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HomeMy WebLinkAboutBLD2015-00285 - MECHANICAL UILDING PERMIT APPLICA N BLD15-00285 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00285 Received Date: 8/10/2015 SITE ADDRESS: 51A N CHANDLER CT PORT LUDLOW, 98365 OWNER: SYDNEY MC CREADY PHONE: 206-601-8227 9634 SE 34TH ST MERCER ISLAND WA 98040-3115 9616 - INNER HARBOR VILLAGE CO SUBDIVISION: Block: Lot: PARCEL NUMBER: 961600503 Section: 17 Township: 28 N Range: 1E 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 NEW MECHANICAL PERMIT INSTALL 120 GALLON PROPANE TANK GAS LINES AND RANGE STOVE 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 08/10/15 156415 ����o, /�D Total: $234.00 V AUG 10 2015 Jefferson County DCD 11fir1emorLlriofolfnrme\R RI Il Ann Rlri m} A/111M/11F • a w�S�N� ,0G DEPARTMENT OF COMMUNITY DEVELOPMENT '� 621 Sheridan Street,fort Townsend,WA 98368 t ,� ,,,70 .t, Tel:360 379.4450 I Fax:360.379.4451 Web:www.co.jeffemm.wa.usicommunitydevelopment on.wa.us/communitydevelopment 4•1 ,, E-mail:dcd a co iefferson.wa.us MECHANICAL PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Mechanical Permits can be mailed into our office-and do not require an appointment. -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt# I G ,4-IS Date:$ICD/f,S Related Application#s: Payment#: 5,2g4-- 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 V 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 IMPPRIIIIIM Assessor Tax Parcel Number: `1 I - C> 0 o - 5 C 3 Site Address and/or Directions to Property: 5 r -A rJ . 04 a^-,•s-c-er or-, a P%. 1.-t,„..9.-Laur tag Access (name of street(s) from which access will be gained: J . 0.I-1-6,--des CI- Description of Work: Pnte-ps..e__ .j a-...1 r 6--.--,--. 'Pa,.--y- - I Name: SA ,l WI C C{'e Address: ,c I -A r\ - c-,G--i.9-a-, . P T- L� 9.-2- ) 7 Phone #: 2r) (.0 - G o i - a.� _ E-mail Address: 'b c--- _ _ Please contact Auth ized Agent/Representative with project info. 7 Property Owner Signature: e.Date: /S ( ) Applicants fir lob Name: u�v.e.L-u:.� (n- -Q a-,�, `' Phone#: 3 G o - 385- 5 7 5 7 E-mail Address: Lav-ra-P Sa4,,4- .e) .-J License#: Sc-ln S --P Ica-77 Q (' E. / r..-.• �, ar .ivy ��o, CVEBVE Mech. iAppo f U 2015 —0 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • • Heat Source id ` i E Electric Heating Oil Propane* ✓ 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" ( 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 Propane Furnace+/-Ducting and a site plan must be submitted with the Water Heater-Gas Gas WH Veit 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: to 0 q� over 500 gallons,a site plan is Heat Pump 00 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. � Signature' IP v .t Print Name:5-/An e Iq U1 C-C1" Date: t/ 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 AP • • SITE VISIT REPORT (o,n/ (PLOT PLAN) JOB .cv to iv 1/il 4-< A e "zy DATE : l% é ��' i . CONTACT: /9 ADDRESS s /' , /VOA* c /I/, E HONE #: 2 40/— DIRECTIONS {ao p_r— j [q t Alt/ FAX #: Email �^ PLANNER: 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. eu<Se OZni goevz7-ty 1IEC IIVI , l AUG 1 0 2015 JEFFERSON COUNTY M-1-7 COMMn^;iry 'F'r ' • • Parcel Details • • Page 1 of 2 r ri'II* ' ie erson ounty � ' `, `� " :� �,'� Home r County Info '. Departments rah Parcel Number: 961600503 SEARCH Parcel Number: 961600503 Printer Friendly Owner Mailing Address: SYDNEY MC CREADY 9634 SE 34TH ST MERCER ISLAND WA98040-3115 Site Address: 51 N CHANDLER CT PORT LUDLOW 98365 Section: 17 School District: Chimacum (49) Qtr Section: SE1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: PLSEWER - Connected(No Drainage: CWF) Bank: View 1: View 2: Zoning 1: MPR-MF-10 - Master Planned Resort - Multiple Family Zoning 2: Zoning 3: Sub Division: 9616 - INNER HARBOR VILLAGE CONDOMINIUM Assessor's Land Use Code: 1400 - Residential Condominiums Property Description: INNER HARBOR VILLAGE CONDO UNIT 5-A Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info ,y o i HOME I COUNTY INFO I DEPARTMENTS I SEARCH � 1LIS4QE Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=961600503 8/10/2015 SUNSHINE PROPANE Page 1 of 2 Home Iniele en Espanol Contact !Search L81 MARCH A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing Clh. Washington State Department of Labor & Industries SUNSHINE PROPANE I 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:01/0111980) 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 11/17/1993-11117/2016 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 8/10/2015 SUNSHINE PROPANE Page 2 of 2 Bond • No current bond account.See the bond his ry. Bond history Insurance FEDERATED SERVICE INS CO $1,000,000.00 Policy no. 633829 Received by L&l Effective date 11/09/2006 11/17/2006 Expiration date Until Canceled United States Fire Insurance C $1,000,000.00 Policy no. 506-878572-6 Received by L&I Effective date 11/13/2014 11/17/2014 Expiration date 11(17/2015 Insurance history Savings (in lieu of bond) $12,000.00 Received by L&I Effective date 09/16/2014 09/10/2014 Release date Impaired date N/A N/A Savings account ID 0770001033 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&l tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 422,171-00 ..._............. Doing business as SUNSHINE PROPANE Estimated workers reported Quarter 2 of Year 2015"11 to 20 Workers" L&I account representative T1/JAN BENTLEY(360(902-4652-Email:STRO235 @lni.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UB1=600342368&LIC=SUNSHP*077QP&SAW= 8/10/2015 e.','5°N ���� JEFFERSON COUNTY / '` DEPARTMENT OF COMMUNITY DEVELOPMENT 1J 7syo$ Date: pig_Time Received: 9e)3 (c pm Mon. Tue. Wed. Thur. OF Date: BLD: 1S. oeZS Contact Name: Owner: PS Cetmvr Contact Number: 360 38$-5 7f7 Address: r,/.Q N P utJl)(XEQ 206 Notes: 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 S( Ducts Post Hole Ventilation Appliance A e�uCh Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection x Setbacks Floor Foundation Wall Address Posted r„_ Ceiling j :ot-5°1'' % JEFFERSON COUNTY - r'. DEPARTMENT OF COMMUNITY DEVELOPMENT mss Ht NG1- Date: ZJ Time Received: /c/b am Mon. Tue. !"`'"� Thur. Fri. _ Date: 6.--'- 24' BLD: l -.. .k S- Contact Name: Owner: Contact Number: 360 ,j 5-7 ci 7 Address: 5'1 14 Aj dtettiAr c.7 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground , 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 JEFFERSON COUNTY OW NO 1 6415 DATE /1O) UI� ■ RECEIVED FROM çlAi')(J/ / Pr ) 1a' L DESCRIPTION BARSN AMOUNT CURRENC C „234. Vv COIN tat CCCC�G(��iGGG(((...4444LLLL���� 50 0 el S/- , N, (' d.�b,,- CP tterli a , i AL j ,-.r. _. ..< ,.. t RECEIVED BY wt A ./� //%i TOTAL ���73� S® • • Jefferson County DCD Building Division ,,,ooh Correction Notice PERMIT NUMBER /5-oozes ti ' OWNER ilgEitaor JOB LOCATION 5./,-44 L'A ANDLFJ,'L 6r Inspection of this structure has found the following violations: at' F30s-rnuc .jiu6 72) DEc is P k,FA 5 L :C -7 c /10 I7 /LI c o/u To SE l 5513,040,\ . gl�!. AL) oNE NOME ALO Aceas To iltr-reielOR, 7HEACFoeC'%H• //PPL I A +C Nor /uSPE?7EL, • litiTERIc /PauC Nor /NSPEc.?eD 40a Leo, ,E A).5PE-era3 ) L .u/ J ACCESS is i4t/pte.A16Ga- You are hereby notified additional work shall not be done upon these premises until the above violations are corrected, unless otherwise noted. When corrections have been made, call for inspe tion. Date 4//.4/l5 Inspecto ��- Building Division (360) 379-4450 Inspection Hotline (360) 379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE. 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#: BLD15-00285 Received Date 8/10/2015 SITE ADDRESS: 51A N CHANDLER CT Issue Date 8/10/2015 PORT LUDLOW, 98365 APPLICANT: SYDNEY MC CREADY PHONE: 206-601-8227 9634 SE 34TH ST MERCER ISLAND WA 98040-3115 SUBDIVISION: 9616- INNER HARBOR VILLAGE CO Block: Lot: PARCEL NUMBER: 961600503 Section: 17 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 (35 Contractor's License SUNSHP*077QP Expires 1 160 7/ 01386-5875 OWNER, SYDNEY MC CREADY PHONE: 206-601-8227 if different: 9634 SE 34TH ST MERCER ISLAND WA 98040-3115 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL 120 GALLON PROPANE TANK GAS LINES AND RANGE To Site: STOVE 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 8/10/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: 6;1,- gAg15 ,I Tank/Line/Appliance: gala/4a MN OK F'�/u,/IS /vfr6la -rsfJor imuff e9k 8/U 03- /uT /�.dz L*iQs aK £/Z£ ifi' Final Approval: 4k ,4 . 50,9//' 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_P erm it_Propane.rpt 8/10/2015