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Home My WebLink AboutBLD2014-00332 - MECHANICAL 4UILDING PERMIT APPLICAI Review N BL D14-00332 T 332 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00332 Received Date: 9/11/2014 SITE ADDRESS: 270 RHODODENDRON LN BRINNON, 98320 OWNER: ROYAL A SCHINDLER TRSTE PHONE: 360-796-4190 VALERIE J SCHINDLER TRSTE 270 RHODODENDRON LN BRINNON WA 98320-9737 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 502151022 Section: 15 Township: 25 N Range: 2V1 CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP Install New Heat Pump. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: 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 S152.00 SRE 09/11/14 151495 Total: $152.00 SEP 1 1 Mit Jefferson County DCD 1ltidem ark\datalforms\F_B LD_App_Bld.rpt 9/11/2014 I •W1t-Y - 3 - 1 4�'� olu JEFFERSON COUNTY 4.1 1 ffi$� 3 DEPARTMENT OF COMMUNITY DEVELOPMENT �s 621 Sheridan Street•Port Townsend•Washingtbn 98368 0 360/379-4450. 360/379-4451 Fax www.co.jefferson.wairs/oommdevelopment Master Permit Application MLA: Project Oes.'ption(include separate , as . Tax Parcel 1 ben. g v Property Size: (acxesrsq+aare leer) 9 Site Address and/or Directions to Property: Air G �V r .rt .w .our,-ri a...A. L. M /_:., qy Property Owner(#)of Record: f.%a..,wa / / 1. .. _-,,,if r Telephone: .R4 O'*? " i 90 Fax: email: Mailing Address: ; Applicant/Agent(If different from owner): �}t r PlO Wet'i it Telephone: a0"lo °J" AO% Far:: (sei3- 3ciT emai:r^+/�tvta:�@gitt^ iv11CA�"+ ' Mailing Address: 2.2-1 v4. Cedar' S$• Meant ,tA,>fit w e t:Ori 4 -- ' What kind of Pernit?(Check each box that applies Mulcting 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor,Manor or Reasonable Econonitc Use) Q Single Family ❑Garage Attached/Detached 0 Conditional.Use.(C(a),.Q(drorpr, t ❑ Manufactured Home 0 Modular 0 Discretionary'D"or Unnamed t r fTs ,E , d Use Q Special Use(Essential Public .'=- Q Change i— , 0 Address F7 Road Approach ❑Short Boundary tine Adjus t N 0 Home 8usineSs _Q Cottage Industry 0 Binding Site Plan"* I 0 Propane ❑Long Fiat" 1 Q Sign 0 Planned Rural Residential Development(PRRDX .• ::, 0 Allowed`Y e s'Use Consistency Analysis 0 Plat Vecation!Alteration-- --- - o Siormwater Management ❑Shoreline Master Program Eremptiot�fPemut Rdv t 0 Site Plan Approval Advance Determination(SPAAD}' 0 Shoreline Management Substantial neriopment"(- fl MFNT Q Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication' ❑Comprehensive Plan/UDC/Land Use District Map Amendment O Forest Practices AcURelease of Sire-Year Mora torium 0 Jefferson County Shoreline Master Program Arttendme tl 'May recruits a Pre—Application Conference 0 Tree Vegetation Request "Requires a Pm-Application Conference, Please identify any other local,state or federal permits required for this proposal, if known: . • DESIGNATION OF AGENT I hereby designate it I �1 ' t ! to act as my agent in matters relating to tills application for permit(s),....., ti t OWteRJtSIGNATUt ,. I Date: t I 1 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 j 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 Courtly against all liabilities,judgments,cowl costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of er 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 tote purpose of application I review and any requ •later Inspections. Staffs access and right of entry will be assumed unless the applicant info. -the •unty in witting at the time of the a i.laiiii, Dial tie or she j n t s • •� Signature: WA/4I4. , • r� Gate: i The Elation or actions Applicant wit undertake as a result of the Issuance of the permit may nag ethooly 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 oil be undertaken because this permit has been issued will not violate the ESA. Any individual;pro p or agency can file a lawsuit on behalf of an endangered species regarding your acdlon(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 responsiciity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates It below. Signature: Date: G\YmaitCentrs\###PORtds#e#U7pp FORMS\Master PrntutApp&srioo 5-24-QS.doc r • 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANU ACTURE I HOME INST ER: PHONE: i FAX: MAILING ADDRESS: tr:9e//a. / i EMAIL:•• CONTRACTORS LICENSE /�, WAINS N ��A NUMBER: I-1 to P t ;otte t G• NUMBER ARCHITECT/ENGINEER: r�` PHONE ( ) ,V (( k(/ E MAILING ADDRESS: • EMAIL ! 'J i r - -"7. Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Dispoa : U New U Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System I XAtteration/Remodel ❑ Concrete Total: Height: o Individual System I J ❑ Repair ❑ Masonry SEP Permit#: ❑ Demolition ❑ Other: Bedrooms: Water SuPi)y r ^,T Existing: Setback: -❑ Private well u i WO Party Type of Heat: Proposed: U Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Cprrent: 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove I Wood stove I Fireplace Insert i Hot Water k i Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes I i 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. fly° ^,=.'3 _ `xk �::: t �, 1 aif� k y A'■ S•uareFoota•e Current Pro.•sed + _ ;eiib ,.._t?`." _w . il •x° If~i`�°�zb=K..-<a,.': . . __-=°' Main Floor Heated EH Bld App Review: � -ti 2n0 Floor Heated R` Consistency Review: c- Other Heated s Base fee: 1 SR. °r31 Mezzanine °� ' Ad• ditional Section: Heated Basement g•` ;F P• lan Check fee: WIT*. Unheated Basement '7 State Surcharge fee: .x-, 14 « Other Unheated -_ Pot Water eevie.fee: j _- Garage/Carport SUBTOTAL Decks - � 911/Rd Approach fee: _ ,„ Other _ TOTAL $ J I• OD -z Receipt Number. ) 514g5 t 3-7'--vr Cash/Check Number. g4 O ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish 1 //1 4- Initials: 7(-) GAP ernvtCenrer\###FORMS###\DRD FORMS\Master Per=Appliicatnon 5-29-08.doc yO" `a&." JEFFERSON COUNTY - : DEPARTMENT OF COMMUNITY DEVELOPMENT 4�e¢ HI!1U' Date: 1s 1 7 Time Received: 12'L( am/0 Mon. Tue. AV. Thur. Fri. Date: '', ( t BLD: 'LI- 3,2'7 Contact Name: Owner: )) {` r Contact Number: 360 `7 tG /(?Tj Address: �7 O Rica 61, -x..,., i t3,«� 206 Notes: k-e-tr1 p, -+ 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 Parcel Details Page 1 of 2 - Jefferson C Weatf er 11- "aAioci -'I5ataa e 4 •T1:7s.77 +€it . cam Home county Info Departments Search ..wu:wn3 Parcel Number: 502151022 SEARCH Parcel Number: 502151022 Printer Friendly_ Owner Mailing Address: ROYAL A SCHINDLER TRSTE VALERIE J SCHINDLER TRSTE R &V SCHINDLER REV TRUST 270 RHODODENDRON LN BRINNON WA98320-9737 Site Address: 270 RHODODENDRON LN BRINNON 98320 Section: 15 School District: Brinnon (46) Qtr Section: NE1/4 Fire Dist: Brinnon (4) Township: 25N Tax Status: Taxable Range: 2W Tax Code: 0441 Planning area: Brinnon (11) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: KEPHART SHORT PLAT#1 LOT 1 (ENLGD BY TAX 60) & TL TAX G1 BOUND BY BLA #90568 Tax, AN, Sales, Photos,and Permit Data Bldg Data Map Parcel lats&Surveys Septic Monitoring Info �efferson County HOME ( COUNTY INFO ( DEPARTMENTS l SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later ge Windows - Mac Ii http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=502151022 9/11/2014 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00332 Received Date: 9/11/2014 SITE ADDRESS: 270 RHODODENDRON LN Issue Date 9/11/2014 BRINNON, 98320 Expiration Date 9/11/2015 OWNER: ROYAL A SCHINDLER TRSTE PHONE: 360-796-4190 VALERIE J SCHINDLER TRSTE 270 RHODODENDRON LN BRINNON WA 98320-9737 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 502151022 Section: 15 Township: 25 N Range: 2\ CONTRACTOR: AIR FLO HEATING COMPANY INC PHONE: 360-683-3901 221 W CEDAR SEQUIM WA 98382 Contractor's License AIRFLI*206DG Expires 4/25/2016 PROJECT DESCRIPTION: Install New Heat Pump. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 09/11/14 151495 Exist: Exist: Total: $152.00 Prop: Prop: Total: Total: Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY • • Jefferson County Building Division Permit Number: BLD14-00332 Applicant: SCHINDLER TRSTE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Mechanical Systems FINAL FINAL Building A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION e �l FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I CONDITIONS for Building Permit # : \\tidemark\data\form s\F_BLD_Permit_Bldg.rpt 9/11/2014