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Home My WebLink AboutBLD2014-00452 - MECHANICAL ILDING PERMIT APPLICATI BLD14-00452 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00452 Received Date: 12/3/2014 SITE ADDRESS: 325 SILENT LAKE RD QUILCENE, 98376 OWNER: STUART DuPen PHONE: 206-920-7575 325 SILENT LAKE ROAD QUILCENE WA 98376 SUBDIVISION: Block: Lot: 6 PARCEL NUMBER: 701355006 Section: 35 Township: 27 N Range: 1V1 CONTRACTOR: CENEX PHONE: 360-732-4585 P.O. BOX 248 CHIMACUM WA 98325 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' New Mechanical Permit 120 gallon propane tank 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $152.00 SRE 12/03/14 153926 ®GG � ®" � c Total: $152.00 APPROVED DEC 0 3 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 12/3/2014 �gON �, • tii 06, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 ►C Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment E-mail: � dcd(<z%co.jefferson.wa.us 1`rk1 NO.tO MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: Date: Related Application#s: Payment#: Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I-360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 Required Submittal Items—for propane tank only _✓_ General Site plan—showing propane tank, lines,and distance from tank to all existing structures. Required Submittal Items—for Solar Panel installation only _ Complete first page and signature block only of Mechanical Permit Application. _ A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number: 701355006 Site Address and/or Directions to Property: 325 Silent Lake Road, Quilcene, WA 98376 Access (name of street(s) from which access will be gained: Silent Lake Road Description of Work: Placement of 120 gal propane tank next to steel sided garage 7 feet from 5th wheel trailer, for use only by the trailer. Property Owner Name: Stuart Du Pen to Address: 325 Silent Lake Road, Quilcene, WA 98376 v Phone#: 206-920-7575 E-mail Address: sdupen @qmail.com m _ Please contact Authorized Agent/Representative with project info. Property Owner Signature: Date: 12/2/2014 Applicant/Contractor: Authorized Agent/Representative Name: Phone#: E-mail Address: License#: Expiration Date: Mechanical Application 1 i • Heat Source Electric Heating Oil Propane* ✓ Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type: Description= hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace-Wood Fireplace-wood,Wood Stove, or gallons require a minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane(LP)Gas Furnace Propane Furnace+/-Ducting and a site plan must be Water Heater-Gas Gas WH Vent and Combustion Air submitted with the application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is X Propane Tank LP Fuel Tank(#gallons: 120 ) over 500 gallons,a site plan is Heat Pump required to accompany this Generator application,and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its emplo -= , -p - entatives or agents for the sole purpose of application review and any required later ins.- - '•ns. A.• scant ma -•uest notice of the County's intent to enter upon the property for visits related to this 4licati•n -'d sub =:•-nt permit issuance. Signature: ,,,/%/ int Name:Stuart Du Pen Date.12/2/2014 ./ OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $152.00 Propane—Lines,tank, and appliance (add'I $76.00) Project Scanning Fee $19.00 Total Fees* *Additional fees may apply. Mechanical Application 2 Map Output Page 1 of 1 • ArcIMS HTML Viewer Map ro ;. ..�. na ,t....... 70: v3 1 'i s 1 WO : ft _¢ ter.! / ' 3 ' t '.',"4. i k if Legend 0 Salacted FaatlMas Towns \ i * Fiverateentork I 70135 5006 I percale t€6,0 7 1G i •fK 1 '•'''F 3 701156025 'Yf+135AG'Uf F...._,.� j Eke, �*7 i i l I %r _ I r / 70i3st3 1 i4 ! l 7(4135,5013( el f. T3J4 ( 1 I t 701353004 I )iII Mp&gearAled lr. SmCasey Cmtraa aa.aJ9CaL 0 3754€ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 03 2014 13:30:13 GMT-0800(Pacific Standard Time) http://maps.co.j efferson.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&C1... 12/3/2014 Parcel Details • Page 1 of 2 • ferson County k1 72 Home county Info Departments Search Parcel Number: 701355006 SEARCH Parcel Number: 701355006 Printer Friendly Owner Mailing Address: STUART DuPen 428 CHILDERN ST #24318 PENSACOLA FL32534 Site Address: 325 SILENT LAKE RD QUILCENE 98376 Section: 35 School District:Quilcene (48) Qtr Section: Fire Dist:Quilcene (2) Township: 27N Tax Status: Taxable Range: 1W Tax Code: 0323 Planning area:South Toandos Peninsula,Coyle Area (9) Sub Division: Assessor's Land Use Code: 9800 - Garages, Outbuildings, Other Imps Property Description: SILENT LAKE LARGE LOT LOT 6 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info J €1011 County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 116 Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 12/3/2014 • 41) 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#: BLD14-00452 Received Date 12/3/2014 SITE ADDRESS: 325 SILENT LAKE RD Issue Date 12/3/2014 QUILCENE, 98376 APPLICANT: STUART DuPen PHONE: 206-920-7575 325 SILENT LAKE ROAD QUILCENE WA 98376 6 SUBDIVISION: Block: Lot: • PARCEL NUMBER: 701355006 Section: 35 Township: 27N Range: 1W CONTRACTOR: CENEX PHONE: 360-732-4585 P.O. BOX 248 CHIMACUM WA 98325 OWNER, STUART DuPen PHONE: 206-920-7575 if different: 325 SILENT LAKE ROAD QUILCENE WA 98376 PROJECT DESCRIPTION: New Mechanical Permit Directions 120 gallon propane tank 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 12/3/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: t4 ri[i'f g- 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 12/3/2014 130? co �� 02 JEFFERSON COUNTY { �`y DEPARTMENT OF COMMUNITY DEVELOPMENT 9SyfNG-c0 Date: Z U4 Time Received: c,—s" am/CD Mon. Tue. led. Thur. Fri. Date: t2-17 BLD: 13_ g Contact Name: Owner: Contact Number: 360 Address: ■ -r L 206 LS" 5 �. 75-79- �j �-d �`ZD Q�b 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