HomeMy WebLinkAboutBLD2014-00369 - MECHANICAL 416UILDING PERMIT APPLICASN Review Type:
Jefferson County Department of Community Development BLD14-00369
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00369 Received Date: 10/14/2014
SITE ADDRESS: 120 SPINNAKER PL
OWNER: SOUTH BAY COMMUNITY ASSOC PHONE: 360-437-2208
120 SPINNAKER PL
PORT LUDLOW WA 98365-9540
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821174005 Section: 17 Township: 28 N Range: 1E
CONTRACTOR: SILVERDALE PLUMBING PHONE: (360)692-8840
11875 SILVERDALE WY NW
STE 104
SILVERDALE WA 98383
Contractor's License SILVEI"220NV Expires 8/31/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION REPLACE 65 GALLON LP WATER HEATER IN STORAGE SHED AND
50 GAL ELECTRIC IN UPSTAIRS ATTIC
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 $152.00 SRE 10/14/14 151651 APPROVED
Total: $152.00 OCT 14 2014
Jefferson County DCD
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\\tidemark\data\forms\F_BLD_App_Bld.rpt 10/14/2014
SON Co l DEPARTMENT OF COMMUNITY DEVELOPMENT
4 621 Sheridan Street,Port Townsend,WA 98368
1 Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.Jefferson.wa.us/communitydevelopment
q � E-mail:dcd @co.jefferson.v,a.us
SfiINL,1
September 09, 2015
SOUTH BAY COMMUNITY ASSOC
120 SPINNAKER PL
PORT LUDLOW WA 98365-9540
RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE
SITE ADDRESS: 120 SPINNAKER PL
PERMIT#: BLD14-00369
LEGAL DESCRIPTION: BLOCK: LOT:
PROJECT DESCRIPTION: REPLACE 65 GALLON LP WATER HEATER IN STORAGE
SHED AND 50 GAL ELECTRIC IN UPSTAIRS ATTIC
DEAR SOUTH BAY COMMUNITY ASSOC
PERMIT# BLD14-00369 WAS ISSUED BY THIS DEPARTMENT ON 10/14/2014 , WAS VALID FOR ONE
YEAR AND IS NOT RENEWABLE. According to our records, a final inspection has either not been
scheduled or has not been passed.
TO SCHEDULE A FINAL INSPECTION, CONTACT THE DEPARTMENT OF COMMUNITY DEVELOPMENT
INSPECTION HOTLINE AT 379-4455 and leave your request after the recorded message.
In the event a final inspection is not passed, the inspector will give you a written notice of required
corrections. You must call for a re-inspection to receive final approval.
A FINAL INSPECTION MUST BE SCHEDULED BY 10/10/2015.
Please contact the Department of Community Development (360) 379-4450 with any questions.
Sincerely,
Permit Technician
cc: file
\\tidemark\data\forms\F_BL D_pro_exp_ntc.rpt 9/9/2015
/
44,5"50" `bc,, JEFFERSON COUNTY
V
DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: /Pi Time Received: / o .moo rpm Mon. Tue. Wed. 4191 Fri.
Date: `7 ---/—7
BLD: /L/ - r (G, Contact Name: /1Ae -Wile\
Owner: A/‘-o-4 ---7-- -/-e .s —51,41-6-6 C. ,C`# Contact Number: 360 1137-2z-Yc
Address: ■ y se,�� --,-.f 206
Notes: . , - f.e-P v1
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 x
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
• \ , ^ I� eg
(SON co
C4- JEFFERSON COUNTY
-c DEPARTMENT OF COMMUNITY DEVELOPMENT
`s 0 621 Sheridan Street I Port Townsend,WA 98368 I Web:wow.co.iefferson.wa.us/communitvdevelopment
0'1 NO Tel:360.379.4450 Fax:360.379.4451 I Email:dcd(a-co.ietterson.wa.us
Building Permits&inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
Replace 65ga1 LP water heater in storage shed&50gal electric in upstairs attic
Tax Parcel Number: 821174005 Property Size: (acres/square feet)
Site Address and/or Directions to Property:120 Spinnaker PI.Port Ludlow,WA.98365
Property Owners)of Record: South Bay Community Assoc
Telephone: (3e0) 43'1•220$ Fax: (1446�l3i 0?>117 ` email: k1t‘(e.kni E`crtAtSPleeL (I
Mailing Address: 120 S>'tIVNG1 i ?L eVLLA.01>*), 'vJR• 1S3V5
Applicant/Agent(if different from owner): A%LiEROALE TwtnC31,46 'r \-\ra4'TI10 4, INC
Telephone:(360)892-8640 Fax: (360)692.1867 email: jerricsilverdaleplumbing.com
Mailing Address: 11875 Silverdale Way Ste 104 Silverdale,WA.98383 •
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
B 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 Progr. •- -•
May require a Pre—Application Conference ❑Tree Vegetation Request /�1 1� „
"Re•ulna a Pre- ••Acation Con!eren ��j V
Please identify any other local,state or federal permits required for this proposal,if known: ),
NATION OF AGENT I ! I Q('
I hereby designate Silverd-le Plumbing & � 1 2014 hi
y g to act as my agent in matters relating to this ap pi lignifor permits)OWNER SIGNATURE � r 6"enerel � Date: I 0 1-1ttll
!OUNTY
By signing this application for f,t owner/agent attests that the information provided herein,and in any attachments,is true er1d c& lit fb ®!aq�gR1 DEl/E[OPMFNi'
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 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. ff's access and right of entry will be assumed unless the applicant info s the County in writing at the
time of the appli she wants • - V�
Signature: r� ` • Date: I ' 1�)
The action or actions Applicant w I undertake 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"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 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
actions)even If you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra ra le res sibility for In to a complying with the ESA. The Applicant has read this disclaimer nd s' ns and dates it below.
signalu \/ Date: �O � 1�
07/24/20B
• .
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:
MAILING ADDRESS: \\'r{.5 SNtiEC2 }t,E wJ Al STIt lb" EMAIL:_ `Q4ya e_ovePJa L t r,.to�n„ .!ion
CONTRACTOR'S LICENSE n r •, WAINS`J G
NUMBER: \ f�r3,t-S\Lv�'S,E 2-24')(v L" NUMBER a`^Nq ri"O�3 I
ARCHITECT/ENGINEER: L.11� PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: r-.Sewer
Addition Steel Proposed: Bank - Community System
Alteration/Remodel : Concrete Total: Height: __ Individual System
l Repair Masonry -- SEP Permit#
Demolition _: Other: Bedrooms: Water Supply:
Existing: Setback: .. Private well Two Party
Type of Heat: Proposed: : Public
Total: Name of System:
If this is a Commercial Project you must answer the following: a ill
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed 1
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: p,Sk`i
Underground Tank Above ground tank Size of Propane Tank:
Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP i knaT retaW toH I
Is this appliance being installed In a Manufactured/Mobile Home? Yes /67)
When applying for a permit to install a propane tank you must also submit a site plan showing all• :-, . ••••••.
1
lines,tank location and size,distances from the propane tank to all property lines,buildings and -e. sf r �rre 5..• • E
including the reserve area. 91
Square Footage Current Proposed For Office Use Only Amount _: Revision ig
Main Floor Heated EH Bid App Review: OCT 1 4 201
2"°Floor Heated • Consistency Review.
Other Heated Base fee: JEFfERSCN COUNTY
Mezzanine -' ' nrCOMMUNITYDEYCLIPMENT
Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Pot Water Review fee:
ti- C°
SUBTOTAL
Decks 911/Rd Approach fee: �y
�
Other TOTAL: $ 1 1 l • (�v
Receipt Number: ( GI !0 5 ■
- Cash/Check Number: # el
ESTIMATED COST(REQUIRED) Date: iJ a A ' x
'Fair market value of all labor and materials foundation to finish "-
s\rt 1 DO0 •DO Initials:
B7/24/2013
YAIIPPal nb-dC 101-4<.
4�gON Co
444' � JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING PERMIT FEES
9`rHI N°C° Effective January 1,2014
Residential Fee Permits Plan Check Fee Valuation - sq. ft.
Single Family Residence 65% $110.29
Garages, decks,greenhouses 65% $28.45
Carport, pole buildings 65% $19.42
Modular homes/Relocated Residences 65% $34.13
Includes foundation permit
Manufactured homes (mobile)1-2 sections $532.00
Additional manufactured home section $40.00
Mechanical Permits Fee
New or existing wood stove, inserts, pellet stoves, hot water heater, heat pump, $152.00
propane tank swap out (in existing structures)
New- propane tanks, lines, and associated appliances (In existing structures) $228.00
Miscellaneous Fees Fee
Base hourly rate $76.00
Address request-new $228.00
Duplicate or replacement 911 address plates $20.00
Demo Permit $76.00
Inspection or re-inspection $76.00
Change of Use or Occupancy $456.00
Title Elimination $76.00
Permit Renewal $228.00
Fire Marshall Services-Per Hour Rote $76.00
Potable water review- DCD $40.00
Commercial, Industrial, & Multi-Family Plan Check Fee Valuation
Commercial, Industrial, & Multi-Family 65% *Estimated Cost or
Miscellaneous construction or improvements, roofing, etc. 65% fair market value
Refund Policy
Refunds are given for the amount paid minus staff time expended at hourly rate.
State Surcharge is$4.50
-State surcharge of$4.50 not applicable for Manufactured Homes and Mechanical Permits. Commercial,
Industrial,and multi-family will pay$2.00 for each additional unit
- The fee is determined by a schedule established in the International Residentail Code,and the Bldg Valuation Data
published in the ICC Bldg Safety Journal,and is based on the valuation of the structure.
-All permits will be charged a$19 electronic scanning fee.
Bldg Insp.Hotline:(360)379-4455
Jefferson County Department of Community Development Phone: (360)379-4450
6 1 Sheridan . •ort ownsen., ••• •: Fax: (360)379-4451
http://www.co.iefferson.wa.us/commdevelopment Email: dcd @co.jefferson.wa.us
Revision Date: 1/1/2014 Page 1 of 3
SILVERDALE PLUMBING/HEATNG INC Page 1 of 3
• •
0 Washington State Department of
Labor & industries
SILVERDALE PLUMBING/HEATNG INC
Owner or tradesperson 11875 SILVERDALE WAY 104
SIMONS-MORKERT, KERRI KAY SILVERDALE, WA 98383
360-692-8840
Principals KITSAP County
SIMONS-MORKERT, KERRI KAY, PRESIDENT
SIMONS, KRISTI KAY, VICE PRESIDENT
SIMONS, TERRENCE M, PRESIDENT
(End: 07/14/2008)
SIMONS-MOKERT, KERRI K, VICE
PRESIDENT
(End: 07/14/2008)
SIMONS, KRISTI K, SECRETARY
(End: 07/14/2008)
Doing business as
SILVERDALE PLUMBING/HEATNG INC
WA UBI No. Business type
600 322 296 Corporation
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.
SILVEI*220NU
Effective—expiration
08/31/1978—08/31/2016
Bond
TRAVELERS CAS &SURETY CO $12,000.00
Bond account no.
081S103351187BCM
Received by L&I Effective date
07/31/2001 08/31/2001
Expiration date
Until Canceled
Insurance
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600322296&LIC=SILVEI*220NU&SAW= 10/14/2014
SILVERDALE PLUMBING/HEATNG INC Page 2 of 3
Ohio Security Ins Co • $1,000,000.00 •
Policy no.
BKS54973461
Received by L&I Effective date
06/19/2014 06/30/2013
Expiration date
06/30/2015
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
Infraction no.
ESTEF00442 Satisfied
Violation date RCW/WAC
02/26/2013 19.28.470 RCW
Violation city Violation amount
Silverdale $250.00
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900,
effective after 12/30/2008 see WAC 296-46B-
901.
Infraction no.
ESTEF00441 Satisfied
Violation date RCW/WAC
02/26/2013 19.28.041 RCW
Violation city Violation amount
Silverdale $500.00
Type of violation
ELECTRICAL CITATION
Description
Offering to perform, submitting a bid for,
advertising, installing or maintaining cables,
conductors or equipment that convey or
utilize electrical current without having a valid
electrical contractor license.
I I
https://secure.lni.wa.gov/verify/Detail.aspx?UBI°600322296&LIC°S1LVEI*220NU&SAW= 10/14/2014
SILVERDALE PLUMBING/HEATNG INC Page 3 of 3
Workers' comp • •
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
............._..._..........__._..._......
L&I Account ID Account is current.
035,221-00
Doing business as
SILVERDALE PLUMBING & HEATING
Estimated workers reported
Quarter 2 of Year 2014"21 to 30 Workers"
L&I account representative
T4/CARIE PICKETT(360)902-5592 -Email: PICC235 @Ini.wa.gov
Track this contractor Q
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Citation issue date
04/23/2009 Violations
Inspection no.
313045783
Location
6009 244th St. SW
Mountlake Terrace, WA 98043
Washington State Dept. of Labor&Industries. Use of this site is subject to the laws of the state of Washington. Access
ANL Washington*
f?h1 y i.Sl,r<3=+-?trtiMt{kW.Milt
https://secure.lni.wa.gov/verify/Detail.aspx?UB1=600322296&LIC=SILVEI*220NU&SAW= 10/14/2014
Parcel Details Page 1 of 2
• •
Jefferson County
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Home County Info Departments Search
Parcel Number: 821174005 SEARCH
Parcel Number: 821174005 Printer Friendly
Owner Mailing Address:
SOUTH BAY COMMUNITY ASSOC
120 SPINNAKER PL
PORT LUDLOW WA98365-9540
Site Address:
Section: 17 School District:Chimacum (49)
Qtr Section: SE1/4 FreDist: Port Ludlow (3)
Township: 28N Tax Status: EX
Range: 1E Tax Code: 0231
Planning area: Port Ludlow (7)
Sub Division:
Assessor's Land Use Code: 7600 - Community Areas - Green Blts - Parks
Property Description:
S17 T28 R1E TAX 6 &TL TAX D(LS D1,D2,D3)
Tax, A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Plats&Surveys
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http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=821174005 10/14/2014
Jefferson County Building Division Permit Number: BLD14-00369
Applicant: SOUTH BAY COMMUNITY ASSOC
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
Mechanical Systems VI715
1
FINAL FINAL Building 'j' /7 S '►
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 9//7/i
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD14-00369 Received Date: 10/14/2014
SITE ADDRESS: 120 SPINNAKER PL Issue Date 10/14/2014
Expiration Date 10/14/2015
OWNER: SOUTH BAY COMMUNITY ASSOC PHONE: 360-437-2208
120 SPINNAKER PL
PORT LUDLOW WA 98365-9540
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821174005 Section: 17 Township: 28 N Range: 1E
CONTRACTOR: SILVERDALE PLUMBING PHONE: (360)692-8840
11875 SILVERDALE WY NW
STE 104
SILVERDALE WA 98383
Contractor's License SILVEI*220NV Expires 8/31/2016
PROJECT DESCRIPTION: REPLACE 65 GALLON LP WATER HEATER IN STORAGE SHED AND 50 GAL
ELECTRIC IN UPSTAIRS ATTIC
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: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/14/14 151651
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