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HomeMy WebLinkAboutBLD2015-00354 - MECHANICAL BUILDING PERMIT APPLICA�N BLDI5-00354 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00354 Received Date: 10/15/2015 SITE ADDRESS: 132 JUAN DE FUCA RD PORT TOWNSEND, 98368 OWNER: SCOTT LANDIS TRUSTEE PHONE: 360-385-7043 KATHLEEN MITCHELL TRUSTEE PO BOX 1969 PORT TOWNSEND WA 98368-0068 SUBDIVISION: Block: Lot: PARCEL NUMBER: 101324003 Section: 32 Township: 31 N Range: 1V1 CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 4/15/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SOLAR PANEL- GROUND MONTED, GRID-TIED PV (PHOTOVOLTAIC- SOLAR ELECTRIC) SYSTEM. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 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 10/15/15 159273 � Total: $234.00 APP OVE D OCT 15 2015 Jefferson County DCD \\tiriomarlArinto\forme\F RI fl Ann Rid rot 1n/I ci9ni�, `c pan CQ JEFIOSON CO • DEPARTMENT OF COMMUNITY DEVELOPMENT 16'11 • ti f G 621 Sheridan Street j Port Townsend,WA 98368 I Web:www.co.jefferson.wausicommunitydevelooment Tel:360379,4450 I Fax:360.379.4451 I Email:dcdtco.jefferson.waus Building Permits &inspections!Development Consistency Review I Long Range Planning Watershed Stewardship Resource Center Master Permit Application f4-01 _c j 94 Project Description(include separate sheets as necessary): Ground Mounted, Grid-tied PV(Photovoltaic-Solar Electric)System � U V re Tax Parcel Number 101 324 003 Property Size: 5.15 acres r---(ac e; squa—e feet) Site Address and/or Directions to Pr a 132 Juan De Fuca Rd, Port Townsend,WA 98368 OCT 152015 Property Owner(s)of Record: Kathleen Mitchell&T.Scott Landis,Trustees,Living Trust Agreement Telephone: 360 385-7043 Fax: email: middlepoint@olympiis.neSfN Cf'II\IY Mailing Address: 132 Juan De Fuca Rd,Port Townsend,WA 98368 ^' Applicant/Agent(if different from owner): Telephone:360-643-3080 Fax: 360-539-1857 email: john@powertripenergy.com Mailing Address: Power Trip Energy Co,83 Denny Ave,Port Townsend,WA 98368 What kind of Permit?fcheck each box tkalAtoeljes 0 Lot or Road Segregation ❑Building " ' i--P4. t r 0 Critical Areas Stewardship Plan D Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** D Manufactured Home 0 Modular 0 Discretionary"0"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** D Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat'"` ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**' ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: L&1 Electrical permit Please See Attached DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 10/14/2015 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney'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 further 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl do •- - • •- wants • 'or notice. Signature: .,r► Ft t,A4 j;' to Date: 10/14/2015 The action ora "ons Applicant will u +' ,'-ke as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even"f you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans-rable or aanenng to and complying wit the ESA. The Applicant nas read this disclaimer and signs and dates it below. Signatu : � 01.4/4 t t� i. c e - V-4409-41Date: 10/14/2015 07/24/2013 • BUILDER STATEMENT • The signer of this statement does hereby certify that they are+the Owners of the parcel referenced herein,that they are eat licensed contractors and that they will be ass:ming the 3nsibility of the General Contractor forrthe proposed project. Signature: `` '"" � • ' -� e . t Date: 10/14/2015 GENERAL CONTRACTOR OR ACTURED HOME INSTALLER: PHONE: FAx: Power Trip Energy co. (36° )843-3080 } MAILING ADDRESS: 83 Denny Ave,Port Townsend,WA 98368 EMAIL: john©powertripenergy.com CONTRACTOR'S LICENSE WAINS 063-472-00 NUMBER: POWERTE934QE NUMBER ARCHITECT/ENGINEER: PHONE (360 )543-3080 FAX:( ) MAILING ADDRESS: 83 Denny Ave,Port Townsend,WA 98368 EMAIL john@powertripenergy.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: _? New ❑ Wood Existing: Sewer Addition ❑ Steel Proposed: Bank u Community System CE Alteration/Remodel a Concrete Total: Height: n Individual System L Repair U Masonry SEP Permit# Demolition Cl Other: Bedrooms: Water Supply: Existing: Setback: Private well U Two Party Type of Heat: Proposed: Public 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO evotS telleP I knaT retaWtoH i Is this appliance being installed in a Manufactured/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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review 2"®Floor Heated Consistency Review Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) I Date: Fair market value of all labor and materials foundation to finish Initials: 07/24/2013 • EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED --------TO BE COMPLETED BY CITY STAFF----- Building Permit Required? DYes ❑NoQualifies for Electrical OTC? ❑Yes - L/ `1 Staff Initials Date:Ciick here to enter text. Staff Initials Date:Ciick here to enter text. OCl 1 5015 --------TO BE COMPLETED BY APPLICANT------ = -J/ 1roject Information Project Applicant: Power Trip Energy Co,83 Denny Ave, Port Townsend,WA 98368 Site Owner Name: Kathleen Mitchell&T.Scott Landis,Trustees of Living Trust Project Address: 132 Juan De Fuca Rd, Port Townsend,WA 98368 PV system description: Ground Mounted,Grid-tied PV(Solar Electric) •etermine if your project needs a building permit (check all that apply): Yes No 1. PV system is designed and proposed for a detached single family house. X ❑ 2. PV system is designed for rooftop of a house in general compliance with applicable codes. ❑ X 3. Mounting system is engineered and designed for PV. X ❑ 4. Rooftop is made from lightweight material such as shingles. X ❑ 5. PV system has been pre-approved by electrical permitting agency. X ❑ 6. To address uplift, panels are mounted no higher than 18" above the surface of the roofing to CJ ❑ which they are affixed. Except for flat roofs, no portion of the system may exceed the highest trk point of the roof. 7. Total dead load of panels,supports, mountings,raceways and all other appurtenances weigh no X ❑ more than one of the following. if YES, indicate which: X No more than three and one-half(3.5)pounds per square foot(P5F) ❑ 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 El ❑ members as needed to ensure that at no point are loads in excess of fifty(50) pounds are Pith created. 9. Attachment to the roof is specified by the mounting system manufacturer. ❑ ❑ 10. Method and type of weatherproofing roof penetrations is provided ❑N/❑ 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) ❑I/A❑ Applicant Signature: Printed Name: John 5. Fleming,Power Trip Energy Date:10/14/2015 If you answered yes to all of the above questions,no separate building permit is required. Created by the Evergreen State Solar Partnership v1.0 1 Power Trip EnergyCorp PV Installation contract 83 Denny AVE Port Townsend, WA 98368 (360) 643-3080 www.powertripenergy.com Uc # POWERTE964JN Consent to Act As Agent on Permit Application To whom it may concern, I Kathleen Mitchell , grant Power Trip Energy Corp. Permission to act on my behalf for the purpose of acquiring a Solar Electric Permit from.Jefferson County and grant Power Trip Energy permission to complete and sign the permit application on my behalf. Signature: � `" At A, Date: f' Page 5 of 9 Kathleen Mitchell V ,.''''' 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';-'4 lii 't'''''-i' i 1E5 re- ,I t,,,,,4',,,) ,1_,,ii- • „,•!••,,,, '', .A .......: ..,1..-i. 41. . . •- ' •U ;',',' :: ,,,10.,....)11,.airLsw ; :,,,,,:, :.:.:""i','•„,t P 1 / JEFFERSON COUNTY r,rr-r nu cr.ii.r;Ir,l-ry ns,,,,,-;r,P"-"T . ...._ . ...._ ... . _...._..... 10/14/2015 Jefferson Co Dept of Comm Dev WA-Online Payments Jetterson County 1,4 Step 3: Confirmation and Receipt Result: Payment Authorized Confirmation Number: 20515569 Your payment has been authorized successfully and payment will be processed. Jefferson County Department of Community Development thanks you for your payment For questions about your account,please call 360-3794452 Thank you for using our bill payment services. Please save or print a copy of this receipt for record keeping purposes. My Bills Residential Applications payment of$253.50 on Parcel Number 101324003 $253.50# Subtotal: $253.501 Customer Information Convenience Fee: $7.50;' First Name: Power Trip Total Payment: $261.001 Last Name: Energy Address Line 1: 83 Denny Ave Address Line 2: City: Port Townsend IState: Washington Zip Code: 98368 Phone Number 3606433080 Email Address: john a©powertripenergy.com Payment Information Card Number: ***********`8600 https://client.pointandpay.net/wel'JetfersonCoDeptofCommDevWA 1/1 Parcel Details Pagel (�2 �N�� ��� � 1 ���� ���� ,...- ,,i,,,,,,,, effe on count - - ,,,,. _ , , x4,,,,,, ._,,,,,,-, ,,,._, , _......_ ,„. ...,,, ,,,,„ ,,.,,,, ......_,_,,,,,.....„, , -.- ,„,„„.: „..,_......_.,,, _,..,..,„._.,,______,__, ,....,.......„,.„,„„,..,-,,- ,,,-. .,. ..,. .„.k wk. - 12,:s- ,..,..,, 1 ,i';) Home County Info , Departments Search Parcel Number: 101324003 SEARCH Parcel Number: 101324003 Printer Friendly Owner Mailing Address: SCOTT LANDIS TRUSTEE KATHLEEN MITCHELL TRUSTEE LIVING TRUST AGREEMENT PO BOX 1969 PORT TOWNSEND VVA98368-0068 Site Address: 132 JUAN DE FUCA RD PORT TOWNSEND 98368 Section: 32 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Chirnacuno (1) Township: 31N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: BANK - High Viaw1:VIEW - Marine View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land Use Code: 9400 - Open Space Open Space (0) 1100 - Residential - Single Unit Property Description: S32 T31N R1W TAX 18(ENLG BY TAX 23 & 24) W/EASE, SURVEY V10/P44 Tax'x/v' Sales, Photos,and Permit Data Bldg Data Ma. Parcel Plats&Surveys -__5s.tic Mmniturr•lcfo _--- __- __] ` HOME I COUNTY INFO I DEPARTMENTS I SEARCH / Best viewed with Microsoft Internet Explorer 6.0 or later Svv|ndows - Muc httn://xwn'.00 'cffer000.vva.um/amscmenrs/nazccl/narocldctai\.asp?vnluc~~lUl324003 10/15/2015 POWER TRIP ENERGY CORP Page 1 of 2 • Home Inicio en Espanol Contact ;Search L&I 777,144 A-Z Index Help My Secure L&I Safety Claims&Insurance Workplace Rights Trades&Licensing AlWashington State Department of Labor & industries POWER TRIP ENERGY CORP Owner or tradesperson 83 Denny Ave PORT TOWNSEND,WA 98368 Principals 360-643-3080 COCHRANE,ANDREW P,PRESIDENT JEFFERSON County CARR,STEPHEN E,VICE PRESIDENT Doing business as POWER TRIP ENERGY CORP WA UBI No. Business type 602 349 562 Corporation Governing persons ANDREW P COCHRANE STEVE CARR; 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. POWERTE934QE Effective—expiration 11/05/2007—11/05/2015 Bond CBIC $12,000.00 Bond account no. SH5957 Received by L&I Effective date 11/05/2007 11/02/2007 Expiration date Until Canceled Insurance Ohio Cas Ins Co $1,000,000.00 Policy no. BKO56024068 Received by L&I Effective date 10/06/2015 11/02/2015 Expiration date 11/02/2016 GENERAL INS CO OF AMERICA $1,000,000.00 https://securelni.wa.gov/verify/Detail.aspx?UBI=602349562&LIC=POWERTE934QE&SAW= 10/15/2015 POWER TRIP ENERGY CORP _ Page 2 of 2 Policy no. • 24CC21330840 Received by L&I Effective date 10/02/2014 11/02/2010 Expiration date 11/02/2015 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 ................................ 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. 063,472-00 Doing business as POWER TRIP ENERGY CORPORATION Estimated workers reported Quarter 2 of Year 2015"7 to 10 Workers" L&I account representative T1/NIKKI BUTLER(360)902-4918-Email:BUTQ235@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 06/23/2014 Violations Inspection no. 317320984 Location 1605 DanKelly Rd. Port Angeles,WA 98363 ©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=602349562&LIC=POWERTE934QE&SAW= 10/15/2015 Sally Ellis From: j flem <john@powertripenergy.com> Sent: Wednesday, October 14, 2015 5:02 PM To: Sally Ellis Cc: Andy Cochrane; Bobbie Morgan; Jeff Randall; Steve Carr Subject: Solar Building Permit Application for Landis- Mitchell, APN 101 324 003 Attachments: Landis -Mitchell Site Plan.jpg; Landis Mitchell Solar Building Permit Application.pdf Dear Sally: Please find attached the Solar Building Permit application for 324 00tLa disave used Kathleen yMitchell at 132 Juan De Fuca Rd, Port Townsend, tax parcel number ur one payment service and have paid a total of $261 for the permit- $234 for the permit, $19.50 for the scanning fee, and $7.50 for the on-line privilege. When you have finished processing the permit, could you please email me a copy? We will have a copy at the job site for the inspector to sign. Many thanks! Sincerely, John S. Fleming PE Solar Engineer 11111111111111111111011111 83 Denny Ave. Port Townsend, WA 98368 360-643-3080 office 360-452-8500 cell johnnpowertripenergy.com email Greetings, Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Your payment ID is: 20515569 Items Paid For: 1 Description: Residential Applications Amount Paid: $253.50 Parcel Number: 101324003 Description of Project : 3 Customer Information: First Name: Power Trip Last Name: Energy Address Line 1: 83 Denny Ave Address Line 2: City: Port Townsend State:Washington Zip Code: 98368 Phone Number: 3606433080 Email Address: john(a�powertripenergy.com Payment Information: Subtotal: $253.50 Fee Total: $7.50 Total: $261.00 Datetime: 10/14/2015 16:47:12 2 4S01v ,c, w `? JEFFERSON COUNTY a �� �sh!NGSo DEPARTMENT OF COMMUNITY DEVELOPMENT Date: I-- L Time Received: 10 3 5 !/pm Mon. Tue. Wed. fiur, Fri. Date: I - 7 BLD: IS—35- Contact Name: Owner: Contact Number: 360 7k5.-7° 4,3 Address: ( 3 2- J J4vn 206 Notes: 6„ .L`j 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 • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us,assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. �, a;°,".E.'. ""1'bi i N .E, E Vx h'`?'; fa E e. art Z; a Mg5 � WY�, i s : . _,.. ZMet,LIVItgig1 C �!'• syr �' is ay, y ` 1 p f; a �E„ s p iiiiIiiiiIIIiMitL:., ..AlliIM OliiiiI4Or..1111i1P.4( '-,( , ------,01111-,,,'-- a330y,u c g n „,„„„N,„„,„„.. ..„,...„„„, a> s. 1 ,,. ANO ' �5fl r Z:. -xb` ' YY �” \....\ E '+ � W ��� ;fit 4. ,>s_ � Can„ 11111I �,..,,..: �.: .. � .,?,:, �.\:.� - ,fiC:.. '�°�?�... � ,. . �, � :v: ��' E u ;.. -'�``- ,:„,„„„,„„„„„„„„„,„„,„,.,„„„„„,,,,,...,„di \\ ��:: �, ..�,, m;. ms's \ 4. a��;= \.\\�� mmlioluevvoiteillo `: .n\C. iiitit PES`' ,r ae'y: , '' ;- ,:.'NitiiiiPiaijeltV ,,, \� �`Y`\�^ a,.: } r,. u ix4.1 z a .\�- �V � xlil .., x`"\\;�fi,�r. �". ikir t C' ;' 4�.�'' 1' \.a:.a��-�\\,7,v\., .U- ! �,� � .ii-- \\� i ?' '1:E, CS F \ i.0� `;. 4 • a t z hill -m... '......:. .......a'',E .:'•us 9 r,,, a,y, _ \�. , wo \N. 'n' r 6, .A-NON � a \u\� a. ::: v'� " WW -- ,.. - .- ail i S ISI £ y „„„„a _,......---_,,,„,,,:„•,:„,,,,,,,„4„ x, .-, ' - „ski,'":: c ` • , O `1 V O ', C'7 m —I 7J zz Ila o (J'1 c, r'l CD rV (]l m M • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD15-00354 Received Date: 10/15/2015 SITE ADDRESS: 132 JUAN DE FUCA RD Issue Date 10/15/2015 PORT TOWNSEND, 98368 Expiration Date 10/15/2016 OWNER: SCOTT LANDIS TRUSTEE PHONE: 360-385-7043 KATHLEEN MITCHELL TRUSTEE PO BOX 1969 PORT TOWNSEND WA 98368-0068 SUBDIVISION: Block: Lot: PARCEL NUMBER: 101324003 Section: 32 Township: 31 N Range: 1V\ CONTRACTOR: POWER TRIP ENERGY CORP PHONE: 360-643-3080 83 DENNY AVE PORT TOWNSEND WA 98368 Contractor's License POWERTE934QE Expires 4/15/2016 PROJECT DESCRIPTION: NEW SOLAR PANEL- GROUND MONTED, GRID-TIED PV (PHOTOVOLTAIC- SOLAR ELECTRIC) SYSTEM. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $234.00 SRE 10/15/15 159273 Exist: Exist: Total: $234.00 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 County Building Division Permit Number: BLD15-00354 Applicant: LANDIS TRUSTEE 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 t—7-11, Miscellaneous _ftMiscellaneous 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 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# : \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 10/15/2015