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HomeMy WebLinkAboutBLD2014-00464 - MECHANICAL BUILDING PERMIT APPLICATIRI BRD14-00464 64 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00464 Received Date: 12/16/2014 SITE ADDRESS: 293 BLUEBERRY HILL DR QUILCENE, 98376 OWNER: LAWRENCE THOMSEN PHONE: 360-765-0967 BONNIE B STORY 293 BLUEBERRY HILL DR QUILCENE WA 98376-9667 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 601105002 Section: 10 Township: 26 N Range: 1V\ CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License AMERIPLO55LL Expires 8/2/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI New Mechanical Permit Install 2 new propane tanks 1 - 250 gallon and 1- 125 gallon plus a generator TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 By: Date: Receipt: Approved/Date Permit $228.00 SRE 12/16/14 153941 Total: $228.00 DEC 16 2014 �P' Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 12/16/2014 4450" ,06, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 0 "YSy7NG"t >ate: IA Time Received: I' 'ic.; am/pm Mon. 4 Wed. Thur. Fri. Date: ?MI6 3LD: 1 14 - 00 4 4.4 Contact Name: )wner: � Contact Number: 360 `746.5 Lsfhr 1.-2.1C MP address: 2-43 -51.14c- go,Icer. 206 Notes: -cc%t_ en :r-o-te,r' Foundation Plumbing Framing crop ank 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 ;�`' `, JEFFERSON COUNTY r "1 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 0 1 J Time Received: O‘'.1 \ �O� /- am/bm J Mon. Tue. Wed Thur. Fri. ,{ Date: ` . c BLD: /4- 0 Contact Name: Y 7' yQn Owner: Lama- P Contact Number: 360 -7�j- (,q(�2 Address: �7 , .. '/ / 206 Notes: d 'pt Ls / 1 ,.jn,,,-Gtr 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 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 ti .< Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment E-mail:dcd@co.jefferson.wa.us /SNI N OHO 1 MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Receipt#: Date: Related Application#s: Payment#: Is this application for use in a Mobile/Manufactured Home? * If es: A permit from Washington State Department of Labor and Industries, not Jefferson County,is equired 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 XTComplete Site plan -Please refer to the site plan checklist to ensure all items are on the site plan. 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: 6 t)// Site Address and/or Directions to Property: �'(( �rZ (I / "'I'LL, 24v (::',)/E-1/ .- d -/?Ee 11 /It IL 2,2/1,) ( 4 /C C T� Access (name of street(s from which access will be gained: C)YL. /'C> of Work: , 77)- l� -2 C :Y 2 a�L& 7` Description � � /✓ C ,� 64-- E &4 . Property Owner / Name: A#C4 / -'�` E TV/05 E/t --, co i_/ Address: v�9J BL-L�T_ 6-<,g6�' Y /MY- DR/0 _ 19 c/✓V K1'q Phone#: (p© —76 �'E E-mail Address: * m Please cont. . Aut► •rize ent/Re.resentativ; with project info. --Cerro an Property Owner Signature: r _ _ _ J .— i ' Date: (,Z — F-- If 71 Applicant/Contractorr:,�Authori ed Agent •epresentative �� Name: � it / 4/ /•)12P4iY 2hcC A iev-/- /11 'b e44061--- � //CT4 Phone#: -, --;62- - '---Q 7 ' E-mail Address:4w - ,r1 l'1.iez ..e License#: f , / y < . iv - Expiration Date: 4 r/ leiez1,4i mi t 4/(4-', 1A/61 Mechanical Application 1 I A • Heat Source • Electric Heating Oil Propane* Wood -)C--------- _ 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" XCook Stove Cook Stove, Range Hood Exhaust gas can unsafely collect. *Propane tanks over 125 Fireplace-Gas Fireplace-Gas or Gas Log Insert *Pro p 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, and a site plan must be Propane(LP)Gas Furnace Propane Furnace+/-Ducting 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: 2,S-0 ) over 500 gallons,a site plan is Heat Pump - is/fQ .keve..+' I z_ '` U required to accompany this Generator 5 1 tJ application,and a separate X 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 Jefferso• r•unt . • i employees, representatives or agents for the sole purpose of application review and any requi"op r inspections. Applic.• may request notice of the County's intent to enter upon the property for visits rel, • his ap lication =nd s •sequent permit issuance. /J{ (�//// ,/ � Print Name: All-r/V /�knie 4 Date: /2 $ — /i Signature. �� OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $152.00 Propane—Lines,tank, and appliance (add'I $76.00) 7 .-0/ Project Scanning Fee $19.00 Total Fees* A � DO *Additional fees may apply. 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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 NO=601105002 12/16/2014 • Jefferson County Building Division Permit Number: BLD14-00464 Applicant: THOMSEN BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Setbacks Gas Line: Interior (� Gas Line: Exterior L 5 Gas Lincixterior �— Propane Tank Propane Tank Mechanical Systems Miscellaneous A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met/and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION q/Zz/ - FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00464 Received Date: 12/16/2014 SITE ADDRESS: 293 BLUEBERRY HILL DR Issue Date 12/16/2014 QUILCENE, 98376 Expiration Date 12/16/2015 OWNER: LAWRENCE THOMSEN PHONE: 360-765-0967 BONNIE B STORY 293 BLUEBERRY HILL DR QUILCENE WA 98376-9667 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 601105002 Section: 10 Township: 26 N Range: 1V\ CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License AMERIPLO55LL Expires 8/2/2015 PROJECT DESCRIPTION: New Mechanical Permit Install 2 new propane tanks 1 - 250 gallon and 1- 125 gallon plus a generator TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: PRO OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $228.00 SRE 12/16/14 153941 Exist: Exist: Total: $228.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY