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HomeMy WebLinkAboutBLD2015-00226 - MECHANICAL •LDING PERMIT APPLICATIA BLD15-00226 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00226 Received Date: 7/2/2015 SITE ADDRESS: 20 SULGRAVE PL PORT TOWNSEND, 98368 OWNER: PAUL R SNIDER PHONE: CATHERINE P SNIDER 20 SULGRAVE PL PORT TOWNSEND WA 98368-9542 9647 - KALA POINT 1&2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 964700017 Section: 27 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 GASLINE/ COOKTOP INSTALL 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 NEW 07/02/15 156274 APPROVED $234.00 JUL - 22015 Jefferson County DCE 11 ti,icn,or4\da*c,fn.n,c\C ci fl Ann Pin .,.+ 7/7/7fllr, • • DEPARTMENT OF COMMUNITY DEVELOPMENT LL to I B K ,` `k 621 Sheridan Street,Port Townsend,WA 98368 r h` ,. t re: Tel:360.379.4450 I Fax:360.379.4451 h IE C IE O V E ,, ,,W Web:www.co.jefferson.wa.us/communitydevelopment n, ,. E mail:dcd tcco lef erson.wa.us / r ,,s�JN�,,o JUL — 1 2015 I MECHANICAL PERMIT APPLIC fiIO I Steps in the Permit Process: JEFFERSON COUNTY -Review required submittal items to ensure all information is completed prior to submitting a. . ' .�.P OF COMMUNITY DEVELOPMENT -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#: ,(Cie, 1l-/ Date: Related Application Its: Payment#: r '<('''r--1 ailith 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 General Site plan -showing propane tank, lines,and distance from tank to all existing structures. — _Rc_-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. Site Information Assessor Tax Parcel Number: 9 Co 4/ - 700 - O / 7 Site Address and/or Directions to Property: (2.0 5/.4.L C�RA✓C p L . 1°ori ©up nje-rcl , L) 5e3 c. P Access (name of street(s) from which access will be gained: Description of Work: ra p / .a 1=-1-'ry >,y,4T�Q Property Owner Name: PCLuQ_ �'4 �7!-7--oz.-- I m Address: Sic., crrcr t.41-- f t, , c) Phone #: 3(00-811=15-2-C4 6 E-mail Address: -c _ Please con Au horized A:en /Ree esentative with project info. !,_ K 4 Property Owner Signature: ,,__, c p, -,/ . Date: t[' / ' Applicant/Contractor: Authorized Agent/Representative l / Name: S -lw,..a-- P 4.-tsy,,`,-e----' t. i Phone #: 34'v —)BS -S75' 7 66-u,.,,-4.�,,,__ � , E-mail Address: �G,w.",c Pf 6 tine . Ca.. (..'-1 License #: oS(Ar HP*p7 7 Q P Expiration Date: 11/j? C /ru Mechanical Application 1 ', • • Electric Heating Oil Propane* I/ Wood 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" L7 Cook Stove Cook '°lv 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 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 EX(, rusIG Propane Tank LP Fuel Tank Of 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 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. 1 Signature: dln-?—poa--,-- Print Name: L . s/N�Jlenr Date: la724/11— 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* *Additional fees may apply. Mechanical Application 2 Parcel Print • • Page 1 of 1 Parcel Number:964700017 05/12/2015 Owner Mailing Address: PAUL R SNIDER CATHERINE P SNIDER 20 SULGRAVE PL PORT TOWNSEND WA 98368-9542 Site Address: 20 SULGRAVE PL PORT TOWNSEND 98368-9542 Section: 27 School District: Port Townsend(50) Qtr Section: SE1/4 Fire Dist: Chimacum(1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: 98368-9542 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9647 - KALA POINT 1&2 Land Use Code: 1100 98368-9542 Property Description: KALA POINT #1 LOT 17 http://www.co jefferson.wa.us/assessors/parcel/parcelprint.asp?value=964700017 7/2/2015 SUNSHINE PROPANE Page 1 of 2 1110 •Home Inicio en Espanol Contact I Search L&I SEARCH 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 98339-9745 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 1111711993-11117/2016 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 7/2/2015 • • • • 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#: BLD15-00226 Received Date 7/2/2015 SITE ADDRESS: 20 SULGRAVE PL Issue Date 7/2/2015 PORT TOWNSEND, 98368 APPLICANT: PAUL R SNIDER PHONE: CATHERINE P SNIDER 20 SULGRAVE PL PORT TOWNSEND WA 98368-9542 SUBDIVISION: 9647 - KALA POINT 1&2 Block: Lot: PARCEL NUMBER: 964700017 Section: 27 Township: 30N Range: 1W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33 l Contractor's License SUNSHP*077QP Expires 11/1602016 3g5 -5875 OWNER, PAUL R SNIDER PHONE: if different: CATHERINE P SNIDER 20 SULGRAVE PL PORT TOWNSEND WA 98368-9542 PROJECT DESCRIPTION: GASLINE/ COOKTOP INSTALL 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 7/2/2016. REQUIRED INSPECTIONS: C / Installation per Manufacturer Specifications/CO2: �y I I/1S! \ Tank/Line/Appliance: p/6 i Final Approval: ��I//S 4(111 ' 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 7/2/2015