Loading...
HomeMy WebLinkAboutBLD2014-00248 - MECHANICAL UILDING PERMIT APPLIC,0N BLDI4-00248 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00248 Received Date: 7/18/2014 SITE ADDRESS: 595 SHINE RD PORT LUDLOW, 98365 OWNER: ERNEST E EMMERT PHONE: 206-447-7727 THERESA M EMMERT 595 SHINE RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: TX 7+ PARCEL NUMBER: 821334015 Section: 33 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: PHONE: PROJECT DESCRIPTIOP ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC (PHOTOVOLTAICS PV) SYSTEM 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: Routing Date: Type Amount Paid By: Date: Receipt: pprroov i tv E EE�-!! , Permit $228.00 SRE 07/18/14 151263 ��— �� Total: $228.00 JUL 18 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/18/2014 • • ,4w SON o%. JEFFERSON COUNTY - DEPARTMENT OF COMMUNITY DEVELOPMENT rte- '4 621 Sheridan Street I Port Townsend,WA 983681 Web:www.colef€erson.wa.usicommunitydevelopment 14Hrrio'sc Tel:360.379.4450(Fax:360.379.4451 !Email:dcd @co.iefferson.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 Solar Electric(Photovoltaics-PV)System Tax Parcel Number. 821 334 015 Property Size: 1.8 acres (acres/square feet) Site Address and/or Directions to Property: 595 Shine Road, Port Ludlow,WA 98365 Property Owner(s)of Record: Ernest E.Emmert&Theresa M.Emmert Telephone:206-321-5843 Fax: email: emie.emmert@me.com Mailing Address: 595 Shine Road,Port Ludlow,WA 98365 Applicant/Agent(if different from owner): easel' T p ENE-i-(11 co. Telephone:360-643-3080 Fax: 360-53s-1857 email: iohn@powertripenergy;com Mailing Address: Power Trip Energy,83 Denny Ave,Port Townsend,WA 98368 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry 0 Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** o Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions"' 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**` Temporary Use ❑Shoreline Management Variance 0 Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment May require a Pre—Application Conference ❑Tree Vegetation Request **R-.trines a Pre-AL L.lication Conference Please identify any other local,state or federal permits required for this proposal,if known: Labor & Industires Electrical Permit DESIGNATION OF AGENT See attached authoriizatio to act as my agent in matters relating to this application for permit(s). I hereby designate g- y g 9 pp p ( ). OWNER SIGNATURE '1 - titt4 7tietatN__C__'' -t 7/17/2014 w'_y1 Date:, olommommunimmummain By signing this application,:nn,the owner/agent at .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 of.. y 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 -quired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl.-tion titeClI€,g` e wants prior notice. 7/17/2014 Signature: `t -�' Date: The action or act; s Applicant will unde as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a p ntial"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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe:ble >..1.r - IN.. • adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. a Date: 7/17/2014 Signature: IP 07/24/2013 • • BUILDER!STATEMENT The signer of i is statemen does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a umin, s•:i •I ity of the neral Contractor for the proposed project. ' A ; x{13 S..Vye-vt o, : bate: 7/17/2014 Signature: V , a • GENERAL CONTRACTOR OR MANUFAC- D HOME INSTALLER: PHONE: FAx: Power Trip Energy Co (360 )643-3080 (360 )539-1857 MAILING ADDRESS: 83 Denny Ave,Port Townsend,WA 98368 EMAIL: john©powertripenergy.com CONTRACTOR'S LICENSE WAINS Q63-472-QO NUMBER: POWERTE934QE NUMBER ARCHITECT/ENGINEER: I-1 fk PHONE (360 )643-3080 FAX:(360 )539-1857 MAILING ADDRESS: 83 Denny Ave,Port Townsend,WA 98368 EMAIL john @powertripener9y.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ Wood Existing: a Sewer New ❑ Steel Proposed: 0 Community System 0 Addition Total: Height: ❑ Individual System Alteration/Remodel ❑ Concrete SEP Permit# li Repair 0 ii] Masonry Bedrooms: Water Supply: Demolition Other: Existing: Setback: 0 Private well rI Two Party Proposed: 5 Public Type of Heat: Total Name of System: If this is a Commercial Project 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 and/or 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 1 Is this appliance being installed in a Manufactured I Mobile Home? Yes f 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 1 Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 211a Floor Heated Consistency Review: Other Heated Base fee: 'l tJ► t ( , Mezzanine Additional Section: i(.l� • ' °° 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: $ 1 b. . Receipt Number: 1 11 ) CashlCheck Number: 144440 G o ESTIMATED COST(REQUIRED) Date: V ( r r .Fair market value of all labor and materials foundation to finish Initials: • 07/24/2013 • • Power Trip Energy Corp PV Installation contract 83 Denny Ave Port Townsend,WA 98368 (360)643-3080 , w.poweriripenerey.co n Lic#POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Ernie Emmert_,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---7-1-°/ti June 30,2014 Page 5 of 8 Ernie Emmert • • 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 Staff Initials Date:Click here to enter text. Staff Initials Date:Cltck here to enter text. TO BE COMPLETED BY APPLICANT---- project Information Project Applicant: Power Trip Energy Co,83 Denny Ave, Port Townsend,WA 98368, john @powertripenergV.com,360-643-3080 Site Owner Name: Ernest E.Emmert&Theresa M. Emmert Project Address: 595 Shine Road,Port Ludlow,WA 98365 PV system description: Roof mounted,Grid-tied Solar Electric(Photovoltaic-PV) •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 0 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. Tptal 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) 0 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 0 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 ❑ Comments: lick cam text, • ,\,`r` --61,t1.3 S‘ftie.0-4,-- ?aci-frii-, -c-P-ti? EHLT-1-4,-/ (-D. i 1 Created by the Evergreen State Solar Partnership v1.0 III • ,s60N co JEFFERSON COUNTY '''' '''' DEPARTIVIENT IF COMMUNITY DEVELOPMENT 621 Shedder Strzeil i",-,qt7e.kosend,INA 983681 Web: www.co:efferson.w..us comrnunit deuele■ment 2 Tel: fersemwa„es 3F;337 .44sos fax!, 360379.44511 Email: deigee.je 9 EXPEDITED PERMITTING CHECKLIST FOR SOLAR PHOTOVOLTAIC SYSTEMS ***TO BE COMPLETED BY COUNTY STAFF *** Building Permit Required? El Yes ED No Staff Initials Date Fee: ***TO BE COMPLETED BY THE APPLICANT*** 1. Project Information Project Applicant: Power Trip Energy Site Owner Name: Ernest E.Emmert&Theresa M.Emmert Project Address: 595 Shine Rd,Port Ludlow,WA 98365 PV System Description: Roof mounted,Grid-tied PV 2. Determine if your project needs a building permit(check all that apply): Yes No Not Applicable 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. 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: ND(X 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. El 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 a Note: Questiort 7 Applies to Ground Mounted Systems: i 7. Ground-mounted solar PV systems using racking components installed per the I 1 X manufacturer's specifications. If you answered yes or N/A to all of the above questions,no separate building permit is required. 1 1" IT/ it A licant Signature Date ?OW rdt:FP--11) EM elt41 CO qt14-14 5. - Ai , • Jefferson County 81,Netiperiait Depi Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 14444060 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 services. Please save or print a copy of this receiptfor record keeping purposes. Art',,:unt 'Residential Applications payment of$247.00 on Parcel Number 821334015 $247.00 Subtotal: $247.001 Customer Information Convenience Fee: $7.501 , First Name: Power Trip Total Payment: $254.601 Last Name: Energy Address Line 1: 83 DennyAve Address Line 2: City: Port Townsend State: Washington Zip Code: 98368 Phone Number.3606433080 Email Address: johnttpowertripenergy.com Payment Information Card Number: ************8600 Expiration Date: **I** • • Sally Ellis From: j flem [john @powertripenergy.com] Sent: Thursday, July 17, 2014 5:19 PM To: Sally Ellis; Mary Blain Cc: Andy Cochrane; Nicole Mason Subject: Solar Building Permit for Emmert Attachments: scan.pdf Good Day Sally& Mary: Please find attached the Solar Electric permit application for Ernie &Theresa Emmert at 595 Shine Road in Port Ludlow. The$247 permit fee was paid on line, with receipt attached. If you have any questions, please email or call. When it is done being processed, could you please email back the approved permit? Many thanks! Sincerely, John S. Fleming PE Solar Engineer Power Trip ner y Corp 83 Denny Ave. Port Townsend, WA 98368 360-643-3080 office 360-452-8500 cell john(a�powertripenergv.com email Forwarded message From: <support@pointandpay.com> Date: Thu, Jul 17, 2014 at 5:03 PM Subject: Your Receipt To: john@powertripenergv.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: 14444060 Items Paid For: Description: Residential Applications Amount Paid: $247.00 1 Parcel Number: 821334015 • • Description of Project : 4 Customer Information: First Name: Power Trip Last Name: Energy Address Line 1: 83 Denny Ave Address Line 2: City: Port Townsend State: Washington Zip Code: 98368 Phone Number: 3606433080 Email Address: john(c�powertripenergy.com Payment Information: Subtotal: $247.00 Fee Total: $7.50 Total: $254.50 Datetime: 07/17/2014 17:03:15 2 I JEFFERSON COUNTY ) NO. 1263 DATE 1'I 1`71 I� RECEIVED FROM 1)00Z-1( Tic e '���,wYn DESCRIPTION r BARS# AMOUNT CURRENCY gt Y"� Q�, (� 3 B -CJ0 COIN f-�✓ v� ` ICI -U c f i/ K!! 1141441-10(40 S 104— °I'd I cn 0 rn al I RECEIVED BY - ,t,CA ' TOTAL , (-1-1- u� 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 Address: 83 Denny Ave, Port Townsend WA, US, 98368 Contact: 3606433080 Comments: Payment ID: 14444060 Date: 07/17/14 05:03 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 821334015 $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... 7/18/2014 Parcel Details Page 1 of 2 • j - ff n erso County Home County Info Departments earc Parcel Number: 821334015 SEARCH Parcel Number: 821334015 Printer Friendly Owner Mailing Address: ERNEST E EMMERT THERESA M EMMERT 595 SHINE RD PORT LUDLOW WA98365 Site Address: 595 SHINE RD PORT LUDLOW 98365 Section: 33 School District:Chimacum (49) Qtr Section: SE1/4 Are 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: S33 T28 R1E TAX 7(ENLG BY TX 87 & 91) LESS TAX 86 & 90 BND TGTH THRU BLA Tax,AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info ..........._...... Jefferson County HOME I COUNTY INFO I DEPARTMENTS l 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=821334015 7/18/2014 0SON c ' , °S\ JEFFERSON COU iSKI�G.,G? DEPARTME OF COMMUNITY DEVELOPONT /' Date: cfrq, Time Received: 5(. , Mon. Tue. Wed. al Fri. Date: �f i�' Jr BLD: . �L/ Contact Name: 66 Owner: Contact Number: 360 0?-3 g) Address: 5- 41114,e, 206 Notes: LAIC 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#: BLD14-00248 Received Date 7/18/2014 SITE ADDRESS: 595 SHINE RD Issue Date 7/18/2014 PORT LUDLOW, 98365 APPLICANT: ERNEST E EMMERT PHONE: 206-447-7727 THERESA M EMMERT 595 SHINE RD PORT LUDLOW WA 98365 TX 7+ SUBDIVISION: Block: Lot: PARCEL NUMBER: 821334015 Section: 33 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, ERNEST E EMMERT PHONE: 206-447-7727 if different: THERESA M EMMERT 595 SHINE RD PORT LUDLOW WA 98365 PROJECT DESCRIPTION: ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC(PHOTOVOLTAICS Directions PV)SYSTEM 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 7/18/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: [ f � 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 7/18/2014