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HomeMy WebLinkAboutBLD2013-00035 • BUILDING PERMIT APPLIiION BLD13-00035 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00035 Received Date: 1/28/2013 SITE ADDRESS: 154 PARKVIEW LN PORT LUDLOW, 98365 OWNER: LARRY STRECK PHONE: 206-935-5622 154 PARKVIEW LN PORT LUDLOW WA 98365-9718 BRIDGE VIEW ESTATE TR DIV II SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 821355013 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 11,026.00 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: A PPR /ED Permit $228.00 LYK 01/28/13 139946 M K�J V G Total: $228.00 JAN 2 8 2013 Jefferson County DCD \\+irlomorlArle+e\forme\G RI n Ann RL+rn+ I//WWII/ • r JEFFERSON COUNTY I hily‘ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 00 M L Project Description(include separate sheets as necessary): Install 3 ton Heat Pump Tax Parcel Number: 1 a-),_101 3 Property Size: (acres/square feet) Site Address and/or Directions to Property: , . \ G ! 154 Parkview Lane Port Ludlow,WA 4�I C� I �� `l i Property Owner(s)of Record: Larry Streck Telephone: 206-935-5622 Fax: email: JAN 2 8 2n13 Mailing Address: 2756 Belvedere Ave SW Seattle,WA 98126 4 1 ApplicantlAgent(if different from owner): All Weather Heating&Cooling,Inc. t 4 Telephone: 360-452-9813 Fax: 360-452-5127 era :, ;IEFF-•a t f a`t N corn Mailing Address: 302 Kemp Street Port Angeles,WA 98362 'Y'' it ' ` ,•1 1 What kind of Permit?(Check each box that applies ©Building ❑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 ❑Short Plat-- ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)IAmendments** ❑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 All Weather atin &Coolin ,Inc. to act as my agent in matters relating to this apppllicatiioonffor permit(s). OWNER SIGNATURE 4' Date: ()t 2! — 1 By signing this appli form,t 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 a.— s and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required let/spections. Staffs a• . and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio th- e or she wa 1.- '.1 noti•_ Signature: • 1wc.. Date: n/-02/<—210! The action or a-y Appli•- t will undertake as a result of the issuance of this permit may negatively knpact upon one or more threatened or endangered species and co d 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 you areA••mpliance with the J rson County development code.The Applicant acknowledges that he,she or it holds individual and non4ransfe :.le ,- ••nsibility • : eri o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: A ' 'G' Date: 0/ 21"-200 Or vow G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc i • BUILDER STATEMENT The signer of this stateme •=s hereby certify th they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin! ,-ponsibil the , Ieral Contractor for the proposed project./— J� �� Signature: A L Date: t//r GENERAL CO i''CTOR•• MANUFACTURED HOME INSTALLER: PHONE: FAX: All Weather Heating&Cooling,Inc. (360 ) 452-9813 ( 360)452-5177 MAILING ADDRESS: 302 Kemp Street EMAIL:kmckeown @allweathencc.com CONTRACTOR'S LICENSE WAINS NUMBER: ALLWEHC150KU NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing:. ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Protect 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: 1 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 I Pellet ve O r a V i Is this appliance being Installed in a Manufactured/Mobile Home? Yes / No I I i When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all •r lines,tank location and size,distances from the propane tank to all property lines,buildings and� tic�yytetSmpo - including the reserve area. A�IV'I a �� of y--K. 6 Fart a' ' a t Ut k a 1 .k -,, . k +e� S•uare Foote,e Current Pro.osed `f = ...'-.'4" fi.',. . ,. '�'1 1.,2., Y .�.. EH Bld App Review:' i i Main Floor Heated � �+ PP Jr ; ,., Drl'T.OF COA"Ml' ITY DEVELOPMENT 2"O Floor Heated Consistency Review: Other Heated Base fee: a r1Q[� , , , , Mezzanine ^ Additional Section: ©( Heated Basement d i g' Plan Check fee: Unheated Basement � ,-, ',, State Surcharge fee: Other Unheated ',fI Pot Water Review fee: Garage/Carport ,l,4 SUBTOTAL Decks ,� , 911/Rd Approach fee: -i Other 'i TOTAL: $ ` 8�.% , r= T '4 Receipt Number: 3CCl j WF '' �� . ' Cash/Check Number: I o&I.191 y <<« , .1�.� a►� r_�• ESTIM•TED COST(RE•UIRED) Date: I -(■ , ■Fair market value of all labor and materials foundation to finish Initials: ' - _ G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 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#: BLD13-00035 Received Date 1/28/2013 SITE ADDRESS: 154 PARKVIEW LN Issue Date 1/28/2013 PORT LUDLOW, 98365 APPLICANT: LARRY STRECK PHONE: 206-935-5622 154 PARKVIEW LN PORT LUDLOW WA 98365-9718 1+ SUBDIVISION: BRIDGE VIEW ESTATE TR DIV II Block: Lot: PARCEL NUMBER: 821355013 Section: 35 Township: 28N Range: 01E CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 OWNER, LARRY STRECK PHONE: 206-935-5622 if different: 154 PARKVIEW LN PORT LUDLOW WA 98365-9718 PROJECT DESCRIPTION: HEAT PUMP 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/ 1-\2A^A/7/- � FinalApproval: `�- 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_Perm it_Propane.rpt 1/28/2013