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HomeMy WebLinkAboutBLD2015-00066 - MECHANICAL BUILDING PERMIT APPLICAT!N BLD15-00066 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00066 Received Date: 3/3/2015 SITE ADDRESS: 40 SETON RD BLD A PORT TOWNSEND, 98368 OWNER: OLYMPIC STORAGE LLC PHONE: 360-301-4365 P.O. BOX 1323 107 BLOSSOM LN PORT TOWNSEND WA 98368-9666 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212012 Section: 21 Township: 30 N Range: 1V1 CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861 LW Expires 6/6/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMITS 25 GALLON PROPANE TANK INSTALL & INTERIOR GAS PIPING 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: 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 $156.00 SRE 03/03/15 154176 Permit $78.00 SRE 03/03/15 154176 APPROVED Total: $234.00 MAR 0 6 2015 Jefferson County DCC \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/6/2015 • w4SoN C0 DEPARTMENT OF COMMUNITY DEVELOPMENT W621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379 4450 Fax 360.379 4451 Web:wuw.co.jefferson.wa.us/conununitydevelopment E-mail:dcd@co.jefferson.wa.us '141-/I NO MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -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. j -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. -3/3/ � S For Department Use Only Receipt#: j < Dat t � . Related Application#s: Payment#: ) 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 Required Submittal Items-for propane tank only - - General Site plan—showing propane tank, lines,and distance from tank to all existing structures. Required Submittal;Items—for Solar Panel installation only,: _ Complete first page and signature block only of Mechanical Permit Application. _ A complete solar panel supplemental application. Site Information ` Assessor Tax Parcel Number: 0 d ic2 / ©/ Site Address and/or Directions to Property: 4/0 S e ,-, ed 3 u a k A Access (name of street(s) from which access will be gained: 5e-ton Description of Work: prh nr --tartK Set F P tire-/so� A ex S p ;p;(1.3 Property Owner Name: ' ao lietect, CP Address: 133 Phone #: 30) - q3: E-mail Address:' vcd 0 1.pert‘corn B Please contact Aut►• ' ed A:-nt/Representative with project info. Property Owner Signature: ei 0�L � Date: .. / Applicant/Contractor: Authorized Agent/Representative Name: S c PtiA y. 1 L _ o l'l g 'E S hv,0 Q Ji r k�atl Phone#: 3,q-771-- 1995 E-mail Address: � awe Serv;ceZ am 91,r,#: ;Sb0 S Expiration Date: 4//(012014 Mechanical Application 1 • I aT Heat Source Electric X Heating Oil Propane* Wood Indicate Quantity and Fixture!Types Below i *Propane is prohibited in Quantity Fixture Type Description i 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. , 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+/I-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: 2) ) 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 sociated with this permit will be performed in compliance with all applicable federal, state and county laws and reg lations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or a ents for the sole purpose of application review and any required later inspections. Applicant may request notice of he County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Si nat -- . �Rr i / g int Name: nC�f�Pr�� � ���.+'ncr ? Date: ��2�,//(_' OFFICE USE ONLY 1 Building Permit Fees Mechanical Permit fee;(tank;swap,.woodstove,furnace,etc} $156.00 Propane Lines,tank, and appliance (add'l $78.00) 10, .Q, Project Scanning Fee $19.50 Total=Fees* - *Additional fees may apply. Mechanical Application 2 , ‘1, o 16 4 i (...4 1.■ -,---- FA ir !II _____ A , , 4, ... , ,, 0 , , ,1, , „v ......„ , , , ...___ 4, 0 . .. -.--- 'A ' - \41 4. ii ,, ........ 7 , A \'° ,,...\... ii oil , ..._ r, -.5 . .4 i Jill \J N ,...... 1---,-... . ....1 fil ■to ir i _ Ili m Nii,1 ,114! ,..... . \-.....„ 0 1,11 Ill 1 i 11 .. , III __ 111 r r_..... 1 f\ r) Il k! ' i/‘ , 11 YA --------- C5C-1 ‘1)) 4,4, A ,I ua li 61, A 3 ill _ 1_ - 'I / i / / i' BISHOP PROPANE SERVICES Page 1 of 2 Home Inicio en Espanol Contact ISearch L&I al A-Z Index Help My Secure L.tuI Safety Claims&Insurance Workplace Rights Trades&Licensing CoWashington State Department of Labor & industries I BISHOP PROPANE SERVICES I Owner or tradesperson 110 CARL JOHNSON RD BISHOP,RONALD M QUILCENE,WA 98376 360-774-1995 Principals JEFFERSON County BISHOP,RONALD M,OWNER WA UBI No. Business type 602 239 379 Individual I License I Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties Wood/Pellet and Gas Stoves License no. BISHOPS861 LW Effective—expiration 06/16/2014—06/16/2016 Bond Wesco Insurance Co $6,000.00 Bond account no. 46WB049518 Received by L&I Effective date 06/16/2014 06/06/2014 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BLS56078951 Received by L&I Effective date 06/16/2014 06/06/2014 Expiration date 06/06/2015 Savings No savings accounts during the previous 6 year period. 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. IWorkers' comp https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602239379&LIC=BISHOPS861 LW&SAW= 3/6/2015 BISHOP PROPANE SERVICES Page 2 of 2 No active workers'comp accounts during the previous 6 year period. IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=60223 93 79&LIC=BISHOPS861 L W&SAW= 3/6/2015 �'` JEFFERSON COUNTY. I DEPARTMENT OF COMMUNITY DEVELOPMENT go 9 'SH;�G�� mss, Date: / Time Received: '( f �--r /pm Mon. a Wed. Thur. Fri. Date: g-(0 BLD: 16 - to( Contact Name: Owner: Contact Number: 360 6 9 2,03 cr53 ( Address: 49 j--�-bA.-) /"� ( 17 A 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground i Furance Footing Rough In Air Seal Above ground A, Gas Stemwall Hydronic Exterior shear Exterior lines ir 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 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#: BLD15-00066 Received Date 3/3/2015 SITE ADDRESS: 40 SETON RD BLD A Issue Date 3/6/2015 PORT TOWNSEND, 98368 APPLICANT: OLYMPIC STORAGE LLC PHONE: 360-301-4365 P.O. BOX 1323 107 BLOSSOM LN PORT TOWNSEND WA 98368-9666 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212012 Section: 21 Township: 30N Range: 1W CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861 LW Expires 6/6/2015 OWNER, OLYMPIC STORAGE LLC PHONE: 360-301-4365 if different: P.O. BOX 1323 107 BLOSSOM LN PORT TOWNSEND WA 98368-9666 PROJECT DESCRIPTION: NEW MECHANICAL PERMITS Directions 25 GALLON PROPANE TANK INSTALL&INTERIOR GAS PIPING 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 3/6/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: /(v//,j f" ‹ Tank/Line/Appliance: '"( e/1 c Final Approval: 3//v / r 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 "Y` P)Iskcfpirouie- i to Joe., tc \\tidemark\data\forms\F_BLD_Permit r ane.rpt 3/6/2015 • • 1 1 , . ( , ! I 1 ( I 1 --............... . . . . --P. ) - -- IF _ . - 1 L.; ! 14 - . ■ - : . - - _,1,,, ....,j':-.j. O. • --_ . , . a• ,' H ) , , • , • I 1; 1.- -' -4.a.msmoiriommeomiewiumweis . ' . ' i-." 110101-11Wili■-■MIMTIN-11 .7-www—rwil•Pe4 ' , -----,_ ____ . .i • . 1 E......: 1 1 \ 1 ce:.....' ) 114144010110).°11111111. ...) .(s-‘' t . .., ..:-......mirailMedridiril -..........~AmissisiZZMAI,,,__. , ,Iraciiirams........... -:.- , ,_.......... ...,_...g.w,■110■:,_ _tot, - _ 'ii VAI mi■7;=:.= ,.,,,,, 11 7-411111;11111111N/W. -_,•. ..:_ , . i 4001pradradirmr,.._ , 1 _...,...d?- - . 1 -(3 I , I . .