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Home My WebLink AboutBLD2015-00262 - MECHANICAL PILDING PERMIT APPLICATIR BLD15-00262 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00262 Received Date: 7/29/2015 SITE ADDRESS: 401 OTTO ST PORT TOWNSEND, 98368 OWNER: SIDONIE STRAUGHN MORSE PHONE: BENJAMIN KTANSEY 401 OTTO ST PORT TOWNSEND WA 98368-9392 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212007 Section: 21 Township: 30 N Range: 1' CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Install Propane Heater, Piping, and Tank 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 HAC 07/29/15 156340 APPROVED Total: $234.00 JUL 292015 Jefferson County DCD 11f irlemar41r1af olfnrmelr RI fl Ann P1,1 rnf 71901)11F ,c1.5ON coG DEPT TMENT OF COMMUNITY IELOPMENT Street.Port Townsend.\X.1 98366 W Td:360379.4430 Fax.360.3-9.4431 �C \U eb:ttl;w.c .ietre:son.\va.us.cam mt11tin'devel<,pmenr E-mail dcd(ii iefferson.wa-us HINCs�O� MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: Date: Related Application#s: Payment#: Is this application for use in a Mobile/ Manufactured Home? * If Yes: A permit from Washington State Department of Labor and Industries, not Jefferson County, is required for appliances installed within a mobile/manufactured home. L&I - 360-417-2702 * If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450 Required Submittal Items—for propane tank only k� General Site plan —showing propane tank, lines, and distance from tank to all existing structures. Required Submittal Items—for Solar Panel installation only _ Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number: pot 2-I s.tra Site Address and/or Directions to Property: 4ot 070 (?oV 1 N (n, A '183133 Access (name of street(s) from which access will be gained: alio Sv Description of Work: tNScAu_ Wo'() � N tz I PITdN Tho Property Owner Name: Db'Js-SAG PrgPs lggt Nto co Address: 14 o1 611-b sf- PaR-1 114c A- a83e Phone #: t,g) {S�_ s?Qja-$ E-mail Address: SSwcOY.L yv�,4 -um Applicant/Contractor: Authorized Agent/Representative Name: St SNI!J6 44..cRpcJc' pt Phone #: 36o -' a S-5 '°i�- E-mail Address:@S'wn4 '%∎v e p,rara . covu. License #: n ��^z? Expiration Date: N0V. 1.4)0- �U1USt�P 0.77G P Mechanical Application 1 1 Heat Source Electric El Heating Oil Propane* II Wood Indicate Quantity and Fixture Types Below prohibited*Propane is rohibited in p 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 Exhaust gas can unsafely collect. Fireplace - Gas Fireplace-Gas or Gas Log Insert *Propane tanks over 125 Fireplace - Wood Fireplace-wood,Wood Stove, 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 Owlet)� 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 L 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 employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Property Ow re Signature Print Name: S10b'NIE- SA(.(,Gt,1-{1.3'146 - % Date: is • OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $156.00 Propane— Lines,tank, and appliance (add'I $78.00) Project Scanning Fee $19.50 Total Fees* 2 S3 *Additional fees may apply Mechanical Application 2 • f''')N N JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ''1121'15 Time Received: 10 :36 a)/pm Mon. Tue. Wed. 60 Fri. Date: BLD: 15-en LCo Contact Name: s'. $' 1,Z,cAl-(1v— M.ORf G Owner: S1jitd • lE Pnl.61N1J-tiL0K$C Contact Number: 749 (vo$• CS-6. 38113 Address: !.(Cj l attb g . t"'ci'g-- io u- ,op 206 Notes: QQA ?c -)E {-fekr'cZ, t'�tPI 1J(sl A T, )tL Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground ,. Gas K 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 • • SITE VISIT REPORT n(nPLOT PLAN) JOB �,4,S�DYL C� �( At�gIN rk— 1 • `p�� DATE: "'Z9-�f6" CONTACT: �1 ADDRESS Lit) . 6TTt $`r PHONE #: . DIRECTIONS 5.R. 2-0`T`0 Ord Fna.T ovsrrY--6.0,, L FAX #: . ` b ova S'S. a N (ZT . Email PLANNER: ,15-:W- 11^1JJ\ . 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. A L,--► f � Z o o ___-_..-___. .-._ -. _ I 2d b 1 2 ° O I a 1 b .5 a c ? r z c ,l - x 07-- X11--(-- .T 120 V. 1 lAl(j T if(r 1 1470., • • JEFFERSON COUNTY NO. 156340 DATE RECEIVED FROM DESCRIPTION BARS# AMOUNT CURRENCY COIN CHECKS -4 Z 0, F" 7 Q RECEIVED BY TOTAL SUNSHINE PROPANE • • Page 1 of 2 Home Inicio en Espanol Contact Search L&I ELM A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR PORT HADLOCK.WA 98339 Principals 360-385-5797 CHAWES,RICHARD HENRY,PRESIDENT JEFFERSON County LEMLEY,DAVID BARRY,VICE PRESIDENT SIMPSON,LAURA ANNE,SECRETARY YOURISH,ROBERT B,TREASURER FLANDERS,RONALD LEE,MEMBER EWING,MICHAEL HOYT,MEMBER ROSS,LEVI K (End:01/01/1980) CHAWES,RICHARD (End:01/01/1980) YOUNT,JO (End:01/01/1980) SPRING,PERRY (End: 11/05/2010) PETERSEN,JAMES (End: 11/05/2010) Doing business as SUNSHINE PROPANE WA UBI No. Business type 600 342 368 Corporation Parent company Governing persons ENVIRONMENTAL HOUSING INC BILL BISHOP DAVE LEMLEY; JO YOUNT; LAURA SIMPSON; LEVI KENT ROSS; MICHAEL EWING; PACO TEED; RICHARD CHAWES; ROBERT YOURISH; RON BISHOP; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. SUNSHP'077QP Effective—expiration 11/17/1993-11/17/2016 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 7/29/2015 Parcel Print • • Page 1 of 1 Parcel Number:001212007 05/12/2015 Owner Mailing Address: SIDONIE STRAUGHN MORSE BENJAMIN KTANSEY 401 OTTO ST PORT TOWNSEND WA 98368-9392 Site Address: 0 OTTO ST PORT TOWNSEND 98368-9392 Section: 21 School District: Port Townsend(50) Qtr Section: N W 1/4 Fire Dist: Chimaaim(1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: 98368-9392 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5- Rural Residential Zoning 2: Zoning 3: Sub Division: Land Use Code: 1100 98368-9392 Property Description: S21 T30 R1W TAX 2 http://www.co.jefferson.wa.us/assessors/parcel/parcclprint.asp?value=001212007 7/29/2015 • • 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 #: BLD15-00262 Received Date 7/29/2015 SITE ADDRESS: 401 OTTO ST Issue Date 7/29/2015 PORT TOWNSEND, 98368 APPLICANT: SIDONIE STRAUGHN MORSE PHONE: BENJAMIN KTANSEY 401 OTTO ST PORT TOWNSEND WA 98368-9392 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001212007 Section: 21 Township: 30N Range: 1W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 3g5 Contractor's License SUNSHP`077QP Expires 11/((gg 160016-5875 OWNER, SIDONIE STRAUGHN MORSE PHONE: if different: BENJAMIN K TANSEY 401 OTTO ST PORT TOWNSEND WA 98368-9392 PROJECT DESCRIPTION: Install Propane Heater, Piping, and Tank 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 7/29/2016. REQUIRED INSPECTIONS: O gi Installation per Manufacturer Specifications/CO2: &e �Fe /NSTe_ SO* Tank/Line/Appliance: Q1C 7/30/15, Final Approval: ex 3,4,/,s g/ 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 \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 7/29/2015