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HomeMy WebLinkAboutBLD2015-00074 - MECHANICAL • 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 #: BLD15-00074 Received Date 3/11/2015 SITE ADDRESS: 52 WILDBERRY CT Issue Date 3/11/2015 QUILCENE, 98376 APPLICANT: JOHN FENTON PHONE: 206-265-5208 53 WILDBERRY CR QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701105002 Section: 10 Township: 27N Range: 1W CONTRACTOR: MARK DECKER PHONE: 360-307-7170 11359 OLD MILTARY ROAD NE POULSBO WA 98370 Contractor's License DECKEE*945K2 Expires 5/22/2016 OWNER, JOHN FENTON PHONE: 206-265-5208 if different: 53 WILDBERRY CR QUILCENE WA 98376 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL PROPANE LINE FROM GENERATOR TO EXISTING LP To Site: TANK 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 3/11/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: tL- f i�� ¢✓//// Final Approval: ;(--z 131r)- 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 3/11/2015 • BUILDING PERMIT APPLIC ION B 0074 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00074 Received Date: 3/11/2015 SITE ADDRESS: 52 WILDBERRY CT QUILCENE, 98376 OWNER: JOHN FENTON PHONE: 206-265-5208 53 WILDBERRY CR QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701105002 Section: 10 Township: 27 N Range: 11/■ CONTRACTOR: MARK DECKER PHONE: 360-307-7170 11359 OLD MILTARY ROAD NE POULSBO WA 98370 Contractor's License DECKEE*945K2 Expires 5/22/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW MECHANICAL PERMIT INSTALL PROPANE LINE FROM GENERATOR TO EXISTING LP TANK 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: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 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 $0.00 SRE 03/11/15 Total: $0.00 APPROVE., MAR 1 1 2015 _pefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/11/2015 IVIC, I I I V 1 V.'T./G VL VI\LI\LLLV I� V�VT-VVLV �./.L SON C06, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Pert Townsend,\K'A 98368 -C Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.iefferson.wa.uslcornmunirydevelopment E-mail dcd a)co.jeffcrs,m.w•a.us '16'11 1 NC0 MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -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 Only Receipt#: c Date: ')� ' � - Related Application#s: Payment#: Is this application for use in a Mobile/Manufactured Rome? * 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: 701105002 Site Address and/or Directions to Property: 52 WILDBERRY CT. , QUILCENE WA. 98376 Access (name of street(s) from which access will be gained: COYLE RD TO WILDBERRY Description of Work: INSTAI I PROPANF I INF FROM GFNFRATOR TO FXISTING I P TANK Property Owner Name: JOHN FENTON i o, Address: 53 WILDBERRY CT. QUILCENE,WA 98376 i t7 Phone #: (3604265.-...5_208 E-mail Address: 4;11 • -ase c. tact Authorized Agent/1:epresentative with project info. �A�roperty Owl- _nature: *////3--Date: // /5 - Applicant/Contractor: Auth•rized Agent/Representative Name: MARK DECKER Phone#: (360)307-7170 E-mail Address: License #: DECKEE*945K2 Expiration Date: 09/10/17 Mechanical Application 1 IVIUI I I I V I V.TJU V LVI\I-1 N.L LL V I 10 VV VT-VVLV �.J.V • Heat Source Electric f Heating Oil Propane* 1 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 1 Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: 1 over 500 gallons,a site plan is Heat Pump required to accompany this 1 Generator application, and a separate Air Conditioner Fire Code approval is also 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 '^Pent to enter upon the property for vi ' _. . ■c• .: _tion and subsequent permit issuance. ignature: ,?�7`. r �� ;intName: #A( CT t" '(T6( 0{17t 23/////S— OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $156.00 Propane—Lines,tank, and appliance (add'l $78.00) Project Scanning Fee $19.50 Total Fees* 11 11 i I . CC) *Additional fees may apply. Mechanical Application 2 DECKER ELECTRIC • Page 1 of 2 Hon?e Iniew n Espanol Contact !Search L&I A-Z Index Help My Secure It Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of Labor & Industries DECKER ELECTRIC Owner or tradesperson 11359 OLD MILITARY ROAD NE DECKER,MARK R POULSBO,WA 98370 360-307-7170 Principals KITSAP County DECKER,MARK R,OWNER Doing business as DECKER ELECTRIC WA UBI No. Business type 602 271 154 Individual License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. DECKEE*945K2 Effective—expiration 05/22/2006—05/22/2016 Designated administrator DECKER,MARK R................ Active. Meets current requirements. License type License no. Electrical Administrator DECKEMR942KR Bond RLI INS CO $4,000.00 Bond account no. SRS1009646 Received by L&I Effective date 05/22/2006 05/22/2006 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. 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. 153,012-00 Doino business as DECKER ELECTRIC Estimated workers reported https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602271154&LIC=DECKEE*945K2&SAW= 3/11/2015 DECKER ELECTRIC Page 2 of 2 Quarter 4 of Year 2014"Less than 1 Workers • L&I account representative T3/STEPHANIE HENDERSON(360)902-6266-Email:HSTE235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=60227 1 1 54&LIC=DECKEE*945K2&SAW= 3/11/2015 Parcel Details • Page 1 of 2 erson oun t y t " of e'Y ah ;t � � ,.. _." � � . . . � ��� aunty t. ....t.. ..._ HOeun1 If Departments eareh Parcel Number: 701105002 I SEARCH Parcel Number: 701105002 Printer Friendly Owner Mailing Address: 965 WINSLOW WAY E #301 BAINBRIDGE ISLAND WA98110-2439 Site Address: 52 WILDBERRY CT QUILCENE 98376 Section: 10 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: Taxable Range: 1W Tax Code: 0222 Planning area: South Toandos Peninsula,Coyle Area (9) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: OLYMPIC VISTA LARGE LOT LOT 2 SUBJ/EASE Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME 1 COUNTY INFO 1 DEPARTMENTS 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=701105002 3/11/2015