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HomeMy WebLinkAboutBLD2015-00203 - MECHANICAL • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00203 Received Date: 6/17/2015 SITE ADDRESS: 222 S RHODODENDRON DR Issue Date 6/17/2015 PORT TOWNSEND, 98368 Expiration Date 6/17/2016 OWNER: NAOMI NACHUN PHONE: 360-774-0774 222 S RHODODENDRON DR PORT TOWNSEND WA 98368-8901 9384-CAPE GEORGE COLONY DIV. SUBDIVISION: Block: 5 Lot: 26 PARCEL NUMBER: 938400525 Section: 12 Township: 30 N Range: 2N CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 4/15/2016 PROJECT DESCRIPTION: ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC (PV) 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: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $234.00 SRE 06/17/15 156201 Exist: Exist: Total: $234.00 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: BLD15-00203 Applicant: NACHUN 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 days 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 P pp 9 Mechanical Systems Miscellaneous A final inspection will not be scheduled until 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 \'?...`-{1:5` C / FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 6/17/2015 ICILDING PERMIT APPLICATIM BLD15-00203 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00203 Received Date: 6/17/2015 SITE ADDRESS: 222 S RHODODENDRON DR PORT TOWNSEND, 98368 OWNER: NAOMI NACHUN PHONE: 360-774-0774 222 S RHODODENDRON DR PORT TOWNSEND WA 98368-8901 9384 -CAPE GEORGE COLONY DIV. SUBDIVISION: Block: 5 Lot: 26 PARCEL NUMBER: 938400525 Section: 12 Township: 30 N Range: 2' CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 4/15/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ROOF MOUNTED, GRID-TIED SOLAR ELECTRIC (PV) 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: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $234.00 SRE 06/17/15 156201 Total: $234.00 APPROVED JUN 17 2015 Jefferson County DCD \lkidorn rlArlotalfnrmclF RI n Ann Rid rnt R/17/91 11g 4 1.50N c oa JEFFE ON COUNTY III ti� DEPARTMENT OF COMMUNITY DEVELOPMENT . . bleelso 621 Sheridan Street 1 Port Townsend:WA 98368(Web:www.co.iefferson.wa.us/communitydeveioPment y,i 1f hG,�p Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdaco.ietierson.wa.us Building Permits&Inspections I Development Consistency Review j Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Grid-Tied Roof Mounted PV Tax Parcel Number: 938400525 Property Size: .38 acres (acres/square feet) Site Address and/or Directions to Property: 222 S Rhododendron Drive, Port Townsend,WA 98368 Property Owner(s)of Record: Naomi Nachun email: nnachun @gmail.com Telephone:360-344-3434 Fax: Mailing Address: 222 S Rhododendron Drive, Port Townsend,WA 98368 Applicant/Agent(if different from owner): Power Trip Energy Corp Telephone:360-643-3080 Fax: 360-539-1857 email:john @powertripenergy.com Mailing Address: 83 Denny Ave, Port Townsend,WA 98368 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C)" ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)'"" ❑ Change of Use ❑Boundary Line Adjustment ❑ Address_ ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan" ❑Propane ❑Long Plat* • ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments" ❑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 permits required for this proposal, if known: Please see Attached DESIGNATION OF AGENT I hereby designate_ to act as my agent in matters relating to this application for permit(s). Date: 3/27/2015 OWNER SIGNATURE - - By signing this applicatioNim,the owner/agent tt sts that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falseho or ny 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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap licatiortitt3nt• • wants prior notice. 3/27/2015 Signature: ly 1111111.0■■ John Fleming, Power Trip Energy Date: The action or actr ns Applicant will un�C�i ake 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"take"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)eve if you are in com•liance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans arable s,,Ildhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Joh Fleming Power Tri" Ene •y Date: 07/24/2013 Ilk I • 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 MANUFACTURED HOME INSTALLER: PHONE: FAX: Power Trip Energy Corp (360) 643-3080 (360) 539-1857 MAILING ADDRESS: 83 Denny Ave, Port Townsend,WA 98368 EMAIL: john @powertripenergy.com CONTRACTOR'S LICENSE WAINS NUMBER: POWERTE934QE NUMBER L&i#063-472-00 ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: .2 New il. Wood Existing: L Sewer `, Addition n Steel Proposed: Bank Community System Alteration/Remodel 2 Concrete Total: Height: 11 Individual System Repair Masonry SEP Permit# Demolition 2 Other: Bedrooms: Water Supply: Existing: Setback: r Private well L Two Party Type of Heat: Proposed: n Public Total: Name of System: If this is a Commercial Proiect 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 i 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 insert rehtO 1 evotS telleP i knaT retaW toH Is this appliande being installed in a Manufactured!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 j Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2fa Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: I Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish I Initials: i 07/24/2013 • Rya%a� • ` Power Trip Energy Corp PV Installation contract 83 Denny Ave Port Townsend, WA 98368 (360) 643-3080 4Vl.ip£='' crt1(?.'l,,.a,,'T7 Lic # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Naomi Nachun ,grant Power Trip Energy Corp. Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: . - 1 f\ Date: \ _ wtni-4- f S $1 for sta1"4"1`t;1t1 . ttt5' "cK rn � .V5 fte Page 5 of 9 Naomi Nachun � • JEFFERSOi COUNTY DEPARTMENT P COMIVIUNITY DEVELOPMENT 6215her€dan Street/Part Townsend,WA 983681 Web: www.co.ieffersan.wa.us/communitydevelopment VO' Tel: 360.379.44501 Fax: 3 50.379. 51/Email: ded@ce.jerfercestvm.Lic f(1 ti ii EXPEDITED PERMITTING CHECKLIST FOR SOLAR PHOTOVOLTAIC SYSTEMS ***TO BE COMPLETED BY COUNTY STAFF *** Building Permit Required? I= Yes O No Staff Initials Date Fee: ***TO BE COMPLETED BY THE APPLICANT*** 1. Project Information Project Applicant: Power Trip Energy Corp. Site Owner Name: Naomi Nachun Project Address: 222 S Rhododendron Drive, Port Townsend,WA 98368 PV System Description: Roof Mounted,Grid Tied, PV 2. Determine if your project needs a building permit(check all that apply): Yes No Not Applicable 1. Mounting equipment is engineered and designed for solar PV equipment. X 2. The solar PV system will comply with the National Electric Code(NEC) X including obtaining an electrical inspection. 3. To address uplift the solar modules will be mounted no higher than 18 inches X above the surface of the roofing to which they are affixed. Note: Questions 3-5 Apply to Rooftop Systems 4. Total dead load of panels,supports,mounting,raceways,and all other appurtenances shall weigh no more than one of the following. If YES indicate which: QI Conventional solar modules(one layer of glass)or frameless solar modules(two layers of glass)that weigh three and one-half(3.5)pounds per square foot(PSF)or less on any roof. ❑ Frameless solar modules(two layers of glass),on sloped roofs of at least 3:12 but less than 5:12 pitch,that weigh no more than four and one-half(4.5) pounds PSF. 0 Frameless solar modules(two layers of glass),on sloped roofs of 5:12 pitch or greater,that weigh no more than five(5)gr g ( )pounds PSF. 5. Supports for the solar modules are installed to spread the dead load across as X many roof-framing members as needed to ensure that point loads do not exceed fifty(50)pounds at any location. 6. Attachment to the roof is specified by the mounting system manufacturer. X Note: Question 7 Applies to Ground Mounted Systems 7. Ground-mounted solar PV systems using racking components installed per the X manufacturer's specifications. If you answered yes or N/A to all of the above questions,no separate building permit is required. I"@ E44E°bsc/ 3/27/2015 Ap licant Signatur Date • • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED TO BE COMPLETED BY CITY STAFF Building Permit Required? ❑Yes ❑No Qualifies for Electrical OTC? DYes ❑No Staff Initials Date: Staff Initials Date: --------TO BE COMPLETED BY APPLICANT------- 0 Project Information Project Applicant: Power Trip Energy Co,83 Denny Ave, Port Townsend,WA 98368 Site Owner Name: Naomi Nachun Project Address: 222 S Rhododendron Drive, Port Townsend,WA 98368 PV system Roof Mounted,Grid-tied PV(Solar Electric) description: ()Determine if your project needs a building permit (check all that apply): Yes No 1. PV system is designed and proposed for a detached single family house. X El 2. PV system is designed for rooftop of a house in general compliance with applicable codes. X ❑ 3. Mounting system is engineered and designed for PV. X ❑ 4. Rooftop is made from lightweight material such as shingles. X ❑ 5. PV system has been pre-approved by electrical permitting agency. X El 6. To address uplift, panels are mounted no higher than 18" above the surface of the roofing to X El which they are affixed. Except for flat roofs, no portion of the system may exceed the highest point of the roof. 17. Total dead load of panels,supports, mountings, raceways and all other appurtenances weigh no X ❑ more than one of the following. If YES, indicate which: X No more than three and one-half(3.5)pounds per square foot(PSF) ❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF ❑ Frameless panels on at least 5/12 pitch roof weighing no more than five(5.0)PSF 8. Supports for solar panels are installed to spread the dead load across as many roof-framing X ❑ members as needed to ensure that at no point are loads in excess of fifty(50) pounds are created. 9. Attachment to the roof is specified by the mounting system manufacturer. X ❑ 10. Method and type of weatherproofing roof penetrations is provided X ❑ 11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for X ❑ solar panels. 12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) X ❑ Applicant Signature Printed Name: John S.Fleming,Power Trip Energy Date:3/27/2015 If you answered yes to a the above questions, no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 6/17/2015 efferson Co Dept of Comm Dev WA-Online Payment �.,. Step 1:Select Payments Step 2:Review and Submit Step 3:Confirmation and Receipt Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 18680291 Your payment has been authorized successfully and paymentwill be processed. Jefferson County Department of Community Development thanks you for your payment For questions about your account,please call 360-379-4452 Thank you for using our bill payment services. Please save or print a copy of this receipt for record keeping purposes. My Bills Description Amount Due Residential Applications payment of$253.50 on Parcel Number 938400525 $253.50 Subtotal: $253.50 Customer Information Convenience Fee: $7.50 First Name: Power Trip Total Payment: $261.00 Last Name: Energy Address Line 1: 83 Denny Ave Address Line 2: City. Port Townsend State: Washington Zip Code: 98368 Phone Number: 3606433080 Email Address: john @powertripenergy.com Payment Information Card Number: 8600 Expiration Date: **r* Pi.nr ICI https://client.poi ntandpay.net/web/JeffersonC oDeptofCom m DevWA 1/1 • • Sally Ellis From: j flem <john @powertripenergy.com> Sent: Wednesday, June 17, 2015 10:30 AM To: Sally Ellis Cc: Andy Cochrane; Steve Carr; Nicole Mason Subject: Solar Building Permit Application for Naomi Nachun, APN 938-400-525 Attachments: Jefferson Co Dept of Comm Dev WA- Online Payments.pdf; Nachun Solar Building Permit Application.pdf Dear Sally: Please find attached the Solar Building Permit application for Naomi Nachun located at 222 South Rhododendron Drive (in Cape George), Port Townsend, tax parcel number 938 400 525. We have used your on-line payment service and have paid a total of$261 for the permit- $234 for the permit, $19.50 for the scanning fee, and S7.50 for the on-line privilege. When you have finished processing the permit, could you please email me a copy? We will have a copy at the job site for the inspector to sign. Many thanks! Sincerely, John S. Fleming PE Solar Engineer 83 Denny Ave. Port Townsend, WA 98368 360-643-3080 office 360-452-8500 cell johnApowertripenergy.com email On Wed, Jun 17, 2015 at 10:09 AM, <supportApointandpay.com> wrote: Greetings, Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Your payment ID is: 18680291 Items Paid For: Description: Residential Applications Amount Paid: $253.50 i Parcel Details • • Page 1 of 2 Jefferson County nty fzertation Database Tools # Aiap . . 6catn Home County Info Departments Search Parcel Number: ((938400525 SEARCH Parcel Number: 938400525 Printer Friendly Owner Mailing Address: NAOMI NACHUN 222 S RHODODENDRON DR PORT TOWNSEND WA98368-8901 Site Address: 222 S RHODODENDRON DR PORT TOWNSEND 98368 Section: 12 School District: Port Townsend (50) Qtr Section: SW1/4 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: 9384 - CAPE GEORGE COLONY DIV. 3 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE COLONY DIV 3 BLK 5 LOT 26(TAX 36) SUBJ DEC OF RESTRICTIVE COVENANT AFN#484761 Tax, A/V, Sales. Photos, and Permit Data Bldq Data Map Parcel Plats &Surveys 1 Septic Monitorinq Info ' ( igrlerson Con!? HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=938400525 6/17/2015 POWER TRIP ENERGY CORP • Page 1 of 2 Home Inicio en Espanol Contact Search L&I i A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries POWER TRIP ENERGY CORP Owner or tradesperson 2343 THOMAS ST PORT TOWNSEND.WA 98368 Principals 360-643-3080 COCHRANE,ANDREW P,PRESIDENT JEFFERSON County CARR,STEPHEN E,VICE PRESIDENT Doing business as POWER TRIP ENERGY CORP WA UBI No. Business type 602 349 562 Corporation Governing persons ANDREW P COCHRANE STEVE CARR; License I Verify the contractors active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. POWERTE934QE Effective—expiration 11/05/2007-11/0512015 Bond .......... CBIC $12,000.00 Bond account no. SH5957 Received by L&I Effective date 11/05/2007 11/02/2007 Expiration date Until Canceled Insurance ....................... GENERAL INS CO OF AMERICA $1,000,000.00 Policy no. 24CC21330840 Received by L&I Effective date 10/02/2014 11/0212010 Expiration date 11/02/2015 Insurance history Savings ............. No savings accounts during the previous 6 year period. Lawsuits against the bond or savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 6/17/2015 POWER TRIP ENERGY CORP Page 2 of 2 No lawsuits against the bond or savings nts 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. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 063,472-00 Doing business as POWER TRIP ENERGY CORPORATION Estimated workers reported Quarter 1 of Year 2015'7 to 10 Workers" L&I account representative T1/NIKKI BUTLER(360)902-4918-Email:BUTQ235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 06/23/2014 Violations Inspection no. 317320984 Location 1605 DanKelly Rd. Port Angeles,WA 98363 m Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 6/17/2015