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Home My WebLink AboutBLD2014-00180 •BUILDING PERMIT APPLICSON B Review Type: Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00180 Received Date: 5/21/2014 SITE ADDRESS: 75 CHICKADEE LN QUILCENE, 98376 OWNER: GEORGE L MILLER PHONE: 360-301-9511 RETA W MILLER PO BOX 448 QUILCENE WA 98376-0448 QUILCENE BAY VISTA SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 701205008 Section: 20 Township: 27 N Range: 01 W CONTRACTOR: BRENNAN HTG &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 12/29/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE EXISTING GAS FURNACE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 1,899.00 ADD'L: HEAT TYPE: GAS 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 05/20/14 148680 Total: $152.00 APPROVED MAY 21 2014 Jefferson County DCL. \\fiAumar4\rJo#o\fnrmc\F RI 11 Ann PIA rn4 �,Y)1/7l11A Miller, Reta S E.J &3 L LI Duct Leakage Affidavit Permit#: House address or lot number: (75 Chickadee Ln City: Quilcene Zip: L98376 Cond. Floor Area (ft2): 1300 Source (circle one): ❑ Plans ®Estimated ❑Measured 0 Duct tightness testing is not required for this residence per exceptions listed at the end of this document Air Handler in conditioned space? DI yes in no Air Handler present during test? ®yes Ono Circle Test Method: Leakage to Outside OTotal Leakage Duct Ea cam -i Maximum duct leakage: 39 Post Construction,total duct leakage: (floor area x.08).1104 (CFM @25 Pa Duct — Post Construction, leakage to outdoors: (floor area x.06)= CFM @25 Pa Fan Rough-In,total duct leakage with air handler installed: (floor area x .06) = CFM @25 Pa Rough-In,total duct leakage with air handler not installed: (floor area x .04)=I (CFM @25 Pa Test Result: 164 CFM @25Pa 112%loss I 11 toe kick Ring (circle one if applicable): ®Open 1 2 3 Duct Tester Location:_IRetum grill I Pressure Tap Location:'Master bed supply I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. Company Name: Brennan Technician:'James Johansen // Technician Signature: %j. Date: 7-17-14 Phone Number: (425)583-2591 Washington State Energ Code reference: 503.10.3 Sealing.All ducts,air handlers,filter boxes,and building cavities used as ducts shall be sealed.Joints and seams shall comply with Section M1601.3 of the International Residential Code or 603.9 of the International Mechanical Code. Duct tightness testing shall be conducted to verify that the ducts are sealed.A signed affidavit documenting the test results shall be provided to the jurisdiction having authority by the testing agent.When required by the building official,the test shall be conducted in the presence of department staff. Exceptions: 1.Duct tightness test is not required if the air handler and all ducts are located within conditioned space. 2.Duct testing is not required if the furnace is a nondirect vent type combustion appliance installed in an unconditioned space. A maximum of six feet of connected ductwork in the unconditioned space is allowed.All additional supply and return ducts shall be within the conditioned space.Ducts outside the conditioned space shall be sealed with a mastic type duct sealant and insulated on the exterior with R-8 insulation for above grade ducts and R-5 water resistant insulation when within a slab or earth. • • 1 oo . ,� oN JEFFERSON come' 11 . lerlikt 4411, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Sheet• Port Townsend•Washington 98368 3601379-4450. 360/379-4451 Fax T. www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: P • :. • • ,;• (include separate - as necessary): • r • • ' `C. . > $ 0 3 —or 0 'C.. Tax Parcel Number.qt3 \cg 0 5 a•R Property Size: (acres/square feet) Site Address and/or Directions to Property: <r • A. " . Property Owners)of Record: -c Or ' 4- 1a. 1-L V' Telephone: ..r ■ • • Fax email: Mailing Address: bligPr ER,II: a 6- e : . Applicant/ t(if different from owner): Il1 ��WM.: • 1. Telephone. Oho VC) F:• e - - �. ° O email: i i al . 4 S.-liY1 A' � . Mailing Address: -b s ! ! !.[+ \o g Con What kind of Permit?(Check each box that applies ❑Buliding ❑Critical Areas Stewardship Plan C �7 � ❑ Demolition Permit ❑Variance(Minor,Major or R==• :' . v „S•>Ringle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI** ❑ Manufactured Home ❑ Modular ❑Discretionary or Unnamed Use r• ❑ Commercial* ❑Special Use(Essential Public F=:, :7 M AY 2 0 2014 ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** • — ❑Propane ❑Long Plat" JEFFERSON COUNTY ❑Sign ❑Planned Rural Residential Development( (} I L(PMENT ❑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 plication Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby desig -� - S � v Y to act as my agent in matters relating to this `', for permit(s). OvUNER SIGNATU.illy. ♦ A Ai. mob Date: �) I ( '1 By signing this :••- 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 is knowledge. Any material falsehood or any omission of a material fact made by the ownedagent 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 a • .n• required later inspections Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the three of ,appl ' V..n that he or she prior notice. � ' J I I d I Signatu ill A.411♦ Date: l The acti• 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 •_ , 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) ,-nit •u are in compliance ' the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and n• , :n- - =• - responsibility for to and complying with the ESA. The Applicant has read this d' r and ' ns a dates it below. Signature: O1,�/YY�p �� Date: n. 11-j i1 er G:\PemritCenter\###FORMS###\DRD FORMS\Masts Penult Application 5-29-06.doc 1 i_tk -V.\FD • • BUILDER STATEMENT The suer 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 responataility of the General Contractor for the proposed . Signature: : �ENERAL CONTRACTOR OR UFA -+ D HONE INSTALLER: PHONE: FAX: rt., 2o6 Glebt 0 MAIUNG ADDRESS: b J l� . f sv t _ u . ► .�.� � ♦ _ �� CONTRACTOR'S LICENSE bI. \ * •`a-1 +� INS corn NUMBER: NUMBER ARCHRECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Diaaposal: ❑ New 0 Wood Existing:. ❑Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Et/Alteration/Remodel ❑ Concrete Total: Height ❑SEP IndividuPermiat l System ❑ .Repair ❑ Masonry # ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Prnrate well ❑ Two Party Proposed: ❑ Public Ty Q Heat Total:Name of System: • If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Paddng Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will yea have Food Service? Yes / No If this is a Propane Tank andfor Appliance Installation permit.mark all items below that apply:. i Underground Tank I Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove I Woodstove 1 Fireplace Insert I Hot Water Tank 1 Pellet Store I Other Js this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying fora permit to install a proper e tank you must also submit a site plan showing all of tine buildings,all properly lines,tank location and size,distances te propane tank to all property lines,buildings and septic system components, includin the r+lserve area. Main Floor Heated _1 EH Bid App Review: 2t a Floor Heated Consistency Review: Other Heated ! Base fee Mezzanine Additional Section: r ', ' - Plan Check fee: Heated Basement _, w:. Unheated Basement i State Surcharge fee: Other Unheated ; "a Pot Water Review fee: Garage/Carport - SUBTOTAL_ Decks ' 911/Rd Approach fee: Other 1 i TOTAL:-. , • k r Receipt Number. i .- - , , Cash/CheckNumber. _. { � [ i V ESTIMATED COST(REQUIRED)"' Its sts Date: �_ fig .Fafrmaket value of all labor and m rah %'►r" '• to finish ®'MA(t:�` ' ( M Ay 2 0 2014 I -Jj •G\PemitCrnaeA ##FORMS###\DAD FORMS\Master Permit Application S-29-0B.doc J _' JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT iii)C,D No. 1 6 JEFFERSON COUNTY 8O DATE O5Jb/ 0i4 RECEIVED FROM • Al iii• ■ ' •!• • !. II �1L •_ lh I 1 DESCRIPTION ' BARS# AMOUNT y CURRENCY ' ...40it1 ' 6-a..�q� OIN S` ®n� ��•V� CHECK , it-40 c 2 r y � ee o 33 a O o CTO RECEIVED BY ` _',./. // /- = TOTAL 17 1 . SON c0 w� °?, JEFFERSON COUNTY DEPARTME•OF COMMUNITY DEVELOPeNT NS91NO,0 Date: l i Time Received: 2 , 1_0 am/0 Mon. MO Wed. Thur. Fri. Date: 1.0 - 2-( BLD: Contact Name: Owner: V1/\:L.A,LPi....— Contact Number: 360 ".1' g "r Address: 4 , _ ! 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical I 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 • I 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#: BLD14-00180 Received Date 5/21/2014 SITE ADDRESS: 75 CHICKADEE LN Issue Date 5/21/2014 QUILCENE, 98376 APPLICANT: GEORGE L MILLER PHONE: 360-301-9511 RETA W MILLER PO BOX 448 QUILCENE WA 98376-0448 8 SUBDIVISION: QUILCENE BAY VISTA Block: Lot: PARCEL NUMBER: 701205008 Section: 20 Township: 27N Range: 01W CONTRACTOR: BRENNAN HTG &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 12/29/2015 OWNER, GEORGE L MILLER PHONE: 360-301-9511 if different: RETA W MILLER PO BOX 448 QUILCENE WA 98376-0448 PROJECT DESCRIPTION: REPLACE EXISTING GAS FURNACE 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 5/21/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: (0 12411 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 5/21/2014