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Home My WebLink AboutBLD2015-00086 - 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#: BLD15-00086 Received Date 3/18/2015 SITE ADDRESS: 61 SADDLE DR Issue Date 3/18/2015 PORT TOWNSEND, 98368 APPLICANT: MARY HUERTA PHONE: 360-344-2009 61 SADDLE DR PORT TOWNSEND WA 98368-8907 SUBDIVISION: 9411 Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30N Range: 2W CONTRACTOR: JOSH WHITE PHONE: 360-531-4243 72 SOUTH WHITE FIR WAY PORT HADLOCK WA 98339 Contractor's License PIPEMM*863NM Expires 8/6/2016 OWNER, MARY HUERTA PHONE: 360-344-2009 if different: 61 SADDLE DR PORT TOWNSEND WA 98368-8907 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions GAS PIPING FOR INSTALL OF COOK STOVE 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 3/18/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tan ine Appliance: 9 .42_41 t s J Final Approval: 1-4:1J 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 3/18/2015 • • BLD15-00086 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00086 Received Date: 3/18/2015 SITE ADDRESS: 61 SADDLE DR PORT TOWNSEND, 98368 OWNER: MARY HUERTA PHONE: 360-344-2009 61 SADDLE DR PORT TOWNSEND WA 98368-8907 9411 SUBDIVISION: Block: Lot: PARCEL NUMBER: 941100016 Section: 13 Township: 30 N Range: 2V\ CONTRACTOR: JOSH WHITE PHONE: 360-531-4243 72 SOUTH WHITE FIR WAY PORT HADLOCK WA 98339 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MECHANICAL PERMIT GAS PIPING FOR INSTALL OF COOK STOVE 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: 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 $156.00 SRE 03/18/15 154222 APPROVED $78.00 SRE 03/18/15 154222 APPROVE Total: $234.00 MAR 1 8 2015 .Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/18/2015 • • ¢SON cob DEPARTMENT OF COMMUNITY DEVELOPMENT , W A 621 Sheridan Street,Port'1 nsend,\X_1 98368 Tel 360.3'9.4450 Fax 360.3'9.4451 Web:WWW co.ieffer son.wa.u,!communitvdevelopment 111� F mail dcd(ci:co.ieffcrson.wa us ��SHI N O`S°� 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#: 15y a Date: I7-/)S Related Application#s: Payment#: 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: c) 4 ( ( t 0 0 1 (0 Site Address and/or Directions to Property: Access (name of street(s) from which access will be gained: s(.-&k1, Description of Work: 6/rS ; 4,c ,,`(jo S Property Owner �1 Name: r1 lAa-TA 0:7 Address: 6 t cik pLk; t ri 'oar o Phone #: 3 ivU 344 -2,bD9 E-mail Address: Cci12.-� m Please contact Authori ed Agent/Representative with project info. - - Property Owner Signature: Date: 17 1)41--a-Li% 15 Applicant/Contractor: Authorized Agent/Representative Name: �OSkt W h. Phone #: 3 („o , 6 g , 42 4 3 E-mail Address: --epetn� s ( ��4;,i,.t e. f.�Ire Licenses#: C(. ip_ yn �� 4'- j�3 A i Expiration Date: ,N Mechanical Application 1 1 S--Np • • 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" )C 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 Water Heater-Gas Gas WH Vent and Combustion Air submitted with the 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 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 related to this application and subsequent permit issuance. Signature: Print Name: Date: 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) 8 Project Scanning Fee $19.50 253 , -D Total Fees* *Additional fees may apply. Mechanical Application 2 PIPE MASTERS Page 1 of 2 III • itom Inicio-1 Lspa5ol Contact a :Search L&I i A Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries PIPE MASTERS Owner or tradesperson 72 SOUTH WHITE FIR WAY WHITE,JOSHUA J PORT HADLOCK,WA 98339 360-531-4243 Principals JEFFERSON County WHITE,JOSHUA J,OWNER Doing business as WA UBI No. Business type 603 425 708 Individual Governing persons JOSHUA J WHITE License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties HeatingNent/Air-Conditioning and Refrig (HVAC/R) License no PIPEMM*863NM Effective—expiration 08/14/2014—08/14/2016 Bond RLI Ins Co $6,000.00 Bond account no. LSM0630391 Received by L&I Effective date 08/14/2014 08/06/2014 Expiration date Until Canceled Insurance Ohio Security Ins Co $500,000.00 Policy no. BLS5655412 Received by L&I Effective date 08/14/2014 08/06/2014 Expiration date 08/06/2015 Savings No savings accounts during the previous 6 year period. 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 LM tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603425708&LIC=PIPEMM*863NM&SAW= 3/18/2015 PIPE MASTERS Page 2 of 2 License Violations • No license violations during the previous 6 year period. Workers' comp No active workers'comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. 7 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=603425708&LIC=PIPEMM*863NM&SAW= 3/18/2015 Parcel Details • Page 1 of 2 • Jefferson C oun .-,. Vfire lfie—r;Station Database Toots a •..., .._.._ Viebcarrt Home County Info Departments Search Parcel Number: 941100016 SEARCH Parcel Number: 941100016 Printer Friendly Owner Mailing Address: MARY HUERTA 61 SADDLE DR PORT TOWNSEND WA98368-8907 Site Address: 61 SADDLE DR PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: Zoning 2: Zoning 3: Sub Division: 9411 - CAPE GEORGE VILLAGE #5 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE VILLAGE DIV 5 LOT 16 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 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=941100016 3/18/2015