The URL can be used to link to this page

Home My WebLink AboutBLD2015-00169 - MECHANICAL a I 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 #: BLD15-00169 Received Date 5/21/2015 SITE ADDRESS: 521 SUNSET BLVD Issue Date 5/21/2015 PORT TOWNSEND, 98368 APPLICANT: BURTON C RICKEY PHONE: 360-385-4460 521 SUNSET BLVD PORT TOWNSEND WA 98368-8910 SUBDIVISION: 9390 - CAPE GEORGE COLONY DIV. Block: Lot: PARCEL NUMBER: 939001203 Section: 13 Township: 30N Range: 2W CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861 LW Expires 6/6/2016 OWNER, BURTON C RICKEY PHONE: 360-385-4460 if different: 521 SUNSET BLVD PORT TOWNSEND WA 98368-8910 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions GENERATOR AND NEW PROPANE TANK, LINES FOR FIREPLACE To Site: INSERT- 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 5/2112016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: ZoIELAVairtrog, 1 3R jaLuz iA Ole F'At)e �� e4 krkreS 4 6/4/5 W Tank/Line/Appliance: Final Approval: 1\-1-1411C 43 $. ti X 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 1V Z \\tidemark\data\forms\F_BLD_Perm it_Propane.rpt 5/21/2015 A SUILDING PERMIT APPLICASN BLD15-00169 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00169 Received Date: 5/21/2015 SITE ADDRESS: 521 SUNSET BLVD PORT TOWNSEND, 98368 OWNER: BURTON C RICKEY PHONE: 360-385-4460 521 SUNSET BLVD PORT TOWNSEND WA 98368-8910 9390- CAPE GEORGE COLONY DIV. SUBDIVISION: Block: Lot: PARCEL NUMBER: 939001203 Section: 13 Township: 30 N Range: 2V\ CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861LW Expires 6/6/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MECHANICAL PERMIT GENERATOR AND NEW PROPANE TANK, LINES FOR FIREPLACE INSERT- TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 $234.00 SRE 05/20/15 156075 APPROVED Total: $234.00 MAY 2 1 2015 Jefferson County DCD \1firinma1/1rIn+n1fnnne1r RI fl Ann Rid rnf c/91/9MF SON co DIARTMENT OF F C OMM UNI TEVELOPMENT � ? N � G 1 63I Sheridan S¢cc[,Po 1omtsrnd, \ A 983G8�a Tel:360.379.4-130 Fax:3G0379 4-131 C Web: szya aeftresun_wu.us/carunuvndr.elnpme E-mail:dcdCacu.icff .,n.ca.us nt MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: Date: Related Application #s: Payment#: Is this application for use in a Mobile/Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I - 360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 eq ed Submittal Items-for propane tank only General Site plan -showing propane tank, lines, and distance from tank to all existing structures. uired Submittal Items-for Solar Panel installation only Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. I Site Information Assessor Tax Parcel Number: 9 '9 OD I 03 Site Address and/or Directions to Property: 5-Z. ( Ste'-Sew _,lv.a C C e- se?e_ C o(ter --Fio.44- -e.0,-4e.--.4 . 4 .78 3 G$ Access (name of street(s) from which access Itfl be gained: Description of Work: A pi) -?,z00-r,,,e,_ ,.rL 14....D , F >-e./ .A.c-e . N ew c-Yz.ep lace - - vse 01-"no ?;-)7,-..5 Pt . , A-4440.....4-4-;2_ S4-40-4-, (ret-i e e,e_. . Property Owner Name: "E,.<< �., :r�(<e``'� r� co Address: 52-/ 3c u'1 SP f 6LA7Cl. PoO-erahm.S....,P WA Phone #: '?jjeo_ 3$5-qi ( E-mail Address: Rg31bX i nVr4v��Ol.c..(Ponn .c-vvv� m 11.,P� ',A V 37q -n- 8.1 K Applicant/Contractor: Authorized Agent/Representative Name: -6wt--64) ,.-kse.,. c Phone #: ,3C 3L410 J E-mail Address License#: Expiration Date: C.&N- ra "by o TtrGMq. b-s kbp Mechanical Application 1 _ 6urioli a`7ay/7014 • Heat Source Electric a Heating Oil Propane* Wood u Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" Cook Stove Cook Stove, Range Hood t gas can unsafely collect. Fireplace -Gas Fireplace-Gas or Gas L Insert *Propane tanks over 125 Fireplace -Wood Fireplace-wood,Wood 5 ove,or gallons require a minimum Pellet Stove setback of 10 ft. from Electric Furnace Electric Furnace or HP+/- Ducting property line and buildings, Propane (LP) Gas Furnace Propane Furnace+/- Ducting and a site plan must be submitted with the Water Heater-Gas Gas WH Vent and Combustion Air application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is Propane Tank LP Fuel Tank(#gallons: ) over 500 gallons, a site plan is Heat Pump required to accompany this Generator application, and a separate Air Conditioner Fire Code approval is also required. Installation manual must be on site at time of inspection or a re-inspection fee will be charged. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employee representatives or agents for the sole purpose of application review and any required later inspections. Applic- may request notice of the County's intent to enter upon the property for visits related to this applicatit and su• equent permit issuance. Propert i,wner Signat ' : AA/// I Print Name: roc y) C Date: ni /-k-try �gt Z o t OFFICE USE ONLY Building Permit Fees • Mechanical Permit fee(tank swap,wocdstove,furnace,etc) $156.00 Propane— Lines, tank, and appliance (add'I $78.00) ! �, Project Scanning Fee $19.50 Total Fees* *Additional fees may apply Mechanical Application 2 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#: BLD15-00169 Received Date 5/21/2015 SITE ADDRESS: 521 SUNSET BLVD Issue Date 5/21/2015 PORT TOWNSEND, 98368 APPLICANT: BURTON C RICKEY PHONE: 360-385-4460 521 SUNSET BLVD PORT TOWNSEND WA 98368-8910 SUBDIVISION: 9390- CAPE GEORGE COLONY DIV. Block: Lot: PARCEL NUMBER: 939001203 Section: 13 Township: 30N Range: 2W CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861 LW Expires 6/6/2016 OWNER, BURTON C RICKEY PHONE: 360-385-4460 if different: 521 SUNSET BLVD PORT TOWNSEND WA 98368-8910 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions GENERATOR AND NEW PROPANE TANK, LINES FOR FIREPLACE To Site: INSERT- 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 5/21/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: mow, BUILDING INSPI ., 1 11' �- 3 . REQUESTS MUST BE RECEIVED BY 3 P `� ,/}i� LL 1 EDED. Office Hours 9:00 a.t L.J'I � 1 HOT LINER r- e' "e\ Y"\ \\tidemark\data\forms\F_BLD_Permit_Propane.rpt �� • \ • r., . CI ❑ . -0V A _ p .ea 0by c N .� N t c u-I p 2 . 1 • 1 .73 ---- ,o --- -I- S ��{ - -. I .04 a- E� I R - —,i • JO a d \ I .,a o .__.. ? -. l 114 .1 + � 1 A ' _j .. 1 d 'o Jsfi/ i N • 11111 f-I'S ._. ....--. _ . . . 1,..., . ..... . - II 1 . t . _ \ :8i- .. p \ 1 .4t V 4, • i . • , g % I, \-- i V . t , , -1-.9 _ . . . LI -a" nr at 1 I - 14 i 4 • -— 1 \ \ . \\\.,,,, 1 _ : .. . .... .. . 4,..e. . . c.'=3... , .. .. %11 . ,..„0 e., .t.s• r_. G%:), , -/0 o 4, 4P s0... . _-, Parcel Details • Page 1 of 2 • Jefferson County Home County Info Departments Search Y Parcel Number: 1939001203 SEARCH I Parcel Number: 939001203 Printer Friendly Owner Mailing Address: BURTON C RICKEY 521 SUNSET BLVD PORT TOWNSEND WA98368-8910 Site Address: 521 SUNSET BLVD PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9390 - CAPE GEORGE COLONY DIV. 5 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE COLONY DIV 5 BLK 12 LOT 3 Tax,A/V. Sales, Photos, and Permit Data Bldg Data Map Parcel la.. &S • - Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later digiWindows - Mac 1 http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=939001203 5/21/2015 BISHOP PROPANE SERVICES Page 1 of 2 Home Inicio en Espanol Contact Search L&I Waite A-Z Index Help My Secure L&I Safety Claims& Insurance Workplace Rights Trades&Licensing Washington State Department of Labor & Industries IBISHOP PROPANE SERVICES Owner or tradesperson 110 CARL JOHNSON RD BISHOP,RONALD M QUILCENE,WA 98376 360-774-1995 Principals JEFFERSON County BISHOP,RONALD M,OWNER WA UBI No. Business type 602 239 379 Individual License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. ... .. ... .............. ............. Meets current requirements. License specialties Wood/Pellet and Gas Stoves License no. BISHOPS861 LW Effective—expiration 06116/2014—D6/16/2016 Bond Wesco Insurance Co $6,000.00 Bond account no. 46WB049518 Received by L&I Effective date 06/16/2014 06/06/2014 Expiration date Until Canceled Insurance Ohio Security Ins Co $1,000,000.00 Policy no. BLS56078951 Received by L&I Effective date 04/24/2015 06/06/2014 Expiration date 06/06/2016 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations ........................ No license violations during the previous 6 year period. IWorkers' comp https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602239379&LIC—BISHOPS86ILW&SAW= 5/21/2015 0 0 Em z 0 O? \ It N ' Itti{Nt, {_ . mc0 w I id8 - U� co c to C S C O O iii 11``f 1 �� of \ 8 � �, �■■ i O m I:. D. m o to an v m n �w 0:aaaz' 0 • O) n U ° 5 h m ' o O x C 9 m V ' S p 0 co M• M 0•- O ■ NEo 0 3m U 111:4 ilk �N =� 2 V 0 vi 0 Em u>Eo rnN E¢ 0 1111 I .. O N..�Z C 0 'n.T. O G .. m ? = n Q-.V m � lli IiiiIIiii OE co 47 .0.. ' `■ 9 V LI o 0 1)� g �� C 0 =—L %L 0 C O 1 I 2E 0_ i q �a u 0 a E m mN n c 0 O y r _I®ironnnms - m I ioc o £ J4:1 � 111111//11 Ili A v o CD m 2 c ii- h Nall ,- I ill mco z S��H�1/1/l/I1/111� ...... __„,,,,„‘4120 ^I V 0 orv, mE (.1„....1.< , • 1'00" Mill ill CO y� 0 f- c Q .11111 1_ to.: H a�, m Om� t to 00`. E 0t co 0 cc 0 cc' Li. Z�i`aSN.(7 W