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HomeMy WebLinkAboutBLD2014-00424 - MECHANICAL Ilk BUILDING PERMIT APPLIC N BRDI4-004 4 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00424 Received Date: 11/19/2014 SITE ADDRESS: 135 SLATER LN PORT TOWNSEND, 98368 OWNER: MARK ST OEGGER PHONE: 805-450-9864 135 SLATER LN PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001205012 Section: 20 Township: 30 N Range: 1V1 CONTRACTOR: C H S INC PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CHSIN**9790Z Expires 9/7/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Installation of 250 gal propane tank and gas stove top/oven/water heater TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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: IRouting Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 NEW 11/19/14 153859 f-s J h?Unffl UOS.IGj Total: $228.00 f. I ft, ` K I s? \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/19/2014 s go�ti�, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4 ,���SYtNG�� Date: `—\L.Time Received: k 3( C�L'� pm Mon. CD Wed. ur. Fri. Date: 1 - (3 -15- BLD: 14 - 42-1-t Contact Name: Owner: Contact Number: 360 'OP SO WOL Address: t3 S` 5 -ter' L I, 206 Notes: `b 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 X - Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling .\ GCy JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 2'9SH r\C.Co Date: .,G Time Received: � /i�'J'Ipm Mon. Tue. Wed. Thur. Fri. BLD: Date: �a Contact Name: Owner: Address: Contact Number: 360 3 S �_*t-cam 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Ste Footing Above ground Gas Hydronic Exterior shear Exterior lines Straps Hot Water Htr Oil Interior shear Interior lines Post Hole Ducts Ventilation Underfloor Appliance Man-Homes Gas/Wood stove Insulation Setbacks Final Inspection Floor Foundation Wall Block &Tile Address Posted Ceiling 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#: BLD14-00424 Received Date 11/19/2014 SITE ADDRESS: 135 SLATER LN Issue Date 11/19/2014 PORT TOWNSEND, 98368 APPLICANT: MARK ST OEGGER PHONE: 805-450-9864 135 SLATER LN PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001205012 Section: 20 Township: 30N Range: 1W CONTRACTOR: C H S INC PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CHSIN**9790Z Expires 9/7/2016 OWNER, MARK ST OEGGER PHONE: 805-450-9864 if different: 135 SLATER LN PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: Installation of 250 gal propane tank and gas stove top/oven/water Directions heater 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 11/19/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 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 CrYlaiLW O \\tidemark\data\forms\F_BLD_Perm it_Propane.rpt 1 /19/2014 2 4 I 4 - ()°4 D __, v R.- --\, ,,• 1 03 LI 1 1 1 1 1 1 ) r • 1 1__ 1 ,v , rlE - fZ <1.) to ct . q 111,1 t 1, ,' ' wiil vsi ,. 1 i 0 1...4es. _ cp 0, 0 , 7._,Le;ir....- ,,,,N, VAdI 110 , ,...-a- - - . , ...,,b,.. vE .4„. 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Email:dcdt co.jeffexson.wa.us IN6`�� ° ''1 1 7 ,''1. ! � MECHANICAL PERMIT APPLICATION ___._ _J Steps in the Permit Process: Y -Review required submittal items to ensure all information is completed prior to submitting application: -Make an appointment to meet with the Permit Technician by calling 360-379-4450. Fees will be collected at intake. Additional fees may apply after review and payment is required per before mit is issued. Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I-360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 ® n Pte- i-1 4;V: =, = 03 '74 ,` 2r ��r Complete Site plan - Please refer to the site plan checklist to ensure all items are oar the s i �.s i�iP v`^ � _ "F= �1 `i' - r i i I yap, ,-,33,s yr"'i: '30 li r - �. r� i��i _t'A � '� '- , r e �r-sg�; s 9 :'e, e e y, Efl3 k=1l arc; t 3 a +� ter? w �k Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. l:: {rya Ph -_ , - i .r " i '.: " yI r �� Ip w �' ir � - �a Assessor Tax Parcel Number: 001 a ■S 0 I --Site Address and/or Directions to Property: i 3 S S L.t■-.- z L-04, '?or'T"e -.I.SEsm i r.,J 4. Access (name of street(s)from which access will be gained: 5 t_A. .?- L►.t , Description of Work: teas:t�.u_a,r,,0,.l, C3 Z 5o ,)~` � �A-,.c e, "t' ., t:"-- Z. �P /o vela. /tom,+•. z E --r &.. —- - — d ii p6 „,,,-,,,,,,p, it,t „!:„'.:;-r.:,- (t ' S If 's, `-, � Name: Mt+:z.� ki "T'2.,-S 4 ST- D c.c. _ ------- 'k' Address: (3S Si- -r-- t t..�t . 7a .�`C-w�„se.,o.c �. clitY 4 8 f E-mail Address: ,,� � Phone#: (acs) t-'I So—98 6'� wts-to%�er��i9�a,��-� �� 4 Please contact Authorized Agent/Representative with project info. Property Owner Signature: -_� r - —r Date: f//3 � ``t' ''''T4 n ai 4 r , , et +; „ i , . A§ ; tite w.ti r r- V J: 3 ,¢ f 4 , Name: c.-e� X (Phone#: '3 ©- 73e.- 5 j E-mail Address: ” r I i,icense#: _-- _ — Expiration Date: _—— A , Mechanical Application I zAI L Electric Heating Oil Propane* / Wood *Propane is prohibited in �" # � ,,.u�'tn� hazardous locations such as Fan math Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove + �yle.fl _ Cook Stove, Range Hood Exhaust gas can unsafely collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 126 Fireplace-Wood Fireplace-wood,Wood Stove,or gallons require a minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane(LP)Gas Furnace Propane Furnace+/- Ducting and a site plan must be submitted with the j Water Heater-Gas _ Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is — — Propane Tank LP Fuel Tank(#gallons:ZSC) ) over 500 gallons, a site plan is _ Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this ap•I. ation and subsequent permit issuance. Signatur-: Print Name: t--r �tc.._ Ste. d S Date: /7/7"y � " '+ r 'M v." tr raj}a, 1�Yr-� ^t 5 t M I I e tAi =tw, t' a laai Q +,' 1 Prfo` t 1�1 Additional fees may apply. Mechanical Application Parcel Details Page 1 of 1 .� Jefferson e fferso Va Home County Info Departments :4 Search Parcel Number: 001205012 SEARCH Parcel Number: 001205012 Printer Friendly Owner Mailing Address: MARK ST OEGGER 5121 WALNUT PARK DR SANTA BARBARA CA93111-1738 Site Address: 135 SLATER LN PORT TOWNSEND 98368 Section: 20 School District:Port Townsend (50) Qtr Section: SW1/4 Fire Dist:Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area:Quimper (2) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: DEER RIDGE LOT 11 SUBJ/EASE Tax,A/v,Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME 1 COUNTY INFO 1 DEPARTMENTS 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows-Mac http://www.cojefferson.wa.us/assessors/parcel/parceldetail.asp 11/19/2014 C H S INC • • Page 1 of 4 CoWashington State Department of Labor & Industries CHSINC Owner or tradesperson PO BOX 518 CASALE,CARL MARTIN AUBURN,WA 98071-0518 253-833-7220 Principals KING County CASALE,CARL MARTIN,PRESIDENT EGAN,THERESA MARIE,VICE PRESIDENT MCENROE,JOHN DANIEL,VICE PRESIDENT LILJA,NANCI LEE,SECRETARY KASTELIC,DAVID ALLEN,TREASURER C T CORPORATION SYSTEM,AGENT ESTENSON,NOEL,PRESIDENT (End:09/21/2012) WESTBROCK,LEON,VICE PRESIDENT (End:09/21/2012) BAKER,DAVID A,SECRETARY (End:09/21/2012) Doing business as CHSINC WA UBI No. Business type 600 148 004 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. ........................................................................... Meets current requirements. License specialties GENERAL License no. CHSIN**9790Z Effective—expiration 09/09/2003—09/07/2016 Bond ............ Liberty Mutual Ins Co $12,000.00 Bond account no. 58S203444 Received by L&I Effective date 10/05/2012 11/21/2012 Expiration date Until Canceled Bond history Insurance ............................... Old Republic Ins Co $1,000,000.00 Policy no. MWZY302766 Received by L&I Effective date 09/08/2014 09/01/2014 Expiration date 09/01/2015 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600148004&LIC=CHSIN**9790Z&SAW= 11/19/2014 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#: BLD14-00424 Received Date 11/19/2014 SITE ADDRESS: 135 SLATER LN Issue Date 11/19/2014 PORT TOWNSEND, 98368 APPLICANT: MARK ST OEGGER PHONE: 805-450-9864 135 SLATER LN PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001205012 Section: 20 Township: 30N Range: 1W CONTRACTOR: C HS INC PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CHSIN**9790Z Expires 9/7/2016 OWNER, MARK ST OEGGER PHONE: 805-450-9864 if different: 135 SLATER LN PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: Installation of 250 gal propane tank and gas stove top/oven/water Directions heater 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 11/19/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: R; -A _ r- ..kl - iQ- L,i 4i' 1/z-5/11 (/LL5iPL HuT OrP 164 cvg4) 1)4//3 is Tank/Line/Appliance: /id s/il ik,r h24-rpp `h,r1EgZ /— 01/15, Pr_ P,Lue OA( 031/6-fr Final Approval: //-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 11/19/2014