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HomeMy WebLinkAboutBLD2014-00308 - MECHANICAL ALDING PERMIT APPLICATI. BLD14-00308 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00308 Received Date: 8/28/2014 SITE ADDRESS: 2610 E MARROWSTONE RD NORDLAND, 98358 OWNER: CHARLES SPARKS PHONE: 503-593-3788 3818 SE COOPER ST PORTLAND OR 97202-7750 9762 SUBDIVISION: Block: Lot: PARCEL NUMBER: 976200101 Section: 33 Township: 30 N Range: 1E CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI*0440W Expires 10/18/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL NEW DUCTLESS HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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 SRE 08/27/14 151452 APPROVED Total: $152.00 AUG 282014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/28/2014 gpN >_ Q��¢ �° a JEl ARSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ��Sh j NG�o� 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdt 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 se, arate sheets as necessary): �rhtsz-,f 011 ut&ss A f I)um, Tax Parcel Number. f 7(200/e) / Property Size: (acres/square feet) Site Address and/or Directions to Property: p?b/o E. P4 CTOOSfiln e. ,ot Property Owner(s)of Record: r s' 6 ,./.4_ if .4. Telephone: 0 - - 3 , • Faxes email: Mailing Address: fj/' S (top �c 6- t 9r , o . Applicant/Agent(if different from owner): P€It4ilStats. Ilea I Co . Telephone: 3(00- 681 -3333 Fax: 31,o- 6g/-X00 email:_,pIC/t._h i.Gar.. Mailing Address: p• 0./3O)( /7a, f , Gvh• lB What - ��h1 kind of Permit?(Check each box that applies ❑ Lot or Road Segregation I. 3uilding ❑ 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 ❑ Discretionary"0"or Unnamed Use Classification ❑ Commercial* 11 Hectur wa.c-.R—.. ❑Special Use(Essential Pu 6 Fm,;liti..0 ** ❑ Change of Use ❑ Boundary Line Adj a. '-r C Ili V ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan*'" ❑Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Resi .-1 De4aGpnnryi 0#0.0A n -nts** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alte-L• ❑Stormwater Management ❑Shoreline Master Prog ..• -1. tion/Permit Revi - ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substai5f? yrent** ❑Temporary Use ❑Shoreline ManagsmentWiiifie8MMUNITY DEVELOPMENT ❑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 Pre—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: 7 DESIGNATION OF AGENT I hereby designate /`O I�'�. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /, ' l/ Date: °/021 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 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 required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicat , hat he or-t- '=nts prior notice. Q /- / Signature: L".. ., Al. Date: 0 O /?4 t! /ti The action or actions Appli.-nt will undertake 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 potential°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 come with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer.4- ponsib f(adhering to and complying with the ESA. The Applicant has read this disc)l gn d t below. Signature: /1 ( , / ( _ Date: 07/24/201: S 4 co , d v „..... r....,,‹ ; • 13d -D A.07.14/ -' '- "''''' El- - . .. I Le Q i * iThi , .,.. ' f .1. .4.. . , . , . . , . V i I r i 01 1 ) *6 "r -L -,7,----) LIJ fl AUG 2 7 2014 _._....-; r .,....... sv . ..., _....t .,,, ._1 i JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT --C J 4.. --...., _ . •:.7 3 . . ..., r i, fr"?..' . %.....: ......;. , . Z CO ......■,..,„,— ....— --I... --.... C.,,. CV 1- cC -,.... .„-,-. r.... ,, (Th n. ----- ,4 Lbm —..................— . . to -- i -Z Lo ! Parcel Details Page 1 of 2 • • VFW l{ County 'C'w`t 5' -. ., -'4,77-7:77- -::: _ '"i`t_. Ky'^`<°.,...» L .„ ": � , � Home County Info e D eportments ,. Search . Parcel Number: [976200101 SEARCH Parcel Number: 976200101 Printer Friendly Owner Mailing Address: CHARLES SPARKS 3818 SE COOPER ST PORTLAND OR97202-7750 Site Address: 2610 EAST MARROWSTONE RD NORDLAND 98358 Section: 33 School District: Chimacum (49) Qtr Section: NW1/4 Fine Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1E Tax Code: 0211 Planning area: Marrowstone (3) Sub Division: 9762 - NORDLAND Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: NORDLAND BLK 1 N 100' E OF CO RD Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County %:-; _', -. HOME I COUNTY INFO I 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=976200101 8/28/2014 JEFFERSON COUNTY DCD NO. 15 452 DATE Ta 7z.)r//2.U'C4( FSEIVED FROM I� 1N DESCRIPTION BARS# AMOUNT CURRENCY &,.iY "OAST- l c.2 a0 o COIN � C�V.� /1 p H A CECKS A-13710 2 a) fri‘-'4: M - n nus ,.1� R 5-I V$ o RECEIVED BY _ __S6.. . TOTAL /7/. r ' V5or c� °�� JEFFERSON COU .< DEPARTME OF COMMUNITY DEVELOP NT N,rkIN6C° Date: CO1 Time Received: groe CM Mon. Tue. Wed. Thur. dr Date: q/11- BLD: 1 4 0036713 Contact Name: Owner: SPoci Contact Number: 360 psi-3333 �/0a'�s '' A Address: 2,604 E Ill meeGc "STaoh F.n 206 ` .F 553 593 3 788 C'' Notes: 3)et.CTI-E55 j1 AT -Pa mP 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 • Jefferson County Building Division Permit Number: BLD14-00308 Applicant: SPARKS BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Mechanical Systems INSTALL ONE DUCTLESS HEAT PUMP A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION 91It Lt FINAL INSPECTION 141UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR amid fb martip Vet-) Hec& Soe/ 14 1110 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00308 Received Date: 8/28/2014 SITE ADDRESS: 2610 E MARROWSTONE RD Issue Date 8/28/2014 NORDLAND, 98358 Expiration Date 8/28/2015 OWNER: CHARLES SPARKS PHONE: 503-593-3788 3818 SE COOPER ST PORTLAND OR 97202-7750 9762 SUBDIVISION: Block: Lot: PARCEL NUMBER: 976200101 Section: 33 Township: 30 N Range: 1E CONTRACTOR: PENINSULA HEAT INC PHONE: 360-681-3333 PO BOX 173 CARLSBORG WA 98324 Contractor's License PENINI"0440W Expires 10/18/2014 PROJECT DESCRIPTION: INSTALL NEW DUCTLESS HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 08/27/14 151452 Exist: Exist: Total: $152.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY