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HomeMy WebLinkAboutBLD2015-00044 - MECHANICAL I 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 #: BLD15-00044 Received Date 2/18/2015 SITE ADDRESS: 181 WINDROSE PL Issue Date 2/18/2015 PORT LUDLOW, 98365 APPLICANT: ALEX SALINAS PHONE: 181 WINDROSE DR PORT LUDLOW WA 98365-9552 SUBDIVISION: 9319 Block: Lot: PARCEL NUMBER: 931900033 Section: 16 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 (360) 385-5875 Contractor's License SUNSHP*077QP Expires 11/17/2016 OWNER, ALEX SALINAS PHONE: if different: 181 WINDROSE DR PORT LUDLOW WA 98365-9552 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL A NEW PATIO HEATER AND NEW GAS LINES 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 2/18/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/ ine/ ppliance:;:2i Final Approval: )z / I 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 2/18/2015 •DUILDING PERMIT APPLICAi GN BLD15-00044 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00044 Received Date: 2/18/2015 SITE ADDRESS: 181 WINDROSE PL PORT LUDLOW, 98365 OWNER: ALEX SALINAS PHONE: 181 WINDROSE DR PORT LUDLOW WA 98365-9552 9319 SUBDIVISION: Block: Lot: PARCEL NUMBER: 931900033 Section: 16 Township: 28 N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MECHANICAL PERMIT INSTALL A NEW PATIO HEATER AND NEW GAS LINES TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: 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 $156.00 SRE 02/18/15 154099 Permit $78.00 SRE 02/18/15 154099 Goa AjunoG UOSJejjar Total: $234.00 SIOZ 81 83j a AOJddV \\tidemark\data\forms\F_BLD_App_Bld.rpt 2/18/2015 0 �� ON c0G DEPARTMENT OF COMMUNITY DEVELOPMENT 44 '',,Air, 621 Shendan Street,Port Townsend,WA 98368 ,- A` ,Y'i Tel:360.379.4450 1 bax:360.379 4451 ,,, Web:www.co.jefferson.wa.us/communitydc:velopmcnt aa, E-mail:dcdnco.jefferson.wa.us lECEOV [tD �G9S/YIN°�O FEB 1 7 2015 MECHANICAL PERMIT APPLICATION I Steps in the Permit Process: JEFFERSON COUNTY ��' COMMUNITY DEVEI.O MENT -Review required submittal items to ensure all information is completed prior to submitting appl to i8�,. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use On'y ` - - -t "#' Receipt#: 1- ,. ' ' " Dat" Related Application#s: Paymq 0 . ."`' ' Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I -360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 _Required Submittal Items—for propane tank only — General Site plan -showing propane tank, lines, and distance from tank to all existing structures. Required Submittal Items—for Solar Panel installation only — — Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number: ~/ 3 f rb Li 0i ,. Site Address and/or Directions to Property: /8/ Li jr) 3 /of a..___— PT. L A .L of i Access (name of street(s) from which access will be gained: y'l.a-4-J ./ _ Description of Work: -j jj o`er _._.., rj 4 �Q-ZT 4_r 1 O Property Owner --- Name: - 45 _��,, l m .l 2 Address: jy/ 1...)✓nii-fox-e. /Jl �` j� i Phone #: Pi L L)4.. E-mail Address: '' , oC� x Please contac 1tthQ`rized Agent/Represents ve Wirt i project info. K Property Owner Signature: t \, .".. k ) Date: # Applicant/Contractor: Authorized Agent/Representative \,,,,,/ Name: `_ Gz1, j-/ /i- /1/^1.,T7---,-L.9______ Phone#: 36 G-3 ys--j 7 5-7 E-mail Address: License#: (.5rir i-) I * € 7 7 c,,to Expiration Date: Mechanical Application 1 • • Heat Source Electric Heating Oil Propane* Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. Fireplace-Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace-Wood Fireplace-wood,Wood Stove, or gallons require a minimum Pellet Stove setback of 10 ft.from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane (LP)Gas Furnace Propane Furnace+/-Ducting and a site plan must be submitted .with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: ) over 500 gallons,a site plan is Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also / T7'0 H EA1TE Otk-F I04 required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits re -teco this -pplication and subsequent permi ' s ance. Signature: 16 Print Name: ‘ ..\("") .. V Date: 4 if OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodstove,furnace,etc) $156.00 Propane— Lines, tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* *Additional fees may apply. Mechanical Application 2 -,(N 00 JEFFERSON COUNTY 9 DEPARTMENT OF COMMUNITY DEVELOPMENT SH1,G-o? 1 i Date: ( I Time Received: 1 C am/pm Mon. Tue. Wed. � Fri. _ Date: ' -- BLD: 1 iti Contact Name: Owner: _ Contact Number: 360 5-1,1 333 / O,2.0 Address: 1,5 1 I PON"OS9-- 01 206 Notes: / ` G-Ai L\#,J, 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 Setbacks Floor Foundation Wall Address Posted Block & Tile Ceiling F'°; JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: '`3 iq Time Received: 1 •Z, ■ o amp Mon. Tue. Wed. Thur. Fri. Date: BLD: 1 '5 - 11 * Contact Name: Owner: Contact Number: 360 ! ij"3 /G2O Address: I g I W[Nt>a . ? L 206 Notes: C.\ L°� 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 lnspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling _, , , • ,---, < 4 )9-') A Q,_) a i__,_ ( c).)1;-, ,,,,--- (4, fr-c LI) c w (11/. , -a-z G./ z ,, , .6 -1 , s or V J J ?'-- - f X 6j'. gli .4) o fl il- 0 Q c___-- --_ _)] ,__1 qi 51 c- ,_ w: i ---. 1-t-g _9 ) oo L_ J w! --\\ \\_____I ((a 0 t I 02 n c::) Parcel Details Page 1 of 2 •,. e ersoli ounty .z, , , _, , v.--/ ,- w ,,I.,,,,--,,„., . .,-:.,4,*iik then States :riatale T .... Maps am 1------ Home County Inca Departments earth Parcel Number: 931900033 SEARCH Parcel Number: 931900033 Printer Friendly Owner Mailing Address: ALEX SALINAS 181 WINDROSE DR PORT LUDLOW WA98365-9552 Site Address: 181 WINDROSE DR PORT LUDLOW 98365 Section: 16 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: PLSEWER - Connected Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: 9319 - BAYVIEW VILLAGE DIV 1-3 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: BAYVIEW VILLAGE DIV 1 LOT 33 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info. Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later I Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=931900033 2/18/2015 SUNSHINE PROPANE Page 1 of 2 • Hone Ini.io,.n Espanol Conted Search L&1 A-Z Index Help My Secure L&[ Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of Labor & Industries SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR CHAWES,RICHARD HENRY PORT HADLOCK,WA 98339 360-385-5797 Principals JEFFERSON County CHAWES,RICHARD HENRY,PRESIDENT LEMLEY,DAVID BARRY,VICE PRESIDENT SIMPSON,LAURA ANNE,SECRETARY YOURISH,ROBERT B,TREASURER FLANDERS, RONALD LEE,MEMBER EWING,MICHAEL HOYT,MEMBER ROSS, LEVI K (End:01/01/1980) License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SUNSHP*077QP Effective—expiration 11/17/1993—11/17/2016 Bond No current bond account.See the bond history. Bond history Insurance FEDERATED SERVICE INS CO $1,000,000.00 Policy no 633829 Received by L&i Effective date 11/09/2006 11/17/2006 Expiration date Until Canceled United States Fire Insurance C $1,000,000.00 Policy no 506-878572-6 Received by L&I Effective date 11/13/2014 11/17/2014 Expiration date 11/17/2015 Insurance history Savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 2/18/2015 SUNSHINE PROPANE Page 2 of 2 •(in lieu of bond) $12,000.00 Received by L&I 09/16/2014 Savings account ID Effective date 0770001033 09/10/2014 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 422,171-00 Doing business as SUNSHINE PROPANE Estimated workers reported Quarter 4 of Year 2014"11 to 20 Workers" L&I account representative T1/JAN BENTLEY(360)902-4652-Email:STRO235©Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. J Washington State Dept.of Labor&industries.Use of this site is subject to the laws of the state of Washington. II https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 2/18/2015