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Home My WebLink AboutBLD2014-00294 - MECHANICAL UILDING PERMIT APPLICN BLD14-00294 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00294 Received Date: 8/15/2014 SITE ADDRESS: 95 RED CEDAR LN PORT LUDLOW, 98365 OWNER: DIANE SIMPSON PHONE: 831-334-5873 13227 3RD AVE NW SEATTLE WA 98177 9997 SUBDIVISION: Block: Lot: PARCEL NUMBER: 999700011 Section: 21 Township: 28 N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP New Permit-to replace Water Heater Gas Unit for Gas Unit same location Added fireplace 10/8/14 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: •. C L� l S CI (ICI a 1 Total: Total:Routing Date: n D �` re plaLQ C Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 08/14/14 151415 Permit $76.00 SRE 10/08/14 151592 0 n!' o\eC Total: $228.00 I S' ) L4 WA r - ' C1 OCT - 8 2014 Jefferson County DCi \\tidemark\data\forms\F_BLD App_Bld.rpt 10/8/2014 BUILDING PERMIT APPLIC•ON B 0294 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00294 Received Date: 8/15/2014 SITE ADDRESS: 95 RED CEDAR LN PORT LUDLOW, 98365 OWNER: DIANE SIMPSON PHONE: 831-334-5873 13227 3RD AVE NW SEATTLE WA 98177 9997 SUBDIVISION: Block: Lot: PARCEL NUMBER: 999700011 Section: 21 Township: 28 N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION New Permit-to replace Water Heater Gas Unit for Gas Unit same location 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: Approved/Date Permit $152.00 SRE 08/14/14 151415 Total: $152.00 ,P P °V ED pUG 15 2014 Jefferson County DCD a S `` ropy S/ t5/)14 - \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/15/2014 • JLb1iC1 i 40.0Olicii), , . JEFFERSON COUNTY I' DEPARTMENT OF COMMUNITY DEVELOPMENT 1 b . 621 Sheridan Street• Port Townsend•Washington 98368 1'' 360/379-4450 . 360/379-4451 Fax ' www.co.jefferson.wa.us/commdevelopment ii. Master Permit Application MLA: Project Description(include separate sheets as necessary): Re-p-e w -,� e -►� C s rah r - Cz s ( .# Ste_(r-o� Tax Parcel Number 9 q l - 700-0 I ( Property Size: (acres/sq are feet) Site Address and/or Directions to Property: 15 Red C -r L Ni P - 1- ,�9 a-0 o lam - 113b5 Property Owner(s)of Record: DI Ak n C S I ivtios d N Telephone: g 3I - 3 3 4-- S82 3 Fax: email: Mailing Address: )3-a.- i -3 r Av'e. (I-vn/, , Se — . /A 'J e i-1 . 1 Applicant/Agent(if different from owner): - ` , Telephone: Fax: email. = ! t h •✓ p..l 4, .. , Mailing Address: 1 What kind of Permit?(Check each'`box that applies OBuilding 0 Critical Areas Stewardship Plan r �[� '" r('_�i" ❑ Demolition Permit 0 Variance(Minor,Major or Reason ••L U> I W tS ❑Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C O Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed U _ " ification 1 �1l O Commercial* 0 Special Use(Essential Public Faci = ,,,, 0 Change of Use 0 Boundary Line Adjustment R � 1 2�j4 ❑ Address ❑Road Approach. 0 Short Plat'" 1 0 Home Business ❑Cottage Industry 0 Binding Site Plan** ) I J ' 1 Propane 0 Long Plat** JEFFERSON 1 r UNTY ❑Sign 0 Planned Rural`Residential Development eft, •it c' 1 •r : ePM:NT 0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration`** - ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions Ej Site Plan Approval Advance Determination(SPAAD)* - 0 Shoreline Management Substantial Development" 0 Temporary Use 0 Shoreline Management Variance 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amen,ntent 0 Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendme May require a Pre-Application Conference - 0 Tree Vegetation Request "Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: ION OF AGENT ' I hereby designate DESIGN to act as my agent in matters relating to this application for pe it(s), OWNER SIGNATURE / ri /icr ate: 8-,S,--/V r By signing this application form,the er/agent attests that the-information provided herein,and in any attachments,is true and correct to tie,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•ticket 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 attorneys fee,'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 j; I further agree to provide access and • f entry to Jefferson County and its employees,representatives or agents for the sole purpose of" lication review and any • s' review later ins•- q Staffs access and right of entry will be assumed unless the applicant informs the County in writin• at the time of the ap• i - • that he or • ' I•tire. Si nature: ate: 1, The action or.actions Applicant will undertake as a result of the is-suan'- of this permit may negatively impact upon one or more threatened u1 endangered species and could lead to a potential"take'"of in endangered species as those terms are defined in the federal law known as th, "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken becaus ',.his permit has been issued will not violate the �. Any individual,group or agency can file a lawsuit on behalf of an endangered species rega ,ing your action(s)even if y u are in co ,-•- w,.' e Jefferson County development code.The Applicant acknowledges that he,she or it holds ind\t'tdual and non-tra/-�- e- •le -{-•. sibility forte ,,..:4, and complying with the ESA. The Applicant has read this d claimer and s ns and dates below. 5 Signature:l/ ./ A --/-Sate: "-l , mosoroPP- ,, G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc jj fl( • 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 snd that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: 1 1 ` GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: c5 p -(-) ', MAILING ADDRESS: 1 O $S 3. 1) r EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: S Lh h s ft-9;iI,.7)7 7 ( ) NUMBER 1, ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: . EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disp''sal• ❑ New ❑ Wood Existing:. ❑ Sewer {a o Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System 0 .Repair ❑ Masonry SEP Permit# 1, 0 Demolition ❑ Other: Bedrooms: Water Supply: ,! Existing: Setback: ❑ Private well 0 T ►o Party Type of Heat: 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 gQg Parking Spaces:. ' Number of occupants(indudes owners,tenants,employees,etc) Current Proposed 1 IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No 1 1 If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Id I Underground Tank I Above ground Tank Size of Propane Tank: _ I Heat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other d e►y,a.h W�-�-.' k&o Is this appliance being installed in a Manufactured/Mobile Home? Yes / No QQ-p-e -+-,-.' . When applying.for a permit to install a propane tank you must also submit a site plan showing all of the buildings,ally property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. S•uare Foota!a Current Pro'used 14 �'see 9tt[ v 'k '' � �Tik A i` r z � It-3� h IC' ch $�� ^ . �9 � m ..v..'..^r �-i. ?'. ..:.1 a�s.,'d'S€ .rs��.Yh .? r:c- �'... ..1.is. _�.,K.,a Main Floor Heated '1^,,N -',, EH Bid App Review: ' 2"°Floor Heated r ,,° 1,,;,°,,C.:1-°,:i 'Consistency Review: 1` Other Heated E�,;r 4; ha i Base fee: Mezzanine `z '-Additional Section: , Heated Basement 44 ` 4` i Plan Check fee: 4� Unheated Basement ¢ , , State Surcharge fee: ,,. it Other Unheated ri'� ; � �� Pot Water Review fee: 11, _Garage/Carport i� ' ,+ , , SUBTOTAL i; � �� Decks „4 ... : s 911/Rd Approach fee: INIIIP Other I rA ' TOTAL: $ il_A i-I_I r "' Receipt Number. o �E -,.LLB J , Cash/Check Number: M' ESTIMATED COST(REQUIRED) Date: i j ,r Iasi _ 1 .Fair market value of all labor and materials foundation to finish 1 L}- G� i,, j Initials: jf'i C�1 , .c---D , j =z ,..r r'E L��l G:\Pen Center\###FORMS###\DRDFORMS\MasterPetmitApplication5-29-08.doc. 6:::1 v _ Parcel Details Page 1 of 2 •,„,..„ .,•, 6. e erson ountv •;:i:,;!-: ,4fr:.... 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Search Parcel Number: 999700011 SEARCH Parcel Number: 999700011 Printer Friendly Owner Mailing Address: DIANE SIMPSON 95 RED CEDAR LN PORT LUDLOW WA98365-8211 Site Address: 95 RED CEDAR LN PORT LUDLOW 98365 Section: 21 School District:Chimacum (49) Qtr Section: NE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9997 - WOODRIDGE VILLAGE DIV 1 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: WOODRIDGE VILLAGE DIV 1 LOT 11 (ENLGD BY TAX 19) BND BY BLA #98464 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 I 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=999700011 8/15/2014 SUNSHINE PROPANE Page 1 of 3 • • 0 Washington State Department of Labor & Industries SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR PORT HADLOCK, WA98339 CHAWES, RICHARD HENRY 360-385-5797 Principals JEFFERSON County CHAWES, RICHARD HENRY, PRESIDENT LEMLEY, DAVID BARRY,VICE PRESIDENT SIMPSON, LAURA ANNE, SECRETARY YOURISH, ROBERT B, TREASURER FLANDERS, RONALD LEE, MEMBER EWING, MICHAEL HOYT, MEMBER ROSS, LEVI K (End: 01/0111980) CHAWES, RICHARD (End: 01/01/1980) YOUNT, JO (End: 01/01/1980) SPRING, PERRY (End: 11/05/2010) PETERSEN,JAMES (End: 11/05/2010) . Doing business as SUNSHINE PROPANE WA UBI No. Business type . 600 342 368 Corporation Parent company ENVIRONMENTAL HOUSING INC 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. SUNSHP*077QP Effective—expiration 11/17/1993-11/17/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 5/8/2014 sON CO A� °?: JEFFERSON COUNTY . hG,o� DEPARTMENT OF COMMUNITY DEVELOPMENT Date: /1—)7 Time Received: L222.., a .P Mon. g Wed. Thur. Fri. Date: /1--/t BLD: /% 2�y Contact Name: Owner: Contact Number: 360 e —f--7q 7 Address: AC, ,i �s- L 206 7� Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground 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__,X. Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling 2\ Jtt-t-tRJUN LUUN I Y e, cs,....____" DEPARTMENT OF COMMUNITY DEVELOPMENT Date: G Time Received: 3 1 (C:" . am pia Mon. Tue. Wed. Fri. V Date: l CD Date: BLD: 1 ' 2-ct Contact Name: Owner: ‘ �_ Contact Number: 360 j C3�� ! -7 Address: aS ReCi r r� 206 l Notes: �+.V`--` Foundation Plum wing Framing Propane Tank X 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#: BLD14-00294 Received Date 8/15/2014 SITE ADDRESS: 95 RED CEDAR LN Issue Date 10/8/2014 PORT LUDLOW, 98365 APPLICANT: DIANE SIMPSON PHONE: 831-334-5873 13227 3RD AVE NW SEATTLE WA 98177 SUBDIVISION: 9997 Block: Lot: PARCEL NUMBER: 999700011 Section: 21 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 f 360 385-5875 Contractor's License SUNSHP*077QP Expires 11/17/2014 OWNER, DIANE SIMPSON PHONE: 831-334-5873 if different: 13227 3RD AVE NW SEATTLE WA 98177 PROJECT DESCRIPTION: New Permit-to replace Water Heater Directions Gas Unit for Gas Unit same location To Site: Added fireplace 10/8/14 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 10/8/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: �.(nt� f=\r{tp�nrw� 10-2 4-1`I Final Approval: ,.• hiliRrAt. `'/ tlltf fjo iz `ALmG- i (GA‘. 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 10/8/2014 • 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#: BLD14-00294 Received Date 8/15/2014 SITE ADDRESS: 95 RED CEDAR LN Issue Date 8/15/2014 PORT LUDLOW, 98365 APPLICANT: DIANE SIMPSON PHONE: 831-334-5873 13227 3RD AVE NW SEATTLE WA 98177 SUBDIVISION: 9997 Block: Lot: PARCEL NUMBER: 999700011 Section: 21 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 0 Contractor's License SUNSHP*07 Expires 1 167/ 4 55-5875 OWNER, 'IAN. SIMPSON PHONE: 831-334-5873 if different: 13227 "D AVE NW SEATTL• WA 98177 PROJECT DESCRIPTI N: New • -rmit-to r place ater I'eater Directions Gas Un for Gas nit sa e I• atio To Site: T PERMIT IS V LID F R AR AN'ISO RENEWABLE. THE FINAL PECTION M E Sc EDULED AN PASS (THIN THAT Y R. r� .•15 4- RE( JEFFERSON COUNTY DLL NO. 15 DATE `ati RECEIVED FROM Sun shine. Tropqrie__DESCRIPTION BARS# AMOUNT CURRENCY COIN 5 CHECK' f A V 7 ®- t) cn 844-41q - MP-9 0 gefiEott ?fan o xi RECEIVED BY C � TOTAL 8 7 l \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 8/15/2014