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HomeMy WebLinkAboutBLD2014-00383 - MECHANICAL liklUILDING PERMIT APPLICADN BLDI4-00383 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00383 Received Date: 10/17/2014 SITE ADDRESS: 1275 SR20 PORT TOWNSEND, 98368 OWNER: DANE SCHOONOVER PHONE: 379-2440 1275 HWY 20 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901193003 Section: 19 Township: 29 N Range: 11■ CONTRACTOR: THURMAN SUPPLY PHONE: 360-457-8591 1807 E FRONT ST PORT ANGELES WA 98362 Contractor's License THURMS*954JA Expires 11/26/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Install New Wood Stove TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION CODE EDITION: 2012 ADD'L: HEAT TYPE: WOD OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 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 10/16/14 151658 Total: $152.00 �k® OCT 17 2014 Jefferson County DCD 1ltidemarkldata\forms\F_BLD_App_Bld.rpt 10/17/2014 5ON cr.) DEPARTMENT OF COMMUNITY DEVELOPMENT - 621 Sheridan Street,Port Townsend,WA 98368 -< Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment yq E-mail: dcd@colefferson.wa.us N September 09, 2015 DANE SCHOONOVER 1275 HWY 20 PORT TOWNSEND WA 98368 RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE SITE ADDRESS: 1275 SR20 PERMIT#: BLD14-00383 LEGAL DESCRIPTION: BLOCK: LOT: PROJECT DESCRIPTION: Install New Wood Stove DEAR DANE SCHOONOVER PERMIT# BLD14-00383 WAS ISSUED BY THIS DEPARTMENT ON 10/17/2014 , 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 11tidemark\data\forms\F_BLD_pro_exp_ntc.rpt 9/9/2015 �w�sox c� JERSON COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT ` a 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment NSH1 Novo Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(a).co.iefferson.wa.us Building Permits&Inspections Development Consistency Review I Long Range Planning Watershed Stewardship Resource Center �J2 Master Permit Application k, 4— 00384} Project Description(include separate sheets as necessary): 4ii-b inrn� 5\-otrQ Ar+cz eAK.,NAM TVA -OhAi in 6� ( Tax Parcel Numb r. i\0k ka 3 003 Property Size: (acres/square feet) Site Address and/or Directions to Property: a©i P —4- "r0Loivqci ag3(2 Property Owner(0 of Record: -t)onO. SrInoonov- - Telephone: 3Co0-31 ,- A40 Fax: email: SGhoOrtolke cl ,Nl G I-CA'vh Mailing Address: IT/6 0.- an 0)0T-1K- TOW(V-I A t WAc 41\83(12A Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation engilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Elt+Siingle Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ 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 Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio he or wants prior notice. rr Signature: !� Date: `(2 t4 The action or actions Applicant will 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"take"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 action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer bl espons ' ty for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs nd dates it below. Signature: Date: (re OCT l 07/24/2013 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: 41111.1,111\61^ alt{ ` $) (300)X151-854\\ ( ) MAILING ADDRESS: E C ;4-k nhi EMAIL: CONTRACTOR'S LICENSE '` r,n^. ' _"�"�' WAINS NUMBER: It-gA,R u��* \s-ltsA NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: C New mood Existing: 1'6— r: Sewer C Addition I_ Steel Proposed: Bank Community System eration/Remodel C Concrete Total: Height: ✓Individual System C Repair Masonry SEP Permit# C Demolition G Other: Bedrooms: Wader Supply: Existing: I Setback: ,/Private well a Two Party Type of Heat: Proposed: _ Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed 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: Underground Tank Above ground tank Size of Propane Tank: 9 9 P Heat Stove Cook Stove (/oodstove Fireplace.nsert rehtO I evotStelleP i knaT retaWtoH I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated oQg EH Bld App Review: 2"°Floor Heated Consistency Review: Other Heated Base fee: 1 , V V Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge r : I 00 r Other Unheated Pot Water Review fee: Garage/Carport St UBTOTAL Decks 911/Rd Approach fee: t, Other TOTAL: $ , /7 i OD e Receipt Number: 15 / 7S ' Cash/Check Number: //t�vC/ ESTIMATED COST(REQUIRED) Date: /D r,^/j114t•Fair market value of all labor and materials foundation to finish ! l((/ n ,Ak — i{4)oOU,OQ L.,12 -- 4 loc m Initials: / T` • 07/24/2013 T�� ■ 4e5')N oG JEFFERSON COUNTY I) , L ape_ � CO DEPARTMENT OF COMMUNITY DEVELOPMENT Xr.f VAl h Sl4 Date: q/jam Time Received: 9 : 442,13m Mon. Tue. Wed. Thur. Fri. Date: 9/Z5//5 BLD: 4 .0.0383 Contact Name: ` Owner: Contact Number: 360 Address: 0-76 IiIdY Z-d 206 Szo ZZy 8,w 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 . - . .. _., Ceiling �w�sz2 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 2( Time Received: /2(99-- ar fills; Mon. Tue. ) Thur. Fri. Date: ?"--2-3 BLD: /e7/— 3e?,3 Contact Name: Owner: Contact Number: 360 $'20 ZZya/oZO Address: /x75— ffLv> 21) 206 Notes: f pDOZ'TD✓g 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 Parcel Details • • Page 1 of 2 ( 440 Jefferson County WA h NvbIo1 _.Weather Station Database Tools lib Maps Webcam Home County Info Departments Search Parcel Number: 901193003 SEARCH Parcel Number: 901193003 Printer Friendly Owner Mailing Address: DANE SCHOONOVER PSC 303 BOX 18 APO AP96204 Site Address: 1275 HIGHWAY 20 PORT TOWNSEND 98368 Section: 19 School District: Port Townsend (50) Qtr Section: SW1/4 Fire Dist: Discovery Bay (5) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0151 Planning area: Discovery Bay (5) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S19 T29 R1W GOV LOT 5( N OF HWY #9) Tax.A/V Sales. Photos and Permit Data Bldg Data Mao Parcel Plats &Surveys Septic Monitoring Info it Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=901193003 10/16/2014 Parcel Details • • Page 2 of 2 http://www.co.j efferson.wa.us/as ses sors/parce l/parceldetai l.asp?Parce l_NO=901193 003 10/16/2014 TIIURMAN SUPPLY • • Page 1 of 2 hilialk Washington State Department of VAP Labor & Industries THURMAN SUPPLY Owner or tradesperson 1807 E FRONT ST HOAGLAND,WILLIAM (BILL) R PORT ANGELES, WA 98362 360-457-8591 Principals CLALLAM County HOAGLAND, WILLIAM (BILL) R, PRESIDENT Doing business as THURMAN SUPPLY WA UBI No. Business type 600 098 792 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. THURMS*954JA Effective—expiration 04/01/2005—11/26/2016 Bond DEVELOPERS SURETY& INDEM CO $12,000.00 Bond account no. 859089C Received by L&I Effective date 11/26/2002 11/18/2002 Expiration date Until Canceled Insurance American Economy Insurance Co $1,000,000.00 Policy no. 02BZ10059510 Received by L&I Effective date 03/26/2014 04/01/2014 Expiration date 04/01/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600098792&LIC=THURMS*954JA&SAW= 10/16/2014 THURMAN SUPPLY Page 2 of 2 Lawsuits against the bond or savinc • 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 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. 335,970-00 Doing business as HOAGLAND INC Estimated workers reported Quarter 2 of Year 2014 "7 to 10 Workers" L&I account representative TO/CAROLYN CRAWFORD(360)902-4715-Email: CRAI235 @Ini.wa.gov • Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 12/28/2009 Violations Inspection no. 313898876 Location 1860 Kresky Rd Chehalis, WA 98532 Citation issue date 12/02/2009 Violations Inspection no. 313843005 Location 1807 E Front Street Port Angeles,WA 98362 ©Washington State Dept.of Labor&Industries. Use of this site is subject to the laws of the state of Washington. A,«.'„ AiL1Ws hington' https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600098792&LIC=THURMS*954JA&SAW= 10/16/2014 S Jefferson County Building Division Permit Number: BLD14-00383 Applicant: SCHOONOVER 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 day's 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 Heat/Chimney Clearance W• ood/Pellet Stove F• ree-standing Stove S• moke&CO 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 R 2f I,c 9, 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#: BLD14-00383 Received Date: 10/17/2014 SITE ADDRESS: 1275 SR20 Issue Date 10/17/2014 PORT TOWNSEND, 98368 Expiration Date 10/17/2015 OWNER: DANE SCHOONOVER PHONE: 379-2440 1275 HWY 20 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901193003 Section: 19 Township: 29 N Range: 1' CONTRACTOR: THURMAN SUPPLY PHONE: 360-457-8591 1807 E FRONT ST PORT ANGELES WA 98362 Contractor's License THURMS*954JA Expires 11/26/2016 PROJECT DESCRIPTION: Install New Wood Stove TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: WOD 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: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/16/14 151658 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