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Home My WebLink AboutBLD2014-00034 lik- BUILDING PERMIT APPLICATION BLD14-00034 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00034 Received Date: 1/27/2014 SITE ADDRESS: 83 DENNY AVE PORT TOWNSEND, 98368 OWNER: NORTHWEST GREEN DEVELOPMENT CO PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 983688720 DENNY'S 2ND ADD SUBDIVISION: Block: 5 Lot: 29+ PARCEL NUMBER: 947100529 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr Roof mounted, Grid-tied, solar Electric (Photo-voltic) -PV) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Total: e , Jefferson County DC[ \\+irlcmor4\r+o+.%fnrmc\C PI Il Ann PIA rn+ 9/97/9/11A � o JRSON COUNTY Otb 144 DEPARTMENT OF COMMUNITY DEVELOPMENT ysXLNGCo� 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.lefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdna,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 separate sheets as necessary): Roof Mounted, Grid-tied Solar Electric (Photovoltaic- PV) Tax Parcel Number: 947100529 Property Size: 0.5 acres (acres/square feet) Site Address and/or Directions to Property: 83 Denny Ave, Port Townsend,WA 98368 Property Owner(s)of Record: Northwest Green Development Co Telephone:360 643-3080 Fax: 360 539-1857 email:john @powertripenergy.com Mailing Address: 83 Denny Ave.,Port Townsend,wA 98368 Applicant/Agent(if different from owner): 'C1 ' " 12.'t P El`' ( tot-p Telephone:360-643-3080 Fax: 360-539-1857 email:john @powertripenergy.com Mailing Address: 83 Denny Ave.,Port Townsend,WA 98368 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 ❑Conditional Use[C(a),C(d),or C] ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑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: L*s ELact- 4Ckt PERM t7 * j7. - 3-0 Z E DES GNATION OF AGENT I hereby designate '61A3,1 C' EN= 't C- l to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /� W //. ' Date: 1/" 7"/Z°/L. By signing this application form,the. er.•ent 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 i spections. St-ft's access and right of entry will be assumed unless the applicant informs the ounty in writing at the time of the appli-..• e w. • • n• ice. Signature: �i/41 Zi14 •LI a,. M Date: ( Z'2 l/"/ The action or actions Applican IF,11 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 ;• :re in ••mplia he Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans -rab r- 'j, � '.iii f. .�� • and ...mplying with the ESA. The Applicant has read this disclai er and igns and dates it below. Signature: ,/ 4/ :L /12.41,' Date: (( Z_'l 07/24/2013 • • 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: Power Trip Energy Corp (360 ) 643-3080 360 )539-1857 MAILING ADDRESS: 83 Denny Ave., Port Townsend,wA 98368 EMAIL: john @powertripenergy.com CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER 063-472-00 ARCHITECT/ENGINEER: PHONE (360 ) 643-3080 FAX:(360 )539-1857 MAILING ADDRESS: 83 Denny Ave.,Port Townsend,wA 98368 EMAIL john @powertripenergy.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two 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 ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP 1 knaT retaW toH I 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: 2"0 Floor Heated Consistency Review: Other Heated Base fee: 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: 11:57-"t .-1 Cash/Check Number: I , ESTIMATED COST(REQUIRED) Date: / � 41 .Fair market value of all labor and materials foundation to finish l '1 1 Initials: �.�iI A 07/24/2013 S • éo>\ JEFFERSON COUNTY c., ., ,� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street/Port Townsend,WA 98368/Web: www.co.iefferson.wa.us/communitvdevelo,ment �9s�1�G�G� Tel: 360.379.4450/Fax: 360.379.4451/Email: dcd @co.jefferson.wa.us EXPEDITED PERMITTING CHECKLIST FOR SOLAR PHOTOVOLTAIC SYSTEMS ***TO BE COMPLETED BY COUNTY STAFF*** Building Permit Required? El Yes El No Staff Initials Date Fee: ***TO BE COMPLETED BY THE APPLICANT*** 1. Project Information Project Applicant: Power Trip Energy Site Owner Name: Northwest Green Development Co Project Address: 83 Denny Ave,WA 98368 PV System Description: Roof mounted,Grid-tied PV 2. Determine if your project needs a building permit(check all that apply): Yes No Not Applicable 1. Mounting equipment is engineered and designed for solar PV equipment. X 2. The solar PV system will comply with the National Electric Code(NEC) X including obtaining an electrical inspection. 3. To address uplift the solar modules will be mounted no higher than 18 inches X above the surface of the roofing to which they are affixed. Note: Questions 3—5 Apply t Rooftop*stem . 4. Total dead load of panels,supports,mounting,raceways,and all other X appurtenances shall weigh no more than one of the following. If YES indicate which: Er Conventional solar modules(one layer of glass)or frameless solar modules(two layers of glass)that weigh three and one-half(3.5)pounds per square foot(PSF)or less on any roof. ❑ Frameless solar modules(two layers of glass),on sloped roofs of at least 3:12 but less than 5:12 pitch,that weigh no more than four and one-half(4.5) pounds PSF. ❑ Frameless solar modules(two layers of glass),on sloped roofs of 5:12 pitch or greater,that weigh no more than five(5)pounds PSF. 5. Supports for the solar modules are installed to spread the dead load across as X many roof-framing members as needed to ensure that point loads do not exceed fifty(50)pounds at any location. 6. Attachment to the roof is specified by the mounting system manufacturer. X NOW;Question 7 Applies,to Ground Wonted, stems. , . , 7. Ground-mounted solar PV systems using racking components installed per the X manufacturer's specifications. If you answered yes or N/A to all of the above questions,no separate building permit is required. lApp t Signature Date i S EXPEDITED PERMITTING CHECKLIST FOR PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED TO BE COMPLETED BY CITY STAFF Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? ❑Yes CINo Staff Initials Date:Click here to enter text. Staff Initials Date:Click here to enter text. TO BE COMPLETED BY APPLICANT •roject Information Project Applicant: Power Trip Energy Corp Site Owner Name: Northwest Green Development Co Project Address: 83 Denny Ave., Port Townsend,WA 98368 PV system description: Roof mounted,Grid-tied PV (Determine if your project needs a building permit (check all that apply): Yes No 1. PV system is designed and proposed for a permitted building. X ❑ 2. PV system is designed for rooftop of a building in general compliance with applicable codes. X ❑ 3. Mounting system is engineered and designed for PV. X ❑ 4. Rooftop is made from lightweight material such as shingles. X ❑ 5. PV system has been pre-approved by electrical permitting agency. X ❑ 6. To address uplift, panels are mounted no higher than 18"above the surface of the roofing to X ❑ which they are affixed. Except for flat roofs, no portion of the system may exceed the highest point of the roof. 7. Total dead load of panels,supports, mountings, raceways and all other appurtenances weigh no X ❑ more than one of the following. If YES, indicate which: X No more than three and one-half(3.5)pounds per square foot(PSF) ❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF ❑ Frameless panels on at least 5/12 pitch roof weighing no more than five(5.0)PSF 8. Supports for solar panels are installed to spread the dead load across as many roof-framing X ❑ members as needed to ensure that at no point are loads in excess of fifty(50) pounds are I created. 9. Attachment to the roof is specified by the mounting system manufacturer. X ❑ 10. Method and type of weatherproofing roof penetrations is provided X ❑ 11. Building is code compliant to setbacks and height,or code allows expansion of nonconformity X ❑ for solar panels. 12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) X ❑ Comments: C ick h8-toi xt. ��/� �N �,,® � Z ZO j � [ C F0�el, C Cop i y' iIf you answered yes to all the above questions, no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 lip JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 19//0 Time Received: I : ( 11' am D Mon. Tue. Wed. Fri. 14 v 0003 Date: 17, 1//�f BLD: . bLD Contact Name: // // Owner: Contact Number: 360 ,'f3 -3d8Z' Address: liVieSP - 83 206 Notes: V ,`"" 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 Iision Permit Number: Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 FINAL INSPECTION `at1, i FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • I CONDITIONS for Building Permit# : \\tiripmark\rlata\forme\F RI 11 Parmif Rhin rnt 1/97/9(114 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00034 Received Date: 1/27/2014 SITE ADDRESS: 83 DENNY AVE Issue Date 1/27/2014 PORT TOWNSEND, 98368 Expiration Date 1/27/2015 OWNER: NORTHWEST GREEN DEVELOPMENT CO PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 983688720 DENNY'S 2ND ADD SUBDIVISION: Block: 5 Lot: 29+ PARCEL NUMBER: 947100529 Section: 16 Township: 30 N Range: 01 W p 9 CONTRACTOR: PHONE: PHONE: PROJECT DESCRIPTION: Roof mounted, Grid-tied, solar Electric (Photo-voltic) -PV) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW 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: Exist: Exist: Total: 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