Loading...
HomeMy WebLinkAboutBLD2013-00375 11113UILDING PERMIT APPLICAIN BLD13-00375 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00375 Received Date: 11/26/2013 SITE ADDRESS: 85 MARTIN RD PORT TOWNSEND, 98368 OWNER: STEVEN DE JARNATT PHONE: 2747 GLENDON AVE LOS ANGELES CA 900644205 LANDAU SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 001291052 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL 120 GAL TANK, PIPING AND FREESTANDING STOVE TYPE OF WORK RES 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 MEB 11/25/13 145574 APPROVED Total: $228.00 APPROVED G NOV 2 5 2013 Jefferson County DCD \\+irlcmarlArla+ fnrmc\G RI 11 Ann Rlrl rn+ 11/7R/9A11Z ›.- 11111 • CY r-- 1-1 O = O Q LL_ N _sp Z LL_ �. O H O CT O co N — co . W O 17 - In .— J O O L CD ID M CC 'O ++ CO Z C C.3 C1 = H W O CI CO +1 'O H O CO I -- 7 L L L Cn P� • .O U U U W Z O Cr 0 J 0- CL M U F- I-- O O a- a1 a) Lf7 CO "0 O = O CV C.) •Ct CC. 'O I LU c = 3 d- 3 F— CO `� O CO O CO J U 0 O -0 CC z O C � � H O -- a- 3 3 � � F- Z I- F- N Q LLJ CO F- W Q -O Cr_ O J LU CO Q > C� C W ,- 0- W J W Z CC LU CZ O I- CO CC CC O N F— cn d 0 Q Z -- a- Cr x �. 0 -D O CO CO 0_ O O . Q ¢ C! LU O = F- I- Lu Z J Ci J Cr) en I•- W LO Lu Lu = cc Q 1— J co U W 'O = Z X w Z co Z Cr U Q CU = I— N J LLI Q CI Q O O_ 9 ti O Z F— -, CA CO = W Ni- en a) Q O O C1 O I- I` O C9 J J LLJ i■1 � U CO N J 1=1 C0 - +PI O CU O CD Lf) O O O 4- N CO . N -3 .,- * . O W CO O C Lf) O 01 O � O � O O O O "O L ,- ,- O C� CD CV a #C C O a) •- L 3 L * Y C — a) O ++ CD W CD a) = a) -- = CO � N U 00 CD '0 > O V C_ C_ 0- - O CO 0- S- o CO x -++ C-3 "O x CO cn a 03 -- -- 03 a) I— I— x 4- I— co m 4 X )E F— C= Contractors or Tradespeople Peer Friendly Page • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEI 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 SUNSHINE PROPANE UBI No. 600342368 Phone 3603855797 Status Active Address 10853 Rhody Dr License No. SUNSHP*077QP Suite/Apt. License Type Construction Contractor City Port Hadlock Effective Date 11/17/1993 State WA Expiration Date 11/17/2014 Zip 98339 Suspend Date County Jefferson Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ENVIRONMENTAL HOUSING INC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status LEVISES915BB LEVI'S ENERGY Construction General Unused 1/2/2009 1/2/2015 Active SERVICE LLC Contractor WARMWS'123BN WARM WINDOWS& Construction General Unused 1/15/1988 11/17/1993 Archived SUNSHINE Contractor ENVIRH'204Q5 ENVIRONMENTAL Construction General Unused 11/25/1980 11/17/1988 Archived HOUSING INC Contractor Business Owner Information Name Role Effective Date Expiration Date EWING,MICHAEL HOYT Member 01/01/1980 FLANDERS, RONALD LEE Member 11/05/2010 CHAWES, RICHARD HENRY President 11/05/2010 SIMPSON, LAURA ANNE Secretary 11/05/2010 YOURISH, ROBERT B Treasurer 01/01/1980 LEMLEY, DAVID BARRY Vice President 11/05/2010 PETERSEN,JAMES 01/01/1980 11/05/2010 SPRING, PERRY 01/01/1980 11/05/2010 CHAWES, RICHARD 01/01/1980 01/01/1980 YOUNT,JO 01/01/1980 01/01/1980 ROSS, LEVI K 01/01/1980 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 TRAVELERS CAS& 206086406 11/17/2001 Until Cancelled $12,000.00 10/23/2001 SURETY 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 United States 24 Fire Insurance 506-8751013 11/17/2013 11/17/2014 $1,000,000.00 11/13/2013 C United States 23 Fire Insurance 506-871834-3 11/17/2012 11/17/2013 $1,000,000.00 11/15/2012 C 22 633829 11/17/2008 11/17/2009 $1,000,000.00 11/13/2008 https://fortress.wa.gov/lni/bbip/Print.aspx 11/26/2013 Contractors or Tradespeople P . er Friendly Page Page 2 of 2 FEDERATED SERVICE INS CO 21 FEDERATED 633829 11/17/2006 Until Cancelled $1,000,000.00 11/09/2006 SERVICE INS CO 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 11/26/2013 w L . . • ..:.,.. III%Lt 1 _--s-1-s7 . • • , 4:4 lik JEFFERSOICOU fY < • iDEPARTMENT.OF COMMUNITY DEVELOPMENT `� 621.Sheridan Street Port Townsend •Washington;98,368 ,,.• . . 36©/379• •460•• 360/379-�14• ...�f Fax • . r, .. . e. www.co.Offerson wa•..us/comnidevelopment ; . Master Permit Application - ,. MLA; , : Project.Description(include separate sheets as necessa )_ • 1 ' i Tax Pa, eINurnber : b 12-91_t 0:k'1_.. . . , P'roperty.Sixe. . . _(aEres/squar•.e4eet)••. Site Address and/or Directions to Prppe j 6 • IA A( ,1 •�_._._`�-d-a1 •_ ! `1: _� • . . Property.Owner(s)•of Records . .Ii s ' f'_k ,1.�' . . • • . . . . Telephone: -6D 2E"UT- '',31c,•1- ,: . . Fax: ernail:• . • : Mailing Address:A-itt '1 ,C?/.�►,J�.N 1V..Q,i i-\-�5 Fb134Ct .46-4 -4b o x( '• Appfloant/Agerit(if different from owner): _ 1 v_. .A- _ • fry.a /• • Telephone: .k65'- $717 • Fax:: .jg$-..5875 •. email . ..1.1 d - ' Mailing Address: . .l b 8 3 o.A ,QR PT, tl L-a c,t . . i..J/ . . What kind of Permit?.(Checic each-box that applies 0 Lot or oad Segregation• •Oatilld ng . 0 Cntica real Stewardship Plat Q Demolition Permit . ' 0 Variartle(Minor,Major or Reasonable Economic u se). 0 Single Family • • 10 Garage .Attached./Detached :C]Conditional Use[C(a);,C(d).,or CJ•** . 0 Manufactured Home ., p•Modular ; . O Discretionary'D"or Unnamed Use.Classification. © :Commercial" '• p Speaa i Use(Essential Public Facilities)" • 0 Change of Use •f:]Boundary Line Adjustment . 0 Address . . 0 Road Approach .. '•'.0 Short flat** 0 Home:business : 0 Cnttage1ndustry , ❑Binding Site Plan** • Qpane 0 Long:P.at** ... Q,Ion . 0 Planrta Rural Residential•Development(PRRD)/Amendrllents** • 0 Aliowe4�-"Yes"Use Consistency:Analysis 0 Plat•Vapation/Alteration*"� . . 'Stormwater Management • • .0 ShoreliheMaster Program.Exemption/Permit) evisions'"' D:Site Plan Apprgv�a Mvance Detemiipatibn(SPAAD)* Q•Shoreline Managen1etit•Substantial Development"* • 1;Teniiiet ry w0:, ,- 'Ci Shoreli Management Variance tJ W(relesa'lfelet tmmuni'catiori* : ❑•Conipi nsive-Plan/UDO/Land Use District l ap 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 VVgetattbn Request . .. a litres a.Pre-A float/c>n•Conference . • Please'identify arty other locale State;or federal<peh fits;ier{trired;fot this proposal;,if.known: • • ' 1I SC-NATION OF AG btT . l::;ereby..designate•.. .: .. . • to act as my�agent irr mattera relating.to this application for permit(). • ■WNER SIGNATURE ,r�. f..°,/ . 4 Date ' /I I. //a By signing this application form the owner/agent.attests•thatthe information provided hprein,:and in any.ettaohments,:Is true.and correct to the:best.of . • his her or.its knowledge.•Ahy material'falseho,odor any;omission of a material factmrr de by the-owner/agent'with respect.to•this application peidket' 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 anyway accrue against Jefferson•County as a'restilt of of in cphsequence of the granting:,of this permit: •, -further agree.to provide access•and.right of entty to Jefferson County;'anti Rs employees,representatives or.agents for the sole purpose of application . review.and any required•later ihspectio g Staffs access;and•rightcf:sntry will;be,assumed unless the eppiioant Informs:the Count •inwriting..at.the.. .• time of the.application the:or she to or notice - • P 1 Al nature < pate 1/s�/3 OP . 7. • ._ . • The.: ctIen•or actionsApplicant.wrll uhdertake as a result of the issuanCe•of•this perrnitmayneg;'ttively impaat',upon.one.or,mete•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•Aer or"ESA,"Jefferson.Couhty makes.na•assurances to.the applicantthat•the.actions:.that,will•4i3 undsrtakeibecause this:. . • permit,has•been issued will not violate the ESA. Any.lndividuai,group or agency can file a lawsuit•on behalf of art endangered speciesre.garding:your... .act'ron(s)even•if you are in compliance with thevJefferson County development code:The:Applicant-ackn.owledges•'that:he,she or itholds individeal and nontransferable•responsibility for adhering to and complying.:with.the'E8A. The Applicant has-read thisdisciafrper•apd•signs anddatesit below: . . • Sign ture: 4, • •• • ,Date: • 1/1/6/L3 . (:.\Pmrnit(rnrer\###FfiRMS###\T1R T1 pr1R M \r n•.r.nr T1RT1 17,-”,-n.\M.,er.r P.....:r 4....1:....•4...,c no no.a..... J AIIIMINIIM • * " • •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 prbjepi'. Signature: Date.,,. GENERAL CONTRACTOR e- ' -,- • O.. ER: • PHONE: FAX Su..t.; S*Lne fP(2_, fa,:= . - ( 4o ) 3zs- s7q7 (3g4 .3 5-S 7,5 MAILING ADDRESS: 0 + fig/ ' i CONTRACTOR'S LICENSE WAINS • NUMBER?.. S LA.1,,1 s- , ,;,*ARcHITEaT/ENO1NEER: fl 7 r� • Q f�lUyi R. PHONE ( ). FAX:( ). .. MAILING ADDRESS. EMAIL Project Type: Frame Type: .Bathrooms: Shoreline: Typo of Sewage e Disposal: 0 New 0 Wood • Existing: S g 0 Addition, 0 Steel Proposed: Bank Cl Sewer 0 Alteration/Remodel 0 Concrete Total: Community System Height: 0 individual System 0 Repair 0 Mason ry SEP Permit# 0 Demolition 0 Other Bedrooms: Existing: Setback: Water Typo of:Heat. . . Proposed Two Party, Private well d wo Total.- 0.•Public • Mains of System: If this;is a Commercial Project.you must gnawer 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''SenVice? Y NO . If:this is•;a Propane Tank and/or App lance Installation permit.Mark all items.below that apply: l 1 Underground Tank 1CRbovC'ground Ta Size of Propane Tank: / O .` Heat Sto = I Cook Stove 1 Wnodstove 1 Fireplace-Insert 1 Hot Tank 1;Pellet-Stove: 1 .Other Is this appliance:bein/t installed-in i n a Manufactured/Mobile Home? Yes / 'No 4Iena pol r i gfora permit to'install a prpane tad t yol must also su b mit a s ite p lan 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, .Includl i.:the reserve area. . 3,,,,,,,,,w1-131,iii X:v r :F lc,t i2vi I;N fi4Y,•ve tegy.-t v*? ajt - Fn v'1",;46 vy' .+ d44 t t1' +, 3.uare.Foots o Current Pry.aced :: M i :. ;b � 'J"; :r,na : * F itc' 5 '1� t� b,:'; 'yr :, y� , �� �Ci ��Yr�C� ;_ �#���;{�� <, v�}Y h��.�.i�:��v,.����ls q��.�'vas�j�� � L 35 wry k} Main Floor Heated R :EH Bid App Review: 'r . 2' Floor Heated. . L` i.:::,4 . '•• Consistency Review: Other Heatetj ; z us �"..4., /yam 6 Addttionai Seetian: 4 .ry P lan Check fee:wasiiiiiiiiimmr,;..%.4 r°�I+ Unheated:Basement , y a = '•`State Surcharge fee: IIIIIIIIMIIIIIIIIIII Other.. eated , r _" ii Pot Water Review fee: IIIIIIIIIIMIIIBIIIIIINIIEI Garage/Carport. »` i�a Y {y�� SUBTOTAL r Decks `�rw rx R , {,;„f ;� °; 911/Rd,;4pproaah fee: Other , r a 5 .- ” 4 TOTAL.' . , MI-t {714 Receipt N. i mber. S r SLL �s 4 .Cash/Check Number: IIMIIIIIIMan ESTIMATED COST-(REQUIREDI:' Date •+pair market•value of all labor and materials foundation to finish i Z . 3 . IV Initlats; 1 • G:\PemihCenter\###FORMS#l##\DRIB FORMS\Current )I •Po \Herter Permit AoblicAtion 5-24-oa:dx SITE VISIT REPORT (PLOT PLAN) JOB Th-e-�OCf — DATE: l I —14-13 CONTACT: ADDRESS Y P.61 1 Iv Vcc. PHONE #: DIRECTIONS © —F S, R• ?b FAX #: Email PLANNER: L., . Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and buildings,septic,wells,wetland areas,distance to water bodies. i 4>D f ., Lt./I N/5 c", 00 lkJ1tr©p L FL-1:70li. 1 t�1' 1 21) T E ©)4 WII X p / t-----5111/L (20 V Rod\ ) 4. V2' Svrtz--,Miwty— B,-I, ,S oNr'oow\ WzIaprezi) 3' of • A NOD 001—\T c'► S'L-11-167-1-1, 330 I . • \\Sunshinel\E\BUSINESS\FORMS\PROJECT PLANNING\SITE VISIT REPORT-PLOT PLAN.doc 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#: BLD13-00375 Received Date 11/26/2013 SITE ADDRESS: 85 MARTIN RD Issue Date 11/26/2013 PORT TOWNSEND, 98368 APPLICANT: STEVEN DE JARNATT PHONE: 2747 GLENDON AVE LOS ANGELES CA 900644205 2 SUBDIVISION: LANDAU SHORT PLAT Block: Lot: PARCEL NUMBER: 001291052 Section: 29 Township: 30N Range: 01W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33gg��1l 338g55 Contractor's LicensseSUNSHP*077QP Expires 1 T/1�/2014 5875 OWNER, STEVEN DE JARNATT PHONE: if different: ( 2747 GLENDON AVE LOS ANGELES CA 900644205 PROJECT DESCRT 120 GAL TANK, PIPING AND FREESTANDING STOVE 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 11/26/2014. REQUIRED INSPECTIONS: • Tank/Line/Appliance: r'}( /A/4 FinalApproval: Qi( f/ii/i4 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 11/26/2013 ¢g ON �O - 4 " „ °?, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: / —3 Time Received: am wino Mon Tue. Wed. Thur. Fri. Date: I-_ BLD: 13 —37,5` Contact Name: Owner: Contact Number: 360 5 - 77 Address: P 5- m 44 hA,J 206 Notes: ,.0„ell 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 JEFFERSON COUNTY Z. NO. 145574 DATE \t/Z-Cif - RECEIVED FROM S)` �cV(D ' ' DESCRIPTION BARS# AMOUNT CURRENCY f` r 224„,(-4) ( ,,, „ COIN z T}I �� CHECKS S L a C O"' A' It Q� l cn "mot l 0 2~i Q a Q RECEIVED BY TOTAL 7� /� _____ UL 6