HomeMy WebLinkAboutBLD2013-00084 • BUILDING PERMIT APPLICOION B 8,4
Review 00 Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD13-00084 Received Date: 3/14/2013
SITE ADDRESS: 356 S 8TH ST
PORT TOWNSEND, 98368
OWNER: SANDRA L LARSON PHONE: 360-302-5044
390 S 8TH ST
PORT TOWNSEND WA 983689786
GISE'S ADDITION
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 953100201 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: HOOD CANAL HTG & COOLING INC PHONE: 360-375-4992
PO BOX 2940
BELFAIR WA 98528
Contractor's License HOODCHCO27LJ Expires 2/11/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI` SWAP OUT PROPANE FURNACE FOR PROPANE FIREPLACE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC
VALUATION MAIN:
CODE EDITION: 2009 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: -
-3
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $0.00 ZAL 03/14/13 APPROVE
T
D
otal: $0.00
MAR 14 2013
Jefferson County DCD
firlcmorL\rlofo\fnrmc\F RI fl Ann PIA rnf 1/1 AM(11Z
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT #: BLD13-00084
SITE ADDRESS: 356 S 8TH ST Issue Date: 03/14/2013
PORT TOWNSEND, 98368 Final Date: 4/16/2013
APPLICANT: SANDRA L LARSON PHONE: 360-302-5044
390 S 8TH ST
PORT TOWNSEND WA 983689786
SUBDIVISION: GISE'S ADDITION Block: Lot:
PARCEL NUMBER: 953100201 Section: 16 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: SWAP OUT PROPANE FURNACE FOR PROPANE FIREPLACE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/16/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 5/22/2013
• '.a'.~3n<t
Date 3/Z S time received,2 1 I am /452 Mon. Tue Wed: Thur. - Fri.
BLD: / ey
• Date: 372
•
OWNER: Contact Name:
ADDRESS: 3 (v
Contact Number:360 ..tZ i 70 2C-)
Notes: 206 ��
0
Foundation Plumbing • Framing Propane Tank Mechanical
Setbacks _ Under-ground Framing — Underground _ Furnace —
Footing Rough In Air seal Above ground Gas _
Stemwail _ Hydronic Exterior shear Exterior lines Oil
Straps Interior shear Interior lines Ducts
Post Hole V Ventilation —' Y._--
Appliance _
Underfloor Gas/wood stove
Man-Homes —
Setbacks • Insulation. FinalIns Inspection
Foundation p
Nock&rfe floor wall ceiling to
9 Address Posted
a `E •
.1,x,. ....J./41
Date '5 12 Z time received itt)516 67/ pm on Tues. •Wed. Thur. - Fri.
BLD: /3 Date: -512— —
OWNER: Contact Name:
ADDRESS: - 5 (-... - Contact Number 360 5221 5.0a.) -
206 '`
Notes: ` .
Foundation Plumbing - Framing Propane Tank Mechanical
Setbacks Under-ground_ Framing Under ground _ Furnace _
Footing Rough in Air seal Above ground Gas _
Stemwall _ Hydronic Exterior shear _ Exterior lines _ Oil
Straps Interior shear _ Interior lines Ducts f__
Post Hole _ Ventilation Appliance _
Underfloor Gas/wood stove_
Man-Homes
Setbacks _ • Insulation. Final Inspection
Foundation _ a.€ '
Nock&Tie , floor _wall ceiling Address Posted
i
• ',-;,---.*:.i.st
•
A
-.7.:
- _
Date 3 /2—q time received t J....)(.:.-,- am WE,i, _ /la Tues. .Wed: Thur. -F .
BLD: I 3 V( . Date: elf 1 S
OWNER: Contact Name:
- ,
ADDRESS: S --) J Le" Contact Number:360 ?5Z.-( .5-C)Z0 -
-;
-
V- i.• 1/1/\--k...,-L 206
Notes: .'l 9v
Foundation Plumbing • Framing Propane Tank Mechanical ' •
Setbacks Under-ground Framing Under ground Furnace
___ ____
Footing Rough in Air seal Above ground Gas
_ ____
Stemwall _ Hydronic _____ Exterior shear ___ Exterior lines Oil
Straps Interior shear interior lines Ducts
Post Hole Ventilation Appliance —
Underfloor Gas/wood stove
Man-Homes
Setbacks Insulation. Final Inspection
Foundation S
Block&Tie floor _wall ceiling Address Posted
Contractors or Tradespeopleenter Friendly Page Page 1 of 2
•
General/Specialty Contractor
A business registered as a construction contractor with LE1 to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name HOOD CANAL HTG UBI No. 601864569
COOLING INC
Phone 3602754992 Status Active
Address P 0 Box 2940 License No. HOODCHCO27LJ
Suite/Apt. License Type Construction Contractor
City Belfair Effective Date 6/11/1998
State WA Expiration 2/11/2015
Date
Zip 98528 Suspend Date
County Mason Specialty 1 Heating/Vent/Air-Conditioning And Ref rig
(Hvac/R)
Business Type Corporation Specialty 2 Unused
Parent
Company
Other Associated Licenses
License Name Type Specialty 1 Specialty 2 Effective Expiration Status
Date Date
HOOD
CANAL Construction Metal Air
HOODCHC055QG HEATING Contractor Fabrication Heat,Ventilation,Evaporat 11/7/1995 11/1/1998 Archived
COOLING
Business Owner Information
Name Role Effective Date Expiration Date
EDDY,MICHAEL C President 06/11/1998
EDDY, LISAA Vice President 06/11/1998
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
AMERICAN
4 CONTRACTORS 100043863 02/18/2008 Until Cancelled $6,000.00 03/12/2008
INDEMNITY
3 EMPIRE FIRE& FS800982 02/18/2004 Until Cancelled 03/01/2008 $6,000.0002/24/2004
MARINE INS CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
6 Farmers Ins 60214743 05/26/2011 05/26/2013 $1,000,000.00 04/10/2012
Exchange
5 TRUCK INS 602314743 05/26/2010 05/26/2011 $1,000,000.0004/23/2010
EXCHANGE
4 TRUCK INS 602314743 05/26/2005 05/26/2010 $1,000,000.0004/21/2009
EXCHANGE
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 3/14/2013
Contractors or Tradespeople 'nter Friendly Page Page 2 of 2
•
Infractions/Citations Information No records found for the previous 6 year period
I �
II
� I
https://fortress.wa.gov/lni/bbip/Print.aspx 3/14/2013
JON • •
c
*-:ent
. JEFFERSON COUNTY
' r; DEPARTMENT OF COMMUNITY DEVELOPMENT
In `4 621 Sh eridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
4. 5*'
/4,
Zi-nvo
o www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA:
P oject Description(include separate sheets as necessary):
' 1ao 1,Oct‘ cd ` u �� e - i e , c-1 am c4W-C }f ..� 5-A.kt (A ccc� 5 v ?1c+.cC
Tax Parcel Number: q53 tDDa DI, Property Size: (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record:,cv+i�C'.c A LCtC_5 Grp
Telephone:3 t31 - 4 Fax: email: _
Mailing Address: - ,, k f , 9tal ( , a 2�Lt.�h`,A o �(tL ,Cq`r'.;30
Applicant/Agent(if different from owner): L()t \ t��`l»�c A(0
Telephone-- = - '`� _ �J )t.L Fax: i email:
Mailing Address:— C. _ '..-to I. t_ ' t- �� t 1.1.) .�` -1 C'1
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
❑Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address _❑Road Approach ❑Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
2-Propane --"-fe1\e1V ❑Long Plat**
❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration*'''
❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
ii '' '' DESIGNATION OF AGENT
W
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE X .,i1 ■ AOL Date: .9'//5i-b--3
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 this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further 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 req ired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the licat that he pr she w nts norm Lice.
Signature LPL C Co_ Q_ , Q,N1;40 Date:,'-3! \L-k Ir11 -3
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tr a 611e, 'res�'ons'b)lit f enn to=lying with the ESA. The Applicant has read this disc) imer a d signs and dates it below.
Signature: Vl.�lLt `\A.`L 1 i�� Date: . rL I A
• •
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: LkbeA EMAIL:
CONTRACTORS LICENSE (NAINS
NUMBER: UMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
C New C Wood Existing: u Sewer
C Addition 0 Steel Proposed: Bank 0 Community System
C Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System
Repair ❑ Masonry SEP Permit#
Bedrooms: Water Supply:
Demolition ❑ Other: PP Y:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants (includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Pro•ane Tank and/or A••fiance Installation •ermit mark all items below that a••I :
Underground Tank Above ground Tank Size of Propane Tank:
Heat Stove Cook Stove i Woodstove I Fireplace Insert Hot Water Tank Pellet Stove Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount .`Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review:
Other Heated Base fee: c7
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $
•
Receipt Number:
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
'Fair market value of all labor and materials foundation to finish
Initials:
DV3732SBI Specifications
�0
�ODEL • FRONT WIDTH BACK WIDTH HEIGHT i DEPTH ' k , , TUJHGt 4:9 7 4 1 1 1.()' ,1 p,;(4-0-,,,
f
Act. Framing Actual Framing 1 Actual Fran:mg , Actual Framing (NG)13,500-19,100 �'1` 1
0 DV3732SBI 36 37 25-3/4 37 34-3/8 54-3/4 16-1/4 16-1/4 30 1/2 x 21 (LP)14,500 19,300 v x s ifi� :u ... `iliV.I a;4.:7N w ,aiMsw•.,....W.r rakM i-MMt. . . s_r.+. . _
DV3732SBI
irAi 41-1/2[1053]
33[BA Top View Side View Front View Side View
pi 18-5/8[474] GAS UNEACCESS P18 203]
.._.27 3/16[691]— Av.
{ 14-1/2[369] II iii . ' ------- d1�A1�
�. 12-7/8 25-3l4[653]— - 1
Ili Pii�t�il�ill [326]—I~ H I [II-1. ."1111 I 36-7/16
�, [ 16'1/4 ° 3041/16 17gp ° [923]
�> 15 7/8 [413]
rg IF / [403] O :13/16 : [7641 ,8-/1: i
23-7/8
De' Ilk 1 _ r-3/16 1 3-9/1: 1607]
Vl 1/2 5490] ao6-5/8[168] 1 O 55] (90] O
[12] r [ •®. 1 i'.:_'_:: °31101 I i a I
29-3/8 t F— 31-1/8[791]—I 1
y'' [74� 6[152] Imo— _.I tI ELECTRICAL
Top View Corner Installation 36[913] 6-7/8 ACCESS
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r v . •I: ctresz. ._ tit ter z,P..raduct�nformatran,provrde is noGCOrnp'le`�f'a• 'roc Is°sit iect`o�cfi A w,ff a of e PFO `Uaf fi;a11a13 A1v�f e-S 14tE. -
n e s ctio t?t t o Mack .l�
_n ctio's s oglengcpro0. k,`a tnerid measuring"'indivldual Its at insfallati;i Assumes the use of l/2 Sheetr, NOTE Combustible ma*eRatbt oY..
" 8f,[ eve 2fte� Ce �ke'"5ure yoy db 1 CP.et the decorative door opening - M
°e er tR Installatlort�rrfanUafi�ordefalfes(,5 eetf Via,I, 5 -a FJSta I 9"-this cf�Heat&Glo reserves the right to;updaYe knits peYiodlcally The flame and-em_beY appe: - .:, Yr
a' based on tt,9 off' I gr•d'dIan tfe rljtln eo t£1gu at,�_fY,d�etual product:appearance Includn9 flame may differ from product:images.- „
« `�'., ,xr 4;�:xrr¢ t,�,".°rsh t �F.".,,.': „'"�% ?;'"� - 4< ..�r'_,t,t ,.,'.:d:.>_.. ..,,':...:a ._r•. . _ s,
DV3732SBI Features Optional Fronts (unit ships with louvers) Optional Trim Kit
• 16-1/4"deep profile—perfect for smaller space requirements ,:_::,• :::::•y ==�- -=?
• Flex line and gas shut off for fast plumbing rough-in ---
• Installed junction box for optional blower or remote control ,
• Adjustable valve =_ I 1
• In case of a power failure,Heat&Glo gas fireplaces v th _e..,,..,
standard IntelliFire ignition will continue to operate - +=°=••--"�ii°-
• Screen mesh eliminates glass glare and provides a measure f Aero Front Chateau Deluxe Front
550-Trim4-SS shown with
protection from accidental contact - „ standard louvers
• Ships with standard louvers F.. -- -
• 3-piece,3-inch black or brushed stainless steel metal trim
kit provides cost-effective transition from unit to wall ' r ;
(550-Trim3-BK,550-Trim4-BK,550-Trim3-SS,550-Trim4-SS) •
,..- -.• , - ■
IntelliFire° . r
Our exclusive,state-of-the-art,IntelliFire ignition system reduces Haiston Operable Doors Clean Face Kit
gas consumption and thermogenerator wear by providing a pilot Front Finishes 550-Trim3-BK shown
flame only when needed.It also supplies a back-up battery system with standard louvers
to run the fireplace during a power outage.
Black Graphite New Bronze
$emu 0 ', tft o x tea; Ratln9 NG I LP m
dy S to a a® o aoa e• ers set p afo sd e ache
Ti 1
s, ,F -d y "' - e eat Q,] ® , n o 6 Steady State 70 6% 70.6%
o e to t C y° e 2,4,W=1,-,7.r,,,,. Y�c,u2• e,a,gS/COIlIF_ fit$ C A. r
3
4 � r t,"^ ��� s� �' � � �*�,,� `x� �g'� v �:` �' Rating NG j LP '
aC r'u`dd h'ffieeC® ,., 3. 5 , .. s 0" ' EnerGuide o 0
�"..4 7- Sr` 4 �` 52 4% 56 4% -
'� @CC,EtIGIe�., �`e�1 rier?U d�- tu�g4�lse0 C ® 1oull�ease�at� e�e�'c e-�•Y•�� (CSA P 41 02)
S-ri ? 4 v £t, c ;, €+`ice , #.. z _
L a ,row . a. ' ',6 as
c''c..90-i -. I or fro o ;1tl o•el � Limited Lifetime Warranty'
,,,A7:%%*:..`-' 4. H EAT&G LO. The strongest in the industry,Heat&GIo provides
e se cont e at
n ,a a limited lifetime warranty on the most important
,_a_..�� - aspects:firebox and heat exchanger.
y i e A brand of Hearth&Home Technologies Inc,"
4, „ SAN
ate% 7571215th Street West,Lakeville,MN 55044 C'anadx
;:' - Web:heatnglo.com ENER�jjUIDE
'' Hood Canal Heating and Cooling i Phone:(888)427-3973 (952)985-6000
Office-360-275-4992 F 41 E-mail:info @heatnglo.com Look for the EYa GYId•
Gas Fireplace Energy
: i-� -i U Efficiency as ftagng In Ena brochure
6„ hoodheat @aoLcom I 'For full warranty details,go to www.heatnglo.com. COL US LISTED
4114!,,i''' g Cover Photo:DV3732SBI shown with standard •
�, �574 �a. � .,;t€4a, -ml•°-,t.4 louvers,Mt.Vernon mantel and Wheatfield granite HNG-110 3 0-110 9
•
Jefferson County DCD Building Division
Correction Notice
PERMIT NUMBER t�^
OWNER *9...1, 10-
JOB LOCATION ` , ,
Inspection of this structure has found t following violations:
• • A•
L p
%Ma
U Imo/ ►� ..
tin _
You are hereby notified that no more work shall be done upon these premises until
the above violations are corrected, unless noted otherwise. When corrections have
been made, call for inspection.
Date -3-.;.-2 `---13 Inspector
BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455
THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE
flo
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#: BLD13-00084 Received Date 3/14/2013
SITE ADDRESS: 356 S 8TH ST Issue Date 3/14/2013
PORT TOWNSEND, 98368
APPLICANT: SANDRA L LARSON PHONE: 360-302-5044
390 S 8TH ST
PORT TOWNSEND WA 983689786
SUBDIVISION: GISE'S ADDITION Block: Lot:
PARCEL NUMBER: 953100201 Section: 16 Township: 30N Range: 01W
CONTRACTOR: HOOD CANAL HTG & COOLING INC PHONE: 360-375-4992
PO BOX 2940
BELFAIR WA 98528
Contractor's License HOODCHCO27LJ Expires 2/11/2015
OWNER, SANDRA L LARSON PHONE: 360-302-5044
if different: 390 S 8TH ST
PORT TOWNSEND WA 983689786
PROJECT DESCRIPTION: SWAP OUT PROPANE FURNACE FOR PROPANE FIREPLACE
Directions
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 3/14/2014.
REQUIRED INSPECTIONS:
Tank/ ine/Appliance: J- 26—(3 <�
FinalApproval: 'L 4(Y
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 3/14/2013