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Home My WebLink AboutBLD2015-00301 - MECHANICAL OILDING PERMIT APPLICATI BLD15-00301 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00301 Received Date: 9/1/2015 SITE ADDRESS: 4071 OAK BAY RD PORT LUDLOW, 98365 OWNER: STEPHEN P PORTER PHONE: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821262010 Section: 26 Township: 28 N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2016 REPRESENTATIVE: PHONE: l 7. . CavY1 PROJECT DESCRIPTIOII PROPANE TANK, GAS LINE, WATER HEATER 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 $234.00 JLA 08/31/15 159154 APPROVED Total: $234.00 APPROVED SEP 01 2015 Jefferson County DCD 1\firlcm rL1rl t.,cn..ne\C GI fl Ann QIA re./ 0/1/1f11 Plir gON �o DEPARTMENT OF COMMUNITY D LOPMENT �� j 621 Sherid.tn Street,Port Townsend,WA 98368 Tel:36039.4450 Fax 360.379.4451 . rC Web:Wwy.co.ietferson.wa.us/community development E-mail:dcdtveoiefteison'at us �`T 1 N G' 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#: Date: Related Application Us: 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 Requ)red Submittal Items-for propane tank only I _J t/ 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: 8011 --2.42 - OlO Site Address and/or Directions to Property: golf i e...-..) 40 Pi. �di.B,J J i Access (name of street(s) from which access will be gained: Description of Work: Pitr)601.4._ 7G..k is-, ..-1-+--a_. c t)' '°'' 40,VC41' Property Owner Name: 4 {...",-) Pur m Address: M °'24,7i - 1I,512.1. oc./ .44...' L . PT. ! J o Phone #: ,.2_06,-..2q - I/ /3 E-mail Address: m 7a Applicant/ Contractor: Authorized Agent/Representative Name: — .�_.. e__...'.j -- — Phone #: 360_ ..3233"- 3'75' 7 E-mail Address: License #: c 4i-/ yo o7 7 . p Expiration Date: it /(7 i Mechanical Application 1 0 Heat Source • • Electric u Heating Oil [1 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 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 (1) (' 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 () V Propane Tank LP Fuel Tank(#gallons: LP- ) 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 to this application and subsequent permit issuance. Property Owner Signature: � J Print Name: � 41-62 V �� r' Date: ,C7'2O '/ 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* *Additional fees may apply. Mechanical Application 2 i 9 V) r v - is _ _ _ __ _____ _ _ ___ __Ri • , )b 1 z L 1 e . i 41 i,,r... 1 =�° c i A___. -,- ,. i I ________ __7_: 6 \-41 a IY. It- L 1 L._ __ __ _ : Parcel Print Page 1 of 1 Parcel Number.821262010 05/12/2015 Owner Mailing Address: STEPHEN P PORTER 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 Site Address: 4071 PARADISE BAY RD PORT LUDLOW 98365-9241 Section: 26 School District: Chimacum(49) Qtr Section: N W 1/4 Fire Dist: Port Ludlow(3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: 98365-9241 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Land Use Code: 1100 98365-9241 Property Description: S26 T28 R1E TAX 6 (ENLGD BY TAX 9) BOUND BY BLA #89303 AND TL TAX K3 1 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value°821262010 9/1/2015 SUNSHINE PROPANE • Page 1 of 2 Home InicioenEspanol Contact iSearch L&I ECM A-Z Index Help My Secure L&i Safety Claims&Insurance Workplace Rights Trades&Licensing salk `) Washington State Department of Labor & Industries SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR PORT HADLOCK.WA Principals 360-385-5797 CHAWES,RICHARD HENRY,PRESIDENT JEFFERSON County LEMLEY,DAVID BARRY,VICE PRESIDENT SIMPSON,LAURA ANNE,SECRETARY YOURISH,ROBERT B,TREASURER FLANDERS,RONALD LEE,MEMBER EWING,MICHAEL HOYT,MEMBER ROSS,LEVI K (End:01/01/1980) CHAWES,RICHARD (End:01/01/1980) YOUNT,JO (End:01/01/1980) SPRING,PERRY (End:11/05/2010) PETERSEN,JAMES (End:11/05/2010) Doing business as SUNSHINE PROPANE WA UBI No. Business type 600 342 366 Corporation Parent company Governing persons ENVIRONMENTAL HOUSING INC BILL BISHOP DAVE LEMLEY; JO YOUNT; LAURA SIMPSON; LEVI KENT ROSS; MICHAEL EWING; PACO TEED; RICHARD CHAWES; ROBERT YOURISH; RON BISHOP; 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. SUNSHP*077QP Effective—expiration 11/17/1993—11/17/2016 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 9/1/2015 • • 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 #: BLD15-00301 Received Date 9/1/2015 SITE ADDRESS: 4071 OAK BAY RD Issue Date 9/1/2015 PORT LUDLOW, 98365 APPLICANT: STEPHEN P PORTER PHONE: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821262010 Section: 26 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 1/ 7 1355-5875 Contractor's License SUNSHP*077QP Expires 1 1 !2016 OWNER, STEPHEN P PORTER PHONE: if different: 4071 PARADISE BAY RD PORT LUDLOW WA 98365-9241 PROJECT DESCRIPTION: PROPANE TANK, GAS LINE,WATER HEATER Directions 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 9/1/2016. REQUIRED INSPECTIONS: ✓ ✓ / Installation per Manufacturer Specifications/CO2: l 1 S Sr �? Tank/Line/Appliance: 61i 3o fic �� l cn2$ t—S Final Approval: l6/ c/i'j " " /E 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 9/1/2015 /,-,.;'''' 2. JEFFERSON COUNTY J DEPARTMENT OF COMMUNITY DEVEhO- NT Sff[riG-,O Date: Inic it Time Received: Z. 5---b am/pm Mon. Tue. Wed. Thur. Fri. Date: BLD: I — O 0, 1) ( Contact Name: Owner: Ste 0 V TVOr{-e-K- Contact Number: 360 jaidliMif Address: 7 : I ? -- : Ir lR- 206 VI/01 ; Notes: �r o e ApArlanical I n s •ed oi /NC.l 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 /S0N ?a JEFFERSON COUNTY V. DEPARTMENT OF COMMUNITY DEVELOPMENT 9rHINnO° Date: R 2(-1 Time Received: 5�3 arf Mon. Tue. aft Thur. Fri. Date: 9'-50 BLD: / ,S--- 3o I Contact Name: Owner: Contact Number: 360 -,-7'1 7 Address: 407 I �,fi1(.4.0/L¢_. 206 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 p� Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling �FFERSON COUNTY NO' 159154 DATE HIVED FROM (SIV1 ,S "<-- Pa ec)-k"-c- PTION BARS# AMOUNT CURRENCY ( S-0 .t -7 Thh,„ S Cl . J (CHECKS) c S2AS 2I-2(0Z _ OMi m o r - TOTAL Z 'S- _ 51) •