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HomeMy WebLinkAboutBLD2013-00023 • BUILDING PERMIT APPLIiION BLD13-00023 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00023 Received Date: 1/22/2013 SITE ADDRESS: 477 N JACOB MILLER RD PORT TOWNSEND, 98368 OWNER: PAUL D SAASTAD PHONE: 360-379-1804 NINA E SAASTAD 477 N JACOB MILLER RD PORT TOWNSEND WA 98368-9807 RHOADES/CARROLL SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 001051021 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 9/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII PELLET STOVE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2009 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $152.00 LYK 01/22/13 9617885 Total: $152.00 APPROVED JAN 2 2 2013 Jefferson County DCD \\+irin.n rlArh+.\inrme\F RI rl Ann Rlrl rn+ q/99/9MZ CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00023 SITE ADDRESS: 477 N JACOB MILLER RD Issue Date: 01/22/2013 PORT TOWNSEND, 98368 Final Date: 2/21/2013 APPLICANT: PAUL D SAASTAD PHONE: 360-379-1804 NINA E SAASTAD 477 N JACOB MILLER RD PORT TOWNSEND WA 98368-9807 SUBDIVISION: RHOADES/CARROLL SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 001051021 Section: 5 Township: 30 N Range: 01 W PROJECT DESCRIPTION: PELLET STOVE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/21/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 • 3 Date____ time received /2_3e1 am / Mon.41EINP ,Wed: Thur. -Sri. BIM: 1 3 -2.3 - Date: /9 - OWNER: / / - • Contact Name: ADDRESS: `/� 7'7 A '`1'"c 06 /44'//4° Contact Number.360 379 /10"/ • 206 ,- Notes: Foundation Plumbing • Framing Propane Tank - Mechanical • Setbacks Under-ground Framing Underground _ Furnace Footing Rough in Air seal Above ground — Gas Stemwail Hydronic Exterior shear _ Exterior lines Oil — Straps Interior shear Interior lines — Ducts 4- Post Hole Ventilation - Appliance 'i Underfloor _ _ .Gas/wood stove PLl.� Man-Homes Setbacks _ ' Insulation. Final Inspection Foundation — • • :4 Block&'fie _ floor _wall ceiling. . Address Posted i 4 fr . v cO JEFFERSON COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT "' ` '� 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax pY www.co.jefferson.wa.us/commdevelopment 81N Master Permit Application MLA: (1()(x, Project Description(in ude s par to sheet as necessary): f e///t s76ve Tax Parcel Number. CO I0 1 d7( Property Size: (acres/square feet) Site Address and/or Directions to Property: z/17 Al- Sfi ca_ p'I L L��. R . P1 7"6 ui nl 501,6 , (j) 9'7 3 L 7 Property Owner(s)of Record: / //L p . SJ9A 5 n'9 6 Telephone: 360 :37q f y i O W Fax: j Q /12 email:f AUL 51;i .5-- 7W G- `/ n /1 Mailing Address: '7 77 At �7 C i, 1 C -1-1 /C 1, P' T (,q - m A/L • Co I") Applicant/Agent(if different from owner): Telephone: Fax: email: 1� ( F L Mailing Address: at kind of Permit?(Check each box that applies ❑Lot or Road Segregation , jiliAlBuilding ❑Critical Areas Stewardship Plan `r, � ?(�13 ;r ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cl'" ---3 i ❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat' ❑Sign .... ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way a lue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to •..vide access •nd right of entry to J-. erson County and its employees,representatives or agents for the sole purpose of application review and any, uir.,•e er in,pec i• -�-wnv ss an•right of entry will be assumed unless the applicant informs the County in writing at the time of the a�,• tion he r she wa prior n�r�-. t Signature• ■. _ .�1■7 - Date:/ Z 2 — , Pr The action or actions A•plicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered S•ecies Act"or"ESA"Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit ha- •een rued will not v' ate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s eveh if yo are in co •liance with t'a Jefferson County development code.The Applicant acknowledges that he,she or it holds individual Viand no -tra s - ••le r .•• • •T ng • :nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. 1Signa re j".. ' . i, ■s Date: / — Z 2 — 7.- • • BUILDER STATEME T • The signer of this statement does hereby certify that they are the Owners of the parcel eferenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed pro, ct. Signature: Date: GENE L CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: AreA \ ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: I PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System O Alteration/Remodel 0 Concrete Total: Height: 0 Individual System ❑ Repair 0 Masonry SEP Permit U Bedrooms: Water Supply: ❑ Demolition ❑ Other: pp y: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Project you must answer the following: - Number of Parking Spaces: Current: Proposed: Number of ADA 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 If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove i Woodstove I Fireplace Insert I Hot Water Tank irb..ellet Stove 1 Other Is this appliance being installed in a Manufactured I 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. F M C Square Footage _ Current Proposed Office Use`Only Amount, vision Main Floor Heated f EH Bld App Review: 2"°Floor Heated Consistency Review: Other Heated Base fee: i Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated- - Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ t Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials; Contractors or Tradespeopl1inter Friendly Page Page 1 of 2 •General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name EVERWARM INC UBI No. 601361016 Phone 3604523366 Status Active Address 257151 Hwy 101 License No. EVERWI*088NL Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 8/13/1992 State WA Expiration Date 8/17/2014 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status EVERWBP1100G EVERWARM BUILDING Construction General Unused 9/7/1989 8/4/1992 Archived PRODUCTS Contractor EVERWI*1900A EVERWARM Construction Insulation Unused 9/1/1981 8/4/1989 Archived INSULATION Contractor TERRYMI223DF TERRY MCCARTNEY Construction Insulation Unused 3/6/1978 8/31/1982 Archived INSULATION SER Contractor Business Owner Information Name Role Effective Date Expiration Date MCCARTNEY,TERRENCE J President 08/13/1992 MCCARTNEY,VIRGINIA RIMSTAD Secretary 08/13/1992 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 TRAVELERS CAS& 206809004 08/02/2001 Until Cancelled $12,000.00 08/09/2001 SURETY CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information InsurancelCompany Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date' 22 Nautilus Ins Co NN277071 01/20/2013 01/20/2014 $1,000,000.0001/03/2013 21 Nautilus Ins Co NN181437 01/20/2012 01/20/2013 $1,000,000.0001/17/2012 20 NAUTILUS INS NN092832 01/20/2011 01/20/2012 $1,000,000.0001/13/2011 19 NAUTILUS INS BN949516 01/20/2010 01/20/2011 $1,000,000.0001/20/2010 CO 18 NAUTILUS INS NC847690 01/20/2010 01/20/2011 $1,000,000.0001/19/2010 CO 17 NAUTILUS INS NC847690 01/20/2009 01/20/2010 $1,000,000.0001/16/2009 16 NAUTILUS INS NC747383 01/20/2008 01/20/2009 $1,000,000.0001/09/2008 CO FIRST 15 SPECIALTY INS FGL229003467702 01/20/2007 01/20/2008 $1,000,000.00 01/19/2007 CORP https://fortress.wa.gov/lni/bbip/Print.aspx 1/22/2013 • *T EASY TO OWN ! 1. 80 lbs. Capacity Hopper 2. Horizontal Rotary Disk (HRD) Feed with Case Hardened, Replaceable Shear Blade 4:1) 3. Drive Motor for HRD 0 4. Pellet Holding Chamber 5. Fire Chamber . 6. Primary Fuel Feed Push Auger - 'Stk._ 16 ;• 0 7. Drive Motor for Auger 0/ 1 ok 8. Stainless Steel Burn Platform I (111) IL , �u� 9. Ash Pan ) 10.Combustion Fan 0 17 .; 11. Negative Pressure Flow Switch I Oa ar 12. Outside Combustion Air 0 ,, i -13. Combustion Air Restrictor I gip I,, 12 14a.Air Wash (Bottom) 11 14b. Air Wash (Top) O ' 15. Ceramic Door Glass (1) 16. External Heat Exchange Tubes / 17. 3"Exhaust 18. Easy to Understand Controls 3"(77mm)Dia.Exhaust (centered on appliance) 3 1/2" 421/4"(1074mm) (89mm) 13/4"(45mm) 1'—••1 ia.Air Intake 161/2" 20mm) E� /D ' 25 1/4"(642mm) 33 r I i _ (839mm,1 171/2"(445mm) 1 3/4"(77mm) Dia.Air Intake 3"(77mm) 13131311013 j 8000® -•• 171/4"(185mm) Oioo1 I 000000 5 /4"(147mm) 241/4"(616mm) i J 0 • Hopper Heating Turn Down Btu/Hour Burn Rate Glass Capacity Capacity* Burn Times Ratio Range Per Hour Area 80 lbs. 800 to On Low-57 Hours 72% Low-11,480 1.4 lbs.on Low 127 Sq.In 2,000 Sq. Ft. On High-16 Hours High-41,000 5 lbs.on High *HEATING CAPACITY may vary depending on the degree of home insulation,floor plan and ambient temperature zone of the area in which you live.BTU/Hour range will vary with the quality,size and brand of pellets used. Use these illustrations as a guide only. For complete installation instructions please refer to your Lopi Dealer or go to the AGP Pellet product page at www.lopistoves.com. NOTE:Improper installation of your pellet appliance or failure to operate it in accordance to the guidelines detailed in the Owner's Manual may negate your warranty and endanger your home and family. MINIMUM CLEARANCES TO COMBUSTIBLE WALLS FLOOR PROTECTION Stove clearances measured from Top of Stove.Connector clearances The pellet stove must be installed on a non-combustible measured from exhaust vent. surface protector extending the full width and depth Straight Wall of the heater and extending 6"(153mm)in front and Through The Wall Installation Interior Vertical Vent Installation 2"(51 mm) to each side and under the rear exhaust Tee. Hearth protection must be a minimum .018" VI thick(26 gauge). II Vei t------"'Clearance" z" ALCOVE REQUIREMENTS 3"Minimum 3 - ��"lee" Minimum VI ^ When installed in an alcove with a ceiling height less than 7 ft(2.134 M). +l' •Minimum Height is 60"with 6"side and 3"rear clearance to wall. m 4 a�, 6 Minimum !� F e�w 6"Minimum •Minimum Width is 36-9/16 a with min.clearance of q - £� v 3"for horizontal venting. Floor Protection i `- -' „ �6"Minimumf \� U 6"Minimum • Maximum depth is 48"with minimum L clearance of 2"from pipe for vertical venting. Corner Through The Wall Installation Interior Vertical Vent Installation CHILD SAFETY s. — If you have small children at home or visiting, we 3"Mmrmun 45=Elbow - 3"Minimum? Minmum II recommend you purchasing a safety screen or + 1 "Tee T- VIII 11iill® Clearance guard to prevent � ' accidental contact :�"` \ J�"F �` \ ® with the hot surfaces 3"Minimum! $ `P ■ x Vii, of the stove. 3" 1" �- inimum 6"Minimum ;' 45° - 6" inimum TESTING Listed Pelletized Solid Fuel Burning Appliance. Also for use in mobile homes. Certified for the US and Canada.Conformsto ASTM E1509-04, Room Heater Pellet Burning Type (UM) 84 HUD;Certified to ULC 5627.Tested and listed for mobile homes in accordance with OAR 814-23-900 through 814-23-909.Tested and Listed by Intertek. YOUR LOPI AUTHORIZED DEALER: Everwarm Hearth & Home . . 257151 Highway 101 �.�` Port Angeles, WA 98362 � ;.ur (360) 452-3366 (800) 750-7868 www.everwarmhh.com p www.lo istoves.com MADE IN AMERICA Manufactured in ©2012/09 Printed in U.S.A.-#98800584 Lopi reserves the right to alter or improve its products at any time without notification. All trademarks belong to Travis Industries. Mukilteo,WA For installation specifications refer to the Owner's Manual found on the Lopi website. 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#: BLD13-00023 Received Date 1/22/2013 SITE ADDRESS: 477 N JACOB MILLER RD Issue Date 1/22/2013 PORT TOWNSEND, 98368 APPLICANT: PAUL D SAASTAD PHONE: 360-379-1804 NINA E SAASTAD 477 N JACOB MILLER RD PORT TOWNSEND WA 98368-9807 1 SUBDIVISION: RHOADES/CARROLL SHORT PLAT Block: Lot: PARCEL NUMBER: 001051021 Section: 5 Township: 30N Range: 01W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 9/17/2014 OWNER, PAUL D SAASTAD PHONE: 360-379-1804 if different: NINA E SAASTAD 477 N JACOB MILLER RD PORT TOWNSEND WA 98368-9807 PROJECT DESCRIPTION: PELLET STOVE 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 1/22/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: 2 Zt - 13 (3 FinalApproval: 2--.2c - 13 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 1/22/2013