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Home My WebLink AboutBLD2015-00009 - MECHANICAL 0411 BUILDING PERMIT APPLIAN BLD15-00009 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00009 Received Date: 1/9/2015 SITE ADDRESS: 1100 S DISCOVERY RD PORT TOWNSEND, 98368 OWNER: WILLIAM E NANCE PHONE: 360-385-6180 MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA 98368-0331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001174012 Section: 17 Township: 30 N Range: 1V1 CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION MECHANICAL PERMIT- REPLACEMENT OF PROPANE FREE- STANDING HEATING STOVE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: 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 $156.00 SRE 01/08/15 154052 APPROVED Total: $156.00 APPROVED JAN J - 9 015 2 Jefferson County DOD \\tidemark\data\forms\F_BLD_App_Bld.rpt 1/9/2015 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#: BLD15-00009 Received Date 1/9/2015 SITE ADDRESS: 1100 S DISCOVERY RD Issue Date 1/9/2015 PORT TOWNSEND, 98368 APPLICANT: WILLIAM E NANCE PHONE: 360-385-6180 MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA 98368-0331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001174012 Section: 17 Township: 30N Range: 1W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 OWNER, WILLIAM E NANCE PHONE: 360-385-6180 if different: MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA 98368-0331 PROJECT DESCRIPTION: MECHANICAL PERMIT- REPLACEMENT OF PROPANE FREE- Directions STANDING HEATING STOVE 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 1/9/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: M(11L-4(4 a-OVALV Final Approval: Cr CO 1/CV[ S" 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 1/9/2015 5.,-. .... • , • s� , {ry ;1 s i S t y tT- at. ;:t:',..',,-; tk 1{f`+ . �f Y ' .,;%;, ti ,. ',-'' • e.-±-3...,. CC gin . - 3 K. Ii trl .§ s 3 . a ,f.,..,„ff,,,_, , : . , , . . , •....... x 1. U. �« .�N 3 r f 5 d,. 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' V.‘YA .I':1:.r'..`gi.� r • 0 CY y: �' U' + A° "kc . { .� ,; { ti r "yg } i�Rt '"+ St $da L , . £ , `a as y r.V r .0 y• t-, t� r; s '•).' +- 1. : _.Z ; Yk + ^ :s7 1 � �•{ 4 t e ;�- y wkt•L • •w ON ( _ co& DEPARTMENT OF COMMUNITY DE : ' ' ' - 4, 621 Sheridan Street,Port Townsend,WA 98368 , [ LF' .- .< Tel:360.379.4450 I Fax:360.379.4451 -• Web:www.co.jefferson.wa.us/communitydevelopment i i i , E-mail:dcd@co.jefferson.wa.us JAN - 2015 to '16'1-1I1•10�0 2015 iii i MECHANICAL PERMIT APPLICATION . Y Steps in the Permit Process: rar;gT� -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. ForDepartment U .; TA j Receipt#F �, ate �� ' E 1 -° e Related A p licati+ � f a Pa nt# 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&l-360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 I Required Submiittal Items-for pkt.:0 4,:!ta k only General Site plan-showing propane tank, lines,and distance from tank to all existing structures. � R qu ed Submittal Items-for Solar P;an , staillation only a _ _ Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. 1 `,,,,.$4 I formation 1 ''4 :, (' 4: -- Assessor Tax Parcel Number: 0 0/(7.1.. ()/V. (3 Site Address and/or Directions to Property: //00 S D/SC.ov r—,' ectsio, F. T /s dY("ve,Jcty pask.cd Nelscui's Lavich,-...9 &/ on R196 I 'Gri4 P r) //oa /1t 3o ' J cl4) ., Access (name of street(s) from which access will be gained:10' S ,sccvcse,- p?oicio Description of Work: 7 /2/accts-ice& Re-Opal/r& =.f-r".ee-cicrI7tc(r✓r hercfrA3, SL-ove (Pe.0/04?J - /ft-A-1/t aiKeo c,5' /r)2 sii:T.-t 0.- „ /0vcp eov Proper y nee E w; Name: (,A7(t,t-t tl--/ e e N. ruc-6/ 4/(xx `d , S t-C—e_ , Address: GI Phone #: 360 < S 6( 1?-0 E-mail Addres . p4 d�SS(€rres� �itO /1,(,ltr - _ Please contact Auth ' ed Agent/Representative with project into. . cock E. Property Owner Signature i C-- Date: ®//o7//S It Applicant/Cg4trattorA4t4orized Agent/Representative ,: Name: 9--v j -r2. P 4G - t fCc)Jtt& Phone#: (36o) 45a (pc,,. E-mail Address: vAierig 40 , License#: £\f /Z(A21 Q g&IL Expiration Date: g/ i'7 2,6/ Mechanical Application 1 •• •• Heat Source Electric Heating Oil Propane* ✓ Wood Indicate Quantity and Fixture T ypes Below *Pro pane is prohibited in Quantity Fixture Typ+ Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. j. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 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 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:_1 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 tiis application and subsequent permit issuance. i ) Signat r-: A.4,1,g011%- Print Name: M Date: 0(/07-//c OFFICE USE ONLY Building Permit Fees Mechanical i _ ,wd*tove-furnace,etc) $15600 Propane Lines,tarn;and app-fiance(add'I$78.00) Project Scanning Fee $19$0 Total Fees I* � , .15 . *Additional fees may apply. Mechanical Application 2 Parcel Details Oil • Page 1 of 2' '1.41' 'jLJefferson ' _ y j Home County Info •.Departments ' Search Parcel Number: 001174012 SEARCH Parcel Number: 001174012 Printer Friendly Owner Mailing Address: WILLIAM E NANCE MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA98368-0331 Site Address: 1100 S DISCOVERY RD PORT TOWNSEND 98368 Section: 17 School District: Port Townsend (50) Qtr Section: SE1/4 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: S17 T30 R1W TAX 20 Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info ;1. , 3 e ferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=001174012 1/9/2015 410 0 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#: BLD15-00009 Received Date 1/9/2015 SITE ADDRESS: 1100 S DISCOVERY RD Issue Date 1/9/2015 PORT TOWNSEND, 98368 APPLICANT: WILLIAM E NANCE PHONE: 360-385-6180 MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA 98368-0331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001174012 Section: 17 Township: 30N Range: 1W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2016 OWNER, WILLIAM E NANCE PHONE: 360-385-6180 if different: MARIE L M DRESSLER PO BOX 331 PORT TOWNSEND WA 98368-0331 PROJECT DESCRIPTION: MECHANICAL PERMIT- REPLACEMENT OF PROPANE FREE- Directions STANDING HEATING STOVE 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 1/9/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Ol< 04//5, Tank/Line/Appliance: 'Xi5T/A�i: L/Ars recip."E" 5reiv,. O K 04145, . Final Approval: (AX -ar t'f a`"J t//4V/5,: 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 1/9/2015