HomeMy WebLinkAboutBLD2015-00334 - MECHANICAL BUILDING PERMIT APPLICAION BL Review v Ty334
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD15-00334 Received Date: 9/30/2015
SITE ADDRESS: 305 WOODRIDGE DR
PORT LUDLOW, 98365
OWNER: BRADFORD LEE PHONE:
SALLY LYNUN-LEE
9997 -WOODRIDGE VILLAGE DIV 1
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 999700017 Section: 21 Township: 28 N Range: 1E
CONTRACTOR: RON BISHOP PHONE: 360-774-1995
100 CARL JOHNSON RD
QUILCENE WA 98376
Contractor's License BISHOPS861LW Expires 6/6/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOII Install new LP pipe connecting to excisting propane tank. Pipe will
be placed in an 18 inch trench.
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC MAIN:
VALUATION ADD'L: HEAT TYPE: HTP
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 $156.00 HAC 09/30/15 159227 APPROVED
Permit $78.00 HAC 09/30/15 159226 APPROVED
Total: $234.00 SEP 3 0 2015
Jefferson County Di
•
1XIIAsmor4l.1A4o1fnrmc1f= RI fl Ann RId rn+ Qfln,,oic
I
�goN e DE.,kRTMENT OF COMMUNITY ,EVELOPMENT
C{� OG 621 Sheridan Street,Port Townsend,WA 98368
TeL 360.379.4450 I Fax:360.379.4451
Zs."' Web:www.co.Jefferson.wa.us/communitydevelopment
E-mail:dcd(dco.jefferson.wa.us
QS�IN6S9
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#: 15q 2,21 Date: 5/56//5
Related Application#s: c••
ay ent#: CC-�?33
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
-VI_ 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: ,? -176700/ 1-/
Site Address and/or Directions to Property:305 Woodridge Drive, Port Ludlow, WA 98365
Access (name of street(s) from which access will be gained: Woodridge Drive
Description of Work:
Install and connect a new LP pipe from the existing pipe that connects a 500 Gal Propane tank to
the house, and place it in an 18"deep trench, about 25' long, and connect it to newly installed
Kohler 20w Ccncrator.
Property Owner
Name: Bradford Lee and Sally Lynum-Lee
Address: 305 Woodridge Drive, port Ludlow, WA 98365 0
Phone#: 36014374388 E-mail Address:bleemd@yahoo.com
Applicant/Contractor: Authorized Agent/Representative
Name: Ron Bishop *�
Phone #: 360//41995 E-mail Address: bishoppropaneservices(
License#: BISHOPS861 LW Expiration Date:c:).76. ' 2 0 /
�(—1--1op pRoPfl-N -€.e -mf//. 'c 7
Mechanical Application 1
BISHOP PROPANE SERVICES • • Page 1 of 2
Home Inicio en Espanol Contact ■Search L&I SEARCIt^
A-Z Index Help My Secure L&I
Safety Claims&Insurance Workplace Rights Trades&Licensing
0 Washington State Department of
Labor & Industries
BISHOP PROPANE SERVICES
Owner or tradesperson 110 CARL JOHNSON RD
BISHOP,RONALD M QUILCENE,WA 98376
360-774-1995
Principals JEFFERSON County
BISHOP,RONALD M,OWNER
WA UBI No. Business type
602 239 379 Individual
License
Verify the contractor's active registration/license/certification(depending on trade)and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
Wood/Pellet and Gas Stoves
License no.
BISHOPS861 LW
Effective—expiration
06/16/2014—06/16/2016
Bond
Wesco Insurance Co $6,000.00
Bond account no.
46WB049518
Received by L&I Effective date
06/16/2014 06/06/2014
Expiration date
Until Canceled
Insurance
Ohio Security Ins Co $1,000,000.00
Policy no.
BLS56078951
Received by L&I Effective date
04/24/2015 06/06/2014
Expiration date
06/06/2016
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
No license violations during the previous 6 year period.
Workers' comp 7
https://secure.lni.wa.gov/verify/Detail.aspx?UBI°602239379&LIC=BISHOPS861LW&SAW= 9/30/2015
Parcel Details • Page 1 of 2
CIOJefferson County WASHINGTON
" Weather Station `�Database Tools lat Maps =lit Webcam
Home County Info Departments Search
Parcel Number: 999700017 SEARCH
Parcel Number: 999700017 Printer Friendly
Owner Mailing Address:
S LYNUM-LEE FAMILY REVOC TRUST
BRADFORD Y LEE, TRUSTEE
SALLY LYNUM-LEE, TRUSTEE
46 VILLAGE WAY PMB 163
PORT LUDLOW WA98365-9762
Site Address:
305 WOODRIDGE DR
PORT LUDLOW 98365
Section: 21 School District: Chimacum (49)
Qtr Section: NE1/4 Fire Dist: Port Ludlow (3)
Township: 28N Tax Status: Taxable
Range: 1E Tax Code: 0231
Planning area: Port Ludlow (7)
Sewer: PLSEWER - Connected(No Drainage:
CWF)
Bank: View 1:
View 2: Zoning 1: MPR-SF-4 - Master Planned Resort - Single
Family
Zoning 2: Zoning 3:
Sub Division: 9997 - WOODRIDGE VILLAGE DIV 1
Assessor's Land Use Code: 1100 - Residential - Single Unit
Property Description:
WOODRIDGE VILLAGE DIV 1 LOT 17/18 BND TGTH THRU BLA#81507
Tax. A/V, Sales, Photos, and
Permit Data Bldg Data Map Parcel Plats&Surveyj
Septic Monitoring Info
Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 0000
Best viewed with Microsoft Internet Explorer 6.0 or later
Windows - Mac
http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?value°999700017 9/30/2015
, • qq,t17
From: Bradford Lee bleemd @yahoo.com g ,
Subject: Propane Tank Underground
Date: September 28,2015 at 3:21 PM
To: Bradford Lee bleemd @yahoo.com
#L
at
tt'
a:.
y
r
ye J. f -A,
` Z
4 r
•
iro .. 0., ..
.. _
. _.1/4.._...,:"..... _, ... . .
.... _
44f,;. w
, ... ..er„w t{w 8 M ° r
. , taw .. whill .wit 4.0 it'
A
t.
IL° 401.9 ,..
11 1.11111113:01141 4
w"
t
Sent from my iPhone
• )11 7 7 ( 7 • p/co gD '
~' , ' „w'' III ,.., . 4! .,.
. ,,,,, .
1
• .
r... .1 ,.. .-- ...i. ..., . , . .
�z t
§ y.
0
1‘4 1 ...
ii-- , ' ' ..., .,
% .t., , „ , , . :,..
,,, ,,,, . , ,,,,s .. .....
i ;
4 1 . I. se,,,
.., .
„ ,...
,..
,. , ,
Ti'?if '
(Z.'-- , - - -
u
M , I
Y t
awk t�` {' 'poi;a
: i,� , - L2
to
w/ 1
4.
'., 4,,. . - IFIcr ..
•. lir , - 2r111°b110—, .,,.
irl
.j
b t 1 7
� � # •
From: Bradford Lee bleemd @yahoo com B [// / / /
Subject: Propane Tank Line Addition to Generator ( 1 U II
Date: September 28,2015 at 2:57 PM
To: Bradford Lee bleemd @yahoo.com
j ' 1 . ,+
�jF w X
1 \ s h 4
' .
r
\
w
I-
+' 1.
ois
}
i , A a
1r Ir•
..ire 4141111114p•
Jso
•
: „ s
tO& + ..
i
r.
I
kio jj
A6
fr
q‘ ii'7 96)9/ 7 spkAzioPv9 (... .„
- / Ito , , .
r
..."'""--)11 f ..„ ,
K
A ... . „
v
pgbfiiii
IR
f ''' i,
- illeCRAPAIO D
xy
1_
kA
. .
a ` f. i 0 r
irk . k" i4.r.
1 ^ r #
f
a,
111 p.
f 1T
u
4�
\ -
i: ,
.4,450" G2 JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT ���///
m
Mon. Tue. �e Thur. Fri.
Date: 1��t3 Time Received: 9�/y Date: it51 r4
Contact Name: Q�1 gawp
Owner: Contact Number: 360 �774i 1115
Owner: 360
Address: 34)5 woo pg0Ge D4
Notes:
Foundation Plumbing
Framing Propane Tank Mechanical
\
g
Framin Under ground X Furance
Setbacks Under-ground Gas
Air Seal Above ground
Footing
Rough In Exterior lines-- Oil
Stemwall Hydronic Exterior shear Ducts
Interior shear Interior lines
Straps Hot Water Htr gppDucts
Post Hole Ventilation
Underfloor Gas/Wood stove
Insulation
Man Homes Final Inspection
Setbacks Floor Address Posted
Foundation
Ceiling
Block&Tile
AIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIII
• •
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 #: BLD15-00334 Received Date 9/30/2015
SITE ADDRESS: 305 WOODRIDGE DR Issue Date 9/30/2015
PORT LUDLOW, 98365
APPLICANT: BRADFORD LEE PHONE:
SALLY LYNUN-LEE
SUBDIVISION: 9997 -WOODRIDGE VILLAGE DIV 1 Block: Lot:
PARCEL NUMBER: 999700017 Section: 21 Township: 28N Range: 1E
CONTRACTOR: RON BISHOP PHONE: 360-774-1995
100 CARL JOHNSON RD
QUILCENE WA 98376
Contractor's License BISHOPS861LW Expires 6/6/2016
OWNER, S LYNUM-LEE FAMILY REVOC TRUST PHONE:
if different: BRADFORD Y LEE, TRUSTEE
46 VILLAGE WAY PMB 163
PORT LUDLOW WA 98365-9762
PROJECT DESCRIPTION: Install new LP pipe connecting to excisting propane tank. Pipe will
Directions be placed in an 18 inch trench.
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 9/30/2016.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO2: Z,16' Lk / q/G
Tank/Line/Appliance: Oil< /Li/y//S 1 "
Final Approval: CyA' - r -rvu l 1c/ ,/S ,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 ADAY
1l tidemark\data\forms\F_BLD_Perm it_Propa ne.rpt 9/30/2015