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Home My WebLink AboutBLD2013-00266 !UILDING PERMIT APPLICA N B 0266 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00266 Received Date: 8/29/2013 SITE ADDRESS: 364 PULALI POINT RD BRINNON, 98320 OWNER: HARTMUT D LUTTER PHONE: VIVIAN M LUTTER 6510 SW CHERRYHILL LN BEAVERTON OR 970084914 CORN SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 601183017 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: SUNSET AIR INC PHONE: 360-456-4356 5210 LACEY BLVD SE LACEY WA 98503 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr GAS FURNACE SWAP OUT, SAME FOR SAME TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: GAS 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: Aproved/Date Permit $76.00 MEB 08/29/13 142445 APPROVED Total: $76.00 AUG 2 9 2013 Jefferson County DCD 1\+irlGmmr4\rIn+,.fnrmc\G RI Il Ann PIA rn+ /90/91114 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00266 SITE ADDRESS: 364 PULALI POINT RD# Issue Date: 08/29/2013 BRINNON, 98320 Final Date: 9/13/2013 APPLICANT: HARTMUT D LUTTER PHONE: VIVIAN M LUTTER 6510 SW CHERRYHILL LN BEAVERTON OR 970084914 SUBDIVISION: CORN SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 601183017 Section: 18 Township: 26 N Range: 01 W PROJECT DESCRIPTION: GAS FURNACE SWAP OUT, SAME FOR SAME THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/13/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/8/2013 • S 70) AUG 29 2013 � JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT I in • 4f' DDC iefru 1/11/bfA-) La-ire-7z_ 3G y� %ozeGdifL; ter. is/z/viock,u ) g 32_0 S i lyUy LV iJ V •IVC' --- - - - - - ,VAIIP) ' el,(0(0 w�oN `'ba JEFFERSON COUNTY xck i� DEPARTMENT OF COMMUNITY DEVELOPMENT I► 621 Sheridan Street 1 Pod Townsend,WA 983661 Web:www.co.leffersan.wa.uslcommem�tvdevglabment �sri o Tat.360,379.450 I Fax 360.379.4451 I Einar dcdfaRco.ieftersnn.wa.us Baking Permits&inspections 1 Development Consistency Review .Long Range Planning'Watershed Stewardship Resource Center Master Permit Application MLA: ., bts '�c�au_ necessary):_a out- . Tax Parcel Number. /1 83011 Property Size: - (acres/squareieet) tea . Site Address and/or Directions to Property: • IP 4 PtdcttL Pt Sri rno r . k)k ct 16 . • property Oumer(s)of Record:421—u I e -_--4'M`' tj/ Telephone:4 IN --( L(p.{ 4 C-I Fax email: yl V1 072E �-F'�''OO Unk, Mailing Address PS 10 Sw a d fit( 1 let. ()L 4'?00 ' . Applicant/Agent(if different from owner): • Telephone: Fax email: Mike)Address: yxjakind of Permit?(Deck each box that applies 0 Lot or Road Segregation ' wing rnrn t GL, ,..„: ❑Critical Areas Stewardship Plan •—' 0 Demolition Permit 1+' ruin�' 0 Variiance(Minor,Major or "t:.-11,--.1- V(J ^s Cl Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a), d) E v O Manufactured Home ❑ Modular 0 Discretionary'D'or Unnam= C- ,. ❑ Commercial' ❑Special Use(Essential Pub 1�i--M 'es)" ❑ Change of Use ❑Boundary Line Adjustment 2013 O Address ❑Road Approach D Short Plat" AUG 2 9 ❑Home Business 0 Cottage Industry- ❑Binding Site Plan" ''i., 0 Propane D Long Plat" 0 Sign 0 Planned Rural Residential D -.--:a , . =nts" D Plowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration''' , n r ,. D DEVELOPMENT 0 Slonnwater Management 0 Shoreline Master Program n s> .,,i:1.+l.-•. • ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shorebne Management Substantial Development"''' ❑Temporary Use 0 Shoreline Management Variance D Winless Telecommunlcafion' D Comprehensive Plan/UDCRand Use District Map Amendment .0 Forest Practices Acb Release of Six Year Moratorium D Jefferson County Shoreline Master Program Amendment *May require a Pre.,AppJcafon Conference 0 Tree Vegetation Request , • "Requires a PreArAptcaf on Conference Please identify any other local,state or federal permits required for this proposal,if known: /f.� DESIGNATION OF AGENT I hereby designatenei ' ! F to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE �i �J r n // Dabs: /is4 A By signing this application form,the ovnerfagent attests that the information provided herein.and In any attachments,Is true and correct to the best of his,her or Its knowledge. Any malarial falsehood or any omission Ofa material fact made by the ownertagentwith respect to this application packet may result In this permitbeing null and void. . - t further agree to save,indemnify and hold harmless Jefferson County against alt liabilities.judgments,court costs,reasonable attomey'sfeas and expenses which may In any way accrue againstJefferson County as a result of or In consequence of the granting of this permit. !further agree to provide access and right of entry io Jefferson County and its emphryees,representatives or agents for the sole purpose of application review and any rad later inspections. Staffs access and right of entry will be assumed unless the applicant Informs the County In writing at the time ditto ap • n or she wants prior notice. f�� Signature: / r • The action or actions Applicant will undertake as a result 011ie issuance of:lhls pemslt may negatively impact upon one or more threatened or endangered species end could lead to a potential lake ofan endangered species as those terms are defined in the federal law known asihe . 'Endangered Species Rorer"ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been Issued vnAli not violate the ESA. Any individual,group or agency cantle a lawsuit on behalf of an endangered species regarding your • • actions)a • • are in compliance with the Jefferson County development code.The Applicantacimowledges that he,she or N holds individual and .: de me•o t 1'+ for adhering to and complying with the ESA. The Applicant has r disdakner andsi ins end dates It be ow Signature: i. . if A A A ;/ I !)+.,.2i 07/24/21173 • • r it Jefferson Co Dept of Comm D,WA - Online Payments • Page 1 of 1 Jefferson County Step 1:Select Payments Step 2:Review and Submit Step 3:Confirmation and Receipt Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 11247965 Your payment has been authorized successfully and payment will be processed. Jefferson County Department of Community Development thanks you for your payment.For questions about your account,please call 360-379-4452 Thank you for using our bill payment services. Please save or print a copy of this receipt for record keeping purposes. My Bills Description Amount Duel Residential Applications payment of$76.00 on Parcel Number 601183017 $76.00 Subtotal: $76.00 Customer Information Convenience Fee: $2.50 First Name: Romy Total Payment: $78.50 Last Name: Meyer Address Line 1: 5210 Lacey Blv SE Address Line 2: City: Lacey State: Washington Zip Code: 98503 Phone Number: 360-456-4956 Email Address: rtm @sunsetair.com Payment Information Card Number: ***"""****1130 Expiration Date: **/** Print • R 1 https://client.pointandpay.net/web/JeffersonCoDeptofCommDevWA 8/29/2013 • • f } • Contractors or Tradespeople Peter Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name SUNSET AIR INC UBI No. 600240865 Phone 3604564956 Status Active Address 5210 Lacey Blvd Se License No. SUNSEA*220CM Suite/Apt. License Type Construction Contractor City Lacey Effective Date 2/14/1978 State WA Expiration Date 2/3/2014 Zip 98503 Suspend Date County Thurston Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date FLUETSCH, PETER N President 01/01/1980 FLUETSCH, KATHRYN THERESA Secretary 01/01/1980 FLUETSCH, BRIAN A Vice President 01/26/2010 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 8 FIDELITY It DEPOSIT 30727415 02/03/2002 Until Cancelled CO OF MD $12,000.00 01/07/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 23 Continental CWP2415443 02/03/2008 02/03/2014 Western Ins Co $1,000,000.00 01/24/2013 22 CONTINENTAL CWP2415443 02/03/2006 02/03/2008 $1,000,000.00 01/02/2006 WESTERN INS Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 8/29/2013 • BUILDER STATEMENT • The signer o is, :tement does hereby certify that they are the Owners of the parcel referenced herein,that thb1 ire not licensed contractors and that they will be :-,u. i g the responsibility of the General Contractor for the proposed project. Signature: Date: Zia GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE ° FAX: VAS 0J( ariC (50 (-1%) ( )3too 115wjgqo MPTLING ADDRESS: 5. -10 vd � b4 Oa.L EMAIL: r--i C(iuu tar tA 1 CONTRACTOR'S LICENSE WAINS NUMBER: t„aat Cik-1 NUMBER ARCHITECT/ENGINEER: - PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 0 Sewer 0 Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Height: ❑ individual System tRepair-- Lp,ur.... ❑ Masonry SEP Permit# Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 0 Public 4-� Total: Name of System: If this is a Commercial Project you must answer the following: 4,4, 4(i4 t(,j ,csgA.Q Ash�,tt�.mi,,r- Number of Parking Spaces: Current: Proposed: I�t 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 I No If this is a Propene 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 r •• I evotStelleP I knaT retaW toH I Js this appliance being installed in a Manufactured 1 Mobile Home? Yes /4130 When applying for a permit to install a propane tank you must also subm' : ife 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 Bid App Review: 2n°Floor Heated Consistency Review: Other Heated Base fee: •1,r Mezzanine Additional Section: jv� 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: $ 116 Receipt Number: 4142114c- , Cash/Check Number: 11 Zti':H:,5 ESTIMATED COST(REQUIRED) Date: II &C1 /3 •Fair market value of all labor and materials foundation to finish ?J Lit t r'1 Oo Initials: II 07/24/2013 3> -I AI X -I) 01 CO -I fi x -I -I CD 05 -- -• 0► -0 CO 01 X O. C7 r+ X 01 0 - -o CO o - -0 -s -s 0 01 C O_ (D 01 0 (D 3 I- C -- CD CC CD CD C (D r+ O (D - O 7C -I 'S E 's .. <D -I O 7 # C co 4 CD c7 CJl ".1 4 -, O. O O O �1 - O -. o -. O . co rn c O . . o w w cn o o co o y o r+ - 01 I- 03 CO C = c-D �, r+ c r n o M CJ1 I-I 3> O -0 C --I O O CD 3> C 73 = 05 CO -I -I MI O C O H -I 'O CO m Z M 3> 3 r cD -I = no r) 73 M5 CO Z C rn x CO O. rn CD -I f -I --I = n X O 3 m = CO O N r o Z n v -I 3> c = rn = r 37 D 70 00 -I O -0 CS) m c r o s■ x -I C_ -• JD MI -I C 0 3> 3 • -0 o o = -I -I 70 CO c m r o -o rn oo -< rn -I rn r -I a 3> w m = = M m CO m cn -I O_ H 73 Cn v rn --• --I CO I- -N -<: �l r = 4 -' O H r � O O I- Z D Q o Z o co r CID O I o � 01 -I 4 C 7 rn O Cl 73 n 4 O c o. CO CD CD O O -I -I n � `�. 3 -ci -0 r O 73 O Z m r) c) o o- n -- 1 CO 7' S O' C -- I CO CO H O_ rt- Cn v o M I-I C v C7 O Z N r+ O_ 33 3 O- +n -5 O o ✓ - o. O rn L w - CD -1-5 D 1 w .. .. O O L � O H O � T Z CT N T .0 O C -• H � MI .< 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#: BLD13-00266 Received Date 8/29/2013 SITE ADDRESS: 364 PULALI POINT RD Issue Date 8/29/2013 BRINNON, 98320 APPLICANT: HARTMUT D LUTTER PHONE: VIVIAN M LUTTER 6510 SW CHERRYHILL LN BEAVERTON OR 970084914 2 SUBDIVISION: CORN SHORT PLAT Block: Lot: PARCEL NUMBER: 601183017 Section: 18 Township: 26N Range: 01W CONTRACTOR: SUNSET AIR INC PHONE: 360-456-4356 5210 LACEY BLVD SE LACEY WA 98503 OWNER, HARTMUT D LUTTER PHONE: if different: VIVIAN M LUTTER 6510 SW CHERRYHILL LN BEAVERTON OR 970084914 PROJECT DESCRIPTION: GAS FURNACE SWAP OUT, SAME FOR SAME Directions 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 8/29/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: L'RUjr= Lpc FLr Acg OK 03/13 FinalApproval: Qk h J /(3 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 8/29/2013 _ . a, . ......?„„„ • _.,... ..,:i)w _ _.......„,....1„.,1:.:„..„..._. . ., • Ly.-.7i-w, ifilt•--frci.2 • . . . . . _ . _ . Date 9/12' •time received 7:74° 3/ pm Mon. Tue . .Wed; Thur. 41, • BED: 13 00 Z.t:-.4. Date: . „ OWNER: k47612.. . . Contact Namei 15Pie.i A)A..wal ADDRESS: 36.if- -pziL-AL i PT g D Contact Number 360 • 6.- • e 206 • - I ( Notes: 612s Fur viie2!, - 4 • 542'41° . . .Foundatidn Plumbing • Fr_a_r__nir ql Propane Tank Mechanical , .. Setbacks Under-ground Framing Undel:ground Furnace Footing Rough In Air seal Above ground Gas ___ Stemwall _ Hydronic Exterior shear Exterior lines Oil ___ Straps Intedor shear Interiorlines . Ducts Post Hole ' Ventilation Appliance ___ Underfloor Gas/wood stove . Man,Homes . ..1 Setbacks Insulation Final Inspection Foundation -..1- Block&Tie floor _wall ceiling Address Posted i JEFFERSON COUNTY \ C ) NO. 142445 DATE c. j 1A/12) RECEIVED FROM \ ( DESCRIPTION BARS# AMOUNT CURRENCY 14011 "�. JR))).0y 2' . C o COIN ��.�� - °. CHECKS ' PO°' GL. C CD 6-(;)11 g%6 t--+ 11 2WA'61(6.— O M { RECEIVED BY TOTAL _ Gj A r"