HomeMy WebLinkAboutBLD2015-00343 - MECHANICAL BUILDING PERMIT APPLICA•N BLD15-00343
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD15-00343 Received Date: 10/6/2015
SITE ADDRESS: 625 TOTEM RIDGE RD
PORT HADLOCK, 98339
OWNER: WILLIAM D RAY PHONE: 206-713-5560
LEIA M RAY
625 TOTEM RIDGE DR
PORT HADLOCK WA 98339-8724
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901114029 Section: 11 Township: 29 N Range: 1VA
CONTRACTOR: SOLTERRA PHONE: 2063715809
Contractor's License SOLTESI921 PG Expires 10/9/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ROOF MOUNTED, GRID-TIED, SOLAR ELECTRIC PV
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 10/06/15 159260 APPROVED
Plan Check $81.00 SRE 10/06/15 159260
Total: $237.00 OCT / 6 2015
Jefferson County DCC
\\firicmorklrfnfelfnrmell= RI fl Ann Rlrl rnf 111/R/91114
Sally Ellis
From: Sally Ellis
Sent: Tuesday, October 06, 2015 4:58 PM
To: 'Cody Spencer'
Subject: RE: Solar Supplemental and Mechanical Permits- SolTerra/ L, Ray
Attachments: BLD15-00343 RAY.pdf; bld15-00343 receipt.pdf
Cody,
Attached please find your approved building pemit for Will &Leia Ray at 625 Totem Ridge Rd, Port Hadlock,WA
You will have to print this approved building permit and have it onsite when you call in for your final inspection.
I have also included a copy of the receipt.
If you have any questions and or need more information please feel free to contact me.
Thank you and have a wonderful day!
("D\iu
Sally L Ellis
Jefferson County Conununity Development
Permit Technician
621 Sheridan St., Port Townsend,WA 98368
Mon-Thurs 9arn - 4:30pm,closed from 12-1
Ph: 360-379-4452 Fax: 360-379-4451
sellis@co.jefferson.wa.us
http:J/www.co.jefferson.wa.us
From: Cody Spencer [mailto:cspencer@solterra.com]
Sent:Tuesday, October 06, 2015 10:14 AM
To:#dcd <#dcd@co.jefferson.wa.us>
Subject: Solar Supplemental and Mechanical Permits-SolTerra/L, Ray
Hey Sally,
Attached is the necessary supplemental and mechanical permit applications for William & Leia Ray.
SolTerra will be installing a PV solar array for these two Jefferson Co. residents. As of right now we are hoping
to get their installation going by Thursday.
Just let me know if I am missing anything.
Have a great day!
Thanks,
1
I
•
, SON 0 DEPARTMENT OF COMMUNITY DE ELOPMENT
4, �& 6_1 Sheridan S.ect,Port Townsend.\V.3 98368
W ',.,,,,3 Tel:360.379.44 I Fax:360.3'9,445 1 dd,„„.
VIOPMent
E-mail: . a ,r r 1 -, ,<
IslaN
jG''°
MEC • ICAL 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#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&l-360-417-2702
* If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450
Re wired Submittal Items--for propane tank only
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.
Assessor Tax Parcel Number:�j 114029
Site Address and/or Directions to Property:625 Totem Ridge Rd, Chimacum WA, 98339
Access(name of street(s)from which access will be gained:
Description of Work: Install 9.52 kW/34 Panel PV Solar System
Property Owner =
Name: el. : " 1. Ray l t-
Address: • o em -i•ge -•, mecum '1 • , • :k • I Ci
Cs
Phone#: — 206-713-5560 E-mail Address:lelaraOgmall.comro
I
Applicant/Contractor Authorized Agent/Representative ,,,, 't
Name: ody pence-r -Soifierra
Phone#: 206.6/8.2/05 E-mail Address. cSpencer0Psolterra.comi
License#: VOZE3Gut8 394- _ Expiration Date] q l t 011 7
Mechanical Application 1 1
kw�� C)6- DEPARTMENT OF COMMUNITY DEVELOPMENT
a4 f621 Sheridan Street,Part Townsend,WA 98368
Tel:360.379.4450 I Fax)360.379.4451
Web:www.Co,Jefferson'wwa.us/communitvdevelopnen t
yS7t E-mail:dc•eca.'effer si .
.......)
EXPEDITED PERMITTING CH CKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS:
ROOFTOP MOUNTED
0 Project Information
Project Applicant: Cody Spencer/SolTerra
Site Owner Name: WiTam & Lela llay
I Project Address: 6210e-`„m Ripael3A, Chimacum WA, 98339
PV system description: 9.52 k A 4 I K 280 Panels
("Determine if your project nee•s a building permit (check all that apply):
Yes No
1. PV system is designed and proposed •r a structure previously built to code. X 0
2. PV system is designed for rooftop of a •uilding in general compliance with applicable codes. X 0
3. Mounting system is engineered and designed for PV. IX ❑
4. Rooftop is made from lightweight material such as shingles. N 0
5. PV system has been pre-approved by electrical permitting agency. Dg 0
6. To address uplift,panels are mounted no higher than 18"above the surface of the roofing to N O
which they are affixed.Except for flat roofs, no portion of the system may exceed the highest
point of the roof.
7. Total dead load of panels,supports,mountings,raceways and all other appurtenances weigh no X 0
more than one of the following. If YES indicate which:
❑ No more than three and one-half(3.5)pounds per square foot(PSF)
Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF
❑ Frameless panels on at least 5/12 pitch roof weighing no more than five(5.0)PSF
8. Supports for solar panels are installed to spread the dead load across as many roof-framing ¢Zl a
members as needed to ensure that at no point are loads in excess of fifty(50)pounds are
created.
9. Attachment to the roof is specified by the mounting system manufacturer. X 0
10. Method and type of weatherproofing roof penetrations is provided lXJ 0
11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for 1X ❑
solar panels.
12. Panels are mounted no higher than the roof ridge or apex of roof(applies only to pitched roofs) X O
If you answered yes to all of the above questions,an over-the-counter permit is authorized.
0 Submit this Checklist. and Mechanical Permit Application and Site Plan to:
I attest that all information in this che4klist is accurate to the best of my knowledge.
r ` DatDate:, 9-22-15
E Applicant Signature: ,�
„�.' "�. enter
Applicant Name(Plea Print): cosy Spe Ger 1
11110 •
Heat Source
Electric
Heating Oil Propane* Wood
*propane is prohibited in
Indicate Quant. and Future T •: `'
Q
hazardous locations such as basements or pits or
cant' Fixture Type 3 flees,.
Fan Bath Fan and/or Exhaust Fan anywhere"heavier-than-air"
Clothes Dryer Clothes Dryer with Exhaust Vent gas can unsafety collect.
Cook Stove Cook Stove,Range Hood ExhaustIIIIIIIIII Propane tanks over 225
Fireplace-Gas Fireplace-Gas or Gas Log Insert g*Prop require s minimum
Fireplace-Wood Fireplace-wood,Wood Stove,or sonsack of 10 fm from
Pellet Stove property line and buildings,
______ IIIIIIIIIIIIII Electric Furnace or HP+/-Ducting and a site plan must be
NMPropane(LP)Gas Furnace Pro•ane Furnace+1-Ducting submitted with the
IIMEIMI Gas WH Vent and Combustion Air application showing the
_ Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is
NIIIIIII Propane Tank LP Fuel Tank(ft gallons:______,
over 500 gallons,a site plan is
required to accompany this
Heat Pump application,and a separate
Generator Fire Code approval is also
Air Conditioner 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 ownerta.gent 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.
will be in
oit d w I agree to provide a performedo right
i roper agree to that all activitiesd I intendl, to undertake or complete regulations associated a with permitccessn andrerig
of entry
to
with allCouny applicable federal,el, state esr county tatives or ents for the sole purpose of app
iew
of d a y tr quired Countyand its employees, g
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 Owne ,.,-- 4. Date _
Signature: Print Name: f i �^ 1
OFFICE.-USE ONLY
Building Permit Fees` 5
Mechanical Permit feeltantrsi`mit, ,.$"4"tfarnace,etct e 1 ,a
Propane- Lines,Lank,and a•pita"ce il$78-00)
Project Scanning Fee 94,' (�
TotalFees*
*Additional fees may apply I�i �a
rir,Vr CC,
cCAnn 11-'9(
ace `04 17 2J Mechanical Application 2
1
•
�zi",01 G DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Poft Townsend,WA 98368
Tel 360.379.4450 I Fax}360.379.4451
Web:www.coaefferson wa,us/communitvdeveiocment
6÷ E-mail:dcdPco.lefferson.wa.us
y'MINGS
EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS:
ROOFTOP MOUNTED
0 Project Information
Project Applicant: Cody Spencer) olTerra
Site Owner Name: �ra& Lein ate+
Project Address: 625 Totem 'c,g,n R„ ,, Chimacum WA, 98339
PV system description: 2 kW/34 IT 280 Panels
()Determine if your project needs a building permit(check all that apply):
Yes No
1. PV system is designed and proposed f r a structure previously built to code. (� ❑
2. PV system is designed for rooftop of a building in general compliance with applicable codes. X 0
3. Mounting system is engineered and d signed for PV. 0
4. Rooftop is made from lightweight mat�rial such as shingles. 0
5. PV system has been pre-approved by electrical permitting agency. X 0
6. To address uplift,panels are mountedino higher than 18"above the surface of the roofing to E 0
which they are affixed.Except for flat roofs,no portion of the system may exceed the highest
point of the roof.
7. Total dead load of panels,supports,mountings, raceways and all other appurtenances weigh no X 0
more than one of the following. RYES, indicate which:
0 No more than three and one-half{3.5)pounds per square foot(PSF)
❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half(4.5)PSF
❑ Frameless panels on at least 5/12',itch roof weighing no more than five(5.0)PSF
8. Supports for solar panels are installed to spread the dead load across as many roof-faming X 0
' members as needed to ensure that at no point are loads in excess of fifty(50)pounds are
created.
9. Attachment to the roof is specified by the mounting system manufacturer. X 0
10. Method and type of weatherproofingroof penetrations is provided X 0
11. Home is code compliant to setbacks and height,or code allows expansion of nonconformity for X 0
solar panels.
12. Panels are mounted no higher than the roof ridge or apex of roof{applies only to pitched roofs) X 0
If you answered yes to all of the above questions, an over-the-counter permit is authorized.
Q Submit this Checklist and Mechanical Permit Application and Site Plan to:
I attest that all Information in this checklist is accurate to the best of my knowledge.
...7 Date: 9-22-15
Applicant Signature: ,f, enter
"
Applicant Name(Plea - Print): •• •-• _
• •
#41
4so�r c D P DEPARTMENT OF COMMUNITY DEVELOPMENT
S
-6 621 hnr ida4reet,Pon Townsend,WA 98368
Tel:360.379.4450 1 Far 360 379.4451
•t Web:ww e.c t1
.efEesscm wa ,r CU! .it %t en r,
e 2
E-mail.dcd IA
.ietferson.vaaA
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 S business days.
For Department Use Only Receipt 4: Date: 3
l Related Application Us: - Payment#: 1
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.L841-360-417-2702
* If No: Complete this form and make an appointment to submit to Jefferson County Permit Tech 360-379-4450
ERe•uired Submittal Items—for propane tank only
IlGeneral Site plan —showing propane tank,lines,and distance from tank to all existing structures. ~
Re•uired Submittal items—for Solar Panel installation only
�Vi Complete first page and signature block only of Mechanical Permit Application.
A complete solar panel supplemental application.
rSite Information
Assessor Tax Parcel Number:901114029
Site Address and/or Directions to Property:625 Totem Ridge Rd, Chimacum WA, 98339
1
Access(name of street(s)from which access will be gained:
Description of Work: Install 9.52 kW/34 Panel PV Solar System
Property Owner _
Name:
- . . �� I. -Ray ` cco
Address: 625 Totem Ridge Rd, Chimacum WA, 98339 r,
Phone#: 206-713-5560 E-mail Address:lelaray( ?gmall.com rn
7
Applicant/contractor: Authorized Agentf Representative i a
Name: Cody Spencer/SolTerra
Phone#: 206.678.2705 E-mail Address: cspencerCcgsalterra.com,
License#: ?0.28(.r78394- Expiration Date: q 1i cit t 7
Mechanical Application f
I
1
•
III
Heat Source � --
Electric
Eiedric
Heating Oil Propane* Wood
I
*Propane is prohibited in
indicateire �� ti,,ion' hazardous locations such as
Quant 'F ..,.
�.1 Bath Fan and/or Exhaust Fan basements or pits orywhere"heavier-than-air"Dryer Clothes Dryer with Exhaust Vent anywhere
can unsafely collect
Cook Stove Cook Stove,Range Hood Exhaust *Propane tanks
IIIIIIIII Fireplace-Gas Fireplace-Gas or Gas Log Insert gallons require a over 125m
Fireplace-Wood Fireplace-wood,Wood Stove,or setback ofi 10 ft.m from
Pellet Stove
i Lproperty line and buildings,
9�I I. .-` Electric Furnace or HP+f-Dudin; and a site plan must be
MaPropane(LP)Gas Furnace Propane Furnace+/-Ducting submitted with the
12121:1221 Gas WH Vent and Combustion Air application showing the
Gas Pipe System Gas Pipe System LPG/Oil setbacks. It propane tank is
NM Propane Tank LP Fuel Tank #gallons: _
over 500 gallons,a site plan is
required to accompany this
Heat Pump application,and a separate
Generator Fire Code approval is also
Air Conditioner required.
Installation manual ispection fee siteiat charof
dnspection or a
By signing this application form,tie owner/agent attests that the information provided herein,and in of ny anattachmentts
is true and correct to the best of his,her or its knowledge. Any material falsehood or any om
made by the owner/agent with respect to this application packet may result in making any issued permit null and void.
I further agreewillaccess performed and rinht
to that ati activities i intend to undertake or complete associated with this permit wilt�IicaY�review
compliance with all applicable federal, state and county laws and regulations and I agree to provide
of entry y to reCounty and is. employees, ay quest ives or notice ofgents for the the County's intent to enter upon the property
and any required later inspections. Applicant issuance.
for visits related to this application and subsequent permit
Property Owne . i Dater;=t
Signature: Print Name: $ w ' -
OFFICE USE ONLY
Building Permit fees . -6 alt
Mechanical Peitfeehanksw+p. . ••sow.,Nrrtiaee,-btcl
Propane—Lines tank,and applia ce add'}$78.00)
Project Scanning Fee ''
Total Fees*
*Additional fees may apply
Mechanical Application. 2
SOLTERRA SYSTEMS INC • • Page 1 of 2
me Inicio en Espanol Contact Search L&I SEARCH
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Cljle Washington State Department of
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SOLTERRA SYSTEMS INC
Owner or tradesperson 3220 1st Ave S#800
SEATTLE.WA 98134
Principals 206-778-8727
HEATHER,BRIAN ADAM,PRESIDENT KING County
Doing business as
SOLTERRA SYSTEMS INC
WA UBI No. I Business type
602 868 394 Corporation
License
Verify the contractors active registration/license/certification(depending on trade)and any past violations.
Construction Contractor Active.
......................................_...._......_..
Meets current requirements.
License specialties
GENERAL
License no.
SOLTESI921PG
Effective—expiration
10/07/2008—10/09/2016
Bond
Lexon Ins Co $12,000.00
Bond account no.
9817302
Received by L&I Effective date
0912312013 10/07/2013
Expiration date
Until Canceled
NATIONWIDE MUTUAL INS CO $12,000.00
Bond account no.
7900336586
Received by L&I Effective date
10/07/2008 10/07/2008
Expiration dale
Until Canceled
Insurance
Associated Industries Ins Co I $1,000,000.00
Policy no.
AES1026808
Received by L&I Effective date
05/15/2015 05117/2013
Expiration date
05117/2016
Insurance history
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602868394&LIC=SOLTESI9211G&SAW= 10/6/2015
SOLTERRA SYSTEMS INC • Page 2 of 2
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.
LSI 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 ..-.s.__.._ ._.-
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.
173,537-00
......_...... ....
Doing business as
SOLTERRA SYSTEMS INC
Estimated workers reported
Quarter 2 of Year 2015"31 to 50 Workers"
L&I account representative
TO I KRISTINE HATHAWAY(360)902-4811-Email: HATK235@Ini.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Citation issue date
02/20/2014 Violations
Inspection no.
316960392
Location
5112 S Alaska St
Seattle,WA 98118
Citation issue date
06/07/2013 Violations
Inspection no.
316763770
Location
643 N Hawthorne
Tacoma,WA 98406
Di Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602868394<C=SOLTESI92IPG&SAW= 10/6/2015
• •
Sally Ellis
From: Cody Spencer<cspencer@solterra.com>
Sent: Tuesday, October 06, 2015 10:14 AM
To: #dcd
Subject: Solar Supplemental and Mechanical Permits-SolTerra/ L, Ray
Attachments: Mech. &Supp. PV Permits- Leia Ray.pdf
Hey Sally,
Attached is the necessary supplemental and mechanical permit applications for William & Leia Ray.
SolTerra will be installing a PV solar array for these two Jefferson Co. residents. As of right now we are hoping
to get their installation going by Thursday.
Just let me know if I am missing anything.
Have a great day!
Thanks,
Cody Spencer
Solar Design Consultant
SOLTERRA
m 1206-678-2705
o X800-865-9005
f 1800-865-0045
www.SolTerra.com
CONFIDENTIALITY NOTICE: This message (including any attachments) is intended only for the use of the
individual or entity to which it is addressed and may contain information that is non-public, proprietary,
privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended
recipient, you are hereby notified that any use, distribution, or copying of this communication is strictly
prohibited.
CONFIDENTIALITY NOTICE: This message (including any attachments) is intended only for the use of the
individual or entity to which it is addressed and may contain information that is non-public, proprietary,
privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended recipient,
you are hereby notified that any use, distribution, or copying of this communication is strictly prohibited.
Ceq)
ooh a 1L�r C,ieAD T
1
Parcel Details • • Page 1 of 2
,-- - •... ,r
Jefferson1-it
3 �i
i _ � !ham �. ,'. .««»« ;.-... � � “
t
Home -., County Info Departments r Search
Parcel Number: 901114029 SEARCH
Parcel Number: 901114029 Printer Friendly
Owner Mailing Address:
WILLIAM D RAY
LEIA M RAY
625 TOTEM RIDGE DR
PORT HADLOCK WA98339-8724
Site Address:
625 TOTEM RIDGE RD
PORT HADLOCK 98339
Section: 11 School District: Chimacum (49)
Qtr Section: SE1/4 Fire Dist: Chimacum (1)
Township: 29N Tax Status: Taxable
Range: 1W Tax Code: 0211
Planning area:Tri-Area (4)
Sewer: Drainage:
Bank: View 1:
View 2: Zoning 1: RR-20 - Rural Residential
Zoning 2: Zoning 3:
Sub Division:
Assessor's Land Use Code_ 1100 - Residential - Single Unit
Property Description:
BRUCE B SETON SHORT PLAT LOT 2 SUBJ TO EASE/OPEN SPACE
i
Tax,_ A/V, Sales, Photos, and
Permit Data Blda Data Mao Parcel Plats&Surveys
otic Monitoring Info
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http://www.c o.j effe rso n.wa.a s/as s e ssors/parce l/parc eldetai l.asp?v al ue=901114029 10/6/2015
e e
Sally Ellis
From: Sally Ellis
Sent: Tuesday, October 06, 2015 8:24 AM
To: 'ewanji@solterra.com'
Subject: Parcel#901-114-029 625 Totem Ridge Rd William and Leia Ray
Attachments: Building Permit Application -supplemental SolarPanel.pdf; Building Permit Application-
Mech.pdf
Good morning,
Do you have a customer that you are planning on submitting a Solar Panal permit for.
Parcel#901-114-029
Address of 625 Totem Ridge Rd, Port Hadlock
Name William & Leai Ray
Our reception says she got a called from Brian and he said he was with your company.
He was wanting to apply for a Solar Panel Permit.
We have received payment for this permit, but do not have the application yet.
Please advise if you are planning on email this application to us, or how you intend for us to receive this application.
I have attached the permit applications for this type of permit.
The total cost of this type of permit is$156.00+78.00 and then a 19.50 scanning fee for a total of$253.50
The payment amount we received is for$256.00,this is an over payment of$3.00 dollars.
Please advise if you wish to cancel that payment online and then submit a new payment or how you wish for us to
proceed.
If you have any questions please feel free to contact us.
Thank you
1$n
Sally L Ellis
Jefferson County Community Development
Permit Technician
621 Sheridan St., Port Townsend,WA 98368
Mon-Thurs gam -4:30pm, closed from 12-1
Ph: 360-379-4452 Fax: 360-379-4451
sellis@co.jefferson.wa_us
http://www.co.jefferson.wa.us
1
641rHA04.0.+ l l
� o- `ck.i. JEFFERSON COUNTY /
DEPARTMENT OF COMMUNITY DEVELOPMENT 'Evrrr EA Way 4-07e
9rHING-ce
Date: /r/5 Time Received: /): $5 (a—riipm Mon. Tue. Wed. Thur. Fri
Date: /Je,./ b
BLD: /5 - 0034-3 Contact Name:
Owner: QA1- Contact Number: 360
Address: 646 ��TEM ;elle e Dt 206
4z$ '7 73 6638
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 Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection x
Setbacks Floor
Foundation Wall Address Posted
Block &Tile Ceiling
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD15-00343 Received Date: 10/6/2015
SITE ADDRESS: 625 TOTEM RIDGE RD Issue Date 10/6/2015
PORT HADLOCK, 98339 Expiration Date 10/6/2016
OWNER: WILLIAM D RAY PHONE: 206-713-5560
LEIA M RAY
625 TOTEM RIDGE DR
PORT HADLOCK WA 98339-8724
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901114029 Section: 11 Township: 29 N Range: 1V1
CONTRACTOR: SOLTERRA PHONE: 2063715809
Contractor's License SOLTESI921 PG Expires 10/9/2016
PROJECT DESCRIPTION: ROOF MOUNTED, GRID-TIED, SOLAR ELECTRIC PV
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: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $156.00 SRE 10/06/15 159260
Exist: Exist: Plan Check $81.00 SRE 10/06/15 159260
Prop: Prop: Total: $237.00
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 County Building Division Permit Number: BLD15-00343
Applicant: RAY
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
Miscellaneous 1i/j/r5 octt� ,uet_s j°( Zit
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 I//L/1 S
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR