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Home My WebLink AboutBLD2014-00407 - MECHANICAL BUILDING PERMIT APPLICA•N BLD14-00407 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLn14-00407 Received Date: 10/30/2014 SITE ADDRESS: 30 ' PIONEER DR PORT LUDLOW, 98365 OWNER: RANDALL L REINKE PHONE: 206-542-6539 46 VILLAGE WAY STE 173 PORT LUDLOW WA 98365-9762 9906 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603109 Section: 9 Township: 28 N Range: 1 E CONTRACTOR: BRENNAN HEATING &A/C LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 7/13/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt REPLACE EXISTING ELECTRIC FURNACE (CRAWL/SPACE) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: EEE 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 JED Permit $152.00 SRE 10/30/14 151674 Total: $152.00 OCT 3 0 2614 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/30/2014 �� ON c°„ • • JEFFERSON COUNTY r � DEPARTMENT OF COMMUNITY DEVELOPMENT fy 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax "� p$ www.co.jefferson.wa.uslcommdevelopment 81N Master Permit Application MLA: \ Project Description(include sep ate sheets as n cessary) 1 • -c -•C. 1S A. f I C-Il i co r M.& f A— Gr s -!111' C-t? Tax Parcel Numbe .1 • O • • Property Size: (acres/square feet) p y Site Address and/or Directions to Property: A Property • er(s)of Reco d: Vi•,.�it-%. Telephone: . .• . • � . • Fax: e ail: rJ Mailing Address: /. f W a 3�iv E.w £ L. Q 0 ' Applicant/Agent(if di er nt from owner): V� 'rte •M • Tele home.I.- . 1 ∎O Fax:.1P : 5 email�7b * M • �Mail ng Address: r ' L'L ' m What kind of Permit?(Check each box that applies ❑Building C3 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Eognom c . Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or Cl" '-' ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use,Giasiflcatiot 0 n ry S ❑ Commercial' ❑Special Use(Essential Public Fact`rtie�)1 V ❑ Change of Use ❑ Boundary Line Adjustment /// /!ill ❑ Address ❑ Road Approach ❑Short Plat** u/ OCT ❑Home Business ❑Cottage Industry ❑ Binding Site Plan"* / r 9 ?^ lj ❑ Propane ❑ Long Plat** / ❑Sign ❑Planned Rural Residential Delielopmea?t(Pula)/Amendments** ❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management C 4 . �1 Shoreline Master Program Exem tion/Permmtsi � Y ❑Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Substantial Development /op^„_NI ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices ActJRelease 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 designat- "LA A.J. .' '. ., i�,1 ► if. to act as my agent in matters relating to this app icati for permit(s). OWNER SIGNATU• it AI MK. r K .. - Date: v By signing this ap•.ica n 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 kno -dge. 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 attomey'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 I further agree to provide access and rig t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r:quired later inspeclio Staffs access and right of entry will be assumed unless the applicant info ryrns the CoTi ty in sting at the time of t i e appt .tion•that he or she W. is prior notice. OI a S Signatu - - Date: The a actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or (2,.r 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 Spec s Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit h been is ued 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 y u are in compliance i the Jefferson County development code.The Applicant acknowledges thaSS he she r it holds individual and no -transfe le responsibility f� hin�to and complying with the ESA. The Applicant has read this di$claaiim$r dl6 s,andfdates it below. Signal e: yy ` 7 Date: II // // �� G.\PemutCenter\###FORMS###\DEW FORMS\Master Permit Application 5-29-O8.doc ieCeift. # 151 ce414 cal * 4IL(el • • 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: S N E ERAL CONTRACTOR OR iANUFACTURED HOME INSTALLER: PHONE: FAX: a l (,O . _ . -1.cO, (dOLs q'? 3 0 _ j MAILING ADDRESS:y 1,,i, 3 ` \ l G !t. IL . a ■ a: Le. - �- CONTRACTORS LICENSE \j(.e \ �9`-- -\ -� O l (;,)/ INS C,c,rn NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ ition ❑ Steel Proposed: Bank ❑ Community System • Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit#. ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: i I Private well ❑ Two Party Type f Heat: Proposed: :1 Public YP� I{ _ Total: Name of System: If this is a Commercial Project 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: I Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured I 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. n F i s pa x 1 it : II c t utE ,. Square Footage Current Proposed FA .NY,i� .au++: ,.i ��•� • Main Floor Heated l�') vs' EH Bid App Review: 2 Floor Heated i a �°' ''1-0'6 Consistency Review Hl,'. Base fee: Other Heated �� "ry. �?`r•��µ Mezzanine alw :4 iii Additional Section: if n Heated Basement �,, i: " Plan Check fee: r f t ' State Surcharge fee: Unheated Basement kl c r, as Other Unheated Pot Water Review fee: f' '� _ Garage/Carport f SUBTOTAL E ,rct t. Decks , ,L r = 911/Rd Approach fee: 3'' " TOTAL: $ Other t g ` � . r : Receipt Number: r Cash/Check Number: 4 _i_-_-_,\ T� \ (� `7 Date: --\ v l y' ESTIMATED COST(REQUIRED) j .Fair market value of all labor and matena s foundation to finish 1 l+ O CT 2 9 2014 III Initials: JEhFERSCiVCOUNTY GAPermaCenter\###FORMS###\DAD FORMS\Muter Permit Application 5-29-09.doc L_._ :`CEP__ T��(IM^,1��IITY pEVEI-�PMFNT ¢0 c.c.°? JEFFERSON COUNTY { DEPARTMENT OF COMMUNITY DEVELOPMENT qS& [NG-e Date: ,9615 Time Received: 2-65 am/€ J Mon. Tue. Wed. Thur. Fri. Date: BLD: (4/ - (/07 Contact Name: Owner: QgnaaAt 2- Q(ni�.f._ Contact Number: 360 Address: ' j L ,)t` O r C 206 5 Z Notes: �`—� t 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 X Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling Parcel Details Page I of 2 • Jefferson County &i mm_ Weaker sEas-u„ .:fir- Home County Info Departments Search Parcel Number: 1990603109 SEARCH Parcel Number: 990603109 Printer Friendly Owner Mailing Address: RANDALL L REINKE 46 VILLAGE WAY STE 173 PORT LUDLOW WA98365-9762 Site Address: 30 PIONEER DR PORT LUDLOW 98365 Section: 9 School District: Chimacum (49) Qtr Section: NW1/4 Fire Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sub Division: 9906 - PORT LUDLOW NO. 2 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW NO. 2 AREA 3 LOT 109 No Permit Data Tax, A/V,Sales, Photos,and Bldg Data Map Parcel Plats &Surveys Available LEI CP ty HOME I COUNTY INFO I DEPARTMENTS I SEARCH d Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=990603109 10/30/2014 go��°N (ii-) DEPARTMENT OF COMMUNITY DEVELOPMENT 1 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.iefferson.wa.us/comtnunitydevelopment o E-mail:dcd@co.jefferson.wa.us 'SFI/NO\ September 09, 2015 RANDALL L REINKE 46 VILLAGE WAY STE 173 PORT LUDLOW WA 98365-9762 RE: SUBJECT: PERMIT TO EXPIRE - NOT RENEWABLE SITE ADDRESS: 30 W PIONEER DR PERMIT#: BLD14-00407 LEGAL DESCRIPTION: 9906 - PORT LUDLOW NO. 2 BLOCK: LOT: PROJECT DESCRIPTION: REPLACE EXISTING ELECTRIC FURNACE (CRAWL/SPACE) DEAR RANDALL L REINKE PERMIT# BLD14-00407 WAS ISSUED BY THIS DEPARTMENT ON 10/30/2014 , 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_BLD_pro_exp_ntc.rpt 9/9/2015 Jefferson County Building Division Permit Number: BLD14-00407 Applicant: REINKE 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 Mechanical Systems /6/7 jis Miscellaneous 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 -;,/7�/c " 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#: BLn14-00407 Received Date: 10/30/2014 SITE ADDRESS: 30 PIONEER DR Issue Date 10/30/2014 PORT LUDLOW, 98365 Expiration Date 10/30/2015 OWNER: RANDALL L REINKE PHONE: 206-542-6539 46 VILLAGE WAY STE 173 PORT LUDLOW WA 98365-9762 9906 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603109 Section: 9 Township: 28 N Range: 1E CONTRACTOR: BRENNAN HEATING &NC LLC PHONE: 206-248-7900 4601 S 134TH PL SEATTLE WA 98168 Contractor's License BRENNHA971R9 Expires 7/13/2015 PROJECT DESCRIPTION: REPLACE EXISTING ELECTRIC FURNACE (CRAWL/SPACE) TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $152.00 SRE 10/30/14 151674 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 JEFFERSON COUNT• 0Cc) N• 51674 e DATE 0"-Z—/T-14 RECEIVED FROM C � \V `' \ DESCRIPTION „]] BARSR AMOUNT CURRENCY COIN CKS ` 1 cn 0 m C) 0 RECEIVED BY TOTAL tit = �