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HomeMy WebLinkAboutBLD2013-00350 - MECHANICAL UILDING PERMIT APPLICASN BLD13-00350 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00350 Received Date: 11/6/2013 SITE ADDRESS: 6193 FLAGLER RD NORDLAND, 98358 OWNER: STEVEN J BRANTNER PHONE: 907-789-3033 MARIJO C BRANTNER 2201 RADCLIFFE RD JUNEAU AK 998019342 SUBDIVISION: Block: Lot: TX 22 PARCEL NUMBER: 921051023 Section: 5 Township: 29 N Range: 01 E CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 343 THOMAS ST PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL PV SYSTEM, ROOF MOUNTED, GRID TIE 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 11/06/13 145527 Total: $228.00 APPROVED NOV 0 6 2013 Jefferson County DCD \\+irinm•rk\rh+o\fnrn.c\I= RI Il Ann Rlrl rn+ 11/R/9rl12 # • } CC 0 H r' = 0 0' LL_ N _0 Z LL O H O f• -7 O O •• •- •-.. d 0 4 N - CU *- -3 Z O O O C_ J -0 X CC "O +•• U) C U 0 = 1-- LU O O Z •-■ "O H O O) Q -- O L L L U f` Q = U U U Q Z O 7 0 J 0- Cl X U I- I- O I O CA CI) CC! 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(0 X i.1 U "O X 10 CO CL. f0 - -- co N I- I•- X 4- I- U7 c0 4- Contractors or Tradespeople leer Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I 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 POWER TRIP ENERGY CORP UBI No. 602349562 Phone 3606433080 Status Active Address 83 Denny Ave License No. P0WERTE934QE Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 11/5/2007 State WA Expiration Date 11/5/2015 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date COCHRANE,ANDREW P President 11/05/2007 CARR,STEPHEN E Vice President 11/05/2007 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SH5957 11/02/2007 Until Cancelled $12,000.00 11/05/2007 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 4 GENERAL INS 24CC21330840 11/02/2010 11/02/2014 $1,000,000.00 10/08/2013 CO OF AMERICA 3 General Ins Co 24CC21330830 11/02/2009 11/02/2010 $1,000,000.00 11/09/2009 of America GENERAL 2 AGENTS INS CO 24CC21330820 11/02/2008 11/02/2009 $1,000,000.00 10/16/2008 OF AMER 1 SAFECO INS CO 24CC21330810 11/02/2007 11/02/2008 $1,000,000.00 11/05/2007 OF AMERICA 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 11/6/2013 III „.. , • 5- JEFFERSON COUNTY 4, --/- ru ,1 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 4.. 621 Sheridan Street I Port Townsend,WA 98368 1 Web:www.coiefferson.wa.usIcomrnunitydevelopment 14.,rit rio'c' Tel:360.379.4450 1 Fax:360.379.4451 1 Email:dcdaco.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): Residential Photovoltaic Solar System, Roof top mounted Tax Parcel Number. 921051023 Property Size: 1.7 acres (acres/square feet) Site Address and/or Directions to Property:6193 Flagler Rd,Nordland,WA 98358 Property Owner(s)of Record: Steven J.Brantner&Matto C.Brantner,2201 Radcliffe Rd,Juneau,AK 99801-9342 Telephone:907-523-3424 Fax: email: brantner©gci.net Mailing Address: 2201 Radcliffe Rd,Juneau,AK,99801 Applicant/Agent(if different from owner): Telephone:360-643-3080 Fax: 360-539-1857 email: johro'Powl3ltriPenergy.com Mailing Address: Power Trip Energy,attn:John Fleming,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 CI** El Manufactured Home 0 Modular 0 Discretionary"D"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-- o Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat"* 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments-- O 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 El Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: WA State L&I Electrical Permit DESIGNATION OF AGENT Power Trip Energy Corp I hereby designate to act as my agent in matters relating to this application for permit(s). _,____.„...,,_-.1100111■,....,_ ' OWNER Ste. Rd1.47PP"- _allillr■/;-/--.,1":40t21111... Date: ii 5-- /-3 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 inspections. Staffs access and right of entry will be assumed unless the applicant Informs the County in writing at the time of the ap.' -.:,. -: she :. prior notice. ,....- .. ' _ Signature: -"Illgirregiolir...e010...._ ., ..__ ,,011rMilli■ Date: ii <> 3 - The action or actions/411cant 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-transferabi- ,-ponsibi ... adhering 9,...'d complying with the ESA. The Applicant has read this disclaimer a d sig and dates it below. Signatur . Date: 07/24/2013 1 • • 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 assu i the respond.ity of the neral Contractor for the proposed project. Signatu -: I`. �>.;��: Date: f1 o--7.3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: (360 643-3080 (360 539-1857 Power Trip Energy Corp. r� ) (3 ) MAILING ADDRESS: 83 Denny Ave.,Port Townsend,WA 98368 EMAIL: john©powertripenergy.com CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER 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 ti Addition ❑ Steel Proposed: Bank a Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ individual System Li Repair Li 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 evotS telleP i knaT retaW toH i Is this appliance being installed in a Manufactured I 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: 262 Floor Heated Consistency Review. Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: it Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: _t `S 21.- Cash/Check Number: .4 ESTIMATED COST(REQUIRED) Date: / .Fair market value of all labor and materials foundation to finish Initials: • 07/24/2013 • • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED -----TO BE COMPLETED I STAFF-- Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? DYes ❑No Staff Initials Date:Click r u; text. Staff Initials Date: W; here to enter iiext. ------TO BE COMPLETED BY APPLICANT------ Project Information Project Applicant: Crick here enter text, Power Trip Energy Site Owner Name: Click r=e -enter text, Steven Brantner Project Address: Click here to eater text. 6193 Flagler Rd., Nordland, WA 98358 PV system description: 1.tete to enter text. Roof mounted, Grid Tied PV System ©Determine 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. EX ❑ 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. C,$ ❑ 4. Rooftop is made from lightweight material such as shingles. [X ❑ 5. PV system has been pre-approved by electrical permitting agency. LX ❑ 6. To address uplift, panels are mounted no higher than 18"above the surface of the roofing to i] ❑ 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 i] ❑ more than one of the following. If YES, indicate which: ❑ 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 7 ❑ members as needed to ensure that at no point are loads in excess of fifty(50) pounds are created. 9. Attachment to the roof is specified by the mounting system manufacturer. [X ❑ 10. Method and type of weatherproofing roof penetrations is provided LX ❑ 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) l ❑ Comments: - 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 • 0 Submit this Checklist, the Electrical OTC Application Form, and Template Electrical Drawing and Site Plan to: Permit Processing, Bellevue Development Services Center Mk I attest that all information in this checklist is accurate to the best of my knowledge. Applicant Signature: Clic . e e '. Da e Ak O Applicant Name(Please Print):Cll i r �? le A 2 Created by the Evergreen State Solar Partnership v1.0 3 0 sr 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#: BLD13-00350 Received Date 11/6/2013 SITE ADDRESS: 6193 FLAGLER RD Issue Date 11/6/2013 NORDLAND, 98358 APPLICANT: STEVEN J BRANTNER PHONE: 907-789-3033 MARIJO C BRANTNER 2201 RADCLIFFE RD JUNEAU AK 998019342 TX 22 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921051023 Section: 5 Township: 29N Range: 01E CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 343 THOMAS ST PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 11/5/2015 OWNER, STEVEN J BRANTNER PHONE: 907-789-3033 if different: MARIJO C BRANTNER 2201 RADCLIFFE RD JUNEAU AK 998019342 PROJECT DESCRIPTION: INSTALL PV SYSTEM, ROOF MOUNTED, GRID TIE 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 11/6/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval. 1.--1 1 I-1 3 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 11/6/2013 4 oN Q w ° JEFFERSON COUNTY 4. - + DEPARTMENT OF COMMUNITY DEVELOPMENT 4 9SkrN�.,o Date: i;-/l) Time Received: /7362 (41pm Mon. Tue. Thur. Fri. Date: / r. // BLD: 47 55-0 Contact Name: Owner: Contact Number: 360 3 3ogd/ts-z gs-4,0 Address: &/q3 , LA-6(Qr 206 Notes: S0 L/tg 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 1 Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling