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HomeMy WebLinkAboutBLD2015-00292 - MECHANICAL BtLDING PERMIT APPLICATICJIIBLD15-00292 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00292 Received Date: 8/19/2015 SITE ADDRESS: 324 BOARDWALK AVE PORT TOWNSEND, 98368 OWNER: WALTERS FAMILY TRUST PHONE: 360-385-5264 PAUL WALTERS TRUSTEE 324 BOARDWALK AVE PORT TOWNSEND WA 98368-9571 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001345013 Section: 34 Township: 30 N Range: 1V1 CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWHH 851-JL Expires 4/13/2017 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MECHANICAL PERMIT 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 $156.00 SRE 08/18/16 156428 APPROVED Total: $156.00 APPROVED G AUG 19 2015 Jefferson County DCD 11t!Horn nr41r4atn1fnrm c\F RI Il 4nn RI 1 rnf 2I1QI211F • • ON c DEPARTMENT OF COMMUNITY DEVELOPMENT �.w O, 621 Sheridan Street,Pon Townwild,WA 98368 Tel:360.379.4450 Fax:360.379.4451 [E C E DV (E G Web:www.co.iefferson.wa.us/communitydevelopment {J v �C E-mail:dcd(a,�co.jefferson.wa.us �s` -0 AUG 1 8 2015 kJ NG1 MECHANICAL PERMIT APPLICATIO t l - Steps in the Permit Process: JEFFERSON COUNTY DEPT OF DOWNY-1Y DFVFtOPM`NT -Review required submittal items to ensure all information is completed prior to submitting app Ica ion. -- -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#: )5(0 4,Rg Date:08f RNS Related Application Its: Payment#: /047 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 LGeneral 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: pp( 45 01 Site Address and/or Directions to Property: 3a L4 1 po,he u.) K_ 4 Ve � (Ff. Cot osuAlt Access (name of street(s) from which access will be gained: Description of Work: =hs•.0.,> \ aV;o,\ 1>c lf(/roe ane r,p„h1acx, bu i Ykc- d V .O,vli-i`n01 r c GUI.* . C-Pram ,e.kisl,'Y1� crisJ;n2) V Property Owner Name: 0.Ji an e- Wm(4-en's w Address: 15 oarIJ&tom O.. eJ (1f-,aLAM 5syr oC '8 G8 v Phone#: 3 F15-5 2 64 34/- E-mail Address• i .ia, �a( � eYs d 0 341-0563 ,7� Applicant ntractor: Agent/Representative / Name: 1'cA..wQ tOo--ti-et/-5 Dv) ryeY' *� Phone#: D ) ©51.03 E-mail Address: (....)a-lA-Nirs e9( itzcs ,. License#: Pan' Expiration Date: A/ f77�g qA/k011A9 Q.r r1 = I ) S- -R,Q_ 3(00 45a e 5 t9- Mechanical Application 1 1 Lo t,0 0, i/er (.()a yin hb, >✓J vi eA-- t ( I 62,0 1L L - , co") • • Heat Source Electric fl Heating Oil r Propane* Wood u 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 unsafety collect. 1 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 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: ) 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 O Signature a Print Name: -P0.U.Q tiOG t i-ofs Date: 114 (i. 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* E C E k V I-_ p *Additional fees may apply. I i, 11 , AUG 1 8 2015 Mechanical Application 2 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT EVERWARv1 INC • 41 Page 1 of 2 Home micro enEspanol Contact -' Search L&I *�� A-Z Index Help My Secure t&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & industries EVERWARM INC Owner or tradesperson 257151 HWY 101 Principals PORT ANGELES,WA 360-452-3366 MCCARTNEY,TERRENCE J,PRESIDENT CLALLAM County MCCARTNEY,VIRGINIA RIMSTAD,SECRETARY Doing business as EVERWARM INC WA UBI No. Business type 601 361 016 Corporation Governing persons TERRENCE J MCCARTNEY VIRGINIA R MCCARTNEY; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Out of Business. License holder has notified L&I it is no longer in business.Owner may have other active licenses under different business names. License specialties Suspend date GENERAL 05/1512015 License no. EVERWI.088NL Effective—expiration 08/13/1992—08/17/2016 Bond No current bond account.See the bond history. Bond history Insurance Nautilus Ins Co $1.000.000.00 Policy no. BN960250 Received by LAI Effective date 01/14/2015 01/20/2015 Expiration date 01/20/2016 Insurance history 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 https://secure-lni.wa.gov/verify/Detail.aspx?UBI=601361016&LIC=EVERWI*088NL&SAW= 8/19/2015 i • 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 #: BLD15-00292 Received Date 8/19/2015 SITE ADDRESS: 324 BOARDWALK AVE Issue Date 8/19/2015 PORT TOWNSEND, 98368 APPLICANT: WALTERS FAMILY TRUST PHONE: 360-385-5264 PAUL WALTERS TRUSTEE 324 BOARDWALK AVE PORT TOWNSEND WA 98368-9571 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001345013 Section: 34 Township: 30N Range: 1W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWHH 851-JL Expires 4/13/2017 OWNER, WALTERS FAMILY TRUST PHONE: 360-385-5264 if different: PAUL WALTERS TRUSTEE 324 BOARDWALK AVE PORT TOWNSEND WA 98368-9571 PROJECT DESCRIPTION: NEW MECHANICAL PERMIT Directions INSTALL A NEW PROPANE FIREPLACE TO EXISTING GAS LINES 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 8/19/2016. REQUIRED INSPECTIONS: cf Installation per Manufacturer Specifications I C/7,c>)/ CC 2 Tank/Line/Appliance: 10/LOP c Final Approval: ) 0/ 7/o J/ (' ' - 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 8/19/2015 tsO,1 -;''0>\ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT .16'&ING Q2 Date: /0 /y Time Received: 3) ,P/4/1 am/pm Mon. 6' Wed. Thur. Fri. Date: /p—gyp BLD: 1 c -p4 Z Contact Name: Owner: Contact Number: 360 SP/ ..2.6109 Address: .9l--/ l `-v 1Ji,L,. K 206 Notes: 1/14(4) 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