Loading...
HomeMy WebLinkAboutBLD2015-00041 - MECHANICAL 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#: BLD15-00041 Received Date 2/13/2015 SITE ADDRESS: 170 N PALMER DR Issue Date 2/18/2015 PORT TOWNSEND, 98368 APPLICANT: RICHARD H WOODCOCK PHONE: 360-379-2763 KAREN L WOODCOCK 170 N PALMER DRIVE PORT TOWNSEND WA 98368 SUBDIVISION: 9384 Block: Lot: PARCEL NUMBER: 938400821 Section: 12 Township: 30N Range: 2W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33 Contractor's License SUNSHP*077QP Expires 14 60og5-5875 OWNER, RICHARD H WOODCOCK PHONE: 360-379-2763 if different: KAREN L WOODCOCK 170 N PALMER DRIVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: NEW MECHANICAL Directions NEW TANK 120 GALLON NEW LINES FIREPLACE INSERT 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 2/18/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: /O`/.3 rr Tank/Line/Appliance: V/0 /S iv) Final Approval: 2"/U//< 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 2/18/2015 0BUILDING PERMIT APPLIC Alk)N BLD15-00041 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00041 Received Date: 2/13/2015 SITE ADDRESS: 170 N PALMER DR PORT TOWNSEND, 98368 OWNER: RICHARD H WOODCOCK PHONE: 360-379-2763 KAREN L WOODCOCK 170 N PALMER DRIVE PORT TOWNSEND WA 98368 9384 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938400821 Section: 12 Township: 30 N Range: 21.11 CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW MECHANICAL NEW TANK 120 GALLON NEW LINES FIREPLACE INSERT 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: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: outing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $234.00 SRE 02/13/15 154119 APPROVED Total: $234.00 FEB 1 E 2015 \\tidemark\data\forms\F_BLD_App_Bld.rpt 2/18/2015 S • ----. ti�SbN `06, DEPARTMENT OF COMMUNITY DEVELOP : 1:1141 T 1 W4 , 621 Sheridan Street,Port Townsend,WA 98368 t� o o ,-, 'r .• Tel:360.379.4450 I Fax:360.379.4451 r' 4■ ~° Web:www.co.jeffcrson.wa.us/communitydevelopmcnt Q� cr v E-mail:dcd @co.jefferson.wa.us �o k/S ,off _ kI NG �; w MECHANICAL PERMIT APPLICATION Uw _,_ LL -o Steps in the Permit Process: j`r = -Review required submittal items to ensure all information is completed prior to submitting appli w� _`—— i -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. Is this application for use in a Mobile Manufactured Home? pp / * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I-360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 \ General Site plan—showing propane tank, lines,and distance from tank to all existing structures. 1a4=4" i ,. , <' p r' , ', OH — Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. — Assessor Tax Parcel Number: 3-, •• 2.-1 Site Address and/or Directions to Property: 1-7c) . ,'4(41.,1-tei2. gnIIIIIIIIIIIIIIIIII off-"r lov-)t-- • Access(name of street(s)from which access will be gained: , Description of Work: I < , lb or �e v i ■ Name: -:'illMRIMIIMPA!IPMP2jWtrillIllillIllIllill ' Address: . Ot�1) Ode ^6sJl -'.i 4 . L: ,,i Phone#: "j,Q---o1-2 • E-mail Address: Please contact Authorized Agent/Representative with project info. ,,— Property Owner Signature: Date: 1;'. QIS *.",'....r a 3,+$''' iv ddt aB -esl z "r ..i knF t k. ..; '` ,.. .... kp Name: £wvt .Li At Pr'als ago Phone#: .5'r. --1.61-' E-mail Address: <<_1 :�M „I. . 1 License#: 5LIJ�4p +Q 1 7&-P Expiration Date: I Mechanical Application 1 %- 1 • • Electric Heating Oil Propane* N Wood t'r 4 *Propane is prohibited in ,,li� � 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 H.od Exhaust gas can unsafely collect. 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 C. bustion Air application showing the Gas Pipe System Gas Pipe System LP Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallohs: ) over 500 gallons,a site plan is Heat Pump required ton 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 willbe charged. By signing this application form,the owner/agent attests that the information provided herein, and in any attachments, is true and correct toi 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 and I this permit will be performed and in compliance with all applicable federal, state and county laws and regulations agree to provide access 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 tlhe County's intent to enter upon the property for visits rela ed to this application and subsequent permit issuance. Signatur-: ( , rint Name: �6 - Date: z- -�S r , Al *Additional fees may apply. eC.�'-C \ 4U1 c tt(( Mechanical Application 2 �A JC Z.`C •D° Sc.ckr\r). I nq i i SITE VISIT REPORT (PLOT PLAN) JOB I�L��sZl D 00 CD(A- DATE : I Hz11S-- CONTACT: ADDRESS PHONE #: DIRECTIONS e.0 s es-e_ R4 .Z C -V<C:eotit sbc', FAX #: To 1-7 b OR Email PLANNER: b, I0 c 8 S° e 0 120 V, 'Ratil 6n, csST i►-) 1-.Q, I NI S-et Q' V-c�n`T (IA s-e Cwt I a Oil SI le or � � . SUNSHINE PROPANE • Page 1 of 2 •Home Inicia en Espanol Contact Search L&I A-Z Index Help My Secure IAI Safety Claims&Insurance Workplace Rights Trades&Licensing SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR CHAWES,RICHARD HENRY PORT HADLOCK,WA 98339 360-385-5797 Principals JEFFERSON County CHAWES,RICHARD HENRY,PRESIDENT LEMLEY,DAVID BARRY,VICE PRESIDENT SIMPSON,LAURA ANNE,SECRETARY YOURISH,ROBERT B,TREASURER FLANDERS,RONALD LEE,MEMBER EWING,MICHAEL HOYT,MEMBER ROSS,LEVI K (End:01/01/1980) CHAWES,RICHARD (End:01/01/1980) YOUNT,JO (End:01/01/1980) SPRING,PERRY (End:11/05/2010) PETERSEN,JAMES (End:11/05/2010) Doing business as SUNSHINE PROPANE WA UBI No. Business type 600 342 368 Corporation Parent company ENVIRONMENTAL HOUSING INC 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. SUNSHP*077QP Effective—expiration 11/1711993-11/17/2016 Bond No current bond account.See the bond history. Bond history Insurance FEDERATED SERVICE INS CO $1,000,000.00 Policy no. 633829 Received by L&I Effective date 11/09/2006 11/17/2006 Expiration date https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 2/13/2015 SUNSHINE PROPANE Page 2 of 2 •Until Canceled United States Fire Insurance C $1,000,000.00 Policy no. 506-878572-6 Received by L&I Effective date 11/13/2014 11/17/2014 Expiration date 11/17/2015 Insurance history Savin s (in lieu of bond) $12,000.00 Received by L&I 09/1612014 Savings account ID Effective date 0770001033 09/10/2014 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 422,171-00 Doing business as SUNSHINE PROPANE Estimated workers reported Quarter 4 of Year 2014"11 to 20 Workers" L&I account representative T1 I JAN BENTLEY(360)902-4652-Email:STR0235@lni.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington Slate Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. access lArathU.n%tOfl • https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 2/13/2015 Parcel Details Page 1 of 2 \ erson County Home County Info Departments Search Parcel Number: 938400821 SEARCH Parcel Number: 938400821 Printer Friendly Owner Mailing Address: RICHARD H WOODCOCK KAREN L WOODCOCK 170 N PALMER DRIVE PORT TOWNSEND WA98368 Site Address: 170 N PALMER DR PORT TOWNSEND 98368 Section: 12 School District: Port Townsend (50) Qtr Section: SW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: 9384 - CAPE GEORGE COLONY DIV. 3 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE COLONY DIV 3 BLK 8 LOT 22 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Survev Septic Monitoring Info ?.� ''mod: Jefferson 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=938400821 2/13/2015 410 S Sally Ellis From: Laura Simpson <laura @sunshinepropane.com> Sent: Monday, February 16, 2015 8:28 AM To: Sally Ellis Subject: RE: NEW PERMIT WHAT SIZE IS THE TANK 120 GA.VERTICLE From: Sally Ellis [mailto:SEllis @co.jefferson.wa.us] Sent: Friday, February 13, 2015 3:42 PM To: Laura Simpson Subject: NEW PERMIT WHAT SIZE IS THE TANK 170 NORTH PALMER DRIVE PORT TOWNSEND, RICHARD WOODCOCK ADVISE WHAT SIZE IS THE TANK 'x,,...os (r a `Ivh,3 tidy.".... Sally L Ellis Jefferson County Community Development. Pennit Technician 621 Sheridan St., Port Townsend,WA 98368 Mon-Thurs 9am-4:30pm,closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451 sellis @co.jefferson.wa.us http://www.co.jefferson.wa.us 1