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HomeMy WebLinkAboutBLD2017-00188 - MECHANICAL 6 • (...,,....„ �, oGJEFFERSON COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 � ,- 360-379-4450 I email: dcd@co.jefferson.wa.us �sWl NG�O www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT#: BLD17-00188 Received Date 5/2/2017 SITE ADDRESS: 2 PHINNEY LN Issue Date 5/3/2017 PORT LUDLOW, 98365 APPLICANT: MELISSA GRAY PHONE: 415-960-7850 1467 CAMINO PERAL MORAGE CA 94556 SUBDIVISION: 9904 - PORT LUDLOW NO. 1 Block: Lot: PARCEL NUMBER: 990400172 Section: 16 Township: 28N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33ggppll Contractor's License SUNSHPL834BO Expires 1720/20195-5875 PROJECT DESCRIPTION: NEW MECHANICAL - REPLACE PROPANE PIPELINE 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 5/3/2018. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO: Tank/Line/Appliance: ex-/", L/!2e V/I l ,6 - Z - 17 "414// Final Approval: C -1 — ( 7 JPkt`" 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_Propa ne.rpt 5/3/2017 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT REFUND REQUEST/POSTING MEMO DATE: 5/10/17 The amount of: 90.00 received from: Melissa Gray for(case#): BLD17-00188 is to be refunded to: MELISSA GRAY 1467 CAMINO PERAL MORAGE, CA 94556 as a result of: overcharge Date& number of original receipt: 169735 on 5/3/17 via credit card REVENUE FUND CODE NO. REVENUE SOURCE NAME AMOUNT 001-250-000 369.90.00.0000 BAD CHECK FEE 127-000-010 346.23.11.5200 WATER AVAILABILITY FEES-EH H2O 127-000-010 346.23.11.5400 DCD BLDG REVIEW-SEPTIC 127-000-010 346.23.11.5800 SHORT/LONG PLAT FEES 143-000-010 322.10.00.0000 BUILDING BASE & INSPECTIONS 143-000-010 322.10.10.0000 BUILDING PERMIT RENEWAL FEE 90.00 143-000-010 322.40.80.0000 ADDRESSING FEES 143-000-010 341.60.00.0000 DUPLICATING SERVICES 143-000-010 341.75.00.0000 SALE OF MAPS& PUBLICATIONS 143-000-010 345.70.00.0000 DCD TECH ASSIST FEE 143-000-010 345.81.00.0000 SUBDIVISION APPLICATIONS 143-000-010 345.81.20.0000 SHORELINE SUBSTANTIAL DEV. PERM. 143-000-010 345.81.30.0000 CURRENT USE TAX ASSESSMENT APP 143-000-010 345.81.40.0000 ZONING APPROVAL APPLICATIONS 143-000-010 345.81.60.0000 CONVERSION OPTION HARVEST PLAN 143-000-010 345.83.00.0000 PLAN CHECK FEES 143-000-010 345.83.10.0000 FIRE MARSHALL PLAN REVIEW 143-000-010 345.89.00.0000 SEPA/ENVIRONMENTAL REVIEW 143-000-010 345.89.00.0143 PERMIT SCANNING FEE 143-000-010 346.22.30.0040 DCD WATER REVIEW 143-000-010 389.40.00.0000 CASP- NON-REVENUE CUST DEPOSITS 180-000-010 322.40.40.0000 PW MISC APPLICATIONS& PERMITS 180-000-010 322.40.50.0000 PW RIGHT-OF-WAY APPLICATIONS 180-000-010 341.82.00.0020 PW DEVELOPMENT REVIEW FEES 650-511-000 386.00.00.0000 STATE BUILDING CODE FEES TOTAL REFUND I $ 90.00 Authorized person signature: Treasurer's check# Date: Treasurer's signature: itUILDING PERMIT APPLICAJN BLD17-00188 Review Type: NA Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD17-00188 Received Date: 5/2/2017 SITE ADDRESS: 2 PHINNEY LN PORT LUDLOW, 98365 OWNER: MELISSA GRAY PHONE: 415-960-7850 1467 CAMINO PERAL MORAGE CA 94556 9904 - PORT LUDLOW NO. 1 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990400172 Section: 16 Township: 28 N Range: 1E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHPL834BO Expires 1/20/2019 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MECHANICAL - REPLACE PROPANE PIPELINE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2015 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $270.00 JJC 05/03/17 169735 Prop: Prop: Scannin Fee Total: Total: 9 $23.00 JJC 05/03/17 169735 Total: $293.00 Approved/Date APPROVE. MY Jefferson County DOD \\firlomorWrJofn\fnrmc\C RI 1' Ann Rlrl rrr+ G/Z/9l117 ¢SON �, DEITMENT OF COMMUNITYVELOPMENT ,C OC. 621 Sheridan Street,Port Townsend,WA 98368 W Tel:360.379.4450 Fax:360.379.4451 '-C Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcdna,co.jefferson.wa.us j Tri H I N `S 9 i MECHANICAL PERMIT APPLICATIONp Steps in the Permit Process: r4EPPP_ -Review required submittal items to ensure all information is completed prior to submiftiigtb -Mechanical Permits can be mailed into our office-and do not require an appointment. J' t -Fees are due at time of submittal, Mechanical permits are generally issued within 5 business days. For Department Use Only Receipt#: IL0 :3-3CD Date:te f Z /' Related Application#s: Payment#:CC, 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 General Site plan —showing propane tank, lines, and distance from tank to all existing structures. Required Submittal Items—for roof mount Solar Panel installation only(ground mount complete CAM) Complete first page and signature block only of Mechanical Permit Application. A complete solar panel supplemental application. Site Information Assessor Tax Parcel Number:990400172 Site Address and/or Directions to Property: 2 Phinney Lane, Port ludlow, Wa. 98365 Access (name of street(s) from which access will be gained:Phinney Lane Description of Work: Sunshine Propane to replace propane pipeline from propane tank to gas fireplace on leftside of house outside pipe is rusted pipe is rusted Property Owner Name: Melissa and Morgan Gray Address: 1467 Camino Peral, Moraga, Ca. 94556 Phone #: 415-860-7850 E-mail Address:melissa@mkproductionsinc.com rn z Applicant/Contractor: Authorized Agent/Representative Name: Sub-Contractor is Sunshine Propane Phone #: E-mail Address: License#: Expiration Date: -!J Mechanical Application 1 1 • • Heat Source Electric ri Heating Oil I 1 Propane* Irl Wood I 1 Indicate Quantity of NEW 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. 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: 120 ) 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 Owner Signature:Melissa Gray Print Name: Melissa Gray Date:4/27/17 OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodstove,furnace,roof-solar panel,etc) $180.00 Propane—Lines,tank, and appliance (add'I $90.00) Project Scanning Fee $23.00 Total Fees* *Additional fees may apply. Mechanical Application 2 Parcel Details Page 1 of 2 • • wi Jefferson County u i- - .....e...b...„. .,a , _ _ _ ...„,„ Home County Info Departments Search Parcel Number: 990400172 SEARCH Parcel Number: 990400172 Printer Friendly Owner Mailing Address: MELISSA 3 & MORGAN W GRAY 1467 CAMINO PERAL MORAGE CA94556 Site Address: 2 PHINNEY LN PORT LUDLOW 98365 Section: 16 School District: Chimacum (49) Qtr Section: NW1/4 Fre Dist: Port Ludlow (3) Township: 28N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Port Ludlow (7) Sewer: PLSEWER - Connected(No Drainage: PLDD - YES CWF) Bank: View 1: View 2: Zoning 1: MPR-SF-4 - Master Planned Resort - Single Family Zoning 2: Zoning 3: Sub Division: 9904 - PORT LUDLOW NO. 1 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: PORT LUDLOW #1 AREA 1 LOT 72 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surve res Septic Monitoring Info ,...„ Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH de MR Best viewed with Microsoft Internet Explorer 6.0 or later 6 Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 5/2/2017 Sunshine Propane LLC Page 1 of 2 Home Espanol Contact Search L&I 4AReft A-Z Index Help My L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & Industries Sunshine Propane LLC Owner or tradesperson 10853 Rhody Dr Principals PORT HADLOCK,WA 98339 360-385-5797 Dennis,Gary James,PARTNER/MEMBER JEFFERSON County ATCHLEY,KENNETH G,PARTNER/MEMBER Doing business as Sunshine Propane LLC WA UBI No. Business type 604 046 856 Limited Liability Company Governing persons KEN GLEN ATCHLEY BRIAN WILLIAM CRAWFORD; GARY JAMES DENNIS; 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. SUNSHPL834BO Effective—expiration 01/20/2017—01/20/2019 Bond North American Spec Ins Co $12,000.00 Bond account no. 2250180 Received by L&I Effective date 01/20/2017 01/03/2017 Expiration date Until Canceled Insurance Philadelphia Indemnity Ins Co $1,000,000.00 Policy no. phpk1526197 Received by L&I Effective date 01/20/2017 07/20/2016 Expiration date 07/20/2017 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604046856&LIC=SUNSHPL834BO&SAW= 5/2/2017 Sunshine Propane LLC Page 2 of 2 No lawsuits against the bond or savings alp 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. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 543,506-02 Doing business as SUNSHINE PROPANE LLC Estimated workers reported Pending current quarter filing L&I account representative T2/HAN CHUNG(360)902-4713-Email:CHUK235@Ini.wa.gov Track this contractor 0 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604046856&LIC=SUNSHPL834B0&SAW= 5/2/2017