HomeMy WebLinkAboutBLD2014-00261 - MECHANICALr. •ILDING PERMIT APPLICATOI BLD14-00261
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00261 Received Date: 7/24/2014
SITE ADDRESS: 1003 PARKRIDGE DR
PORT TOWNSEND, 98368
OWNER: KARL 0 MEYER TRUSTEE PHONE: 360-385-7753
KLM FAMILY TRUST
PO BOX 1642
PORT TOWNSEND WA 98368-0129 9999
SUBDIVISION: Block: Lot: 53
PARCEL NUMBER: 999900153 Section: 28 Township: 30 N Range: 1\A
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: PHONE:
PROJECT DESCRIPTIOP ROOF MOUNTED GRID TIED PV(SOLAR ELECTRIC)
TYPE OF WORK NON 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:
IRouting Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $228.00 SRE 07/22/14 151271
Total: $228.00 APPROVED
JUL 24 2014
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_Bid.rpt 7/24/2014
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°a,yke. power Trip energy Corp PV Installation contact
83 Denny Ave
Port Townsend, WA 98368
(360) 643-3080
www.powertripenergy.com
lic # POWERTE964JN
Consent to Act As Agent on Permit Application
To whom it may concern,
I Lizabeth Meyer_, 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.
jt-
Signature: - ' - A
Date: 7- J f V
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July 1,2014 Page 5 of 8 Lizabeth Meyer
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c.Sor, JEFFERSON tNTY
,e eDEPART T COMMUNITY DEVELOPMENT
r pnt-i,Trp.vlserld,WA 3 / 3 "i TM w. o.eersan. ra.us •mnuni dvelopmen
� rek 360,379,4450j Fax 360.3'19,4451/E,sa : did c e o Ava.ts
EXPEDITED PERMITTING CHECKLIST FOR SOLAR PHOTOVOLTAIC SYSTEMS
***TO BE COMPLETED BY COUNTY STAFF ***
Building Permit Required? El Yes 0 No Staff Initials Date
Fee:
***TO BE COMPLETED BY THE APPLICANT***
1. Project Information
Project Applicant:
Power Trip Energy,83 Denny Ave,Port Townsend,WA 98368,360-643-3080,john @powertripenergy.com
Site Owner Name:
KLM Family Trust,Karl O.Meyer&Lizabeth S.Meyer Trustees
Project Address:
1003 Parkridge Dr,Port Townsend,WA 98368
PV System Description
Roof mounted,Grid-tied PV
2. Determine if your project needs a building permit(check all that apply): Applicable
Yes No Not App
1. Mounting equipment is engineered and designed for solar PV equipment. X
2. The solar PV system will comply with the National Electric Code(NEC)
X
including obtaining an electrical inspection through permit#2342627E.
3. To address uplift the solar modules will be mounted no higher than 18 inches X
above the surface of the,roofing to which they are affixed.
Note:" Questions 3-5 Apply to Rooftop Systems
4. Total dead load of panels,supports,mounting,raceways,and all other X
appurtenances shall weigh no more than one of the following. If YES indicate
which:
Es Conventional solar modules(one layer of glass)or frameless solar
modules(two layers of glass)that weigh three and one-half(3.5)pounds per
square foot(PSF)or less on any roof.
❑ Frameless solar modules(two layers of glass),on sloped roofs of at least
3:12 but less than 5:12 pitch,that weigh no more than four and one-half(4.5)
pounds PSF.
0 Frameless solar modules(two layers of glass),on sloped roofs of 5:12
pitch or greater,that weigh no more than five(5)pounds PSF.
5. Supports for the solar modules are installed to spread the dead load across as X
many roof-framing members as needed to ensure that point loads do not
exceed fifty(50)pounds at any location.
6. Attachment to the roof is specified by the mounting system manufacturer. X
Note: Question;7 Applies to-Ground Mounted Systems
X
7. Ground-mounted solar PV systems using racking components installed per the I I
manufacturer's specifications. J
If you an ered,
li yes or N/A to all of the above questions,no separate building permit is required.
. John S.Fleming,Power Trip Energy 7/21/2014
Date
cant Signatu C
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EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS:
ROOFTOP MOUNTED
-----TO BE COMPLETED BY CITY STAFF--__-_
Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? ❑Yes ❑No
Date: tick here to enter text. Staff initials Date:Click here to enter text.
Staff initials
TO -.E COMPLETED BY APPLICANT----
T-------
project Information
Project Applicant: Power Trip Energy Co,83 Denny Ave,Port Townsend,WA 98368
Site Owner Name: KLM Family Trust,Karl 0.&Lizabeth S.Meyer,Trustees
Project Address: 1003 Parkridge Dr,Port Townsend,WA 98368
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 CI
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 ❑
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)
El 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 p
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 CI
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.
12. Panels are mounted no higher than 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
.ct.if you answered yes to all o he above questions, no separate building permit is required.
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Created by the Evergreen State Solar Partnership vi.0
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Jefferson County
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Step 3: Confirmation and Receipt
Result: Payment Authorized
Confirmation Number: 14482637
Your payment has been authorized successfully and paymentwill be processed.
Jefferson County Departrnentof Community Development thanks you for your payment For questions about your account,please call 360-379-4452 Thank you for using
our bill payment services.
Please save or print a copy of this receiptfor record keeping purposes.
My Bills
$247.001
[Residential Applications paymentof$247.00 on Parcel Number 999900153 $247.001
Subtotal:
Customer Information Convenience Fee: $7.50
Total Payment: $254.50
First Name: Power Trip
Last Name: Energy
Address Line 1: 83 DennyAve
Address Line 2:
City: Port Townsend'
State: Washington
Zip Code: 98368
Phone Number.3606433080
Email Address: john @powertripenergy.com
Payment Information
Card Number ********`*"1482
Expiration Date: "r*
III *I 14 -lie( - i
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JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
i-, 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.'efferson,wa.usicommuni development
s'ilnio Tel:360,379.4450 I Fax:360,379.4451 I Email:dalAcojefferson.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(Solar Electric)
Property Size: 4.97 acres
Tax Parcel Number 999 900 153 (acres/square feet)
Site Address and/or Directions to Property: 1003 Parkridge Dr, Port Townsend,WA 98368
Property Owner(s)of Record: KLM Family Trust,Karl 0.Meyer&Lizabeth S.Meyer Trustees
Telephone:360-379-2816 Fax: email: km4garden@yahoo.com
Mailing Address: P06 1642,Port Townsend,WA 08368
Applicant/Agent(if different from owner):
360-643-3080
Telephone: Fax: 360-539-1857 email: john@powertripenergy.00m
Mailing Address: Power Trip Energy Co,83 Denny Aye,Port Townsend,WA 98368
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
DBuilding 0 Critical Areas Stewardship Plan
O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
0 Single Family 0 Garage Attached/Detached 0 Conditional Use(C(a),C(d),or Cj**
O Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
O Commercial* 0 Special Use(Essential Public Facilities)**
O Change of Use El Boundary Line Adjustment
O Address 0 Road Approach 0 Short Plat**
0 Home Business 0 Cottage Industry 0 Binding Site Plan*"
0 Propane 0 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
0 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:
Labor & Industries Electrical Permit
DESIGNATION OF AGENT
Please see attached
I hereby designate to act as my agent in matters relating to this application for permit(s).
411, 7/21/2014
OWNER SIGNATURE 'Mk Date:
1 1111 /MMOMBEgagai.HOMIL
‘t
By signing this application fo ,the owner/agent atte 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.W 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 req ired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati that n wants pri tics.
A....
7/21/2014
Signature: , Date:
The action or actions plicant will undertake s a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a po. ial"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 yo are in compli.I.- 'th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
A."
and non-transferabl resporyli •r,.s-ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:
07/24/2013
III III
BUILDER STATEMENT
The signer of thi 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 ass ing t - •- •, '01 y of the -neral Contractor for the proposed project.
Signature: .
Date: 7/21/2014
'NIL
GENERAL CONT-• °TOR OR MANUFAC i•HOME INSTALLER: PHONE: FAx.}643-3080 (360 )539-1857
Power Trip Energy Co
MAILING ADDRESS: 83 Denny Ave,Port Townsend,WA 98368 EMAIL john @powertripenergy.com
CONTRACTOR'S LICENSE WAINS 063.472-00
NUMBER: POWERTE934QE NUMBER
ARCHITECT/ENGINEER: N/A PHONE (360 )643-3080 FAx:(360 )539-1857
MAILING ADDRESS: '83 Denny Ave,Port Townsend,WA 98368 EMAIL john @powertripenergy.com
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
L New 0 Wood Existing: 0 Sewer
G Addition ❑ Steel Proposed: Bank ❑ Community System
• Alteration/Remodel ❑ Concrete Total: Height: L Individual System
D Repair Re E. Masonry SEP Permit#
CI p Bedrooms: Water Supply:
Demolition ❑ Other: Existing: Setback: rj Private well G Two Party
Type of Heat: Proposed: D Public
yp Total: Name of System:
If this is a Commercial Proiect 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 retaW toH
Is this appliance being installed in a Manufactured I Mobile Home? Yes / No property
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all ro erty
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 I 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:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL:
Receipt Number:
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish Initials:
07/24/2013
JEFFERSON C NTY_' bon NO. 151271
DATE TI a.)-/ ' 14
RECEIVED FROM YOVORY fir t p burecer
DESCRIPTION BARS# AMOUNT
CURRENCY Pj LD PJ E as j. (AD
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RECEIVED BY a` i,t) ; TOTAL 0"I4 ' DC)
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Point& Pay - Create Order Page 1 of 1
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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
Address: 83 Denny Ave, Port Townsend WA, US, 98368
Contact: 3606433080
Comments:
Payment ID: 14482637
Date: 07/21/14 05:44 PM
Subtotal: $247.00
Fee: $7.50
Total: $254.50
Method: Credit or Debit Card(************1482)
Item Purchased Transaction Description Account Amount
Residential Applications Jefferson Co C D GOV 999900153 $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
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Parcel Details Page 1 of 2
• •,, ,,,, Jefferson
'-_.-a '''1:'''''''''''
, ,, : teas-04 ....
1' 1-1k-, o : Home '. County Info a artm nt :, Search
Parcel Number: 999900153 SEARCH
Parcel Number: 999900153 Printer Friendly
Owner Mailing Address:
KARL 0 MEYER TRUSTEE
KLM FAMILY TRUST
PO BOX 1642
PORT TOWNSEND WA98368-0129
Site Address:
1003 PARKRIDGE DR
PORT TOWNSEND 98368
Section: 28 School District: Port Townsend (50)
Qtr Section: NE1/4 Fire Dist:Chimacum (1)
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 0111
Planning area:Tri-Area (4)
Sub Division: 9999 - WOODLAND HILLS #2
Assessor's Land Use Code: 1100 - Residential - Single Unit
Property Description:
WOODLAND HILLS #2 PHASE 2 LOT 53 SUB) TO EASE & REST OF RECORD
Tax,A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Plats&Survey
Septic Monitoring Info
% `'- Jefferson (aunty HOME 1 COUNTY INFO 1 DEPARTMENTS 1 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=999900153 7/24/2014
POWER TRIP ENERGY CORP Page 1 of 2
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Cil) 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 131 Effective date
11/05/2007 11/02/2007
Insurance
GENERAL INS CO OF AMERICA $1,000,000.00
Policy no.
24CC21330840
Received by 1.8,1 Effective date
10/08/2013 11/02/2010
Expiration date
11/02/2014
Insurance history
Savings
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 5/21/2014
esON `bo JEFFERSON COU
DEPARTMENT OF COMMUNITY DEVELOPMENT 7.
Date: ?-'ZZTime Received: x230 et ED on Tue. Wed. Thur. Fri.
Date: g'=L-
BLD: ? L-f- p/\,(p 1 Contact Name:
Owner: Contact Number: 360 6,4 'Q '
Address: I pp -1 I p -P--1DL,Z- Dr- 206
Notes: S c, Z
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
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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#: BLD14-00261 Received Date 7/24/2014
SITE ADDRESS: 1003 PARKRIDGE DR Issue Date 7/24/2014
PORT TOWNSEND, 98368
APPLICANT: KARL 0 MEYER TRUSTEE PHONE: 360-385-7753
KLM FAMILY TRUST
PO BOX 1642
PORT TOWNSEND WA 98368-0129 53
SUBDIVISION: 9999 Block: Lot:
PARCEL NUMBER: 999900153 Section: 28 Township: 30N Range: 1W
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, KARL 0 MEYER TRUSTEE PHONE: 360-385-7753
if different: KLM FAMILY TRUST
PO BOX 1642
PORT TOWNSEND WA 98368-0129
PROJECT DESCRIPTION: ROOF MOUNTED GRID TIED PV(SOLAR ELECTRIC)
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 7/24/2015.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO2:
Tank/Line/Appliance:
Final Approval: , b
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 7/24/2014