HomeMy WebLinkAboutBLD2013-00089 • BUILDING PERMIT APPLIcrION BLD13-000 39
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD13-00089 Received Date: 3/20/2013
SITE ADDRESS: 53 ALDERWOOD PL
PORT TOWNSEND, 98368
OWNER: CAROLYN A WALLS PHONE:
TIMOTHY W WALLS
53 ALDERWOOD PL
PORT TOWNSEND WA 983689512 KALA POINT#1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 964700025 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2013
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr Gas piping to range
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:
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 $76.00 MKF2 03/20/13 140116 APPROVED
Total: $76.00 MAR 2 0 2013
Jefferson County DCD
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•
Date &/--67/3 time received /0 57 CO pm Mon. Tues. ,Weds Ttiur. —Fri. •
BLD: BO/3- Q l • Date: 6 l0 �"tp i . •C•
ontact Name:W OWNER: S [IG ADDRESS: _ 3 �. A. � ' Contact Number: 360
206 rf
Notes: - 4
•
.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 V—
. Post Hole V Ventilation Appliance
Underfloor _ Gas/wood stove
Man•Honies --
_
Setbacks Insulation. Final Inspection
Foundation ,,
Block&Tie floor wall ceiling '
9 Address Posted
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DateI __ time received 1 2 2-7
an /0 Mon. Tue- Wed: Thur. -Pri. •
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BLD: , V — 861 . . Date: 4"--.I IC' .. . '
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OWNER: —1—CIA". Lt..)c (A . Contact Name:
.
ADDRESS: • - 'S. 41)4014) waDa 0 L Contact Number.360 f5-----S•79;7
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206 a
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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 •I- _ Oil
• Straps Interior shear • - orline - Ducts
.--.
Post Hole Ventilation • Appliance•
Underfloor Gas/wood stove
Man-Homes
- -
Setbacks • Insulation. , Filial Inspection
• ,::, :•.,-,
Foundation-- • •. . • •-,:-
Block&Tie floor wall ceiling. Address Posted
•
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Contractors or Tradespeople inter Friendly Page • Page 1 of 1
Electrical Contractor
A business licensed by L&I to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account.They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee.
Business and Licensing Information
Name SUNSHINE PROPANE UBI No. 600342368
Phone 3603855797 Status Active
Address 10853 Rhody Drive License No. SUNSHP*984B3
Suite/Apt. License Type Electrical Contractor
City Port Hadlock Effective Date 1/23/2002
State WA Expiration Date 1/23/2014
Zip 98339 Suspend Date
County Jefferson Specialty 1 Hvac/Rfrg Ltd Energy
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
Specialty Effective Expiration
License Name Type Specialty 1 2 Date Date Status
ENVIRH1004D9 ENVIRONMENTAL Electrical Hvac/Rfrg Ltd Unused 3/29/2000 3/29/2002 Archived
HOUSING INC Contractor Energy
Master Electrician INFORMATION
License CHAWER*954JE
Name CHAWES, RICHARD
Status Active
Business Owner Information
Name Role Effective Date Expiration Date
ROSS, LEVI K Agent 01/23/2002
PETERSEN, JAMES F President 01/23/2002
EWING,MICHAEL H Secretary 01/23/2002
YOURISH, ROBERT Treasurer 01/23/2002
BISHOP, RON M Vice President 01/23/2002
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount_Received Date
1 RELIANCE SURETY CO 6086432 03/20/2000 Until Cancelled $4,000.00 01/23/2002
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions/Citations Information No records found for the previous 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx 3/12/2013
ON
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-, �:
�� � e� JEFFERSON COUNTY. .,; ' •
'DEPARTMENT OF COMMUNITY DEVELOPMENT
360/3794450.St.36O1379 wp �d •Washington 9.868 ;,. • .
e www.co:jefferson.wa:.usicommdevelopment • •• • .
.
Master Permit Application - • . MLA; . k_)/1:4-- ...
. Project Description(ingiude separate sheets as necessary);
67raz a ! ,,
Tax Parcel Number: ` Ip -1 0°C2
. Property_Size (acres/square feet)
Site Address and/or Directions to Property; •
L D ts�61UQ `P_
Property ners).of Record: Of\e L>✓T, i'fo ri-v- t .R . •
•Telephone: c3 F 5_,..-, (3‘i 51(.) >: . Fax: email:
.Mailing;Address: ,
Applicent/Agent(if different from owner) : c
Telephone: 3e5'- 57 y 7 • Fax 3.8 5-S8 7.5 email: s dA ,10 a,-e ,c,,,.,.
Mailing Address:__2„,,0 O 8 3 �/ o QR P i; fMw c% i )/d
What.kind Of Permit?(Criecic each-box that applies- • 0 Lot or Road Segregation .•❑Building • • , 0 Cnti�l Ateas Sfewardship Plan "
O Demolition Permit . 0 Variange(Minor,-Major or Reasonable Economic Use)
0 Single Family 0 Garage..Attached/Detached; - :0 Conditipnal Use[C(a)., 0(d).,or C].** '
0 Manufactured Home; , 0• Modular .- 0 Discretionary"0'or'Unnamed•Use.Classification.
0 Commercial* 0 Special Use(Essential Public Facilities)". .
O Change of Use • •CJ Boundary•Line Adjustment
0 Address . . 0•Road Approach, . A Short Plat** .
• 0 Home Business 0 Cottage-fndustry 0 Binding Site'Plai ** .
,propane 0 Long Plat** .. ;
Cl,$ign • ' 0 Planriea Rural Residential.Development(PRRD)/Arnendrtients** •
O Allowed`"Yes"Use Consistency Analysis 0 Plat Va abon/Alteration'A' . .. . ., .
.rf Stormwater Management • - • :7 Shoreline Master Program.Exemption/Perrnit;Revisions**
O Site Plan-ApprQVal Advance peterrrtination($PAAD)* 0•Shoreline Management'Substantial Development*
- O Temporary•Use :'0
Shoreline Management Vanance
0 WireleseTelecbmmunication* - ' ` 0 CornprghensfvePlan/UDC/Land Use�Distnct Map:Amendment
0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County,.:Shoreline Master Program Amendment
*May require a Pro—Application Conference 0 Tree•Vegetation Request '
**Re u(res a Pro-A• licat/on Conference
Please-Identify afyott)ei local;state;or federai permits tet(uiredfot"ttiis.•proposal, if known.
r� ` .DESIGNATION OF AG NT
I :ereby.designate. .3�r.' •S• t h.�.. r��a-k •e, fo act`as my s ent in matters relating:to this application for permits)
C'1'f� •WNER SIGNATURE / • Gt,� -Q- , . 3/ Y-.•
,. .�_. Date 5 L0/
• By signing this application form,the owner/agent.attests that the information provided,herein,.and in any,attachments,.:is true and correct to the.bestof
•
his her or.its knowledge. Any material falsehood-or any::omission of a material-fact triade-by the-owner/agent with resped.to•tl is applica'tfon paoket'
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'sfees and •
expenses which:may in any way accrue"against Jefferson County as a result or in:cpnsequence of the granting.of this permit;
i further agree:to provide access and tight of entry to Jefferson County andlts employees representatives or agents for the sole purpose of application
review and any required•later inspections. Staffs access and•nght;of entry will be assumed unless the applicant Informs the County in.writing at..the..
r . time of the application that he_or she warts prior notice - _
•nature.:
• 0: l.4. ' s .. , ..Pate, .., ./2_47/ /3
The.action or actions Applicant will undertake as a result of the issuance.of this Permit1may negatively impact'upon one or more.threatened or
endangered species and could lead to.a:potential.r"take."of an endangered species,as those terms are defined.in the federal law known as the
"Endangered Species Act"or"ESA,"Jefferson.County make's no assurances to the applicant that the actions that.will'4 undertaken_because this. .
permit has been issued will not violate the ESA. Any.individual,group or agency can file a lawsuit:on behalf of art endangered species>regarding.your.
actions)even if you are in compliance with the Jefferson County development code:The Applicant.acknowledges Tat he,-she or:itholds individual
and non transferable respooj sibility fore-'3".'}iering to;and complying with.the'ESA The Applicant has read this•disclai e nd•si'ns and dates:it below:
Sign tune: ! 4) Date .:" j �/3
)V't
r;.\Permit('.enter\###Fr1RMS###\DRn Fr1RMs\r:nrr.nrrlRrl Rnr,nr\A.f.,rt.rP...n:r 4...,1:....4,..,c on no A.....
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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 assumin the responsibility of the General Contractor for the proposed projedt
Signature. Date .3/ Vi''e-3 1
, f..
GENERAL CONTRACTOR e- • A•. •• ER:,. PHONE: FAX
.51t-v z lit ne tPl? ? to (2 )• 3Fs- -r71 7 . (364 3 es-S"P75
MAILING ADDRESS �
1 $53 0-11.-4-20.1 Pt P. 6 EK!WILi . .
CONTRACTOR'S LICENSE
WAINS
NUMa R ... SLAI�t�• .,
ARCHITECT/ENGINEER: � f PHONE .
FAX )
MAILING ADDRESS: EMAIL.
Project Type: Frame Type: Bathrooms . Shoreline: Type of Sewage Disposal:
0 New 0 Wood .Existing: .
0 Addition a Steel Proposed: . . Cl.. .. . Bank Community 05
System_
0 Alteration/iarnodel 0 Concrete Total: "
`
. • . ,Height: .. 0 Individual System
0 Repair 0 Mason
• 0 Demolition 0 .Other Masonry Bedrooms:
` SE Pe
Existing: rmlt#'
Water
ripe of•~kleaa , .: Proposed: Setback: 0 Private well. 0 Two Party..
D Public
Total
. Name of system. •
If this.is.a Commercial Proiect you must answer the following:
Number of Parking Spaces Current: Proposed: �. . . Number of ADA Parking Spaces
:Number of occupants(includes owners,tenants,employees,etc) Current • Proposed' •
*IBC Occupancy .' IBC Type of construction: •, Will you have F.00dService7 Yes /No ,
if thts is.a Probane Tank and/or Appliance Installation permit,(nark all items below that applv:, ,9 •
i Underground Tank I Ab ground Tank
� ove ground Size of Propane lank: /e a. /
7----7-1 Feat Stove co Stov I Woodstove I Fireplace-Insert' I.Hof Water Tank i Pellet-Stove: I Other
. is this.appiianc nstalled in a Manufactured/Mobile Home?: Yes / No
Merl applying'yor a perinit•to install a propane tank you must also su milt a site plan showing all of the buildings,all property
lines, tank location and size, distances from the propane tank to all property fines,buildings and septic system components,
including the reserve area: T��p�`phr y e y
t{t tb L y -, ' 51 JC 776 3i f1,:. 44,0 '''''.4W c° -0174 44'4'''.
'Square Footage Current Proposed .' - ,,$ : ,, rya A pM ��� q s
0 4t . �at't fua7 �a� ,,.;n' ? 5 ,• Aty�S'0 '#'41,
Main.Floor Heated ,,t, v i fk EH Bid App Review:
2. Floor Heated. , t `Ls z; Consistency Review: ,
•
Other Fleeted.
` ^�a Base.fee
Mezzanine 4 ..tr .S Additional Section:
Heate�62seinen# �t
.. . «,Y�#4 Plan Check fee:
` f
Unheated Basement 142`��
Y i.r. State Surcharge fee:
�y
' Other lJnheated ,r, t, A.. , Pot Water Review fee:
' °�,� ,_f
Garage/Carport. r;.r " SUBTOTAL
Decks ' ; ffw,
911/Rd,Approach fee:
. E :sN ".ax4 tri
Other », .
TOTAL $
-
pigf :Receipt Number
. :E�, b Cash/CheckNumber...
ESTIMAT4ciPcS>r(REQUIRED) . Date
•Palrmarket•value of all labor and materials foundation to finish':
Initials.
G:\PermitCenter\###FORMS###\DRD FORMS\Current bRD Polaris■Master Peamt Applicatio i 5-24-08.tloe
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•
. SITE VISIT REPORT,
%� (PLOT PLAN)
JOB \R` • t_6.�0\k.ttP� a�\\S DATE : 2-'Co'°Ij •
CONTACT: J
ADDRESS 53 AL-0-e-iVX O4) P1 , PHONE #: .
DIRECTIONS FAX #: .
Email
PLANNER:
Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and
buildings, septic,wells,wetland areas,distance to water bodies.
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Jefferson County Building Division Permit Number:
Applicant:
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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
1-4/7-6/6 6/is' cir%6 `-fil 7/15 „---
I
FINAL INSPECTION 401 l3
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#: BLD13-00089 Received Date: 3/20/2013
SITE ADDRESS: 53 ALDERWOOD PL Issue Date 3/20/2013
PORT TOWNSEND, 98368 Expiration Date 3/20/2014
OWNER: CAROLYN A WALLS PHONE:
TIMOTHY W WALLS
53 ALDERWOOD PL
PORT TOWNSEND WA 983689512 KALA POINT#1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 964700025 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2013
PROJECT DESCRIPTION: Gas piping to range
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $76.00 MKF2 03/20/13 140116
Exist: Exist: Total: $76.00
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