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HomeMy WebLinkAboutBLD2016-00271 - MECHANICAL • '44")RsON 06 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd@co.jefferson.wa.us ��SXI N Geco www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT #: BLD16-00271 Received Date 6/15/2016 SITE ADDRESS: 61 CASCADE AVE Issue Date 6/15/2016 PORT TOWNSEND, 98368 APPLICANT: KELLI E HEDIN PHONE: 36037324167 1663 EAGLEMOUNT ROAD PORT TOWNSEND WA 98368 SUBDIVISION: 9621 - IRONDALE 100-179 Block: Lot: PARCEL NUMBER: 962112809 Section: 34 Township: 30N Range: 1W CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861LW Expires 6/6/2018 PROJECT DESCRIPTION: NEW 120 GALLON PROPANE TANK AND LINES 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 6/15/2017. REQUIRED INSPECTIONS: ÷- Installation per Manufacturer Specificatio s/CO . / Di2If19 + Tank/Line/Appliance: �-- Final Approval: 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_Perm it_Propane.rpt 6/15/2016 Jefferson County DCD Building Division �,soN eo Correction Notice Www '\.. ,,4:1\. 4: PERMIT NUMBER f&, 'zip OWNER 4' ?. .."--"":' cy, I,sf1IN JOB LOCATION (;,/ L. (4-,c 4-i); — Inspection of this structure has found the following violations: ( v r ri ciJ itie) /4",',.,..4./.0<- - pot.) ,(2,. ' /14\J 0 fmay` RAE- � f%" £' ./:i& /,(A,....._, ( 1 You are hereby notified additional work shall not be done upon these premises until the above violations are corrected, unless otherwise noted. Whe corre tions have been made, call for inspection. Date l / /4) Inspector '------- Building Division (360) 379-4450 Inspection Hotline (360) 379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE. (-,,csoN ooG JEFFERSON COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 I email: dcd@co.jefferson.wa.us ��ShrrNG� ' www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT PERMIT#: BLD16-00271 Received Date 6/15/2016 SITE ADDRESS: 61 CASCADE AVE Issue Date 6/15/2016 PORT TOWNSEND, 98368 APPLICANT: KELLI E HEDIN PHONE: 36037324167 1663 EAGLEMOUNT ROAD PORT TOWNSEND WA 98368 SUBDIVISION: 9621 - IRONDALE 100-179 Block: Lot: PARCEL NUMBER: 962112809 Section: 34 Township: 30N Range: 1W CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861 LW Expires 6/6/2018 PROJECT DESCRIPTION: NEW 120 GALLON PROPANE TANK AND LINES 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 6/15/2017. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: t rte' 1 Di 2a1 I,47 . Tank/Line/Appliance: `--- --p vow verwatme7111111111111118 Final Approval: 0 1 T 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 6/15/2016 UILDING PERMIT APPLICA•N BRD16-002 1 eview Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD16-00271 Received Date: 6/15/2016 SITE ADDRESS: 61 CASCADE AVE PORT TOWNSEND, 98368 OWNER: KELLI E HEDIN PHONE: 36037324167 1663 EAGLEMOUNT ROAD PORT TOWNSEND WA 98368 9621 - IRONDALE 100-179 SUBDIVISION: Block: Lot: PARCEL NUMBER: 962112809 Section: 34 Township: 30 N Range: 1V\ CONTRACTOR: RON BISHOP PHONE: 360-774-1995 100 CARL JOHNSON RD QUILCENE WA 98376 Contractor's License BISHOPS861LW Expires 6/6/2018 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW 120 GALLON PROPANE TANK AND LINES TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW 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: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $170.00 SRE 06/15/16 163154 Prop: Prop: Scanning Fee $21.00 SRE 06/15/16 163154 Total: Total: Total: $191.00 Approved/Date APPROVED JUN 15 2016 Jefferson County DCC \\firion-sorlr\rlofo\fnrmc\P RI fl Ann Rid rnf A/1�Mf11R • 5ON DEPARTMENT OF COMMUNITY DEVELOPMENT � Oe/.. 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 tiWeb:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd( co.jefferson.wa.us ��sNINCS`c0 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#: 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&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: 7( 2— /1 2 E 0 7 Site Address and/or Directions to Property: L / e e- fir/ i4/1 A/y�r r (5:014) 06'1 f I�il� �c.T on 10 Grp% Access (name of street(s) from which access ill be gained: $ �,�'� , Ave- Description of Work: / e#4 •7: - X Property Owner Name: /' ,k //r ! d1 aro �K d' o Address: /613 r et l�i4906/4/- fa , r Sic 8 Phone#: ?(.ca 73Z if%h 7 E-mail Address: Applicant/Contractor: Authorized Agent/Representative Name: /(Dr! �s/10, Phone #: (,3(w 77'-f /o/ /S E-mail Address: License#: Expiration Date: Mechanical Application 1 • Heat Source Electric Heating Oil Propane* V Wood Indicate Quantity and Fixture Types Below *Propane is prohibited in Quantity Fixture Type Description hazardous locations such as L_ Fan Bath Fan and/or Exhaust Fan basements or pits or Clothes Dryer Clothes Dryer with Exhaust Vent anywhere "heavier-than-air" I 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 Water Heater-Gas Gas WH Vent and Combustion Air submitted with the application showing the Gas Pipe System Gas Pipe System LPG/Oil setbacks. If propane tank is 1 Propane Tank(Af05e d) LP Fuel Tank(#gallons: /2S ) 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: Print Name: Date: OFFICE USE ONLY Building Permit Fees Mechanical Permit fee(tank swap,woodstove,furnace,etc) $170.00 Propane—Lines, tank, and appliance(add'I $85.00) Project Scanning Fee $21.00 Total Fees* *Additional fees may apply. Mechanical Application 2 r • • C Ca.5cc /// N . T Z©, r------ I y ��,wye_ - r4 -4- -. /e /PA o, o5 d --Po 1e-. i il:AoM kiv.5& or f ‹..._ 2,0 '7 f fRo 4 1/4e, A (0° pi05k//e-d) V (Fad-0405/ 'i-e, ,4M,eI5 P 6 / l_" (65-c4Ie- eve 1oz t77.2km S-ev7d 7536g IDAm 44f d' ' %or.'os,J- - g1oa d-tid 5/16 is oil R,,Jl logne 2 Blue, blvvSe- /y l:y /oX 3 w 30/ o2_ 13 c;// 732 4// , 7 e, j4,, e- aiiges / 3 J,-,y/e movir- � BISHOP PROPANE SERVICES • Page 1 of 2 • Home Espanol Contact 'Search L&I A-Z Index Help My L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing 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—06/16/2018 Bond Wesco Insurance Co $6,000.00 Bond account no. 46W B049518 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 04/25/2016 06/06/2014 Expiration date 06/06/2017 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&l tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. LicenseViolations .............. .................... No license violations during the previous 6 year period. Workers' comp https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602239379&LIC=BISHOPS861LW&SAW= 6/15/2016 BISHOP PROPANE SERVICES • Page 2 of 2 No active workers'comp accounts during the peas 6 year period. 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. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602239379&LIC=BISHOPS861 LW&SAW= 6/15/2016 •NVOICE 0 Date: 6/15/2016 (---- ���N cUInvoice ID: 2016BLD16-00271 ' ��; JEFFERSON COUNTY `' DEPARTMENT OF COMMUNITY DEVELOPMENT � �;;� 621 Sheridan Street I Port Townsend, WA 98368 Date Due: gs JAI ` 0 360-379-4450 I email: dcd@co.jefferson.wa.us 7/15/2016 www.co.jefferson.wa.us/commdevelopment BILLING ADDRESS: KELLI E HEDIN Permit 170.00 1663 EAGLEMOUNT ROAD Scanning Fee 21.00 PORT TOWNSEND WA 98368 Total Amount Due: $191.00 REMIT TO: Jefferson County DCD 621 Sheridan St. Port Townsend, WA 98368 Please return the above portion with your payment Permit Number: BLD16-00271 Permit 170.00 Scanning Fee 21.00 Total Amount Due: $191.00 Payment is accepted by cash, check, debit or credit card (Visa, Mastercard, Discover, American Express) To pay by credit card, go to www.co.jefferson.wa.us/commdevelopment, and click on the "Online Credit Card & echeck Payments" link on the left side of the page. (questions: call 360-379-4450)