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Home My WebLink AboutBLD2013-00134 • BUILDING PERMIT APPLISTION BLD13-00134 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00134 Received Date: 4/25/2013 SITE ADDRESS: 214 EAGLE VIEW LN PORT LUDLOW, 98365 OWNER: WILLIAM C ROTHERT TRUSTEE PHONE: MARY C GALBREATH TRUSTEE 214 EAGLEVIEW LN PORT LUDLOW WA 983659519 SUBDIVISION: Block: Lot: PARCEL NUMBER: 721093019 Section: 9 Township: 27 N Range: 01 E 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 DESCRIPTION HEAT PUMP REPLACEMENT TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION 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 $228.00 ZAL 04/25/13 142024 APPROVED Total: $228.00 APR 2 cr71 Jefferson County DCD 11lirlcmnrL\.I.34m1fnrmc\C RI n Ann Rid rnr AMAlln Z 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 #: BLD13-00134 SITE ADDRESS: 214 EAGLE VIEW LN Issue Date: 04/25/2013 PORT LUDLOW, 98365 Final Date: 5/8/2013 APPLICANT: WILLIAM C ROTHERT TRUSTEE PHONE: MARY C GALBREATH TRUSTEE 214 EAGLEVIEW LN PORT LUDLOW WA 983659519 SUBDIVISION: Block: Lot: PARCEL NUMBER: 721093019 Section: 9 Township: 27 N Range: 01 E PROJECT DESCRIPTION: HEAT PUMP REPLACEMENT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes io THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/8/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpl 5/16/2013 r Contractors or Tradespeopeetail Page 1 of 1 • 43 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > E Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor A business registered as a construction contractor with L&I 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&COOLING INC UBI No. ii 601864569 Phone No. (360)275-4992 Status 401 Active Address P 0 Box 2940 License No. HOODCHCO27U Suite/Apt. License Type id Construction Contractor City Belfair State WA Effective Date 6/11/1998 Zip 98528 Expiration Date 2/11/2015 County Mason Suspend Date J Business Type Corporation Heating/Vent/Air-Conditioning Specialty 1 Id And Refrig(Hvac/R) Parent Company Specialty 2 I) Unused 0 Other Associated Licenses License Name Type Specialty I Specialty 2 Effective Expiration Status Date Date HOOD HOODCHC055OG CANAL Construction Metal Air 11/7/1995 11/1/1998 Archived HEATING& Contractor Fabrication Heat,Ventilation,Evaporat COOLING 9 Business Owner Information 9 Hide All Name Role Effective Date Expiration Date EDDY, MICHAEL C President 06/11/1998 EDDY,LISA A Vice President 06/11/1998 3 Bond Information 11 https://fortress.wa.gov/lni/bbip/Result.aspx 4/25/2013 ON • • /�48 . ° JEFFEPON COUNTY 44 DEPARTMENT OF COMMUNITY DEVELOPMENT �' 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 3601379-4451 Fax " p www.co.jefferson.wa.us/commdevefopment Master Permit Application MLA: Project Description(include separate sheets as necessary): ��=P■i-k —o ‘147,-- --: n t rn P Tax Parcel Property Number: `1 )-\ CA.1)b\ C\ Size: ..‘..s._ acres quare feet) Site Address and/or Directions to Property: [� Telephone: _.� �._ . Property Owner(s)of Record�,i ,c.0 t. .& __+■ Y=- 11 - �� '-. t •'—►�+ '-i�� lephone: `�\�D)A.2j`-i-67. Fax: email:• . ii.u� ft-.• 6(MA Mailing Address: �■ ilc(st-Z \:? .1.ti U tomr . Q•• L is tp-4c1.1 u\ A- ca.'Z1st- ApplicantlAgent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 4.Building 0 Variance(Minor, Major or Reasonable Economic Use) l-..2 Demolition Permit 0 Conditional Use[C(a),C(d).or CI" i, Single Family Garage Attached/Detached -1 Discretionary"D"or Unnamed Use Classification It Manufactured Home 7 Modular 7 Special Use(Essential Public Facilities)** L Commercial* =Boundary Line Adjustment Change of Use Short Plat** I , Address Road Approach D Binding Site Plan** Home Business J Cottagelndustry I Long Plat** - Propane 0 Planned Rural Residential Development(PRRDyAmendments** Sign 0 Plat Vacation/Alteration** Allowed"Yee Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** Stormwater Management 0 Shoreline Management Substantial Development** Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment IT Wireless Telecommunication* TI Jefferson County Shoreline Master Program Amendment Forest Practices Act/Release of Six-Year Moratorium C?Tree Vegetalon Request •May require a Pre-Application Conference "Requires a Pre-Applicazion Conference Please identify any other local, state ar federal permits required for this proposal,if known: DESIGNATION OF AGENT • I hereby designate to act as my agent in matters relating to this application for permits) OWNER SIGNA1LRc Date: By signing this application form,the owneoagent 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 ownertagent 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. !meter agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review an an required later inspectio S 's access and right of entry will be assumed unless the applicant ntorms e County in writing at the time of the• pI 1. � he or she w notice. ,� � Signature Dale._ ..__ 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 taw 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 actions)even if you are in compliance w :: fferson aunty development code The Applicant acknowledge that he,she or it holds individual s and non-f n le e onsibiity for ;• ' • and mg with the ESA. The Applicant has read this disci imer a signs and dates it below Signature: ' f.%.,4.4 T wt Lb Date. '11-4 \,Z C Docomenu and Sernigt.candLLocal Setta:ns`,Tnnp nrao lexteuset Files`._OLE:86-,1ta,tee Penntjppticacon 12-19-20M doc • • 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: G NERA_.C NTRACTOR OR MANUFACTURED Hoo,jE INSTALLER: PHONE: FAX: cot (tt..��tc �►r�"rC �,lr _ \a1c. (mod �1.�5' .1 t )'�-t�`$ 5 All NG ADDRESS: _ t��.�.1_�.- p�E t.: CONTRACTOR'S LIC.ENSF, AINS NUMBER: car?-`C�-� NUMBER ARCHITECT/ENGINEER' ` ✓�. �ER. __ c PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type. Bathrooms: Shoreline: Type of Sewage Disposal: :. New Wood Existing: Sewer Addition Steel Proposed: Bank I Community System Alteration/Remodel Concrete Total: Height: i. Individual System Repair Masonry SEP Permit# Demolition Other: Bedrooms: Water Supply: Existing: l Setback: Private well Two Party Type of Heat: Proposed: Public Total: Name of System: 1...,_ �_.._—....._ . ____ ... 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 I No If this is a Propane Tank and/or Appliance installation permit,mark all items below that apply: Underground Tank i Above ground Tank Size of Propane Tank: Heat Stove ; Cook Stove I Woodstove I Fireplace Insert t Hot Water Tank i Pellet Stove I 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, t including the reserve area. Square Footage Current Proposed For Office Use Only ( Amount -_, Revision Main Floor Heated 1 EH Bid App Review: j4 2"°Floor Heated Consistency Review: Other Heated C Base fee: OD r Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement iz State Surcharge fee: Other Unheated l Pot Water Review fee: t I - GarageiCarport T SUBTOTAL ; Decks 3 911/Rd Approach fee: Other TOTAL: $ Receipt Number: L� 1 CashlCheck Number: — —/ ads _ ._. _ . ESTIMATED COST(REQUIRED( Date: parr nrarah+aabor aoderrals foundation to finish .! ., Initials: `/ • C':Doettraenee and Sewage caul-:Local Settutge Tempo:aty Intecc t Fite'OLt:S6 -Mantel Penmt:lpplication 12-19-2006.doe IIIIMIIIIIMIIIIIMIIIIIIMIIIIMIMIIIMIIIIIIIIIIIIMIIMMMIIPMMMIOMOMI . . - ,-v't.", • . 41 ry • • - . • • . . VP4)'0,1' :, ,-.S.•...4 . . . _ • 5 6. time received. 4g:5570 i pm • Mon. Tues. 40 Thur. -Fri. - . 40- 2...A . Pate: 5--9 - BLD: . .... • Contact Name,. OWNER: -- t -le --- , • . • ____2___A___(.7.?, \'e_ 0 l.e-t.)-) ../"C"-. Contact Number.36.0 ADDRESS: • • . 206 • ., Notes: • - - . . - . - • ' . , . Foundation Flun_A___Et!In - Framing' . . Propane Tank - Mechanical ---- . Setbacks _____ Underground Under-ground Framing r Furnace Rough in Air seal Above ground • - Gas Footing — Oil Hydronic Exterior shear Exterior lines • Stemwall _ Interior shear Interior lines • Ducts Straps — Ventilation Appliance Underfloor ' — Post Hole • Gastwood stove • _ . • Man4-10i—nes: . Final Inspection • n . • .f..ei :;•1 Setbacks ' Insulation _ • Foundation __:__ • floor _wall ceiling Address Posthd Block 8,11e - • 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#: BLD13-00134 Received Date 4/25/2013 SITE ADDRESS: 214 EAGLE VIEW LN Issue Date 4/25/2013 PORT LUDLOW, 98365 APPLICANT: WILLIAM C ROTHERT TRUSTEE PHONE: 40457' °--/ 3 MARY C GALBREATH TRUSTEE 214 EAGLEVIEW LN PORT LUDLOW WA 983659519 SUBDIVISION: Block: Lot: PARCEL NUMBER: 721093019 Section: 9 Township: 27N Range: 01E 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, WILLIAM C ROTHERT TRUSTEE PHONE: if different: MARY C GALBREATH TRUSTEE 214 EAGLEVIEW LN PORT LUDLOW WA 983659519 PROJECT DESCRIPTION: HEAT PUMP REPLACEMENT 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 4/25/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: ��. �7 I 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 1l tidemark\datalformslF_BLD_Permit_Propane.rpt 4/25/2013