Loading...
HomeMy WebLinkAboutBLD2014-00049 - MECHANICAL 1111k UILDING PERMIT APPLICAON BLDI4-00048 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00049 Received Date: 2/7/2014 SITE ADDRESS: 1771 E MARROWSTONE RD NORDLAND, 98358 OWNER: ROBERT M TIPTON PHONE: 360-774-0856 PO BOX 54 NORDLAND WA 98358-0054 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921042040 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: BRENNAN HTG &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 12/29/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr INSTALL DUCTLESS HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW 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 $152.00 MEB 02/07/14 145842 Total: $152.00 APPROVED Jefferson County DCD \\4irlcm.r4\rh+o\fnrmc\G RI fl Ann PIA rn+ 9/7/9(11A (210 F'jO\ coy. JEFFERSON COUN• V7 L. ' DEPARTMENT OF COMMUNITY DEVELOPMENT 6.4-r z G-O Date: 1 _Z 0 Time Received: (2"Zg am/0 Mon. Tue. Wed. Thur. Date: BLD: r Contact Name: ( Owner: Contact Number: 360 6 Address: � `�� j� ��� L 0 206 Notes: 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_ • • Re JEFFERSON COUNTY �' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450. 3601379-4451 Fax www.cojefferson.wa.us/commdevelopment de 60D (Gi - Lm Master Permit Application MLA: Project o-.-.•,ton(include -:,: :te sheets as -: ) Tax Parcel Number q2,( ow_0(40 .. Property Size: (acres/square feet) Site Address and/or Directions to Property: . n----4-1 t E rY)a r r ow sto n-e-. I 1 C ►rl or d \aa\ Property Owner(s) -I-tI.x■ _ '-1 p r■ •Telephone: O 0 •`1F�•. o Fax email: Mailing Address: 5Ct )9,.._ Applicant/• . :nt rf d " _ , from owner): i A• .• --1'1 _`r Telephone:�. ► al CO Fart.. . . I�i s email: h6( , Mailing Address: t •O t I?, • L. o a -C. q 2' 1 to Co YYl What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) mingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),er-6}-s* ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed 1%,-- V • ©,57: 0 V ❑ Commensal ❑Speaal Use(Essential Public -=�'�+. r� ❑ Change of Use ❑Boundary Line Adjustment I ❑ Address ❑Road Approach ❑Short Plat" ❑Home Business 0 Cottage Industry ❑Binding Site Plan** Dami\o'' " F E B – 6 2014 ❑Propane ❑Long Plat'* '' ji ❑Sign ❑Planned Rural Residential (PRRD)/Amendments** ❑Allowed`Yes Use Consistency Analysis ❑Plat Vacation/Alteration** • ON COUIf ❑Stormwater Management * ❑Shoreline Master Program Evem•1..�;( ",, ' ,;r"',VFWPMENT ❑Site Plan Approval Advance Determination(SPAAD) ❑Shoreline Management Su.,•�:- ❑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: /— 0 E;IGNATION OF AGENT I hereby designate A.A f • / A.I . act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ,r O \$ k . 1 ' C 7% , • 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 hie,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 ail 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 ag,--to • • '•-access and right of: • to Jefferson County and its employees,representatives or agents for the sole purpose of application review an, any .uired later inspections. -,,:- access and right of entry will be assumed unless the applicant , s •, in writing at the time oft :appi» ♦♦. that he or she wants. • •'•,•:. i Signatu ,- E. AA/4 A / & it A Date: sr f The :.r•,{ • c tions.Applicant MI undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endange-."species and could lead to a potential"take"of an endangered species pecies as those terms are defined in the federal law known as the "Endangered S.-, •_=Act"or"ESA"Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has -= :ued will not violate the ESA. •ny individual,group or agency can file a lawsuit on behalf of an endange -,species regarding your action(s) - • are in compliance with ■ 1 County development code.The Applicant acknowledges he,s or it •ids individual and non ,: • ,••,resp0hsibihty for add' , �.. . comply' , r. the ESA. The Applicant has read this d ,r a,• •• : a •dates it below. Signature: ,. A A A A _I I 1\ f. — Date: at – GAP-, -###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced heren,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed per. Signature: Date: ENERAL CONTRACTOR OR1��"UFAlCT�URED HOME INSTALLER: PHONE: FAX: .1 1 1 1 �C f�--Y! c (c OV$ agL:ia m ( q`2J o 2J MAILING ADDRESS:yoQ` 3 ` `]f24k44i-c EMAIL:_\tUt Vr i-t Mbr-t. tArvt, x }l t t7L . . CONTRACTOR'S LICENSE �Y,tJ ‘ L CI INS Co NUMBER: ►►► NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: • EMAIL M Project Type: Frame Type: Bathrooms: Stuorelir ir( g1$Dl{If :Ii `1, ❑ New ❑ Wood Existing:- =13 Sewer ,;1 ❑ Oition ❑ Steel ' Propoed:T oal: Bank _ ` (3 Community System j AlterationIRemodel ❑ Concrete i i ;t �uu ❑ Repair ❑ Masonry 1 I SEP'Fer t# ❑ Demolition ❑ Other. Bedrooms: ; J j Water Supply: U Existing: Setback: rty Type of eat: Proposed: ❑ Pu� FFRS NCO Heat L Total: qF t U V iG;,i "TT If this Is a Commercial Prolect 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 aoolv: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured. ile Home? Yes / No When applying fora 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. • are Foota.e Current .. • . 7 a' i ?- y i ¢:'? Main Floor Heated - EH Bid App Review: C vL 2"°Floor Heated r ' Consistency Review: Other Heated , --, -r- Base fee: • Mezzanine . Additional Section: Fy Heated Basement . } 1 Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated v Pot Water Review fee: Garage/Carport .: SUBTOTAL Decks 911/Rd Approach fee: F Other TOTAL: $ - Receipt Number. � � Cash/Check Number. ESTIMATED COST(REQUIRED) � 0 6 Date: .Fair market value of all labor and materials feu to finish Initials: G:\Pere itC�aer\###FORMS###\DRD FORMS\Master Peanut Application 5-29-08.doc .- • S 6t'' "0 o I 401 South 134th Ph ce IRENNAN Na.�'� S� Seate WA 98188 (206)362-7685•(206)243.7 900 14377-BRENNAN •FAX(2083)248-7905 IIA LNG & ASH CUNU111UN NG Ltc1lBRENNHA971R9 I www.brennanheating.com LAME HOME PHONE DATE rrr r 1 54/ 4 360. 77 4-ots-4' I `Zo -if . kDDRESS WORK PHONE REP�!�w `, CI ?r 6 .hw-.Asar.+si�+a►E Rt. Us. 3�a-• 73-4).- (7ier& O- ;ITV ZIP CODE COSTC• is : #_ t•vNs u♦ob `� 3 Cr t "../ F EXISTING X.s.s..b. r•►� " rep %w-- � l ;.) . 1 i LOCATION .. i 1 ' E - i,L.)1 GAS LINE - i I VENTING - 1 JF1.FE,ASLN Lulal l DF"TDiCvm! y^::LnDp ELECTRICAL ri•• _ s.1` cam_ y7-�• I Jar ,"s LI w A.rf d, _. Q.r.r►t 4-.4D "^,. s.4 44j7 L (,..+/ Q, r- °`^'y" / GENERAL - i- •- _ . ( p..0 . • rtiC DESCRIPTION llw4.5 , (4,,.....L..„( ..r•ms . 'rose. (4%4.5 , #n no 1..1+.*.ars,- toesm ..,A4 OF WORK c0 r (Imo 3 t L.& I As-~fr..5 r E s•h✓ 'f tIA TO BE DONE ,Ft.. • \ jo IvMP s.. I.ak•.1 kf-ip.a.". I kM 14. A,,,...0....4-4.4/ IP- yrcu..-- ptr4 t- (.sti..- CUSTOMER Aa e.)1A—S1 /TO wPRO��V,I�DE L t ti Do- ir- , e... L "`rye F & ( — m IJ"J 6 $ �Il t� $ L,M.40 $ $ $ 0,1_,_k1 S gr- 6s(to CQSk 6whe I '_$ $ $ $ EXTENDED WARRANTY .r299t l,,.+ .$ $ EMERGENCY EARTHQUAKE SHUT-OFF Ptr•.r 7 _$ "35s— $ ELECTRONIC AIR CLEANER $ $ POWER DUCT CLEANING $ $ SUB-TOTAL $ I I, KT'S- $ 1,01 TAX $ t, 0 33 e-r $ , TOTAL $ 12.. ,.-, 'r $ We Propose lismby to furnish materials and labor-complete In a000rdanos with allow.pecillo aoM. M mns,i to be es woolen.N wont Is b be completed In•eubWnbi i=d�� dpepMineis ellenden or Ibn rmdlf�1 o geP� ~tNO IQg ode i P��•••d 1.r Nralabla MMIdIMIMi1d01M men*am ommed een append MINIM oN�leig fan wits drpe over end oboes the Minn BID VALID Fe R 30 D. Acceptance of Proposal /j/%eumeted IheartyenlrlOnlameabovewostendWrote plyrremoutunboltInrdepropoW.I slily A —" �ee�11:11 aeende•ndree?Olecanna&19eOYl11,dienb annalrlM egreemenM — f'ee0e0141etOf egg enleellen sneer Mbnwy Ins If perm*Is not inado.Mw.....1.WIN be ar.Ke..rerw � —�—~ ' w • 0 ■IA ____ in FE 0 I I] V ft:7, i- FEB _ 62 JI I J/ I JEFFERSON COUNTY • DEPT.OF COMMUNITY DEVELOPMENT r f e-_,---- J 7 .? 0 .\./0? __________ ____ ,„ .,\,,, ......1 I _ , ,,,,,„, _ ti ,...,..„..,. ,,z, ), , ,i ( ._.... J rr --- , iv t s J N J Co o v � JEFFERSON COUNIOY vo — • 145542 DATE 7�/ 113 - RECEIVED FROM V) P I DESCRIPTION BARS# AMOUNT CURRENCY (y 1„ ' 2 `'-e) - COIN <. CHECKS.,... 4-�O( "t C � CO `2 o x t ' . O RECEIVED BY rr TOTAL , . ,— �( S Z—' • 4 1/4......, ..,...r._ v..\ i it I i ,.... m i FEB- — 6 2.n'-, — 4 JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT f e....,--.. ..OS-C.;. 1 ".., r . --------_____ ---_,,, (....e. „ NNN )---T- 1 'NN... 1.,..,,._ --.. ri. ii \J L J --4 r, N Ul \P -- -ty J -67 t /..> P Co \ \C \ V ,Z r • 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#: BLD14-00049 Received Date 2/7/2014 SITE ADDRESS: 1771 E MARROWSTONE RD Issue Date 2/7/2014 NORDLAND, 98358 APPLICANT: ROBERT M TIPTON PHONE: 360-774-0856 PO BOX 54 NORDLAND WA 98358-0054 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921042040 Section: 4 Township: 29N Range: 01E CONTRACTOR: BRENNAN HTG &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971 R9 Expires 12/29/2015 OWNER, ROBERT M TIPTON PHONE: 360-774-0856 if different: PO BOX 54 NORDLAND WA 98358-0054 PROJECT DESCRIPTION: INSTALL DUCTLESS HEAT PUMP 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 2/7/2015. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 1°7,2516— Ti 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 2/7/2014