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Home My WebLink AboutBLD2015-00159 - PROPANE • • 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 #: BLD15-00159 Received Date 5/13/2015 SITE ADDRESS: 191 COLMAN DR Issue Date 5/13/2015 PORT TOWNSEND, 98368 APPLICANT: WARREN BOXLEITNER PHONE: 425-577-8120 191 COLMAN DR PORT TOWNSEND WA 98368-9409 47 SUBDIVISION: 9396-CAPE GEORGE COLONY DIV. Block: 14 Lot: PARCEL NUMBER: 939601446 Section: 13 Township: 30N Range: 2W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 (gg Contractor's License SUNSHP*077QP Expires 1T/160a85 5875 OWNER, WARREN BOXLEITNER PHONE: 425-577-8120 if different: 191 COLMAN DR PORT TOWNSEND WA 98368-9409 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL 120 PROPANE TANK 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 5/13/2016. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: (;)(-4--" (0161// 4//2 Tank/Line/Appliance: �jr A &k T.S �F G�� (0/61//( X14 Final Approval: GIG//r 7 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 11tidemark1data\forms\F_BLD_Permit_Propane.rpt 5/13/2015 SUILDING PERMIT APPLICASN BLD15-00159 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00159 Received Date: 5/13/2015 SITE ADDRESS: 191 COLMAN DR PORT TOWNSEND, 98368 OWNER: WARREN BOXLEITNER PHONE: 425-577-8120 COLMAN 191 PORT TOWNSEND WA98368-9409 IA) 10Jk Q-rtbA CA 44A- 9396-CAPE GEORGE COLONY DIV. SUBDIVISION: Block: 14 Lot: 47 PARCEL NUMBER: 939601446 Section: 13 Township: 30 N Range: 2V1 CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW MECHANICAL PERMIT INSTALL 120 PROPANE TANK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 SRE 05/13/15 156060 APPRO!QED Total: $234.00 17 MAY 13 2015 Jefferson County DCD • 1\tidemark\data\forms\F_BLD_App_Bld.rpt 5/13/2015 • • SON c 4w� 11, 6: DEPARTMENT OF COMMUNITY DEVELOPMENT 4., r t . ��, 621 Sheridan Street Port Townsend,WA 98368 —t tlY W q C I Tel:360 379.4450 I Fax:360.379 4451 We :www.co.jefferson.wa.us/communatydevelopment ommumtydevelopment c 5 [IVIE m ," b a yg P-mail:dcdco.iefferson.wa.us QS III N G S M AY 1 3 2015 MECHANICAL PERMIT APPLICATION i Steps in the Permit Process: J -Review required submittal items to ensure all information is completed prior to submitting application. `.,,DENT -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 #s: 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 _Required Submittal Items—for propane tank only _ p- 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: Cj 3 9 (p_O c(6 _ Site Address and/or Directions to Property: 1.q C 1M 1 h v- T4kt Ctee G■ear0 t {o J4.In - B(V� --fa !a(r.t t-' fan Access (name of street(s) from which access will be gained: Description of Work: rt4,.et l P,�(K q I -(1 Ae place i ti-W-/-4— c 1I Property Owner _ Name: UJ°err t.' f3c LO.,L{ )(1.1--Y- Address: )91I COlwt01 13r. Pf 7-01-'-'14S0-td L.-' t/- cie3( S 1 Phone#: (- 7 $ 7--7- e(z.o E-mail Address: Please contact Authorized A:ent/Re•resentative with project info. _ _ / Property Owner Signature: , ,4. 41 . Date: 5 /5 • ' Applicant/Contractor: Author) "" '` - ' • `sentative�. Name: Cwrr«- /II q,4 Phone#: 36Q - 3 -- 5 97 E-mail Address: License #: 5w11. 5 h ,D�F- gf?-q. at. Expiration Date: Mechanical Application 1 1G "°` ir • Heat Source Electric Heating Oil 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, and a site plan must be Propane (LP)Gas Furnace Propane Furnace+/-Ducting submitted with the 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 ( Propane Tank LP Fuel Tank(#gallons: I-2-4 1 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. / Signature: /1)40-14760771/..e4_, Print Name: PA,�a cce.i 13c9X lam°//nc-'Y Date: 5/6/ (5 OFFICE USE ONLY ,,'��R 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. Zr3,5O Mechanical Application 2 4. • • SITE VISIT REPORT I ' (PLOT PLAN) 1-. JOB LONq v\en' 111 bet B 'xkk V if' DATE : S I to\ 15- CONTACT: ADDRESS I `A \ Lo\ PHONE #: DIRECTIONS FAX #: Email PLANNER: .3)6lv`2.- L Include all street names adjacent to property,property lines,tank,appliance&piping locations,distances of tank to property lines and buildings, septic, wells,wetland areas, distance to water bodies. Ll of a "Dec K- v EVN LNSTA.tfc 2• u 8,t 3U IPpF.A MOO Or 64,461-C ripe A001.4- 341 ri .111440T‘ (Alc't 10 120 N• •Bcci ■ 5e- •` c-N \ c--KFll l f� , , 1-1 r� Parcel Details Page 1 of 2 y •Jefferson EL_ maps webcam Home County Info r, Departments Search Parcel Number: 939601446 rSEAR-6:11 Parcel Number: 939601446 Printer Friendly Owner Mailing Address: WARREN BOXLEITNER 191 COLMAN DR PORT TOWNSEND WA98368-9409 Site Address: 191 COLMAN DR PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: NW1/4 Fre Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: 9396 - CAPE GEORGE COLONY DIV. 7 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE COLONY DIV 7 BLK 14 LOT 47 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys septic Monitoring Info _ Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH sot Best viewed with Microsoft Internet Explorer 6.0 or later te Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value=939601446 5/13/2015 SUNSHINE PROPANE • Page 1 of 2 Home Inicio en Espanol Contact Search L&I ,5.AttCH A-Z Index Help My Scurc L&i Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of kJ, Labor & Industries SUNSHINE PROPANE Owner or tradesperson 10853 RHODY DR PORT HADLOCK,WA 98339 CHAWES,RICHARD HENRY 360-385-5797 Principals JEFFERSON County CHAWES,RICHARD HENRY,PRESIDENT 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 600 342 368 Corporation Parent company ENVIRONMENTAL HOUSING INC 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 11117/1993—11/17/2016 Bond No current bond account.See the bond history. Bond history Insurance FEDERATED SERVICE INS CO S1,000000 00 Policy no. 633829 https://secure.lni.wa.gov/verify/DetaiLaspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 5/13/2015 SUNSHINE PROPANE Page 2 of 2 Received by L&I Effective date • 11109/2006 11/1712006 Expiration date Until Canceled United States Fire Insurance C $1,000,000.00 Policy no. 606-878672-6 Received by L&I Effective date 11113/2014 11/17/2014 Expiration date 11/1 712 01 5 Insurance history Savin s (in lieu of bond) $12,000.00 Received by L&l Effective date 09/16/2014 09/1012014 Release date Impaired date N/A N/A Savings account ID 0770001033 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 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. 422,171-00 Doing business as SUNSHINE PROPANE Estimated workers reported Quarter 1 of Year 2015"11 to 20 Workers" L&I account representative T1/JAN BENTLEY(360)902-4652-Email:STR0235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. 0 Washington State Dept of Labor&Industries.Use of this site is subject to the laws of the state of Washington. • https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600342368&LIC=SUNSHP*077QP&SAW= 5/13/2015 • as°" moo, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4'Sy 'N�o Mon. Tue. Wed. Thur. Fri. am � )ate: Time Received: �U ( �Date: f _ Contact Name: 3LD: — g Contact Number: 360 5'797 owner: 206 a 2 ddress: G - c. Gd� Notes: Plumbing Framing Propane Tank Mechanical Foundation Under ground Furance Under-ground Framing Gas Setbacks Air Seal Above ground Rough In Exterior lines as Footing Exterior shear Stemwall Hydronic Ducts Oil Interior shear Interior lines Straps Hot Water Htr Appliance Post Hole Ventilation Underfloor Gas/Wood stove Insulation Ma_ n_ Homes _. Final Inspection Setbacks Floor Wall Address Posted Foundation Ceiling Block&Tile