The URL can be used to link to this page

Home My WebLink AboutBLD2015-00231 - MECHANICAL BLD15-00231 BUILDING PERMIT APPLICATIOt Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00231 Received Date: 7/7/2015 SITE ADDRESS: 1571 THORNDYKE RD PORT LUDLOW, 98365 OWNER: KELLY C BRANDON PHONE: 360-744-0670 JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA 98365-8221 9501 -TRAIL'S END HOMESITES SUBDIVISION: Block: Lot: PARCEL NUMBER: 950100511 Section: 16 Township: 27 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 DESCRIPTIOP NEW MECHANICAL PERMIT REPLACE ELECTRIC FURNACE 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 $156.00 SRE 07/07/15 156279 APPROVED �/`�® Total: $156.00 r JUL - 72015 Jefferson County DCD 11firlemork\rl,M\fnrmc\r PI n Ann Rid rnr 7/7P)1 11S ■ 4 • • a)iIX003I soN 4cw� oG DEPARTMENT OF COMMUNITY DEVELOPMENT W -.'L� 621 Sheridan titled,Port'1_ AU,A 98368 ti ' 'Td:360.379:1450 I Fax3(0.379.4451 Wch:www.co.icftcrson.wa.us!cummunitvdcvdopmcnt / 4: . I',mail:dcdfrito icffcru,n.va.us -951 f I`N G,\O 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#: } e Dat : /3 Related Application Its:' met#:ek 4tit7z,517 I 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: 950100511 Site Address and/or Directions to Property: 1571 Thorndyke Rd, Port Ludlow, WA 98365 Access (name of street(s) from which access will be gained: Description of Work: replace electric furnace, Coleman MV12DN21C, 20kw Property Owner I Name: Kelly Brandon ca Address: 1571 Thorndyke Rd, Port Ludlow, WA 98365 ° Phone #: 360 774 0670 E-mail Address: Please contact Authorized Agent/Representative with project info. K Property Owner Signature: Date: 7/1/15 Applicant/Contractor: Authorized Agent/Representativ, Name: Greenwood Heating and AC Phone #: 206-784-1818 ,,, FE C FE 0 ' ' r Address: ashleyb@greenwoodl s I License #: GREENHA922U7 ! Expiration Date: 02/03/17 J - JUL - 6 2015 _ 6� Mechanical Applica 2 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVEIOPMEPT__ . .. • • • Heat Source 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 1 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 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 o thi .ption and subsequent permit issuance. g /7, ' —� Ashley Bouck 7/1/15 Si nature� Print Name: Date: 7/1/15 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* I , t i5J • 50 *Additional fees may apply. Th! JUL — 6 2015 JEFFERSON 7--Mechanical Application 2 DEPT.OF COMMUNITY DEVFIOP^FNT <�QyUti °c JEFFERSON COUNTY Vf • DEPARTMENT OF COMMUNITY DEVELOPMENT -16H!NGs. Date: i'2\ Time Received: („›.... eit/pm �• Wed. Thur. Fri. Date: 2c-1' - BLD: I S -23 1 Contact Name: Owner: 14_.e`` (2j,,,G.,—\- r- Contact Number: 360 Address: I g -y.� - � 206 j4�o2- (.4:7.-t t Notes: g,\..gV----; 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 . ' . 5. ,......rem«;. • �rt tx 4. t cK t � - '(" iaaYrA Ns+d'wY' s b o.•+#sy Trvm� .hx } y .:5.w }it rv. `y3. S- .m 'o..w .. '. .._r r. . - .mnsbt�aY:- r rw.r :N•, v AL^ tN'. �rv3»t�ir,.aaCetiz at -c..� y .L yy ',".�' ,�p3v rry,., ..c._, v. a w., q 2a!P� _ • a..x. * f + 4,441 .F m ds `r mea .M r ` �µ 2 fl• Parcel Details • • Page 1 of 2 . _ ' ' Jefferson Co nt .,....�. ^�emu= � a .. � .:.mod. ,... Home _ County Info Departments - Search Parcel Number: 1950100511 SEARCH Parcel Number: 950100511 Printer Friendly Owner Mailing Address: KELLY C BRANDON JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA98365-8221 Site Address: 1571 THORNDYKE RD PORT LUDLOW 98365 Section: 16 School District: Chimacum (49) Qtr Section: SW1/4 Fire Dist: Port Ludlow (3) Township: 27N 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: 9501 - TRAIL'S END HOMESITES 1&2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: TRAILS END HOMESITES BLK 5 LOT 11(TAX 1) 1.00AC W/PTN VAC PEABODY WAY ADJ No Permit Data Tax, A/V, Sales,Photos, and Bldq Data Map Parcel Plats&Surveys Available .^ - Jefferson County ;a r, HOME 1 COUNTY INFO 1 DEPARTMENTS I SEARCH 4, Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=950100511 7/7/2015 GREENWOOD BUILDING CORP • Page 1 of 2 II Home Inicio en Espanol Contact Search L&I .,,»,.,.,„:::...,..!?t .r' A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & industries IGREENWOOD BUILDING CORP Owner or tradesperson PO BOX 17447 MCCRACKEN,DAVID STUART SEATTLE,WA 98127 206-235-8658 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 11/07/2013 License no. GREENBC088CL Effective—expiration 02113/1992-11/14/2014 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. IWorkers' comp No active workers'comp accounts during the previous 6 year period. i Workplace safety and health I No inspections during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601362060&LIC=GREENBC088CL&SAW= 7/7/2015 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#: BLD15-00231 Received Date 7/7/2015 SITE ADDRESS: 1571 THORNDYKE RD Issue Date 7/7/2015 PORT LUDLOW, 98365 APPLICANT: KELLY C BRANDON PHONE: 360-744-0670 JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA 98365-8221 SUBDIVISION: 9501 -TRAIL'S END HOMESITES Block: Lot: PARCEL NUMBER: 950100511 Section: 16 Township: 27N 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, KELLY C BRANDON PHONE: 360-744-0670 if different: JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA 98365-8221 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions REPLACE ELECTRIC FURNACE 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 7/7/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: ?"�: t/ � 2_t , - //'1 r L' Tank/Line/Appliance: Final Approval: ) /Z //' v 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 7/7/2015 a 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 #: BLD15-00231 Received Date 7/7/2015 SITE ADDRESS: 1571 THORNDYKE RD Issue Date 7/7/2015 PORT LUDLOW, 98365 APPLICANT: KELLY C BRANDON PHONE: 360-744-0670 JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA 98365-8221 SUBDIVISION: 9501 -TRAIL'S END HOMESITES Block: Lot: PARCEL NUMBER: 950100511 Section: 16 Township: 27N 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, KELLY C BRANDON PHONE: 360-744-0670 if different: JACQUELINE A BRANDON 1571 THORNDYKE RD PORT LUDLOW WA 98365-8221 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions REPLACE ELECTRIC FURNACE 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 7/7/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: 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 7/7/2015 JEFFERSON COUNTY /O NO. 15/,,6 51062w70 7/Y�/ D Js RECEIVED FROM &frt ap, seroc•zs-,, /i76.. DESCRIPTION BARS AMOUNT OD CURRENCY COIN O/d �� j5/1 . Sr'5/1 / 9, CO CHECKS *17QS� C / ✓ C GZd'u' qsD J'r IJ / m c, o ti i?C JM RECEIVED BY ...i. . . . ..d/,0dA.1 TOTAL /75