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Home My WebLink AboutBLD2015-00094 - MECHANICAL • 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 #: BLD15-00094 Received Date 3/25/2015 SITE ADDRESS: 51 NESS' CORNER RD Issue Date 3/25/2015 APPLICANT: RICHARD AN BONDS TRTEE PHONE: 408-806-8280 RICHARD A BONDS LIV TRUST 211 CHIMACUM RD PORT HADLOCK WA 983399790 SUBDIVISION: CHALMER'S 2ND ADDITION Block: Lot: PARCEL NUMBER: 942903507 Section: 3 Township: 29N Range: 01W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 M01385-5875 Contractor's License SUNSHP*077QP Expires 11/17/2016 OWNER, RICHARD AN BONDS TRTEE PHONE: 408-806-8280 if different: RICHARD A BONDS LIV TRUST 211 CHIMACUM RD PORT HADLOCK WA 983399790 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions TANK SWAP OUT 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 3/25/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: ` 5 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 3/25/2015 BUILDING PERMIT APPLICAAN B 0094 Ree view view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00094 Received Date: 3/25/2015 SITE ADDRESS: 51 NESS' CORNER RD OWNER: RICHARD AN BONDS TRTEE PHONE: 408-806-8280 RICHARD A BONDS LIV TRUST 211 CHIMACUM RD PORT HADLOCK WA 983399790 CHALMER'S 2ND ADDITION SUBDIVISION: Block: Lot: PARCEL NUMBER: 942903507 Section: 3 Township: 29 N Range: 01 W 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 DESCRIPTIOr NEW MECHANICAL PERMIT TANK SWAP OUT 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: 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 $156.00 SRE 03/25/15 154242 APPROVED VER O Total: $156.00 di 8J MAR 2 E 2015 efferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/25/2015 • • �w> \, Ur.YIUt I IYit1V x VI' lAJ1Vi1VIU IN 1 l I lit v nI JY1VItdN I 621 Sheridan Street,Port Townsend, A 98368 (•< Teb 360.379,4450 I Fat:360.379.4451 f Web:www.co.Jefferson.wa.us/communitvderelopment E-mail:dcd(Q co.iefferson.wa.us �s1INLI ' 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#: Date: 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: 942 903 507 Site Address and/or Directions to Property:51 Ness' Corner Rd., Port Hadlock, WA 98339 Access (name of street(s)from which access will be gained: Ness' Corner Rd. Description of Work: lank Swap out Property Owner Name: Richard A. Bonds c Address: 19313 Seventh Street East, Sonoma, CA 95476 o Phone#: 408-806-8280 E-mail Address:rabmoney @me.com Please contact Authorized Agent/Representative with project info. K Property Owner Signature: l. X- / ) 4- Date: 3 z.. '' ?G'! It Applicant/Contractor: Authorized Agent/Representative Name: Sunshine Propane Phone#: 360-385-5797 E-mail Address:ra @sunshinepropane.c1 Sunshp*077qp 11/2017 License #: p qp Expiration Date: II Mechanical Application 1 al • neat 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+1-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:5W ) 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. /� v . C�ry S' Print Name:/ eic—t"°� - /3 "AF y �/ 2C1 S Signature: � �/ v � Date: 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* !7S S° *Additional fees may apply. Mechanical Application 2 Parcel Print • • Page 1 of 1 Parcel Number:942903503 08/15/2014 Owner Mailing Address: RICHARD ANDREW BONDS TRSTE RICHARD A BONDS,TRUS I tE 19313 7TH ST E SONOMA CA 95476-5821 Site Address: 51 NESS' CORNER RD PORT HADLOCK 95476-5821 Section: 3 School District: Chimacum(49) Qtr Section: SE1/4 Fire Dist: Chimacum(1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area: 95476-5821 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: UGA-C-Urban Commercial Zoning 2: Zoning 3: Sub Division: 9429 - CHALMER'S 2ND Land Use Code: 6375 95476-5821 Property Description: CHALMER'S 2ND ADDITION BLK 35 LOTS 8-11,16(E70'),18-22 INC VAC ST & ALLEY http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=942903503 3/25/2015 SUNSHINE PROPANE Page 1 of 2 0 Home tnicio en Espanol Contact /Search L&I , a' E A-Z Index Help My Secure L:&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 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) CHAWES,RICHARD (End:01/01/1980) YOUNT,JO (End:01/01/1980) SPRING,PERRY (End: 11/05/2010) PETERSEN,JAMES (End: 11/05/2010) Doing business as SUNSHINE PROPANE WA UBI No. Business type 600 342 368 Corporation Parent company ENVIRONMENTAL HOUSING INC License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. I Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SUNSHP*077QP Effective—expiration 11/1711993-11/17/2016 Bond No current bond account.See the bond history. Bond history Insurance ............................ FEDERATED SERVICE INS CO $1,000,000.00 Policy no. 633829 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 3/25/2015 SUNSHINE PROPANE Page 2 of 2 •Received by L&1 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 (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&l account representative T1/JAN BENTLEY(360)902-4652-Email:STR0235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. • O 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=600342368&LIC=SUNSHP*077QP&SAW= 3/25/2015