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HomeMy WebLinkAboutBLD2013-00066 - MECHANICAL • BUILDING PERMIT APPLIcION BLD13-00066 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00066 Received Date: 2/25/2013 SITE ADDRESS: 701 SEAL ROCK RD BRINNON, 98320 OWNER: RONALD S SPENCER PHONE: SUSAN M SPENCER 701 SEAL ROCK RD BRINNON WA 983209730 SUBDIVISION: Block: Lot: T 27+ PARCEL NUMBER: 602264022 Section: 26 Township: 26 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 NEW 120 GALLON PROPANE TANK 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 Permit $228.00 CJZ 02/25/13 140037 Total: $228.00 APPROVED FEB 252013 Jefferson County DCD \\firlcmerlrlrlofo\fnrmc\F RI Il Ann PIA n,+ 7/7r./7l11Z 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#: BLD13-00066 SITE ADDRESS: 701 SEAL ROCK RD Issue Date: 02/25/2013 BRINNON, 98320 Final Date: 3/20/2013 APPLICANT: RONALD S SPENCER PHONE: SUSAN M SPENCER 701 SEAL ROCK RD BRINNON WA 983209730 SUBDIVISION: Block: Lot: T 27+ PARCEL NUMBER: 602264022 Section: 26 Township: 26 N Range: 02 W PROJECT DESCRIPTION: NEW 120 GALLON PROPANE TANK 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 3/20/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 e V • SITE VISIT REPORT • (PLOT PLAN) (I7- CONTACT JOB cU6aV\gpQJ'(v X r2 AL DATE: 1 1'4: ADDRESS PHONE #: DIRECTIONS FAX #: Email PLANNER: c.DqwP-- L-_ . 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. 30' BAR '`g' K1 41 gA FiK,t ) - 1:0151‘ r t —_.� l.kviiroyRoom \F., 4As. sw+, C.:— ; ------). P fr m L =Ito I r ,r... i .n-TaA'9QF II '' V I c . c- -T=- 1 , , t---- Seat. (.01.14 5 0 'RDA 10 `—# `, R t- Z °d" w - Sz r i 20 N • 1 1 \\Sunshinel\E\BUSINESS WORMS\PROJECT PLANNING\SITE VISIT REPORT-PLOT PLAN.doc • , 4 JEFFERS COUNTY : ' DEPARTMENT OF COMMUNITY DEVELOPMENT • 621•Sheridan Street• Port' ownsend ,Washington •8,36 36 0/376-4460 . 36t/3`79-445.1 Fax • - ,: ..e. www.cojefferson.wa..us/commdevelopment ; . t Master Permit Appiicati"on . - •' ,. MIA.. . Project Description(include sepatate sheets as necessary): t U 06 d ! �, � L , 4. - , < �. - Tax parcel.Number. r'0 Z 0 r: Property - (acres/square feet)• Site Address and/or Directions to Property ,` Property.Owners)of Record: ®� sa slt77_._.I��r�• Telephone: Fax:' — email: . Mailing Address. , 4 Applicant/Agent(if different from owner):• .Ii .- __ La, - /2 Telephone: q 5 ' 7 7 Fax �'S- $7 email: .� 5''N/ a a'-e ' Mailing Address: . /"0 S 3 'JN° r i P i/R-Oc.v cr'� R . . ' What;kind of P"e_rmit?(Check each-box that applies ❑Lot or Road =gre•ation . ❑Building ❑Critical Areas :,e rdshlp Plan 0 Demolition Penanit 1:1 Va rianete(Min•r,.M jor,or Reasonable Economic tise)•❑Single.Family 0 Garage Attached/Detached, • 0 ConditiOnat U ,e ro a),C(d),or C]`** • ❑ Manufactured Home. .❑ Modular , O'Discretionary D'. o Unnamed Use Classification ❑ Commercial* : !J Specal;'Use( sse tiai Public Facilities).** 0 Change of Use ._` .❑Boundary tin -Adj strrtent Address . . . ❑Road Approach '❑Short Plat** ' ❑ Home•Business ' • 0 CottageFIndustry , ❑Binding Site Pan• , :Propane >0Long !at** o Sign d Planned Rure rtes dential Deyelopmeht(PRRD)/Amendments** ' ' Q Allowed"Yes`Use"Consistency Analysis G'Flat Vacation/ a trap''." ❑Stormwater Management " ❑"Shoreline Ma cr P •"ram.Exemption/Permit Revisions!' , ❑Site Plan Approval Advance Deterritination(SPAAD)* O Shoreline Ma age ent•Substantial Development** • t Tempcary ase r. C7Shores aeMMa •e enf Variance • o Wireless Telecommunication* ❑'Comp hertsi,e':Pi tt/UDO/Lar d Uses Distrct Map Amendment;• O'Forest Practices Act/F elease of Six-Year'Moratorium . 0 Jefferson-Cou ty,:S oreline Master Program Amendment•"'May require a Pre-APPilcaflon;Conference .0 Tree V etati.n:R'.=quest ' • . . . .. "*R` irt, ' P -'A.••llcathon"Conference` Please identify any other Local, state,pi federaf permits required for the ossrl,:If`known: . r. D SIGNATION OF AG NT ereby designate es.. fo act•as my agent in rs relating.to. •is a•pliCation for permlt(e). . • �' �vVid �t SIGNATURE C. \" Date " By signing this application form,the owns a ent.atteste thatth infortriation provided herein,, rid in any;attachments,:is true and correct to the best of•PP 8 Liss,.her or its knowledge. Any;material falsehood'or any,omission of a material made by. e o =r/agent with•respec.to•this application packet; • may result in this permit being null and void ' , I further agree to save,indemnify and hold"harn-itisa Jefferson'County against all Iiabiltties,•jud ire s,court costa,reasonable attorney'sfees and expenses which may in any way accrue against Jefferson County as a result of Orin cpnsequ ice 1 the.granting'of this'permit. i furthers •rovide access and right.of entry"to Jefferson iCountyand its employees,rep sen atives or agents for the sole purpose of application .review and,' req I ?• ate spections. Staff'a access.and right:of entry will be assumed rt , as he:applioent informs': e County.in.writing at.the t ;;time of--the ep• :ti• that -.or t e wants�prior notice. •r" •nature. 1. " r� ®- crate• .= •� 3 The action or actions Applicant wi undertake as a result of the issuance•of this permit',Mayne Ativ-ly impact upon one.or more.threatened or endangered-specles and'could lead to a:potential."take"of an:endangered'.species.as those to A,�s a defined.'lithe federal law known as the "Endangered Species Act"or"ESA."Jefferson.County makes no assurances to.the applicant{t•at.th-.actions that will 4 undertaken because this:. • `permit has be- -d wit "•t violate the ESA. Any individual,group or agency can f(le.ala uit o behalf of an endangered species regarding'.your. actions)eve : you re in pliance with the Jefferson County development code.The.Appi t nt•:pkn.owiedges t, t he,sh Or it holds individual`• and nnon-transfe 1 `spo 'b,d for adhering to#"and complying with the'ESA. The Applicant net re d t his d r er d s rid dates'It below. • • •, 1, :. ... ` .. !;•\Arrrnitr..rater\###Rr1RM.S###\TAT)RfRMR\C.,.r.+rTrRII Rn...w\T.fao•.rU..,.+:r n....t:....;,,,,,c'In n.a.,... t • 111 BUILDER STATEMEN The signer of this statement does hereby certify that they are the Owners of the parcel rep herein,'that t he are not licensed they Will be assn ng.the respon ' 'it' •'f the General Cotftractor.forfhe proposed raj Y ntractors-and that Signature: • lni,�, a p • . , • Dat GENERAL CONTRACTOR .5.. Lc.tn Z ii L.YI.e pD 24� i© ER: O.)`3 F-5:- -r 7 -7 FAX MAILING ADDRESS: (3 4 °.�, .' �' ?S_r•CONTRACTOR'S LICENSE NUMBER: Ns _ S( lv`1s- ,, el•7Qr meElt ARCHIT✓cT/ENGINEER: MAILING ADDRESS: ONE ( ) hAX:{ �Aqt ) 9 L Project Type: Frame Type: Bathrooms: 0 New ❑ Wood • . . Existing: Shorelin : 0 Se of Sewage Disposal: [1' Addition 9 d Sewer 0 Steel Proposed: Bank . rl Community System•0 Alteration/FRemodel .0 'Concrete Total: Height: 0 individual System • D repair 0 .Mason. o Demolition 0 Other:ry Bedrooms; SEP Permit.# , iEeist`ing: = Setback: lNater Suppiy; •Typi k'of eat. s: Proposed: !?arty:. D Private well ❑ Tata1., 0 Public Name of System._ • If this;is a Commercial Project vqu must answer tha,following: Number of!larking Spaces Current Proposed:, Number of ADA Parking Spaces: _ . Number of occupants(includes OWners,tenants,employees,etc) Curnerrt. •IBC Oceu an Proposed Occupancy:: IBC Type of constructioh ' �, � . .� - di you have F:ood'Sanrice7 Yes / No 41_ if this is•a Pro»ane Tank and/or btliancb Instiellatltin permit,mark ail Item below that apply: I Underground Tank<YAl ova around Tam ` at St i Cook Stave f Size of Propane .ank f_�-p ' I. Woodstove l Fireptabe,Insert I Hat Water k i,Pellet:Stave. t`.Other is this aDDllance being•Installed jri a Manufartared l Mobile Home? Yes / 1 When a plyln f ra jhetl sit to°Zh iall a 'ro an. aft lines, tank location andsize,distances frbrh trioproms a tank to all prop', 11nsl,buildirt -nand all of the s ptic system comporo components j:including fife resOrVe area is�?uaI'e.Foota� y y� ,,v-'1.,,,-,=2'., d .r-`}YES� , ,t��,,R yy'4 '-,,,,:`,--r .. c r 1 , Yf: el arrant Prb o wed a -p L i L"i ,,2 i;.ys r f% G i 4 r c�5 Sl` . 3 t'1::,;..t: ,i> .ii`fr ii*.;l k .v � `q �vl�E a',t+ t .y�`- �d% I f Tr " �A' Maui Flddr'Heatezl` ._ v.,;1, _ ,t i ��aa �.- '; ,..,,,',:4-•:;:„,,42-41.-w'' '� axe, , EH Bid App R • • 2` Floor Heated . �'� Consistency R 'view: • ' liiillIllMIIIIII Other Heated. + t • a......)a,:',','..,-,,...1.4,-$4,„0•v :,4w +e�Me arsine° Additional Se ,On'.• ' - Heat o Basement ' t Plan Check fe= • Unheated Basertient h}i"ts t g •, •State Stitch-erg= - Other riheated ,�r ,, Y ai , •.Pot Water °ev-w fee. . Garage/Carport: :31�",.: SU'TOTAL ,DRoks ',, < ,'',rr S„ 911/Rd Approa,. fee: • Other q • s T4L : � %i Fl 4. Receipt-N mb J 4 4, —I : Castel ,J " ``. bar, . f M TED.COST.(fREQUIRED). •. ..Date: l' � •Fslr`roarket"value of all labor and materials fouw1dation.lo finish: Initials: • G:\Permitaente\###FORMS###\DRD FORMS\Comm DRD Po Msater`Parmit kftl c/i. ri c_7a11a a.,. • . - . . . . . . .„.....„,.: . to• • friozvk --- 2:„..„..,... ...„.„,..„:„ . . . .,,,,,,,......„:. . -. ;,,,,,..,_.....,... ......,,....,........,......„,.......4.... . .. . ....._ - - • . - - - . • . .itzmt-,:. 7.1.4t.• . - . .. . • . . . _ •01; _ . time received am / pm Mon. Tue . Wecl.: . . --Fri. Date ' ' I 4 - • • BLD: , Iv , - C2 Date:4:7 • - . . - OWNER: ()l 1"-C 6"4"-"---'- • . 4. Contact Namet. ADDRESS: IL/ k. 5-e CU -e-ocile-- te_cY J Contact Number.360 - ...: .-. , 206 . 4 1-• Notes: - . . - . Foundation Plumbing. - Framing . ropau.e_Tan Mechanical .. . Setbacks Under-ground Framing Underground Furnace Footing ____ Rough in Air seal Above ground Gas• Stemwall _ Hydronic Exterior shear Ext•;,,ricrieS Oil Straps Interior shear IP eriorlines lines . Ducts f• Fast Hole — Ventilation ppliance ..._." Underfloor od stove Man-Homes • Insulation. Final Inspection -.= Setbacks _______ Foundation • • --.,' • Block&Tie floor wall ceiling. • Address Posted i Date time received- 1 am ! pm Mon. Tues. 0 Ttiur. -Fri.• BLD: I. - L7 Y/ Date: ~l 3 OWNER: çeA4-C(f�u �(/l ���{�/ - Contact Marne: ADDRESS: - c V ( 5-e, (12 ` Contact Number.360 3S$7f:7 206 Notes: R Foundation Plumbing - Framing Propane Tank - Mechanical Setbacks _ Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground Gas Sternwall 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 -..= ,s Foundation , - - =?` Block&Tie floor wall ceiling Address Posted • .- m v a u) N n H N 1 �o M C E U - Cl) C A r 2 a� M ZO L O _R a L 15 C N U z co 1 0 5 1 a) s Al. a) c G = •h. r o a 01 O O G C ui Lu .V .:2 o U '5 O a3 w O r ° Q mZ o� z d Q � 11 " I !�4 4-' 4 i a v U c� V) p I • y 1 '1 > G N .(7) o 5 O s > i ) o Z V w a I O 2 m> 7 N E o_ Z � a0 > m o .f6 C d w Q >" °' m a 0 -, �, O — . - . ..virt.1, • •1.,,,..•3,2•it,.... 4-4.V.,,t1,9:3 - • ', ' . t-,4--tc•=3,344- • • . ',:.,,ii:44,4 g 1.M EW-r1.-r • - . - _ . ?!•' ,'", .3•Vt., • 3 ' 3.::'^1:-...,:t• . - - . ■••-.•-•,4-....°:-.1......tt......1...-.7.t—,---.4-..:2-1, • - • . 1 . - -• • - • 1 1 s_LSI ,.......,. • Date L7 time received I[,."..,c_; (5.3)/ pm Mon TueS. Wed: Thur. --Fri. - BCD: , V........, — b..C:, . Date: .1 .1 I - - • _.i3e OWNER: _ a-c_C-e,■..... . - . Contact Name: . - ADDRESS: _ :70 *GS e-Dc c Contact Number:360 _ 206 a . 1.. - Notes: . -,- - r' Foundation Plumbing - Framing . -ro•ane :nk Mechanical -. - --- Setbacks Under-ground Framing Under ground Furnace Footing ___ Rough in Alr seal Above ground Gas Sternwall _ Hydronic ___ Exterior shear - -. --t Oil Straps _ Interior shear Interior lin-. . Ducts Post Hole Ventilation Appliance .. Underfloor _ Gas/wood stove Man-Hornes Setbacks Insulation. . Final Inspection Foundation Block&Tie floor wall ceiling. Address Posted i 1 lir a 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#: BLD13-00066 Received Date 2/25/2013 SITE ADDRESS: 701 SEAL ROCK RD Issue Date 2/25/2013 BRINNON, 98320 APPLICANT: RONALD S SPENCER PHONE: SUSAN M SPENCER 701 SEAL ROCK RD BRINNON WA 983209730 T 27+ SUBDIVISION: Block: Lot: PARCEL NUMBER: 602264022 Section: 26 Township: 26N Range: 02W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((336g0� 338g5-5875 Contractor's License SUNSHP*077QP Expires 1'f/17/2013 OWNER, RONALD S SPENCER PHONE: if different: SUSAN M SPENCER 701 SEAL ROCK RD BRINNON WA 983209730 PROJECT DESCRIPTION: NEW 120 GALLON PROPANE TANK 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 2/25/2014. REQUIRED INSPECTIONS: �" an /Appliance: / 345 5 r t� 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_Permit_Propane.rpt 2/25/2013