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Home My WebLink AboutBLD2014-00078 GILDING PERMIT APPLICATA"I BLD14-00078 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00078 Received Date: 3/5/2014 SITE ADDRESS: 174 BALDWIN RD NORDLAND, 98358 OWNER: DAVID L TURNER PHONE: 360-379-6926 SUE ANN TURNER 174 BALDWIN RD NORDLAND WA 98358-9608 CASEY SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 921093018 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL LIFEBREATH HEAT RECOVERY VENTILATOR (HRV) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 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 Bv: Date: Receipt: Approved/Date Permit $228.00 MEB 03/05/14 148403 Total: $228.00 \\fLlomnrk\d \fnrmc\G RI n Ann PI, rn+ '2/F/9f11A tj4c�ON wow CG°a JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: /2..5/6 Time Received: .3. // am/a Mon. Tue. Wed. Thu . Fri. Date: �/ 9/ 40) 5 Y-BLD: - U /!J Contact Name: PAU!mot' 171-t'4 Owner: � � /'Ip,/1' Contact Number: 360 g79-4,q t1 Address: 174 ei/j /n &J 206 Notes: a/WSJ-hid ream, oiih xth ' (# 'v) Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection X Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling All Weather Heating&Cooling Inc. 27050 Jefferson Country Building Perlis 2/20/2014 COG-DIR:575 - Permits & Fees Mechanical permit for David Turner 228.00 Business Checking Fir Mechanical permit for David Turner,A5846 228.00 r JEFFERSON COUNTY NO. 1411®3 DATE 2/2 7// /` RECEIVED FROM 1A)04"e/ � � "I' '�— (41644 DESCRIPTION BARS# AMOUNT CURRENCY ��'3333 r. 7t/ COIN .CHECKS 2/1 S 0 I 2 f2): 0 0 m 8 -o /'� RECEIVED BY 11 - TOTAL 2 2 (0' • �, --1 �sON c, "� q DEPARTMENT ► COMMU DEVELOPMENT ��qs o. . 621 Sheridan Street I Port Townsend;WA 98368 I Web:v ru.co.eferson.wa.us/communityoeveloement 111 h� Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd{a?co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review l Long Range Planning( Watershed Stewardship Resource Center___ Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: G 2 1 cm 7 0 !` t-- • Property Size: (acres/square feet) Site Address and/or Directions to Property: 174 Baldwin Road Nordland, WA 98358 Property Owner(s)of Record: David Turner Telephone:360-379-6926 Fax: email: Mailing Address: 174 Baldwin Road Nordland,WA 98358 Applicant/Agent(if different from owner): Telephone:360-452-9813 Fax: 360-452-5177 email: kmckeown@allweatherhc.com Mailing Address: 302 Kemp Street Port Angeles,WA 98362 What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation 'Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached El Conditional Use[C(a),C(d),or C}** ❑ Manufactured Home El 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: All Weather Heatin & CoDlES 'NATION OF AGENT I hereby designate r_ to act as my agent in matters relating to this application for permit(s). Q�nniER S AIC,�I T ! r*_ / _� 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 1 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 inspections:--Start - s and right of entry will be assumed unless the applicant informs the County in writing at the time o p• •- hat he oe0 wa , prior notice. Si atur �� / _ J...*Aia. Date: r i ce 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-t erson County development code.The Applicant acknowledges that he,she or it holds individual and,pernfr.ns - - •••• sibility fqr-dhering to an -omplying with the ESA. The Applicant has read this disci • er andsigg�s and dates it belo . ..ter!- _ _ _________4› Ai i._I Date: CO��' ' /f 4 07/24/2013 � � • • 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 tube.J sing ythe'res p onsibilit y of'the General Contractor for the proposed pro' ct. / / A , _)Date: ! GENERALLCONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (360-3J9-6926 ( ) MAILING ADDRESS: 174 Baldwin Road Nordland,WA 98358 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360-3)'9-6926 FAX:( ) MAILING ADDRESS: 174 Baldwin Road Nordland,WA 98358 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ❑ Wood Existing: ❑ Sewer Addition -] Steel Proposed: Bank i Community System Alteration/Remodel F Concrete Total: Height: CI Individual System Repair 11 Masonry SEP Permit# Bedrooms: Demolition El Other: Water Supply: Existing: Setback: ❑ Private well L1 Two Party Type of Heat: Proposed: yp Public Total: ❑ Name of System: If this is a Commercial Project 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP j knaT retaW toH Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2"°Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: 07/24/2013 • 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 #: BLD14-00078 Received Date 3/5/2014 SITE ADDRESS: 174 BALDWIN RD Issue Date 3/5/2014 NORDLAND, 98358 APPLICANT: DAVID L TURNER PHONE: 360-379-6926 SUE ANN TURNER 174 BALDWIN RD NORDLAND WA 98358-9608 SUBDIVISION: CASEY SHORT PLAT Block: Lot: PARCEL NUMBER: 921093018 Section: 9 Township: 29N Range: 01E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2015 OWNER, DAVID L TURNER PHONE: 360-379-6926 if different: SUE ANN TURNER 174 BALDWIN RD NORDLAND WA 98358-9608 PROJECT DESCRIPTION: INSTALL LIFEBREATH HEAT RECOVERY VENTILATOR(HRV) 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 3/5/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: _ -2 7t S-ra 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 3/5/2014