HomeMy WebLinkAboutBLD2014-00343 - MECHANICAL BUILDING PERMIT APPLICATION B 0343
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00343 Received Date: 9/23/2014
SITE ADDRESS: 50 CORA ST
PORT HADLOCK, 98339
OWNER: RONALD R FREUND PHONE: 360-385-9019
50 CORA ST
PORT HADLOCK WA 98339-9515
9426
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 942600408 Section: 3 Township: 29 N Range: 1V1
CONTRACTOR: EVERWARM INC PHONE: (360)452-3366
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 8/17/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION PELLET STOVE
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 Bv: Date: Receipt: Approved/Date
Permit $152.00 SRE 09/23/14 151540
Total: $152.00 APPROVED
SEP 2 3 2014
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_Bldrpt 9/23/2014
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4, o� JEFFERSOf3 BOUNTY •
' `. � DEPARTMENT OF COMMUNITY DEVELOPMENT LOPMENT 111 �_
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
� Koh www.co.jefferson.wa.us!commdevelopmen;
SING
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
c
Tax Parcel Number: 1'j 2.. -- e OD (Aug Property Size: (acres/square feet)
Site Address and/or Directions to Property:
So C'o/z/9- 6-77, Poi2 T — /7 4--cI c c k,- £J4. 8 3 3
Property Owner(s)of Record: ,a ,.,- Fii2-e.L4 Iv.i7
Telephone: 3 4 o °-3 gS— 70/q ,;7-. 1 - 1c1 -2,t-1 email:
Mailing Address: SO (.. a, R 5'7; 1:70 AT— , 4-67Z ocr4- w/N• 8.5-3 9
Applicant/Agent(if different from owner):
Telephone: Fax: email: _
Mailing Address:—_
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)
f6 Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home ❑ Modulo. ❑ Discretionary"D"or Unnamed Use Classification
•0 Commercist* ❑ Special Use(Essential Public Facilities)**
LI Change of Use ❑ Boundary Line Adjustment
❑ Address ❑Road Approach_ ❑Short Plat**
D Home Business ❑Cottage Industry ❑ Binding Site Plan**
j4 Propane Ri l of - ❑Long Plat** .
0 Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑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 any other local,state or federal permits required for this proposal, if known:
I DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
1 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 I
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 . wee.
Sionatur- — ,gr_ _ i' mio4m Dater / .
The action or actions Applicant will undertake as a res •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 Jefferso inlrnty development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for adherin• nd complying I e ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: / � Date:
Gam— .
rt
0 BUILDER STATEMENT • I
•
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 .- -eneral Contractor for the proposed project.
Sig , 11 re: oz, IlliftV ' _ ' Date: - 9 .a. --/
GENERAL CONTRACTOR OR MANUFACTUR HOME IN„ ALLER:
P;;aNE: FAX:
(,7°X 4,14- ni e/7 R-0A 1" o- (34o) ,5� -33‘C ( ) „�.f ?_:
MAILING ADDRESS: 25-7 f /
/.5` t.. !/o EMAIL:
COONTRRCTOR'S LICENSE #06 e_r_ AN / WAINS
NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms:
c
New Shoreline: Type of Sewage Disposal:
Wood Existing: ` Sewer
G Addition 0 Steel Proposed: Bank ili Alteration/Remodel 9 Concrete Total: Height: CommualtS stemm
C Repair Masonry D Individual System
Demolition Bedrooms: — SEP Permit#
Other: Water Supply:
Existing: Setback: pp y
Type of Heat: Proposed: 0 Private well a Two Party
Total: 0 Public
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
i3C 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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 17evision
Main Floor Heated EH Bld App Review:
2"d Floor Heated Consistency Review: —
Other Heated Base fee:
, op
Mezzanine
( ( '-�
Additional Section: O
Heated Basement v
Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee ---
Garage/Carport SUBTOTAL --
Decks 911/Rd Approach fee:
Other
TOTAL: $ ``� I -IJo
Receipt Number: 1 cJ l 5
Cash/Check Number: ``
ESTIMATED COST(REQUIRED) Date: J ft
•Fair market value of all labor and materials foundation to finish 9,I V 1 (-1
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Parcel Details Page 1 of 2
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lame County Info Departments Search
Parcel Number: 942600408 SEARCH
Parcel Number: 942600408 Printer Friendly
Owner Mailing Address:
RONALD R FREUND
50 CORA ST
PORT HADLOCK WA98339-9515
Site Address:
50 CORA ST
PORT HADLOCK 98339
Section: 3 School District: Chimacum (49)
Qtr Section: NE1/4 Fire Dist:Chimacum (1)
Township: 29N Tax Status: Taxable
Range: 1W Tax Code: 0211
Planning area:Tri-Area (4)
Sub Division: 9426 - CHALMER'S 1ST
Assessor's Land Use Code: 1100 - Residential - Single Unit
Property Description:
CHALMER'S 1ST ADDITION BLK 4, 11(W20'),12-14(ALL),15(E20')
Tax,A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Mats&Surve s
Septic Monitoring Info
'_ Je eTSDE County ... ,, HO E I COUNTY INFO I DEPARTMENTS I SEARCH r
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9/23/2014
http://www.co�.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO"=942600408
EVERWARM INC Page 1 of 2
•
Washington State Department of
a Labor & Industries
EVERWARM INC
Owner or tradesperson 257151 HWY 101
MCCARTNEY,TERRENCE J PORT ANGELES, WA 98362
360-452-3366
Principals CLALLAM County
MCCARTNEY, TERRENCE J, PRESIDENT
MCCARTNEY, VIRGINIA
RIMSTAD, SECRETARY
Doing business as
EVERWARM INC
WA UBI No. Business type
601 361 016 Corporation
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.
EVERWI*088NL
Effective—expiration
08/13/1992—08/17/2016
Bond
TRAVELERS CAS&SURETY CO $12,000.00
Bond account no.
206809004
Received by L&I Effective date
08/09/2001 08/02/2001
Expiration date
Until Canceled
Insurance
Nautilus Ins Co $1,000,000.00
Policy no,
BN958693
Received by L&I Effective date
01/17/2014 01/20/2014
Expiration date
01/20/2015
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 9/23/2014
EVERWARM INC Page 2 of 2
Insurance history 41110 410
Savings
.........................
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
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
Do you know if the business has employees? If so, verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
447,103-01
Doing business as
EVERWARM HEARTH &HOME
Estimated workers reported
Quarter 2 of Year 2014"11 to 20 Workers"
L&I account representative
TO/CAROLYN CRAWFORD(360)902-4715 -Email: CRAI235 @Ini.wa.gov
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. Access
Washington
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 9/23/2014
0 •
Jefferson County Building Division Permit Number: BLD14-00343
Applicant: FREUND
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
I
Inspection Item Date Approval Signature Notes
•
Heat/Chimney Clearance /04/1s/ ti,,,
Wood/Pellet Stove P/q1 r 4
Smoke&CO 101iA'//4
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 /%4//q' /,L 04 4 r Pna.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 9/23/2014
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD14-00343 Received Date: 9/23/2014
SITE ADDRESS: 50 CORA ST Issue Date 9/23/2014
PORT HADLOCK, 98339 Expiration Date
OWNER: RONALD R FREUND PHONE: 360-385-9019
50 CORA ST
PORT HADLOCK WA 98339-9515
9426
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 942600408 Section: 3 Township: 29 N Range: 1V1
CONTRACTOR: EVERWARM INC PHONE: (360)452-3366
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 8/17/2015
PROJECT DESCRIPTION: PELLET STOVE
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: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $152.00 SRE 09/23/14 151540
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
lifirh co
6i JEFFERSON COUNTY
9Sy o
{ DEPARTMENT OF COMMUNITY DEVELOPMENT 0-14'g'
Date: to/792 Time Received: 11 ;5. am/pm Mon. Tue. We Thur. Fri.
I Date: /6/Z.f/1 9
BLD: ) 4 - 0034-3 Contact Name:
Owner: Contact Number: 360 53).. 1114
Address: 56 ('f t2A -i 206
Notes: TPA, �
L ,Y1?)I)
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