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HomeMy WebLinkAboutBLD2013-00057 • BUILDING PERMIT APPLIC!ION B 0057 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00057 Received Date: 2/20/2013 SITE ADDRESS: 411 RIDGE DR PORT TOWNSEND, 98368 OWNER: JOEL E GOUGH PHONE: 360-344-2016 JANET M GOUGH 16902 E BELMONT RD MICA WA 99023-9602 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 76 PARCEL NUMBER: 940500075 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP PROPANE, TANK, LINES, 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 Total: APPROVED FEB 2 0 2013 Jefferson County DCD \\firlcmorlr\r•+,\fnrme\F RI Il Ann PIA rnf 9M(1/,M2 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#: BLD13-00057 SITE ADDRESS: 411 RIDGE DR Issue Date: 02/20/2013 PORT TOWNSEND, 98368 Final Date: 4/16/2013 APPLICANT: JOEL E GOUGH PHONE: 360-344-2016 JANET M GOUGH 16902 E BELMONT RD MICA WA 99023-9602 SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 76 PARCEL NUMBER: 940500075 Section: 13 Township: 30 N Range: 02 W PROJECT DESCRIPTION: PROPANE, TANK, LINES, 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 4/16/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 5/22/2013 y - <ar :ice" _» �' Date 3 2.1 time received 3 -__. am itZD �on. Tues. Wed; Thur. -Fri./3- 5-7 tD Date: 5/2-3— OWNER: j Contact Name ADDRESS: /i g/O( � 't o . fr< Contact Number:360 5.7 7 Notes: 206 ri 4 .Foundation Plumbing -,Framing . Propane Tank Mechanical • Setbacks Under ground Framing Under ground _ Furnace Footing Rough in Air seal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines • Ducts f— Post Hole ' Ventilation Appliance Underfloor Gas/wood stove Man,Homes Setbacks ' Insulation. FinalIns Inspection Foundation- p lion >; Block&Tie _ floor _wail ceiling. . Address Posted { r • ` JEFFERMI C.OUNTY - ' . .44' . - ` . .DEPARTMENT OF COMMUNITY DEVELOPMENT `� . 621 Sheridan•Street Port TQwnsand>Washington 98368 ;,_ . . 3601379-4450• •36U/379 44 'f tlx „, e. www.co.Jefferson,wa•..ustcomtndevetopment•Master Permit Aprp ti-cation MLA;'•Project.Description'(include separate sheets as necessary): k L/ .7 ,: S7 IGt,(lrslber D ,j7,-• Q D. s P'roperty.Size: wy ( ces/square feet) _.ite Address•and/or Directions to Property - . // / /0 6 -�- �--; / r/�'. , ' . .r© ,,... ... , Property Owner(s):of Record: . o L = �"T�-i e T f/ Telephone: D 3. 7` 02.0 •/6.- Fax email: • Mailing Address: Dm2 . .2c. 4 ,z_./7?d T /i'/c 4 •L4' . .9 •4 a Z,.3 .•Applicant/A9ent(fl d)ffensrlt from Owner).• . ' -/ v_, _ -- ..; • Telephone: .85'- 5 7/7 •' Fax . $S-, ,,,..--,..k.-.1. , email:. -Y S d Q~.-a Mailing Address: 2 d 6' 3 kfvo.4 . ., R . PT•. t/ c.o c. • r,)R.. What kind of Pevrrtit?(.Check oach;boxthat applies- ❑Lot or Foad Segregation . DB rlfdin9 ❑Cntical'Areas S.t"eWardship Pia1 .• Q Demolition • Permit . •' 0 Vanan a inor, joror Reasonable E.conorratc Use)• 0 Single:Famfy R Garage Attached I Detached :C)Conditi real Use 10(a)::c(d),or Oj'** 0 Manufactured Home GQ Modul tr 0 DisQret opary"D'Or unnamed`.Use Classification•0 Cgmi eraal* 0 Specia Use(Essential•Puklic Facilities)**• 0 Change of Use • _••° ..1j Boundary Line ldtu. .'''-nt•0 :Address .O Road Approach •. !J Short Flat** 0 Home Euslness .• ©•Cottal�e indus.fry ❑Blrtdirti Site Plah** ropane 1A LongPfat** •Q,sign 0 Pia'nriei1Rural Residential Development.(FRF p)tAmendmenta*'* O AAowed,"YW Use Consistency,Analysis." 0 Plat Vaation/Alteration•❑ $toimwater Management; 0 Shoreline Master Program Exemption/Permit,Re?isions-, O S.lte Plan Apprg > Advance f)eterminatron($PAAD)* q•Shoreline Mar iagettlent Substantial Development** T Tert.►porary Us e N * r,. '©Shoreii ienagement Variance 0-'7:liars sa1e)et ri`iniunrcatr'orl d•Oomptfo�rsrve-Pittnitio/Land Use;Distract Map Amendment.•O Forest t?ractices Act/Release of Six Year Moratorium 0 Jefferson County:Shoreline Master Program Amendment ..*:May requlr�s a�Pra-Appilcatlan Ccznferen�e ; . 0 Tree 8(i�atatlt7)1 Ftegliegt `: .• ** e4u res s Pre-Appilcat/pn Conference• Plea's identify artyath local r..State: frfetfeial perrtii a aired fo'tlfi proposal,If known: • •" :D'ESIGNATION OF AG Nfi• ' ,., ., - 0 ; .eby de.= , to act=as 61)('3.'1.'.1)... nt in matters rslating;to ttiis,appllc t on for permit( j ri e t- >. . • By sinning this application to . ,•the owner/agent a ats•that the inforirlation prcvidecf hereip,and in any attachments,;is true.and correct to the.best of his her or its Knowledge.•Ahy;materia�falsehood or soy cr►�tssiort.of a rnatetiai fact rri de#by the owner/agent with•respect to`tliis appiicatttoti cket` • may result in this permit•being•null and void : •I further agree to save,indemnify and hold harmless Jefferson County against all liablljtlesr judgments,court costs,reasonable'attorney`s•foes and • .:• expenses which:may in any accrue against:Jefferson:County as a result of ot`in cpflsequence of the granting of this permit i Furth= e:to provide access and tight:'of entry f'o Jefferson County aantt.its employees,representatives or a9ents for,the sole p:irpose of application re and y required-later inspe. !ns, Staffs•access and right of entry will be assumed unless the applicant Inforrns.the County in writing at the f the ap+ ication th= or sh ante prier n _. . e.:action or clot. otions Applicant will uhdert-` as•a result of the issuance•of•this permit rttay negatively impact upon . ..one.or more threatened or ,.endangered species and could read to a.potential.-"take."•.of an.endangered species as:)hpse ter»stare defined.in•the federal law known as the • "Endangered•Species•Act"or"E$A,"Jefferson.County makes,no'assurances to the applicant that the.actions that will l? undortaikerp b@Causl3•this. permit has'been•issued will not viol: e the ESA. Any.individual,group or'agency can:tile a lawsuit•on behalf of art:ebdfih'gered•speoles.t arding:your. acts a i-if you are in plia with.the Jefferson County development code;The.Appiicant acknowiedgee'that'he,she Orit�holdtindivid.tal'•- t• n trans ratite-respo •llity ' r adhering o:and complying.witki the ESA The Applicant has read this claimer•a,d"signs.and dates it below: re: _ 7 ...' -. �i4 \Prrni,Crrer ###` F . RM.S###\T)R r)Rr)R MC\ri„,,,r)Rn R,-,+n.\L.:4w.P....,:r a I:e..e:....c In no a.••• • . 0 • ' '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 the responsibility of the General Contractor for•the proposed protect . Signature: . . • • . Date • GENERAL CONTRACTOR e- • - -. a ER:• PHONE FAX: S I.I„ Z I.n e I P r2 P. (24i ) 3 FS- 1'7 17 • MAILING ADDRESS: (� l il f P: • EM iL: . . . .CONTRACTORS LICENSE . . NUMBER: S LA k 1 s.' :.g Q 0 •..'NUMBER• .ARCHIT✓T/ENGiNEER: —PHONE ( ) FAX:'( ) - .• MAILING ADDRESS: •EMAIL. Project Type: • Frame I.Bathrooms: . Shoreline: Type of Sewage Disposal: p 0 New 0 Wood I Existing: .. ... - 0 Sewer 0' Addition . 0 Steel Proposed: Bank , Ci Community System 0 Alteration/>Remodel 0 Concrete• . Total: ,Height: . �; 0 lndividua System • .0 Repair -• .0 Masonry S P P•es it# 0 Demolition •. o Other:-. Bedrooms: :•. Existing ° _ Setback: ater uppi well . 0 Private well 0 Two Party.. Type of gHeat: s- • 'Proposed: . Total:- . O Public • - Name •of System•• if this.is a Commercial Project you_mustanswe rthe foliowinq: •Number of Perking:S.paces:, 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 p:o6d.'Service7 Yes / No' . .• . th r i a ;IL..- a ... ./• . fia.`c I s d •e ma .ail •-ms:below th t a.e ` i . i a i?round tank • Above ground Tai Size of Propane Tank: v• Heat Stove• Cook Stove +7.e-:.._ ,: f Fireplace.-insert I•Mot Water Tank I;.Pellet:Stove. I Other ef . Va.2._:_ .. is this appi(arrce beinft Installed in a Manufactured/Aii±obiie Home'? Yes / No IN7•,en ap 3:1Ati fr'la permit to install a propane tanl fyoit must also submit a:site plan showing all of the buildings,all7property lines,tank location and slit,distanoeS from tire propane tank to all property lines,buildings and'septic system components,. aneludin tr e.roserve area. } i .45f� :�t 4V.1 7r„;r'ti 5 �t�'i,liii.i�w.V.1,'�' ';e"f w'4 t ati'fy pp� .�,•.� C si u, a.;. 'S o /� t yin,. a IrM(�5.�,' �, '�y'7,' r7' µtYtk�4,.f I / fh.,?,.1i4• V '.� � �'� 'S...kx r� '. oars Foat�f � current Pros.�-:bit' ti �: e � is i 7 " 'i .'-i cf� :�/� i �' r: a n` .� i rY��i.� F�zs, tr2.i�:, � I,L� J ���iwes. ,.:o..'.�� Sc�;i�`��i�'au•Matn:.Floor Heated k, E �,,,1 ,� t � ��"� �,8 �fH Bid�t5 Resew 2` Floor Heated. . k.w`: i Consistency Review:•Other Heated • i Mezzanine y � t',^ a 5 ,Additional Section: -. t3 tltt :. e, e „, ,E,,b k* Plan Check fee: Unheated Basement ,:,, r 'y�`.' •1 'State.Surcharge:�fee: • o Ot ere,- eats•. i'2 r :• •"• Pot star -eview fee: Garage/Carport. Fxa ` SUBTOTAL {,ffy'�,7`�• 'z:Y9S g4k••Decks ' ,;::.-ii ..S .911/Rd,Approach fee: Q1',, Other : s c T• � "k>. TbTAL • 1111111.111111111 ,. .a �ua. sXw Cash/Check NumberK ®® ES'TIMA!ED.COST(-EQUIR Di,.' '--Date:. -..•. '•paltagarket,tialue of all liibor ernd materials foun ration:to•finish.: ,. • • . G:\Petmi Center\###FORMS###\DRD FORMS\Ciutent IDRD Po Piiiiiiirsi4lister Petit Aplilfcstxatr 5.24=08.doe • . • • a SITE VISIT REPORT l /' (PLOT PLAN) JOB o'e-+ &D DATE: a- 11-v3 CONTACT: ADDRESS 41\ g% V—t.. PHONE #: DIRECTIONS FAX #: . Email -� / PLANNER: I----C--_LRW Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and buildings,septic,wells,wetland areas,distance to water bodies. o 11 0 5 a Pe_x4 2,a 5 liNbxp 3N'\4.e,vs 0.. z-4-x60 .69" ill 4/ 11 ' ii S ■sulD ?)341,0,1\itktruz.. Ep,I3 7,gge i. ?� ok_D■c. r0oM -TO 10 z5 ` 12 +r 14 C.4.T zSO tl c N ci42T, 'To,.�N 1t, 6c P 0.0 T-}is -1-9-1 ,1'‘$ f . f—t-et.Fl or. 1-2-a \-\ 4V' S14 1-t-2-' g. • �v� " r w10..��e. LEA Lt 2b ii i ■ ". " - ..a I fIllhu: - Mt 1 i A \\Sunshinel\E\BUSINESSTORMS\PROJECT PLANNING\SITE VISIT REPORT-PLOT PLAN.doc v v..u...v,v..J 1/4/1 i 1 L aWF/ /vr1 111.x.1 J.II�.itu1y 1 u6� I agc 1 Vl I Electrical Contractor A business licensed by LW to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account.They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name SUNSHINE PROPANE UBI No. 600342368 Phone 3603855797 Status Active Address 10853 Rhody Drive License No. SUNSHP*984B3 Suite/Apt. License Type Electrical Contractor City Port Hadlock Effective Date 1/23/2002 State WA Expiration Date 1/23/2014 Zip 98339 Suspend Date County Jefferson Specialty 1 Hvac/Rfrg Ltd Energy Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty Effective Expiration yp pecialty 1 2 Date Date Status ENVIRHI004D9 ENVIRONMENTAL Electrical Hvac/Rfrg Ltd Unused 3/29/2000 3/29/2002 Archived HOUSING INC Contractor Energy Master Electrician INFORMATION License CHAWER*954JE Name CHAWES, RICHARD Status Active Business Owner Information Name Role Effective Date Expiration Date ROSS,LEVI K -Agent ,01/23/2002 PETERSEN,JAMES F President 01/23/2002 EWING,MICHAEL H Secretary 01/23/2002 YOURISH,ROBERT Treasurer 01/23/2002 BISHOP, RON M Vice President 01/23/2002 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 RELIANCE SURETY CO 6086432 03/20/2000 Until Cancelled $4,000.00 01/23/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information No records found for the previous 6 year period • 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#: BLD13-00057 Received Date 2/20/2013 SITE ADDRESS: 411 RIDGE DR Issue Date 2/20/2013 PORT TOWNSEND, 98368 APPLICANT: JOEL E GOUGH PHONE: 360-344-2016 JANET M GOUGH 16902 E BELMONT RD MICA WA 99023-9602 76 SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: PARCEL NUMBER: 940500075 Section: 13 Township: 30N Range: 02W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33 lgg5 Contractor's License SUNSHP*077QP Expires 1T/16g 702013-5875 OWNER, JOEL E GOUGH PHONE: 360-344-2016 if different: JANET M GOUGH 16902 E BELMONT RD MICA WA 99023-9602 PROJECT DESCRIPTION: PROPANE,TANK, LINES,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 2/20/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval:/9/it 3[?-s' 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 2/20/2013