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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 cOU-kd 91b, Iwo 30 Co4r6-+cx \UJ I `A 1 (4 \\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 , wzz..----4,..---- ---:-.F., :::-Tf,..1,. ....,,-- _,, - -......,,:i 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 Septic Monitoring_Info 'i' a i` ; r r k HOME I COUNTY INFO I DEPARTMENTS I SEARCH se Best viewed with Microsoft Internet Explorer 6.0 or later 00 Windows- Mac i 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