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Home My WebLink AboutBLD2013-00051 BUILDING PERMIT APPLI TION BLD13-00051 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00051 Received Date: 2/11/2013 SITE ADDRESS: 343 CAMBER DR PORT LUDLOW, 98365 OWNER: DUANE H PETERSON PHONE: SUZANNE PETERSON 343 CAMBER LANE PORT LUDLOW WA 98365 LUDLOW POINT VILLAGE DIV 3 SUBDIVISION: Block: Lot: 19 PARCEL NUMBER: 969700019 Section: 17 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 16 661.00 CODE EDITION: 2009 ADD L: HEAT TYPE: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 LYK 02/11/13 139993 APPROVED Total: $228.00 FEB 11 2013 Jefferson County DCD \\+irlcmnr4\rlof.\fnrrne% RI Il Ann PIA rn4 ',Maio/111 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#: BLD13-00051 SITE ADDRESS: 343 CAMBER DR Issue Date: 02/11/2013 PORT LUDLOW, 98365 Final Date: 2/26/2013 APPLICANT: DUANE H PETERSON PHONE: SUZANNE PETERSON 343 CAMBER LANE PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 3 Block: Lot: 19 PARCEL NUMBER: 969700019 Section: 17 Township: 28 N Range: 01 E PROJECT DESCRIPTION: HEAT PUMP 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 2/26/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 etticb JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 46%. 621 Sheridan Street• Port Townsend•Washington 98368 3601379-4450 . 360/379-4451 Fax der itio www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: MLA Project Description(indude separate sheets as necessary): Install 3 ton Carrier heat pump and air handler Tax Parcel Number ciQC lq Property Size: (acres/square feet) Site Address and/or Directions to Property: - [ c EE n V E 343 Camber Lane Port Ludlow,WA 98365 !J v Property Owner(s)of Record: Duane&Sue Peterson L; i Telephone: 262-248-3229 Fax: ( i '' ! FEB I 1 2013 emif e Mailing Address: 6624 Deerpath Road Lake Geneca,WI 53147 1 I 1 fi Applicant/Agent(if different from owner): All Weather Heating tt'.00Lti�ng,luc i kii.icawJ Ci3oi i7Y Telephone: 360-452-9813 Fax: 360-45 -5177 Mail:kmekeownAallweatherhacom Mailing Address: 302 Kemp Street Port Angeles,WA 98362 ;i?F°T OtI UiVilnuivilY DE.UELOPMENT 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)/Amendments" ❑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 : .- th-. . .,:,,,4: Coolin, Inc. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE IL�1� Date: R 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 i,-• ons. Staffs access and right of entry wiN be assumed unless the applicant informs the County in writing at the t&ne of the appl''- •• h - j .“- •c• notice. Signature: SiVtalkar' Date: 7 115 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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran -r:..le ,401 N' .r adhering to and complying with the ESA. The Applicant has read this disclairttbr signs and dates it below. Signature: �_-".l111a•VI Date: A I °13 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming , - --,,• ._., of the General Contractor for the proposed project. Signature: !:L1t all' Date: j'ri/17 GENERAL CONTRACTOR OR 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: ALLWEHC 150KU 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 ❑ Afteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well D Two Party Type of Heat: Propose ❑ Public Total: Name of System: if this is a Commercial Protect you must answer the followina: � Number of Parking Spaces: Current Proposed: V F 1�\ Number of occupants(includes owners,tenants,employees,etc) Current %iz- liii IBC Occupancy: IBC Type of construction: Will have Food Service? Y L- / If this is - P • r n= nk an• or • • ,1 i n = Installation -rm . t ark II items bel_�. „. • ' : 1 1 2013 1 Underground Tank 1 Above ground Tank Size of Propane Tank e I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 31 et S� P t Oth1 Is this aDoliance being installed in a Manufactured/Mobile Home? Yes / No JEFFERSON COUNTY When applying for a permit to install a propane tank you must also submit a site plan S9b• 'IL ,t,1 F—' • ., •roperty lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, includin. the reserve area. a s S•uare Foota'e MillEIMI:` 1 . . ?, .. . Main Floor Heated -'a t:,' EH Bid App Review: 2m Floor Heated Consistency Review: Other Heated . Base fee: Mezzanine Additional Section: Heated Basement d': `— Plan Check fee: Unheated Basement i^1,--H ' '- State Surcharge fee: Other Unheated , C- Pot Water Review fee: Garage/Carport $ . ,1 SUBTOTAL Decks ' -4 -- , ..- 911/Rd Approach fee: Other 'it` .� TOTAL: $ °a oO Receipt Number: 5C'C C le Cash/Check Number �lrr ESTIMATED COST(REQUIRED) Date: .Fair market value of all � t is foundation to finish i i lY Je Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc i tv A. re d 1 l i i z_ Date time received 1 AQ am /0 Mon. 435,Wed: Thur. —Fri - BLD: 13 - 2-1 , Date: 2/2_t. OWNER: / Contact Name: ADDRESS: 3- -i 3 c 4Mb�-('. k-ki Contact Number 360 9 2 q&f 3 - . 206 4 Notes: ' .e 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. Finallnspection =; • Foundation_ - ;r ::v Block&Tie _ - floor wall ceiling. . Address Posted . i . • 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#: BLD13-00051 Received Date 2/11/2013 SITE ADDRESS: 343 CAMBER DR Issue Date 2/11/2013 PORT LUDLOW, 98365 APPLICANT: DUANE H PETERSON PHONE: SUZANNE PETERSON 343 CAMBER LANE PORT LUDLOW WA 98365 19 SUBDIVISION: LUDLOW POINT VILLAGE DIV 3 Block: Lot: PARCEL NUMBER: 969700019 Section: 17 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, DUANE H PETERSON PHONE: if different: SUZANNE PETERSON 343 CAMBER LANE PORT LUDLOW WA 98365 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 2/11/2014. REQUIRED INSPECTIONS: Tank/Line pplianc9) b4UkA /2- ( e tI 3? ? FinalApproval: _/3 F I p 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 2/19/2013