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HomeMy WebLinkAboutBLD2014-00396 - MECHANICAL ILDING PERMIT APPLICA TON BLD14-00396 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00396 Received Date: 10/23/2014 SITE ADDRESS: 370 MC MILLAN RD CHIMACUM, 98325 OWNER: PHILIP R SMITH PHONE: 360-732-0860 GAIL D SMITH 370 MCMILLAN RD CHIMACUM WA 98325-9730 SUBDIVISION: Block: Lot: TX 19 PARCEL NUMBER: 801102016 Section: 10 Township: 28 N Range: 1\ CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ROOF MOUNT GRID-TIED PV SOLAR ELECTRIC TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC 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 Permit $228.00 SRE 10/23/14 151645 APPROVED Total: $228.00 OCT Z 3 2014 Jefferson County DOS \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/23/2014 ‘vsoN c,_ I e % 21 JEFFOSON COUNTY • ■-.. .< DEPARTMENT OF COMMUNITY DEVELOPMENT 4 + 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.lefferson.wa.us/communitydevelopment -,1 NG.1. Tel:3603794450 I Fax:360.379A451 I Email:dcdcojefferson.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): Ground Mounted, Grid-tied PV(Photovoltaic-Solar Electric)System Tax Parcel Number 801 102 016 Property Size: 8.4 acres (acres/square feet) Site Address and/or Directions to Property: 370 McMillan Rd,Chimacum,WA 98325 Property Owner(s)of Record: Philip&Gail Smith Telephone: 360 732-0860 Fax: email: prsmith1(§embarqmall.com Mailing Address: 83 Denny Ave,Port Townsend Applicant/Agent(if different from owner): Telephone:360-643-3080 Fax: 360-539-1857 email: john@PowertriPenergY-com Mailing Address: Power Trip Energy Co,83 Denny Ave,Port Townsend,WA 98368 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation 0Building 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) 0 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or q." O Manufactured Home 0 Modular 0 Discretionary"0"or Unnamed use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment O Address 0 Road Approach 0 Short Plat** 0 Home Business D Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)IAmendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** O Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 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 Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *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: L841 Electrical permit DESIGNATION OF AGENT Please See Attached I hereby designate to act as my agent in matters relating to this application for permit(s). \ ...,.... OWNER SIGNATURE ' , _ ----e A 'MOW. rill' eNovvai co. Date: 10/21/2014 By signing this applicatiN on orm,the owner/agen A ests 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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app tion ,: - she wants prior notice. ...4 Signature: .... rOvo Cr.. '0•44 gP91.(41 Clo. Date: 10/21/2014 The action or a ns Applicant will un iOrtake 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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera e respo , .1 t.;.1.adhering'•and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: .. , revogit— Ts..( E/4 GI Xery Co. Date: 10/21/2014 1 07/24/2013 • BUILDER STATEMENT wt The signer of this statement does hereby certify that they arehe Owners of the parcel referenced herein,that they arepdt licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature* 'r ''D M TL4 61041 CO. Date: 10/21/2014 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Power Trip Energy Co. (360 )643-3080 ( 360) 539-1857 MAILING ADDRESS: 83 Denny Ave,Port Townsend EMAIL: john @powertripenergy.com CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER 063472-00 ARCHITECT/ENGINEER: PHONE (360 )643-3080 FAX:(360) 539-1857 MAILING ADDRESS: 83 Denny Ave,Port Townsend 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: $. Individual System ❑ Repair ❑ Masonry SEP Permit#4EP85-(3 to ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: A. 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 I 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: 3a9-) a Mezzanine Additional Section: Cl °� Heated Basement Plan Check fee: l Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ c l Receipt Number: 1 (0L4 Cash/Check Number: CL ESTIMATED COST(REQUIRED) Date: i©)‘ I,' i .Fair market value of all labor and materials foundation to finish —1 Initials: 07/24/2013 EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED -------TO E COMPLETED Y CITY STAFF--_--- Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? ❑Yes 13No Staff Initials Date Click here:to enter text: Staff initials Date:Clicks here to enter text. TO BE COMPLETED Y APPLICANT------- °Project Information Project Applicant: Power Trip Energy Co,83 Denny Ave,Port Townsend,WA 98368 Site Owner Name: Philip R Smith&Gail D Smith Project Address: 370 McMillan Rd,Chimacum,WA 98325 PV system description: Ground Mounted,Grid-tied PV(Solar Electric) •etermine if your project needs a building permit (check all that apply): Yes No 1. PV system is designed and proposed for a detached single family house. X ❑ 2. PV system is designed for rooftop of a house 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 ❑ ❑ 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 ❑ ❑ members as needed to ensure that at no point are loads in excess of fifty(50)pounds are (S� created. 9. Attachment to the roof is specified by the mounting system manufacturer. ❑t,4D 10. Method and type of weatherproofing roof penetrations is provided ❑F'/ ❑ 11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for X ❑ solar panels. 12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) ❑►Y❑ A pp licant Signature: Printed N ame: John S.Fleming,Power Trip Energy Date:10/21/2014 If you answered yes to all of the above questions,no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 • • 1 er Trip nr PV Installation contract 83 Denny Ave Port Townsend, WA 98368 (360) 643-3080 www.powertripenergy.com lic # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Phil Smith ,grant Power Trip Energy Corp.Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: C `~ �/r ° „7 c I , Date: " �* September 30,2014 Page 5 of 8 Phil Smith ,ry 4` e w . x:..+ x a.( �,.T� 'rte .w i 1+4,; .: •'a `? 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't,f; • P r Trip Energy Corp PV Installation contract 83 Denny Ave Port Townsend, WA 98368 (360) 643-3080 www.powertripenergy.com tic # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I_Phil Smith , grant Power Trip Energy Corp. Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: Date:IA W t 1/. September 30,2014 Page 5 of 8 Phil Smith • • N 0, O O O O C O O t!) N a v v ta • 8 N N N ,FO EA EH G9 7 C E L �L N V) I' 1. 0, N. M O N = m a,d C E a, >. f° O > — a = o p C to U H 88 (0 0 N 7 > 0 7 / O i;;r rd.. 1 f0 O y%% a, C Y3 O a a, v a c in C L E O a, -4— E N E, N t CO •-0 a5 O 0 N O CO o. M 17) Iiikin) 14‘ U3 TT Q V, ^^11 ui Q N Lo — a � �L — . 0 0 E to* 7-7 W . . c E Z al Q:: }0 ) Q Q .a7 if) p ' C _ p d P. > >` U O Q m CO 0 m O E }^+ N : �O O V 0 E CL:1' U 7 •Q. 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L Parcel Details Page 1 of 2 • i AI a ;'4'k ie ferson Count y Home County Info Departments Search Parcel Number: 801102016 SEARCH Parcel Number: 801102016 Printer Friendly Owner Mailing Address: PHILIP R SMITH GAIL D SMITH 370 MCMILLAN RD CHIMACUM WA98325-9730 Site Address: 370 MCMILLAN RD CHIMACUM 98325 Section: 10 School District:Chimacum (49) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 28N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:South Chimacum/Inland Valleys/Center (6) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S10 T28 R1W TAX 19 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 016 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=801102016 10/23/2014 POWER TRIP ENERGY CORPORATION Page 1 of 2 i i CiiWashington State Department of Labor & Industries POWER TRIP ENERGY CORPORATION Owner or tradesperson 83 Denny Ave COCHRANE,ANDREW P PORT TOWNSEND, WA 98368 360-643-3080 Principals JEFFERSON County COCHRANE,ANDREW P, PRESIDENT CARR, STEVE, VICE PRESIDENT COCHRANE, ANDREW P, AGENT Doing business as POWER TRIP ENERGY CORPORATION WA UBI No. Business type 602 349 562 Corporation License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. POWERTE964JN Effective—expiration 04/15/2004—04/15/2016 Designated administrator Active. Carr, Steven E Meets current requirements. License type License no. Electrical Administrator CARR*SE906P5 Bond CBIC $4,000.00 Bond account no. SF5019 Received by L&I Effective date 04/15/2004 04/05/2004 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE964JN&SAW= 10/23/2014 POWER TRIP ENERGY CORPORATION Page 2 of 2 No license violations during the prev.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. 063,472-00 Doing business as POWER TRIP ENERGY CORPORATION Estimated workers reported Quarter 2 of Year 2014"7 to 10 Workers" L&I account representative T1 /NIKKI BUTLER(360)902-4918-Email: BUTQ235©Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 06/23/2014 Violations Inspection no. 317320984 Location 1605 DanKelly Rd. Port Angeles,WA 98363 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. access Washingtoe V∎ernnwnE Nett*tine https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE964SN&SAW= 10/23/2014 • • Jefferson County Building Division Permit Number: BLD14-00396 Applicant: SMITH 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 Inspection Item Date Approval Signature Notes Miscellaneous )O.b/IL(' # �oca,e r�lRI g-5 X x 4.4/De) Y'r ANhOZ. A final inspection will not be scheduled until 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 /OW(FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00396 Received Date: 10/23/2014 SITE ADDRESS: 370 MC MILLAN RD Issue Date 10/23/2014 CHIMACUM, 98325 Expiration Date 10/23/2015 OWNER: PHILIP R SMITH PHONE: 360-732-0860 GAIL D SMITH 370 MCMILLAN RD CHIMACUM WA 98325-9730 SUBDIVISION: Block: Lot: TX 19 PARCEL NUMBER: 801102016 Section: 10 Township: 28 N Range: 1V1 CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 PROJECT DESCRIPTION: ROOF MOUNT GRID-TIED PV SOLAR ELECTRIC 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 $228.00 SRE 10/23/14 151645 Exist: Exist: Total: $228.00 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 _-�'jOx JEFFERSON COUNTY eenj, J� �7ero L "` DEPARTMENT OF COMMUNITY DEVELOPMENT �/""" 7- 5'SH; °,°` Date: 12. ' "ime Received: i am/ rr Mon. Tue. Wed. Thur. Fri. Date: 12--2,.40. BLD: /41—.794 Contact Name: Owner: Contact Number: 360 6,4/3 gaga Address: Si 0 rNe. 1 A 206 Notes: S—)0C- 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 Rlnrl, 2, Tito —___C-,d1;x.,,