HomeMy WebLinkAboutBLD2014-00245 - MECHANICAL BO •DING PERMIT APPLICATI B
Review 0245
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00245 Received Date: 7/15/2014
SITE ADDRESS: 91 W MARKET ST
PORT HADLOCK, 98339
OWNER: JAMES L DODD PHONE: 360-385-3824
DEBRA DODD
91 MARKET ST
PORT HADLOCK WA 98339-9616 9618
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 961803905 Section: 2 Township: 30 N Range: 1■1
CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 360-452-9813
302 KEMP STREET
PORT ANGELES WA 98362
Contractor's License ALLWEHC150KU Expires 9/4/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP Install New Heat Pump System
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC MAIN:
VALUATION ADD'L: HEAT TYPE: HTP
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 $152.00 SRE 07/14/14 148882 APPROVED
Total: $152.00 V
JUL 15 014
Jefferson County DCD
1\tidemark\data\forms\F_BLD_App_Bld.rpt 7/15/2014
SON •`�w ITN
2 JEFF ON COUNTY ti DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment
98711 NU'Q� Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(a)co.lefferson.wa.us
Building Permits &Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
Install heat pump system
Tax Parcel Number: 961803905 Property Size: (acres/square feet)
Site Address and/or Directions to Property:91 Market Street
Property Owner(s)of Record: James&Debra Dodd
Telephone:360-385-3824 Fax: email: djdodd @cablespeed.com
Mailing Address: 91 Market Street Port Hadlock,WA 98339
Applicant/Agent(if different from owner): All Weather Heating&Cooling
Telephone: 360452-9813 Fax: 360-452-5177 email: kmckeown@allweatherhc.com
Mailing Address: 302 Kemp Street Port Angeles,WA 98362
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation �a
Building ❑Critical Areas Stewardship Plan nkF�j, �t E o v
❑ Demolition Permit ❑Variance(Minor, Major or Reasona V •FE is ..c)
❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]""` LLLIII
❑ Manufactured Home ❑ Modular ❑ Discretionary 'D"or Unnamed Use =s tio q
El Commercial* ❑Special Use(Essential Public Facili ) JUL 1 4 20" li
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address ❑ Road Approach ❑ Short Plat" l
❑ Home Business El Cottage Industry ❑ Binding Site Plan** )Er FERSCP.;CO;I tlTY
❑ Propane ❑ Long Plat** DFPT pr pp TNT
❑Sign ❑ Planned Rural Residential Development(PRRD)lAmendments**
❑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 DESIGNATION required for this proposal, if known:
All Weather Heating & C OF AGENT
9 oonn
I hereby designate to act as my agent in matters relating to this application for permit(s).
J{ OWNER SIGNATURE f�1 Date:__ 9
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 required later inspection Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application t.-the or she p'o notice.
}{ Signature: _ ►� !' Date: 7 'T <1
The action or action 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'lake"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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable onsibility for ring t ,and complying with the ESA. The Applicant has read this disclaimer and igns and dates it below.
X Signature: '� ^t h0 fXl Date: 7/F/`f
07/24/2013
• 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 assumi the response ety of the General Contractor for the proposed project.
X /�9'
Signature: ti.�T Date: 7/?,/
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
(360-3f5-3824 ( )
MAILING ADDRESS: 91 Market Street Port Hadlock,WA 98339 EMAIL: djdodd @cablespeed.com
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE (360-3)35-3824 FAX:( )
MAILING ADDRESS: 91 Market Street Port Hadlock,WA 98339 EMAIL djdodd @cablespeed.com
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
I New Wood Existing: Sewer
Addition Steel Proposed: Bank Community System
Alteration/Remodel Concrete Total: Height: Individual System
Repair Masonry SEP Permit#
Demolition Other: Bedrooms: Water Supply:
Existing: Setback: 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 Propane Tank and/or Appliance Installation permit,mark all items below that apply:
Underground Tank Above ground tank Size of Propane Tank:
Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO 1 evotS telleP 1 knaT retaWtoH 1
Is this appliance being installed in a Manufactured l 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:
i
210 Floor Heated Consistency Review.
Other Heated Base fee: MLA-N /15 e
i Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL , 87'
Decks 911/RdApproachnfee:
q'' �r,�
Other TOTAL: $ / 7 cV
Receipt Number: /4 FD ?"-2
Cash/Check Number: 7-5 j -�
r_FSTI Nil. _ ;i Date: �J yr-
I I :E.::.
�..:..' .7 :Is foundation to finish o7//01-!// �I /
1 initials:
u )
JUL 1 4 2014
07/24/2013
LLL JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVEIOPM, E_M -
Parcel Details Page 1 of 2
• •
Jefferson County
q , : n 4 ,t
Name County Info Departments Search
Parcel Number: 961803905 SEARCH
Parcel Number: 961803905 Printer Friendly
Owner Mailing Address:
JAMES L DODD
DEBRA DODD
91 MARKET ST
PORT HADLOCK WA98339-9616
Site Address:
91 MARKET ST
PORT HAD LOCK 98339
Section: 2 School District: Chimacum (49)
Qtr Section: NW1/4 Fire Dist: Chimacum (1)
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 0211
Planning area:Tri-Area (4)
Sub Division: 9618 - IRONDALE 1-92
Assessor's Land Use Code: 1100 - Residential - Single Unit
Property Description:
IRONDALE BLK 39 LOTS 15 TO 20
Tax, A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Plats&Surveys
Septic Monitoring Info
Jefferson County HOME I COUNTY INFO 1 DEPARTMENTS I SEARCH
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http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=961803905 7/15/2014
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`V`'" r%t.. JEFFERSON COUNTY
1 DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: 6i a0J5 Time Received: /. /
am pm Mon. Tue. Wed. lihur. Fri.
/ 4 —ova4$
Date:
BLD: Contact Name: „3 - DDf
Owner: j m 385- 3414
Poda Contact Number: 360
Address: I U 14 ■ –4
Notes: Heal P i 7 ,r„
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
IMIIMMEIMI
• •
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 #: BLD14-00245 Received Date 7/15/2014
SITE ADDRESS: 91 W MARKET ST Issue Date 7/15/2014
PORT HADLOCK, 98339
APPLICANT: JAMES L DODD PHONE: 360-385-3824
DEBRA DODD
91 MARKET ST
PORT HADLOCK WA 98339-9616
SUBDIVISION: 9618 Block: Lot:
PARCEL NUMBER: 961803905 Section: 2 Township: 30N Range: 1W
CONTRACTOR: ALL WEATHER HTG &COOLING PHONE: 360-452-9813
302 KEMP STREET
PORT ANGELES WA 98362
Contractor's License ALLWEHC150KU Expires 9/4/2015
OWNER, JAMES L DODD PHONE: 360-385-3824
if different: DEBRA DODD
91 MARKET ST
PORT HADLOCK WA 98339-9616
PROJECT DESCRIPTION: Install New Heat Pump System
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 7/15/2015.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specific tions/CO2: L/ P ' A / _ I
ZNI5
Tank/Line/Appliance:
Final Approval: ajor
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
1\tidemark\data\forms\F_BLD_Permit_Propane.rpt 7/15/2014
EFFERSON COUNTY DAID NO. _ II
DATE 017114/2-0 I+
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