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HomeMy WebLinkAboutBLD2013-00393 ItUILDING PERMIT APPLICAAN BLD13-00393 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00393 Received Date: 12/13/2013 SITE ADDRESS: 130 TRAFALGAR DR PORT TOWNSEND, 98368 OWNER: RICHARD W ZINN PHONE: 360-385-5680 130 TRAFALGAR DR PORT TOWNSEND WA 98368-9543 KALA POINT#4 SUBDIVISION: Block: Lot: 138 PARCEL NUMBER: 965000127 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION INSTALL HEAT PUMP AND AIR HANDLER TYPE OF WORK NON 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 12/13/13 145629 APPROVED $228.00 APPROVED DEC 1 6 201 Jefferson Corn , \+irinm.rWrl a+�\+Wane\G Pi ri Ann Rlrl m+ 17/1 R/1m 14 3 - � it). JEFFERSON onco DEPARTMENT OF COMMUNITY 621 Shan Sheet•PortTownsend•Washington 98368 3601379-44er 3wa.us/-4451 ev www.co.jeffelson.wa.us/c immdevelopment Master Permit Application MLA: Project De 5 i J necessary):� S kw Tax Parcel Number: 265000127 - PrOPerty Size: (wee/square feet) Site Address and/or Directions to Property: / 130 Trafalgar Drive Port Townsend,WA 98368 1./ I'y1 C-k t 0 W ('((u- G r C°a Property Owners)of Record: R icharrl jinn Telephone: 360-385-5680 Fax email: Mailing Address: 130 Trafalgar Drive _roil TQWnsend,WA 98368 Applicant/Agent(if different from owner): All Weather Heating&Cooling,Inc_ Telephone: 360452-9813 Fax: 360-452-5177 email:knxkeownocaliweatherhe corn Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies ( Building 0 Critical Areas Stewardship Plan O Demolt on Permit 0 Variance(Minor,Ma jor or Reasonable Economic Use) C]Single Family O Garage Attached/Detached D Conditional Use[C(a),C(d),or C)*" O Manufactured Home 0 Modular 0 Discretionary`D'or Unnamed Use Classification O Commercial' 0 Special Use(Essential Public Facilities)`* © Change of Use 0 Boundary Line Adjushnent O Address ❑Road Approach; 0 Short Plat** 0 Home Business 0 Cottage Industry ❑Binding Site Plan*` pSign D Piwned Rural Residential Development(PRRD)/Annendments'* D Allowed`Yes"Use Consistency Analysis 0 Plat Vacation/ D Stormwater Management D Shoreline Master Program Exemption/Permit Revisions** D Site Plan Approval Advance Determination(SPAAD)" 0 Shoreline Management Substantial.Development'' D Temporary Use Cl Shoreline Management Variance D 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—App#cedon Conference 0 Tree Vegetation Request ** a Conference Please identify any other local,state or federal permits required for this proposal,if known: .,." DESIGNATION OF AGENT I hereby designate AlUy h j Heating`ry& poling to act as my agent in matters relating to this application for permit(s). SKPuAC-MY _ i ate _ 1 ,? '� By signing this application form,the owner/agent attests that the Information provided herein,and in any attachments,is true and correct to tie best of or any of a material fact made by the owner/a with respect to this application packet his,her or its knowledge. Any material falsehood ny omssion y ! 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 oasts,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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app• he or she nts,,,prior nee. e:......1,.....41...(.. ,r : /Z,/2-, °3 is The action or actions Applicant will im, ,.' as a result of the Issuance of this permit may negatively knpact upon one or more threatened or endangered species and could lead to a potential'take"of an endangered species as those terms we defined in the federal law known as the 'Endangered Species Act"or*ESA.'Jefferson County makes no assurances to the applicent that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can die 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 acknowkidges that he,she or it holds individual and non-tra le res natality r adhering to and complying with the ESA. The Applicant has read this disclaknej and signs and dates it below. Signature: „r• l ` Date: /Z 2-7 g G:\PermitCenter\###FORMS###WRD FORMS\Muter Permit Application S-2943:doc ID • 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 veil be assuming the responsibility of the General Contractor for the proposed project. Sigtettere: � �.. _. Date: /2.7 z / GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) MAILONG ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAM.ING ADDRESS: • EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 3 New 0 Wood Existing: E Sewer i "i Addition cl Steel Proposed: Bank 7, Community System 3 Atteration/Remodel 0 Concrete Total: Height: 0 Individual System i Repair ❑ Masonry SEP Perms# 0 Demolition ❑ other: Bedrooms: water Supply: Existing: Seth j Private well n Two Party Type of Heat Proposed: 3 Public Total: Name of System; If this Is a Commercial Prolact you must answer the foilowlno: Number of Parking Spaces: Current Proposed; Number of 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 this. :,a ia':.i ti Tank !.- 1 L :.il. .l P..:i4L `..1.*1, !d:S 1.!.1 I Underground Tank I Above ground Tank Size of Propane Tank I Heat Stove I Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank I Petit Stove I Other Is this araoliance being Ingitalletin a-Marj factgrcd/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. itopfe-7'TVA,* re F.• Current - ToltsMt.t.,..,..: .; .� Main Floor Heated ,_ EH Bid App Revlew 2 Floor Heated '1'4';'t Consistency Review { Other Heated Base fee. w"! Mezzanine Additional Section: . Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 71 Other Unheated ,,Mt Pot Water Review fee: Gard - SUBTOTAL Decks s Y 7 tet 911/Rd Approach fee: it Other 9 4 Receipt Number: CsshlCheck Number: ESTIMATED COST(REQUIRED) Date: .Fair marker value of all labor and materials foundation to finish initials: G;\Pam itCentrA###FORMS###\DRIB FORMS\Master Paling Application 5-29-0B.cioc 00•Z5l uu!Z J041IwJed leoluegoaL JId 6uploaya sseulsn8 • 00•Z9 6 (8ZZ$ao}Ieul6lao paplon) uuiZ Jo;l!wJed leoluegoaw seed I' sliwied • 9L9:?:110-000 £l.(001431. ;uawdolenaa •wwoa 'Idea •oa uosjej4er Z589Z 'Mg 6U!1000 19 But;eMH JetweeM IIV r 0 • CC ti H O 0 O 0. LL CV -0 Z LL � O I-I O ti O N N - CO •Ct -) LL O -0 - LO J O O L C, -O X CC -0 -I-, O Z r- C-) O O H LU O O CO -P 'G H O m I O .0 L .0 OD r` Q JO CJ U U W Z O CC O J O1 a = � • U F- I- O O � CO 1- Cb CD LOD CO "0 CO 0 O I C.) 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Date: ,I, BLD: j - 039 3 Contact Name: r�Z.,'ryn Owner: k c{ d 1f ilti Contact Number: 360 j— 4, Address: 1.- 0 Tr�tL�.`i gar Pr 206 Notes: / r 4,A AAAl 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 Xi_ Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling a • 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#: BLD13-00393 Received Date 12/13/2013 SITE ADDRESS: 130 TRAFALGAR DR Issue Date 12/16/2013 PORT TOWNSEND, 98368 APPLICANT: RICHARD W ZINN PHONE: 360-385-5680 130 TRAFALGAR DR PORT TOWNSEND WA 98368-9543 138 SUBDIVISION: KALA POINT#4 Block: Lot: PARCEL NUMBER: 965000127 Section: 27 Township: 30N Range: 01W CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 OWNER, RICHARD W ZINN PHONE: 360-385-5680 if different: 130 TRAFALGAR DR PORT TOWNSEND WA 98368-9543 PROJECT DESCRIPTION: INSTALL HEAT PUMP AND AIR HANDLER 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 12/16/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 1-2?-15- - 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 12/16/2013 • JEFFERSON COUNTY ODCX) NO. 1629 DATE 12---6'1�j RECEIVED FROM Pc1\ �`p-f� DESCRIPTION �RS# AMOUNT CURRENCY c)"'" kS2-'tC COIN o C ,' tee . . c) 0 I RECEIVED BY ak TOTAL ° 15Z-oo