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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 Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac II http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=961803905 7/15/2014 Map Output Page 1 of 1 • • ArcIMS HTML Viewer Map 1 462S00MT / .Y'1 / , 981803801 �\ I 001800804 1 %, 41 I =_■ slit 981807608 I1 96180 3808 w 461803890 ■ 961903812 { i i 5618E4813 [ I I legend ..__.._._ 8fyp9.RCI. Towns Y ._,..��.._. CwnlY gee ( .. Rw+ICwlaf T i.ZR P ^._ 1 71 1 ve JC Roath r. f' r1-1 Parcelsit 5618010001 I l._.. 98t8[a'f9115 I 081108004 ■ 463800908 ! 96i803BD2 I MH3kat SI 988100302 088700301 955780212 ■ MnavoeenvlJ 5386456686.5aesima CJB 0■T8n FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the method and accuracy of its collection.Tue Jul 15 16:26:44 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4...I 7/15/2014 `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+ RECEIVED FROM a LA--)L H eaki C'.rmli n C DESCRIPTION MARSH AMOUNT CURRENCY IAf ,,I I-2. ..jam A al, �73b3 c P i st�l/q-kon E/ ‘161 703905 0 t r► RECEIVED BY ,�/_ A _, TOTAL I ! /i en)