHONE: 206-498-4501 if different: BARBARA L LEWELLEN 673 BYWATER WAY PORT LUDLOW WA 98365-9237 PROJECT DESCRIPTION: Roof Mounted, Grid Tied PV (Photovoltaic-Solar Electric)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 7/31/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: c,-q-ly 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 7/31/2014