Loading...
HomeMy WebLinkAboutBLD2013-00318 UILDING PERMIT APPLICADN BLDI3-00318 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00318 Received Date: 10/8/2013 SITE ADDRESS: 15 WHITE ROCK LN PORT LUDLOW, 98365 OWNER: ROBERT M SCOTT PHONE: 619-507-7689 ANGLEA M SCOTT 15 WHITE ROCK LN PORT LUDLOW WA 983659565 WHITE ROCK COVE TRACTS SUBDIVISION: Block: Lot: 7+ PARCEL NUMBER: 821265007 Section: 26 Township: 28 N Range: 01 E CONTRACTOR: HOOD CANAL HEATING &COOLING PHONE: 360-275-4992 P O BOX 2940 BELFAIR WA 98528 Contractor's License HOODCHOO5DB Expires REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL HEAT PUMP, ADDING ON TO EXISTING DUCT SYSTEM TYPE OF WORK RES 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 $228.00 MEB 10/08/13 145437 Total: $228.00 1\firlcmer4\rl.h.\forme\G RI f1 Ann PIr1 rn+ 1!1/R/7l1Z 10107/2013 MON 14: 18 FAX 360 275 9605 Hood Canal Heating 0002/003 ' Oct 0713 02:01p Angela&Rout 6978433 p.1 ,ory Cl 12) V :PP'.. DEPARTMENT ,.;: OF COMMUNITY DEVELOPMENT ;'°!'°•". 621 Sleet Pod t-> r o wnerid,WA 813368 1 Web: e Tel:360.379.4450 i Fax:36Q.3794451 I l maI: Su/Aft/Numb&inspections J Development Consisteng Review1(,or1g Range PCartni g 1 Watershed Stevordes,Resoteve tenter Master Penn t Application MLA: Pmjeot Description(Indude separate.sleets as necessary): r Tax Parcel Hurn $?. 2(9$t�C�7 — Pc�"' --+, Properly Size: (arra5/SgUArEt feet Site Address andlor Dlrec:dorts to Property: • 1' 'Wltir'keTiDcg.-th ,leap.-rt u4% ,,1 *LOA cri1 5605 Properly Ownea(s)of Record: • Telephones (t0iV©1-t rdI Fax. • Aline Address: _ ,: t... . ...._ : In 1o4Tcsrle>t.ear+�1. ApAlanflA set(ry different from ` 4 • 1�r • Nang Telephone Fax r ;;, •y. j .'"r'a 7."�c . What kind of Pernik?(Check oath box that applies D i.o t or Road Molding ❑Catdcal A Segregation Plan wnoJitia Permit O Single F ❑Variance(Minor,Major or Reasonable Economic Use) y El Garaage Attached I Detached CI Co nditional Use(IX*),COO,or C)ww o Manufactured Home o Modular Ci Co m�ercial`• ❑DfaCiL'Upneliy'� or Unnamed Use CBtiQ<i CI Change of Use CI Special Use(Essential!Public Facilities)+* o Address 0 Road Approach o Bo Short Lira AdJ` "t D Home Business 0 Cottage Indus O Propane 0 Binding Site Plan 0*O ❑Long Plat" Sign Cl Allowed'Yes"Use Consistency Ana, D Planned Rural Residential Development(PRRD)1Amertdermenta** Cl Allowed"Yes" Management Y Cl Piet dacationlAlterr ion°° Shoreline Program F / e Revisi ons na°'o She Plan Approwil Advance Determination(SPAAD)* o Shoieitn Management mteal Development..o Temporary Use Cl Shoreline Management Variance Wireless Telecommunication" 0 Comprehensive Plan/UDC Land Use Disetct Map A m ere©Forest Practices A l► e at Sac-Year Moratorium Cl o Jefferson County Shoreline Master Amendment May require a Pecs-gap r Conforauce d Tre Veg ebg6pn Ragtast. Please identify any other local.state or federal permits required for this ro ✓ P pousal.if known: • !hereby designate a���* H+_'Lir1 3, Iti A ...�,..._. t,a act as my agent in matters relates to this ap pircatlan for Oman Santo -war ;�— _ perrntt{sy Date: R► By signing this epptfCetton corm,the orlrtrecbrgent attests that the ktrgrrerati,on .r.....�` his,her or knowledge.'Any%me o material provided herein,and In eery attachments,h true •correct t0 the beet of • may result In this falsehood Or any omission of a materiel toot made by the owraadagsrtt vafdr memos Wads ap n packet pe�rrtt tieing null end void. i Cutter agree to save,intienulti and hold harmless Jefferson Corey against at it"bidgesl,iudgmsnJ,court costs,re hie aftomey's fees and expenses which may In any way accrue against Jefferson County as a result of°r ill•norrsaquence of the granting ofthis perma. I Uttar agree to provide access and right of envy to Jefferson County review w an �Mired later -. _. Sms's soma and Vier e n ail or for the aCo my in voting of apa n ,,� n that or she i,1 prier • :1 �` applE�rd informs the County in avrrtiesg at the Signature. a► -= t]ate: v� The action or axioms ppplicrent will undertake as a result den � ~ 'endangered and could lead fo a potential o el en en ee Otter s permit maw n ad 'impact upon one or snoreshiaacears the or °Endangered Species Act' rEd lead Jefferson rid species asthma tome are ct defined ns t in the federal tsar known as the penult has treen lamed Act' not violate the ESA ndalas t� nom to the applicant that the actions that en be undertaken species karr regarding'e tuts ectiortga even you we in not violate toe Vieth the Jefferson development c can Tee a lemma on bnowle l an+wed ss 1 and iron- Cosy d opmsnt code.The Applicant that ate,she or tt holds ua N b the ESA. The Applicant has reed this and andsggSt below fI j 07/ 13 i 10/07/2013 MON 14:19 FAX 360 275 9605 Hood Canal Heating 0003/003 Oct 07 13 02:03p Angela&Rolptt •6978433 p.1 SUILOSER STATEMENT The signer of'Ns statement does hereby certify that they are the Omen dile mood refensnoed hemln Matte*are not Menem!contractors and Me they wal be asetering themes of he Genele Coreador for the proposed pmject. 1 • Monstore: Date: %'0 V-7\%.3 GewaRAt CONTRACTOR OR MANUrACTURED HONE INSTALLErt Nome: PAX: **je itA. li 1 it , Ir.:.,‘ 1 A J. :,, is so, I. 1 C 0 ir.~ 1,.:4 -•• ea.'-, Maxim ADDRESS: ' .0, 1.,.• '4 '7 IT i Ilr WACrettENakaz I•.., : 6%. 7'•i ■ Cart • COleTRAcTott's LICENSE WAINS Nteiset: -iitottAitoo5Di3 Nureem . ARcHnEcTrEtroemEER: Prams ( ) FAX:( ) Meurre Awes* EMAIL Project Type: Frame Type: Bathrooms: Shorelkte: Type of Sewage Claposat . 5 New 0 %food Existing: _ 0 Sewer C Addition C Steel . Proposed: Bat* 0 Comment*System • I AltenatioaRemodel 0 Concrete Total: Heil": 3 Indlvickral System _ Repair 0 Masonry . SEP Permit* . C Demolition r, other: Bedrooms: Water Supply: EXIStIMY Proposed: ---_ Public Total: ---- — Name of System: isibuusemmurxecestasussatimatja bawl= Slumber of Piwking Spaces: Conant; proposed Number of aga Parking Spaces: Number of occupants(inckides owners,tenants,employees,etc) Current Proposed IBC Occupancy: 15C Type&tensing:lion: Will you have Food Service? Yes I No IsigiLkattgeswies jouganguggelgolksbnitiurit mark all hams below that awls; Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace Allell reht0 I evotS telleP I Irma reteW WM I • Is tpipapPeartas baleeketallgd in a filanafectunid i Mete*met Yes I No Mien implying for a pennft to install a propene Oink you must also submit.slteplan showing all Otto buildings,al I penalty lines,tank location and site,distances horn the propane tank to ell propels lines,buildings and mode system components, Intaildinti the resew.ate& rotp..,.,;..r..-:4 7-, . -.•.,-A.:•-.F11::;,,A Ask•-•iim6-:*•1/4.'•:. •:.;t-f,-,:::-;:.•i,:,,;•,:y•gbAretw..4,-.....:`,,,,sp:t.......0...i. .,,i... ,', ,....:'a,Nt.:‘,,-,...r.,t1pR ,.,;!,;...,.:-,. 1: Foote!. Current P ••• ' . 1.3.;,...2iii:2.... - . 6 `.....^4 t45'''' 33:kt■-•\'t".*7'.4, ...Anto.:■.0''''.:2., t t.,Y,:t..`t're;.' Main Floor Heated .., ......., ' `'';•,;t';. -;.... EH Bld Ape Review 1i,, .. 2'Floor Healed ;i,..V."..',,c.-;',7 f:;',:::-; Consistency Review . . . , ,.•',a*:.i.,,:.:-:.:::`,.:":,i.:,..: . . Other Heated X,a .."Figt7§, Ban few, ' ^--I — Mezzanine IliiM1- Fi Additbnal Becton: , ,.........wto.f.:.., .„.• . Heated Basement , •:`,, . Plan Check few , '.:...vg..V.:-:=:,.,.•;: . .?,!;. ,„,,f.,.,:... Unheated Basement F.:•..4‘,..4,3$....; State Sun:Stage fee ,• ,,...4;,; . '` '.-y. . ,,,.,,w,L:,..,...,,..:*, -1 Other Unhealed VeArts:i4::,1; Pot Water Review fee: ' Garage/Cavort r2;1.,'‘..,:.-.-:.*:.•:.r SUB a I- , • :••IA,Iirkt4::•:.;!.•4,;: Decks .4i1,.A.'....,. -V, 911/Rd Approach Other -•t4..:;::rp);•;.' TOTAL: 1 $ . .. , . . 1 '.-;4:•!,:ry,i1,r,','' Receipt Number: it'15-4(3 --, 1•, .i...,,:•• le; Cud:Check Number: ,,.,q.;5.1.-:.•.,.4k.t 11%..'4.46, i L• . ,.'h•,,..i.,,t37',;.iwg..Y.N , 'ESTENATED COST(REQUIRED) Date: I Aid,mar*a t"due o f el feborem i material,kundetAin to Orilah 1(1)1j& _/3 1 InIttals: ...› ' - , . .. ..... , . . , 07124/2013. i . ,.• 1 . in H O = O O' LL N _0 Z LL • O H O CO -] O .-- •- •- I` � ¢ 4- CD — C*) N -3 W O "O - CO J O O L CD -0 M CC "O -I-1 CO Z C U 0 O H W O C CO -1-+ "C3 H O O I •- 7 L L L CA ti Q 13 C) U U LL) Z O CC 0 J CL 0- � �. "�. U I- F-- 0 O CD CD LO CA -O CO O O in U O) CC "O I W C O in 3 I— CO Cd 1 O CO O CO I- J U O CO -O Cr U Z co C X r Q H CA - C+7 CC � 3 - N I--- I- CO CO CO Z Q TO CC O LL) CO LL I co J 3 C W N O. r- X J W I- I- W CL CO O Cl Cn CC I- I- It O N U • I-•- Q O O O U •• CC � O7 Cr X • O U U 0 3 CO CL CV Y >. LL I Q CC CO CA Cr O CO U CO I- J O J CV O O W X X W 0 :F_ ¢ CC I� CC I- I- O U w 'O X W I- Q H J CC U W I- - t— CQ J Cr W = I— C� I— C i) a W J 3 I-- O H CL I- CO CO = CO CD Cr CD = CX O 7 Cl O O Z LCD O CD X I- U -I-, �•. U Cr Q 0- CO CO - +I O I� LO CO O CV O NI- Lf] d' CO N I— O N U Ci) CO CO O O CO LO .- O ,- N N O O •O C_ CO O NI- C-3 CD N � 1- 7) # C O I- a) -• L a L O Y C — CD O ++ N U N CD = CD -- = 07 L CD U 10 CD -O > 10 U L L C1 - O CC) 0- C- 0 CO X •-• U "0 X 10 CO Cl MI -- -- 10 d I— I— X 4- I— CO 03 4- )E X I- 10/07/2013 MON 14: 17 FAX 360 275 9605 Hood Canal Heating 0001/003 • • • Heating and.Coofing,inc. • PO BOX 2940 Beffair,•WA 98528 (360)275 4992 Fax#(360)275-9605 • • • Fax Cover Sheet To:Txii:Myrt P jar • Faux L.A t Rix riNepirteoitel Date: 101-1115 Nob3s: a R W.% for 9a (perk 215-441.2, • • • I • • Thank Y+pu! j • • ,$' ca cl JEFFERSON COUNTY DEPARTMiT OF COMMUNITY DEVELOFFENT / Date: q—g Time Received: / am// Mon. Tue. ed Thur. Fri. Date: —/g) BLD: / '-. 3 /i/ Contact Name: Owner: j'e f Contact Number: 360 „f Q FO--7 (any Address: / ' LEA d • ‹K ,--ii 206 Notes: N-61fr 77LfuA/p 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#: BLD13-00318 Received Date 10/8/2013 SITE ADDRESS: 15 WHITE ROCK LN Issue Date 10/8/2013 PORT LUDLOW, 98365 APPLICANT: ROBERT M SCOTT PHONE: 619-507-7689 ANGLEA M SCOTT 15 WHITE ROCK LN PORT LUDLOW WA 983659565 7+ SUBDIVISION: WHITE ROCK COVE TRACTS Block: Lot: PARCEL NUMBER: 821265007 Section: 26 Township: 28N Range: 01E CONTRACTOR: HOOD CANAL HEATING &COOLING PHONE: 360-275-4992 P O BOX 2940 BELFAIR WA 98528 Contractor's License HOODCHOO5DB Expires OWNER, ROBERT M SCOTT PHONE: 619-507-7689 if different: ANGLEA M SCOTT 15 WHITE ROCK LN PORT LUDLOW WA 983659565 PROJECT DESCRIPTION: INSTALL HEAT PUMP,ADDING ON TO EXISTING DUCT 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 10/8/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: v l 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 10/8/2013