The URL can be used to link to this page

Home My WebLink AboutBLD2013-00032 BLD13-00032 BUILDING PERMIT APPLI TION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00032 Received Date: 1/28/2013 SITE ADDRESS: 90 E RHODODENDRON DR PORT TOWNSEND, 98368 OWNER: MARILYN J MITCHELL PHONE: 360-385-3277 RODERIC J MITCHELL 90 E RHODODENDRON DR PORT TOWNSEND WA 98368-9483 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: 6 Lot: 10 PARCEL NUMBER: 938400609 Section: 12 Township: 30 N Range: 02 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 DESCRIPTION WOOD FIREPLACE INSERT 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 01/28/13 139944 APPROVED Total: $152.00 JAN 2 8 2013 Jefferson County DCD \\firlcmor4\rhfe\fnrmc\G RI 11 Ann PIr7 rnf 1rmxil 11Q CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00032 SITE ADDRESS: 90 E RHODODENDRON DR Issue Date: 01/28/2013 PORT TOWNSEND, 98368 Final Date: 3/4/2013 APPLICANT: MARILYN J MITCHELL PHONE: 360-385-3277 RODERIC J MITCHELL 90 E RHODODENDRON DR PORT TOWNSEND WA 98368-9483 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 6 Lot: 10 PARCEL NUMBER: 938400609 Section: 12 Township: 30 N Range: 02 W PROJECT DESCRIPTION:WOOD FIREPLACE INSERT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/4/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 �.1•501v Oo JEFFERRN COUNTY w� ' 6.., DEPARTMENT OF COMMUNITY DEVELOPMENT r' ` ` 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax p� www.co.jefferson.wa.us/commdevelopment Is, aster Permit Application MLA: nO +� Project Description(include separate sheets as necessary): Tax Parcel Number: Property Size: (acres/square feet) Site Address and/or Directions to Property: 4( e.. r t-.90- 7 0 De.. . ?ca" Z"o �3 z ul4. . 83 4$ Property Owner(s)of Record: Fbp /42_&- LL, Telephone: ra`"'3015'--3Z+11 Fax: email:KbPoice=•cAisexasam Mailing Address: SAME, E, Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation lit wilding ❑Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach El Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign -_- ❑Planned Rurai Residential Development(PRRD)/Amendments** El Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑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 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 ins•-- ions.. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application,/`IT: or -,•, r•tice/ /� i 'Signature: L.ti /-c Date: �a The action or actions Applicant 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 Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo e in • pli-na 'h •- Jefferson County development code.The Applicant acknowledges th he,sh r it holds individual and non-transf re on 'i i��:Act•- f nd complying with the ESA. The Applicant has read this discla' er and nd dates it below. i nature: /� /4 Date: l 2 �9 - Contractors or Tradespeop Tinter Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEl 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 It 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 Insurance Company 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 $1,000,000.00 01/19/2010 17 NAUTILUS INS NC847690 01/20/2009 01/20/2010 $1,000,000.00 01/16/2009 16 NAUTILUS INS NC747383 01/20/2008 01/20/2009 $1,000,000.00 01/09/2008 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 1/28/2013 x_ n. to .- ;' ar"""t„°°"' ""`.°'`mss+ t •- , rz� c�i,�sE xq r E 1 . - o r l Date_____ -time received 41 am / (n on Tues. ,Wed: Tour. -Fri. BLD: t 3 " 31. Date: I t - . • OWNER: - Contact Name: ADDRESS: G 0 "C R.N'O Do X r Contact Number.360 ' 3 Z7 7 206 - •i Notes: - tf- Foundation, Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground _ Furnace Footing Rough in Air seal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines _ Ducts Post Hole - Ventilation Appliance Underfloor Gas/wood stove Man-Homes - Setbacks — • Insulation. Final Inspection ^' Foundation _ = . '' Block&Tie _ floor _wall ceiling. . Address Posted 1 , • S 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#: BLD13-00032 Received Date 1/28/2013 SITE ADDRESS: 90 E RHODODENDRON DR Issue Date 1/28/2013 PORT TOWNSEND, 98368 APPLICANT: MARILYN J MITCHELL PHONE: 360-385-3277 RODERIC J MITCHELL 90 E RHODODENDRON DR PORT TOWNSEND WA 98368-9483 10 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 6 Lot: PARCEL NUMBER: 938400609 Section: 12 Township: 30N Range: 02W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 9/17/2014 OWNER, MARILYN J MITCHELL PHONE: 360-385-3277 if different: RODERIC J MITCHELL 90 E RHODODENDRON DR PORT TOWNSEND WA 98368-9483 PROJECT DESCRIPTION: WOOD FIREPLACE INSERT 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 1/28/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 24-- 4 f///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 1/28/2013