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HomeMy WebLinkAboutBLD2013-00323 - MECHANICAL ilikUILDING PERMIT APPLICA*ON BLD13-00323 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00323 Received Date: 10/16/2013 SITE ADDRESS: 2481 ANDERSON LAKE RD#646 PORT HADLOCK, 98339 OWNER: MARY HOUCK PHONE: PO BOX 388 PORT HADLOCK WA 98339 JENNINGS SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 901101030 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL 120 GAL PROPANE TANK TYPE OF WORK RES 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 By: Date: Receipt: Approved/Date Permit $228.00 MEB 10/16/13 145462 Total: $228.00 APPROVED OCT 162013 Jefferson County DCD \\4irlcmar4\ri�4�\forme\F RI fl Ann Rlri rn4 1 11/1 L:P)!11'2 1111 illi vb 13 - z3 CO.Dr. JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 iiii& 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment I Master Permit Application MLA: Project Description (include separ9te sheets as necessary): _ Tax Parcel Number: / r k k 0 k '(7 1O Property Size: (acres/square feet) Site Address and/or Directions to Property: __ - / __AAL4 err S as L e_.--k4 to-r- to Property Owner(s)of Record: o'o -i-- G(O 2;A i_e. aVe_y Telephone: '4 s s 32.') - 43' Fax: email: Mailing Address:?0 0 Y.___ 339' CI, i rrv,v..c u.tviA w Ps- V 32 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) ❑ 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 ❑ Cottage industry ❑ Binding Site Plan** ,1Propane ❑ Long Plat** t__, .,,;Jn ❑ 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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 ins, ions. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the•--' • • n that he or _Ai• ants prior notice. '^� Signature: lPi�ii.r:J _ Date: / fis- i3 The action or actions Applicant will 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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-eps[er ble r po • y for ad to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:"F( Date: /0//XV/3 • 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: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: o New = Wood Existing: 2 Sewer C Addition C Steel Proposed: Bank G Community System C Alteration/Remodel 0 Concrete Total: _ Height: C Individual System C Repair 0 Masonry SEP Permit# Bedrooms: Water Supply: L Demolition �+ Other: pp y: Existing: Setback: C Private well C Two Party Type of Heat: Proposed: B 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 1 No If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply: 1 Underground Tank Above ground Tank Size of Propane Tank: Heat Stove Cook Stove Woodstove I Fireplace Insert I Hot Water Tank Pellet Stove I 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 iines, 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"' Floor Heated Consistency Review: _ Other Heated Base fee: 22�' w 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: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: WGASCheck GASCheck - Gas System Check 063614 Account Number Invoice Number rDate 49/07-?/ Name '/G 0Y ``je Company/Branch L� ,� •1-411Z1-1:4("11. c 3 tr %' Address 'Zile/ -v �n% ;0l7 �K Call Taken By kat/ ...6144 6/417— City Cy►\r 4'GL' — State!/"C . Zip .9- Telephone(Work) (Home) Container Check °d ... • • a 4 @ . .. + t si � v aP ® ' 77 - .s ' i a �< l ( �.h'Z' . 4/c,: /11 W/4 if a 70, AS Pressure Test(If Applicable) Piping Check Pressure Held Y pr Y11 Y �� . Work Order Y L. .s ` System Leak Check ,ate. �� = .1 ! , :E. .i` '�� Pressure Held 0 z i4S e. IJ 15— Work Order Y Regulator Check u 83 9 JO/3 /v/ / P,0 Item(s)Taken Out Of Service Plus All Comments Safety Information Supplied: Comments:Please note all repairs and corrections made along with any recommended actions. PRC 005620 ©PERC 2007 PRONE EXCEPDONALENERGr CUSTOMER COPY 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#: BLD13-00323 Received Date 10/16/2013 SITE ADDRESS: 2481 ANDERSON LAKE RD#646 Issue Date 10/16/2013 PORT HADLOCK, 98339 APPLICANT: MARY HOUCK PHONE: PO BOX 388 PORT HADLOCK WA 98339 1 SUBDIVISION: JENNINGS SHORT PLAT Block: Lot: PARCEL NUMBER: 901101030 Section: 10 Township: 29N Range: 01W CONTRACTOR: OWNER, MARY HOUCK PHONE: if different: PO BOX 388 PORT HADLOCK WA 98339 PROJECT DESCRIPTION: INSTALL 120 GAL PROPANE TANK 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 10/16/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: I —,5 U• 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 10/16/2013 -ON 00 e °ya JEFFERSON COUNTY 4.a► DEPARTMENT OF COMMUNITY DEVELOPMENT p�'�'1 gRINO.O Date: tZ(17_ (lime Received: I* /0 ame Mon. Tue. Wed. lift Fri. Date: j --,323 Contact Name: 440,4 Apt j tli in-e .fr (5 wner: /lnhe 4 L ILA.,n 2 0+ Contact Number: 360 9,2 5 3 2,--/" “3� Address: $ I (la,-v„lrs,,,n 14 e,, 42,oQ - z-Di- (o4/6 , 6,1mAGL,,.,, 206 �11 gc,1, 01o39 e Notes: X11 I I Y1d6 �e, (}1s-eV,'r - .17.4o1-P,,, i'z 1 Linebr /1 of * 60v-c( . Foundation Plumbing I Framing Propane Tank Mechanical�a Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground 4/ Gas Stemwall Hydronic Exterior shear Exterior lines I/ Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection / I Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling