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Home My WebLink AboutBLD2014-00306 - MECHANICAL •LDING PERMIT APPLICATIc BLD14-00306 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00306 Received Date: 8/27/2014 SITE ADDRESS: 291 E PRICE ST PORT HADLOCK, 98339 OWNER: JULIA EDWARDS PHONE: 360-316-9159 291 E PRICE ST PORT HADLOCK WA 98339-9656 9618 SUBDIVISION: Block: 24 Lot: 34-39 PARCEL NUMBER: 961802410 Section: 35 Township: 30 N Range: 1V1 CONTRACTOR: BRUCE GLENN PHONE: 360-531-4371 1240 WEST SIMS WAY#263 PORT TOWNSEND WA 98368 Contractor's License TERRASE883LD Expires 6/1/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Propane Tank 500 gallon TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 08/26/14 151394 Ap pRoV ED Total: $228.00 AUG 272014 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/27/2014 49,• ON , 006. JEFFERSON JOLTY L� 3c DEPARTMENT OF COMMUNi TY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Pro'ect Desch•tion(include separat- sheet as n- -scary): `j �-,{vne MIEN Tax Parcel Number: a b O 24!O Property Size: I fD 8 57� F f-(acres/square feet) Site Address and/or Directions to Property: 1 n' T- •'recC c TT2 eet- ?or-T 140-1 1oe t-- vik q6;39 Property Owner(s)of Record: da __ WOE.. Telephone: �!'(0O 3Q' ['" s is Fax: email: it I! Tot Z Q('4 'co ' Mailing Address: S+ to"'• ` col �G ,, rr``____Gg Mesta, Applicant/Agent(if different from owner):�'e PM' f">tQ'"� � 7j Telephone: 344 ' 3 ^ a Fax: email: f tnA6.50 G E wiguaeou, Mailing Address: 40 12.4t)O e4T -7/045 tA.m.47 3 t7'.7 J4- ce 76 What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan • Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached El Conditional Use[C(a), C(d),or C]** • Manufactured Home •❑ Modular - ❑ Discretionary"D"or Unnamed Use Classification O Commercial* ❑Special Use(Essential Public Facilities)** f� Change of Use ❑ Boundary Line Adjustment :15s):::1.19ss ❑ Road Approach_ ❑Short Plat** H Business ❑Cottage Industry ❑ Binding Site Plan** ropane ❑ Long Plat** ❑ Sign • ❑ Plannea Rural Residential Development(PRRD)/Amenaments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater 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 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 her local,stagy federal permits required for this proposal, if known: �� 14A-,DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). 40111111 OWNER SIGNATURE Date: ( By signing this applicati'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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: The action or actions Applicant 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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • BUILDER STATEMENT • The signer of this 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER •+ ARCHITECT/ENGINEER ? . PHONE.( ') FAX:( ) MAILING ADDRESS: EMAIL Project Type; , t Y Frame Type: Bathrooms: r Shoreline:.; ,Type of Sewage Disposal: • LI New • . ' -;❑: Wood .Existing:' • C'Sewer :. , • C Addition LI Steel Proposed: , • w''s,r , Bank ❑ Community System :_" "L i AI tg r a t•on/� o . : �R. ❑ Concrete Total: — Heigq. gys*m ❑ Repair '"• ❑ Masonry — `S a q fit# Bedrooms:D Demolition , p Other: Water Su y : , Ezisthig: _Setback: ❑, Private wgll ❑ Two Party • : _-iype of ttea�t k« +' . Proposed: ❑•Public • '•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: IGC 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: I Underground Tank Above ground Tank Size of Propane Tank: Heat Stove i Cook Stove i Woodstove i Fireplace Insert Hot Water Tank i Pellet Stove M Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: �jj _ 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: 5 f�� Cash/Check Number: T ESTIMATED COST(REQUIRED) Date: �j� {1 "Fair market value of all labor and materials foundation to finish 8/�—�f!`l Initials: �� 1 G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc Parcel Details Page 1 of 2 • • i : .Iiefcerson n County s„t , �wE ....»....,. -. Home - County Info Departments Search Parcel Number: 961802410 SEARCH Parcel Number: 961802410 Printer Friendly Owner Mailing Address: JULIA EDWARDS 291 E PRICE ST PORT HADLOCK WA98339-9656 Site Address: 291 E PRICE ST PORT HADLOCK 98339 Section: 35 School District: Chimacum (49) Qtr Section: SW1/4 Fine Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sub Division: 9618 - IRONDALE 1-92 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: IRONDALE #1 BLK 24 LOTS 34 TO 39 SUBJ/REST COV'T #553777 & #553807 Tax,AN, Sales, Photos, and Permit Data Bldq Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac II http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=961802410 8/27/2014 TERRA SOL ECO HOMES LLC Page 1 of 2 • • Washington State Department of 4:74 Labor & Industries ITERRA SOL ECO HOMES LLC Owner or tradesperson do 1240 WEST SIMS WAY STE 263 Glenn, Bruce P PORT TOWNSEND, WA 98368 360-385-5477 Principals JEFFERSON County Glenn, Bruce P, PARTNER/MEMBER WA UBI No. Business type 602 521 914 Limited Liability Company 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. TERRASE883LD Effective—expiration 06/04/2012—06/04/2016 Bond Wesco Insurance Co $12,000.00 Bond account no. 46WB048797 Received by L&l Effective date 05/27/2014 06/01/2014 Expiration date Until Canceled Bond history Insurance Nevada Capital Ins Co $500,000.00 Policy no. 77NPP4026338 Received by L&I Effective date 05/28/2014 06/01/2014 Expiration date 06/01/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602521914&LIC=TERRASE883LD&SAW= 8/27/2014 TERRA SOL ECO HOMES LLC Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year perio . L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp No active workers'comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. ()Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. , ACCT Washingboe <:wztp ETC a:r»+a°r>narc �4a,533z https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602521914&LIC=TERRASE883LD&SAW= 8/27/2014 °K JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �� Q9SH,,,i6 y43 Date: q/'Z Time Received: 7 tie �pm Mon. Tue. a,. Thur. Fri. BLD: Date: 9-3 30 1 Contact Name: Owner: �� Contact Number: 360 5.^77f c..C37/ Address: Act 1 gri c e, 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 ---krb—::, (1)0 .x. I 7___ -.:7___ ,h cil rcl I 7..../ E s . .--- ti 0 .-cv r' ,t, Cbr cl.- -.' \ IQ'' . t rn ,-,-.. - - ,,,,1 "t --,-,-, 1 , - .....„..' It) 00 --p --1•01 --I-- 11.' 4/) ' C.% . 112.50' EI. .\1\ IN 0.0 00°E t-L-, r. t ,400 liet,01-4)14--") „, , .., ._.0 cn , 4. 1 N, so ) = r-- o tnr, QZ) 71 0 Sri CD Cn \t3 0 6 8 --too .14 0 , ...._.E., -0 rn Driveway 44. •-« 0 b , ,..,. ,.... 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' '''...- --tOrn:m . •4:P, ,..',,,,...-.•.4.1' ' ce to lap 02 0,.....m .„ ,,,,. . .• ga, a) cri a) t7) = . . - ...v. .. • 'it 13 ? . ,.,.. #rrr r'n' ,..- :•-r.7 40,' Ape t:A. rs 0 .• u. '4OP Nk. 1 411. ' t 2 .......... , \A . . . IT0 (-1 , (‘ e �,ON CO �kQ % JEFFERSON COUN. 9So DEPARTME F COMMUNITY DEVELOPIT Date: OS Time Received: 2:3( amC) Mon. Tue. Wed. Thur. 0 Date: q/Zi,lice BLD: (4 ° 003.06 Contact Name: tittAe Owner: Echwaen5 Contact Number: 360 !'g(.: 437/ Address: I E Pte+e& -~ 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 • S 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#: BLD14-00306 Received Date 8/27/2014 SITE ADDRESS: 291 E PRICE ST Issue Date 8/27/2014 PORT HADLOCK, 98339 APPLICANT: JULIA EDWARDS PHONE: 360-316-9159 291 E PRICE ST PORT HADLOCK WA 98339-9656 34-39 SUBDIVISION: 9618 Block: 24 Lot: PARCEL NUMBER: 961802410 Section: 35 Township: 30N Range: 1W CONTRACTOR: BRUCE GLENN PHONE: 360-531-4371 1240 WEST SIMS WAY#263 PORT TOWNSEND WA 98368 Contractor's License TERRASE883LD Expires 6/1/2015 OWNER, JULIA EDWARDS PHONE: 360-316-9159 if different: 291 E PRICE ST PORT HADLOCK WA 98339-9656 PROJECT DESCRIPTION: Propane Tank 500 gallon 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 8/27/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 6.04, a 6, F "Pie,p-- ; L •r &iCy' 0aEc 4.k 9 3 �.h , Tank/Line/Appliance: Final Approval: d,' -t?> 42ii c_ ZGA 7' 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 8/27/2014