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HomeMy WebLinkAboutBLD2013-00387 11116UILDING PERMIT APPLICN BLD13-00387 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00387 Received Date: 12/11/2013 SITE ADDRESS: 231 S PALMER DR PORT TOWNSEND, 98368 OWNER: JAMES J HILL TRUSTEE PHONE: 360-379-9128 JAMES J HILL TRUST 231 S PALMER DR PORT TOWNSEND WA 98368-9497 CAPE GEORGE COLONY DIV 4 SUBDIVISION: Block: 11 Lot: 6 PARCEL NUMBER: 938701106 Section: 12 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 DESCRIPTIOt Like in kind replacement of heat pump 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 $152.00 MEB 12/10/13 145603 Total: $152.00 APPROVED DEC 1 1 2013 Jefferson County DCD \\firlemerWrie4.\fnrme\F RI 11 Ann PIA rn+ 1 9/11/9M Z • • 221 W CEDAR ST.SEQIUM,WA 98382 Air Flo Heating Co. Fax • To: ' 3 From: .471:Lij 91° 2 Fax: ' f ec) ! / "' L `f'S7 Page 3> Phone: Date: 7ct Re: CC: Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle COMMENTS: or/ goo d^' : civs -g lei U c (( << .A-634„,—i„ -fp _f_r3 (.1/4_6 .. 1110 ill ^ - 3 7 -:4186' / � k f yy_�'�`n -r 3',L : 't4"4F�+` <Ti �5! �`•'l ..N1" 4 y'', .! k4�S .. ,} � ,.� f ..",` `te a ---"' a.a,7,fie ' ¢• ,i,, S ,' ° `c '9-t ;,, ,,,% } 9 �; ' i ,, )4 4 1 t A i' 1I, 3 p',i`ii,�� w , " �h^ .. r•. ` � +cy <S't 1�r`' i �� fu'�'��nt k,13 • • ~ ,,,AN .2,..�to ,..„ e sheets as necessary): 40' .41"" -.‘ Alfg w • Tax Parcel Number. CI 14 3Z„OQ) 13 Property Size: µ (act s/agpare feet) Site Address and/or Directions to Property: il - °if al t." Property Owne s of Record: r Telephone: 431 -$$}l� (� Fax email: Mailing Address: #pplioant/Agent(if different from owner): If 0 i - stn , Telephone:34.0..t$ sePIO t Pax . tpS3- _ Malting Address: 221 W. Cad c- 39'T ema�:# airlc>,I�ratit�, , ' What kind of Permit?(Check each box that applies DButlding ❑Critical Areas Stewardship Plan ❑ Demolition Permit t Single Family D Garage Attached/Detached p (Minor,Major (Reasonable Economic Use) ❑ Manufactured Home 0 Modular (Cr Unnamed am or C]"` ❑ M Commercial fact • .D iksa�etionary"D"or Unnamed Use Classification ❑ Change of Use 0 Special Use(Essential Public Facilities)" -❑ Address 0 Road Approach ❑Short Plat'"k O Home Business D Cottage Industry 0 Binding Site Plan*' 0 Propane *„ ❑Sign 0 Long Plat .0 Planned Rural Residential Development(PRRD)/Amendments"O Allo wed"Yes"Use Consistency stency Analysis 0 Plat Vecation/Aiteation•©A r Management D Shoreline Master Program Exemption/Perr nit Revisions'* ❑Site Plan Approval Advance Determination(SPAAD)• ❑Shoreline Management Substantial Development•• 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication• ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment •May require a Pie Application Conference ❑Tree Vegetation Request "'Requires a Pre•Application Conference Please identify any other local,state or federal permits required for this proposal;if known: , F A •I hereby designate n l f'�l G) }ii e;,".t n- DESIGNATION OF AGENT to act as my agent in matters relating to this application for permit(s). .� , Yf ` f OWNER SIGNATURE ,L 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 bylhe ovmerfagent 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 liabItles,judgments,court costs,reasonable attorneys 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 further agree to provide access and right of entry to Jefferson' review and any required later inspections. County and its employees,representatives or agents for the sole purpose of application rime of the anorak-- nspections. �rffsst�and right of entry wail•be assumed unless the applicant informs the County in writing at the '•n that he she wants Signature: s ►i., IL.L. 1 e Date: n"Fr-3-t xt { The action or acts -Applicant will undertake as a insult of the issuance of this pem>d may negatively endangered species and could lead to a potential"take"of an impne upon one or l law known t e 'Endangered Species Ac*'or"ESA."Jefferson Co endang @rte species as those terms are defined in the federal law known as the permit has unty.makes no assurances to the applicant that the actions that will be undertaken because this action(s)even been if you are not violate the ESA. Any�group or agency can file a lawsuit on behalf of an endangered species regarding your compliance with the Jefferson County development eode.The Applicant acknowledges that he,she or it holds individual and non-transf le resinous@ for adhering to and complying with the ESA. The Applicant has read this disclaimer and Signature: signs and dates it below. t.. is% Date: - —14 . . . • • MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4461 PERMIT#: SLD13-00387 Repined Date 12/11/2013 SITE ADDRESS: 231 S PALMER DR Issue Date 12/11/2013 PORT TOWNSEND, 98368 APPLICANT: JAMES J HILL TRUSTEE PHONE: 360.379-9128 JAMES J HILL TRUST 201:8 PALMER DR PORT TOWNSEND WA 983684497 6 SUBDIVISION: cApE GEORGE COLONY DIV 4 Block: 11 Lot: PARCEL NUMBER: 938701106 Section: 12 Township: 30N Ramie:*02W CONTRACTOR: AIR.FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractors License AIRFLI*206DG Expires 4125/2014 OWNER, JAMES J.HILL TRUSTEE PHONE: 360-379-9128 if different JAMES J HILL TRUST 231 S PALMER DR PORT TOWNSEND WA 983684497 PROJECT DESCRIPTION: Like in kind replacement:of.heetpump system Directions To Site: THIS PERMITISVAUD.FOR,ONEYEARAJND:.IIS.I.NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THATYE- - THE EXPIRATION DATE!SIMI/2014. , ke )REQUIRED INSPECTIONS: )sk. TanWLInetApplianc,‘ Viti) . \rk i/IyA I. t. , f',/ , •t .. 4 ; my- , . iv ,, .3, ,, 1, , r * NO NU t' . FinalApprovaI: - * ):,, sc4P,,,- BUILDING INSPECTION HOTLINE..379455. V REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED Office Hours 9:00 am. -4:30 p.m..Monday-Thursday HOT LINE AVAILABLE 24 HOURSADAY 4 i ' • WidernialtdataNforms1F_BLD.,Permit Propane.rpt '12111/2013 4SOx ca 1 °a JEFFERSON COUN 4.,9S11I NG�G$ DEPARTMEN F COMMUNITY DEVELOPM•T °'f Date: /t// 1ñme Received: 1. J am m Mon. ed. T ur. Fri. Date: BLD: 13 — V V.3 g 1 1 a -- 'I Contact Name: Lk." I Owner: �Gtn,� .//( / Contact Number: 6' _7 ?-. q(c Address: a / S\ / jr a, da /c/€206 Notes: — � 51� (�//l /5 P e anad olf . 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 L �Q- — Final Inspection 7v.,_ Setbacks Floor adolva f�- �-'/ Foundation Wall l• Address Posted Block&Tile Ceiling ,(el JEFFERSON COU / 9K[NSDEPARTMEIWOF COMMUNITY DEVELOPSNT / Date: 9— Cf Time Received: / r2 7 am/(0i Mon. Tue. Wed. Thur. iii. Date: /-Y--- BLD: / r gi Contact Name: Owner: Contact Number: 360 -79 94,2? Address: 3 ( 3 /2/4 Lam(-- 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 AIR FLO HEATING COMPANY Check Number: 41604 41604 Jefferson County Building Departm. D • ate Description Amount 12/06/2013 Permit for Hill 152.00 JEFFERSON COUNTY ii NO. 1.603 DATE 12 l l q (� . RECEIVED FROM ii\\1(- tc) (-- (-1e) ` DESCRIPTION BARS# AMOUNT CURRENCY p "i < 1 2 `J .. COIN Ott I' CHECK ` 1-ti 60E4 c cn i_.1, 0 RECEIVED BY irYVijil TOTAL i c2 110 6/1 ' I 479Oh Cod. JEFFERSON COUNTY 14 DEPARTMENT OF COMMUNITY DEVELOPMENT ''a 621 Sheridan Street• Port Townsend •Washington 98368 360/379.4450 360/379-4451 Fax cep"$ vrww.t,o.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): Lt Ake- tn) rJD of kkoiT COP.? Skt sNe,M Tax Parcel Number l.� j�S "171 t( . Property Size: (acres/square feet) Site Address and/or Directions to P 931 S. P6.-1.keK , ,Po 1-0 vi KID Property Owner(s)of Record: 1 ,AR.,., ► t $ A Telephone: err t 2 '' Fax email: • T 6'crc�nc r. Mailing Address: M tZ i Applicant/Agent(if different from owner): \Q PLO tv_p t''3 L 1J U" Telephone: 36120 Sg5—S3S4 Fax 3(QO-4Sr3- 3511 email: Mailing Address: What kind of Permit?(Check each box that applies OBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C) ❑ Manufactured Home ❑ Modular ❑O i�U Pu Fealties)O Commercial' ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach 0 Short Plat" ❑Home Business ❑Cottage industry ❑Binding Site Plan" O Propane ❑Long Plat" O Sign 0 Planned Rural Residential Development(PRRD)/Amertdments" ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration ❑Stornwater Management ❑Shoreline Master Program Exemption/Permit Revisions"" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication• ❑Comprehensive Ptan/UDCA-and Use District Map Amendment ❑Forest Practices Ad/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment "May require a Pro-Application Conference ❑Tree Vegetation Request "Roqufres a Are-A pfCat on Conference Please identify any other local,state or federal permits required for this proposal,If known: N`&VU) kk e \[ biATiON OF AGENT i hereby designate ry'' ��j C� to ad as my agent in matters relating to this application for permit(s). OWNER SIGNATURE s�-�__ M d!'1.J. Date: (Z -'-1 - T G ( y By signing this apP r.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 emission of a material fact made by the ownet/agent with respect to this application Pam may result in this permit being null and void. I further agree to save.indemnify and hold harmless Jefferson County against al Nebel**,judgments,court costs,reasonable attorneys 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 r 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the that he or she ,prior once: Signature: _ _ : Date: / Z - t< 7c C3 The action or--; Applicant will undertake as a result of the issuance of this pemili may negatively impact upon one or more threatened or endangered species and could lead to a potential'take"of an endangered species as those teens 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 canal a lawsuit on behalf of an endangered aped regard ng your actions)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and no le •he ,g to and complying with the ESA. 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'T1 Z 0- -+ -n .7 CD C CD I-I 70 • 0 0 0 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#: BLD13-00387 Received Date 12/11/2013 SITE ADDRESS: 231 S PALMER DR Issue Date 12/11/2013 PORT TOWNSEND, 98368 APPLICANT: JAMES J HILL TRUSTEE PHONE: 360-379-9128 JAMES J HILL TRUST 231 S PALMER DR PORT TOWNSEND WA 98368-9497 6 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 11 Lot: PARCEL NUMBER: 938701106 Section: 12 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, JAMES J HILL TRUSTEE PHONE: 360-379-9128 if different: JAMES J HILL TRUST 231 S PALMER DR PORT TOWNSEND WA 98368-9497 PROJECT DESCRIPTION: Like in kind replacement of 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 12/11/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 9-I-7-14 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_Perm it_Propane.rpt 12/11/2013