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HomeMy WebLinkAboutBLD2015-00206 - MECHANICAL • 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 #: BLD15-00206 Received Date 6/19/2015 SITE ADDRESS: 3284 TEAL LAKE RD Issue Date 6/22/2015 PORT LUDLOW, 98365 APPLICANT: SETH ROGERS PHONE: 2916 BUCKLIN HILL RD#159 SILVERDALE WA 98383-9515 TX99 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821333044 Section: 33 Township: 28N Range: 1E CONTRACTOR: GREENWOOD HEATING AND AC PHONE: 206-784-1818 825 S STACY ST SEATTLE WA 98134 Contractor's License GREENHA922D7 Expires 3/27/2016 OWNER, SETH ROGERS PHONE: if different: 2916 BUCKLIN HILL RD#159 SILVERDALE WA 98383-9515 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL HEAT PUMP 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 6/2212016. REQUIRED INSPECTIONS: nJ/ Installation per Manufacturer Specifications/CO2: /f/` 5/50 Tank/Line/Appliance: OK g13///5 X--- Final Approval: Cam` -rex. 1`r to ( ce(311/5(# 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 1lt LD P rmi Pro ane.r t 6/22/2015 idemarkldatalformslF_B _ e t_ p p • BLD15-00206 BUILDING PERMIT APPLICAPON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00206 Received Date: 6/19/2015 SITE ADDRESS: 3284 TEAL LAKE RD PORT LUDLOW, 98365 OWNER: SETH ROGERS PHONE: 2916 BUCKLIN HILL RD#159 SILVERDALE WA 98383-9515 SUBDIVISION: Block: Lot: TX991 PARCEL NUMBER: 821333044 Section: 33 Township: 28 N Range: 1E CONTRACTOR: GREENWOOD HEATING AND AC PHONE: 206-784-1818 825 S STACY ST SEATTLE WA 98134 Contractor's License GREENHA922D7 Expires 3/27/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW MECHANICAL PERMIT INSTALL HEAT PUMP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: HTP 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 $156.00 SRE 06/19/15 156205 APPRO9- Total: $156.00 JUN z Jefferson County DCC 11 irfomarIr\rlot \fnrmc\P RI fl Ann Rid rnf Rl90/9MF • • S O ON ��� G DEPARTMENT OF COMMUNITY DEVELOPMENT 4T. 1� 621 Sheridan Street,Port Townsend,WA 98368 e� (��] 4 •C '1'c1:360.379.4450 I Fax:360.379.4451 D t/ ti \\. .b.www.co.jettenon.wa.us/communitydevclopment I;mad:dcdr�co.icficnon.wa.ua fil=16J1 NG ° , 1� i JUN 1 9 2015 MECHANICAL PERMIT APPLI I AT 'JEFFERSON COUNTY Steps in the Permit Process: DEPT.OF COMMUNITY DEVELOPMENT -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#5: 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 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: 821333044 Site Address and/or Directions to Property: 3284 Teal Lake Rd, Port Ludlow, WA 98365 Access (name of street(s) from which access will be gained: Description of Work: install ductless heat fn imt1, Mitsuhishi M117C,F15NA Property Owner Name: Seth Rogers Address: 3284 Teal Lake Rd, Port Ludlow, WA 98365 Phone #: 240-626-3721 E-mail Address: m ✓_ Please contact Authorized Agent/Representative with project info. K I Li- Property Owner Signature: Date: 6/15/15 Applicant/Contractor: Authorized Agent/Representative Name: Greenwood Heating and AC ashleyb @greenwoodheating.com Phone #: 206-784-1818 E-mail Address: ashleybna,greenwoodlti License #: GREENHA922U7 Expiration Date: 2/3/17 Mechanical Application 1 • e �I7)) 1E0F. 0M -E � Heat Source L�, i U Electric / Heating Oil Propane* Wood, emu;; J:i { 121 ( JEFFERSON COUNTY ___DEPT.OF COMMUNITY DEW-MART 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 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 1 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 • thi . ::f.-•n and subsequent permit issuance. Ashley Bouck 6/15/15 Signature: ','' Print Name: Date: 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* ! � C *Additional fees may apply. eLe i 1 X2_07 Mechanical Application 2 C e-a..S F HHb GREENWOOD BUILDING CORP • Page 1 of 2 Home lnieio en Espanol Contact S . �.: earch L&I "'x..#I A-Z Index Help My Secure t.&! Safety Claims&Insurance Workplace Rights Trades&Licensing C14#Washington State Department of Labor & Industries I GREENWOOD BUILDING CORP I Owner or tradesperson PO BOX 17447 MCCRACKEN,DAVID STUART 2E 98127 206--235-8235-8 8558 8 Principals KING County MCCRACKEN,DAVID STUART,PRESIDENT WA UBI No. Business type 601 362 060 Corporation ILicense I Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Expired. ......... ........ License holder did not renew. License specialties Suspend date GENERAL 11107/2013 License no. GREENBC088CL Effective—expiration 02/13/1992—11/14/2014 Bond No current bond account.See the bond history. Bond history Insurance No current insurance account.See the insurance history. Insurance history Savings No savings accounts during the previous 6 year period. 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&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 No active workers'comp accounts during the previous 6 year period. IWorkplace safety and health I No inspections during the previous 6 year period. ©Washington State Dept.of Labor 8 Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601362060&LIC=GREENBC088CL&SAW= 6/19/2015 Parcel Details 41 40 Page 1 of 2 Jefferson ty -_.-,,, ,,, ' '." --- - - - ----,- 'ii- -- ,. - --- ' - ....elvk ,.. _ _. � 1- _ Home County Info Departments ent Search Parcel Number: 1821333044 3 SEARCH 1 Parcel Number: 821333044 Printer Friendly. Owner Mailing Address: SETH ROGERS 2916 BUCKLIN HILL RD #159 SILVERDALE WA98383-9515 Site Address: 3284 TEAL LAKE RD PORT LUDLOW 98365 Section: 33 School Dom: Chimacum (49) Qtr Section: SW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S33 T28 R1E TAX 99 ENLGD BY TAX 104 (BOUND BY BLA #88149) SUBJ/EASE _-------..____...----- --_-_- ---- _—I Tax. A/V. Sales, Photos,and Permit Data Bldo Data Ma Parcel Its&Surve s Se.tic onitorin• Info ---------- - __--' .%"" ' _� HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later ASWindows - Mac htip://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value°821333044 6/22/2015 e °o� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT k_,*;;-„43: Oa Time Received: /2-Ji am prr Mon Tue. Wed. Thur. Fri. >ate: Date: 8 31 3LD: 15 - 002040 Contact Name: �o ' S Contact Number: 360 owner: o��X 206 ddress: 3 �8 ��A'— �[ ° MO 62-4 3710 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 Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling W '-bOV ''o y JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT l � HItiG Date: Time Received: 15ci am/pm Mon. Tue. Wed. <512 Fri. Date: g 27 BLD: i 5 — a`t06, Contact Name: Owner: Contact Number: 360 ?Ho 4.,Le,„ 37 z/ Address: '3 Z g 4 -r-t t.l L K 206 Notes: M 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 ICD NO. 156205 DATE /1C/ I Jr RECEIVED FROM amokococl 1-lec14r10 lr Cordlflnv,� DESCRIPTION BARRY AMOUNT gi, Qows ...-gm-q CURRENCY PId e `6(„ ") CHECKS Loci totu:VA. ci'S.ioc o M P( ceI8`)I --3 -Oi-ILI 31 RECEIVED BY � TOTAL �15 .SU I pr • • Jefferson County DCD Building Division N Correction Notice www � PERMIT NUMBER /5-Oozy& OWNER WWa6 fi JOB LOCATION 3284 EAL L / D Inspection of this structure has found the following violations: i�&av,DF POLIAF Orl�-eurK LA L.- &Se re>N, -17947-) For X E--INSPerric),C, Fig 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 or insp-ction. Date 0z Inspectoie Building Division (360) 379-4450 Inspection Hotline (360) 379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE.