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Home My WebLink AboutBLD2016-00202 - MECHANICAL 4�ON 0 0 �q`� �� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 ry 360-379-4450 I email: dcd@co.jefferson.wa.us -is, NG.tO www.co.jefferson.wa.us/commdevelopment BUILDING PERMIT PERMIT#: BLD16-00202 Received Date: 5/11/2016 SITE ADDRESS: 5462 CAPE GEORGE RD Issue Date 5/11/2016 PORT TOWNSEND, 98368 Expiration Date 5/11/2017 OWNER: JESSE D OWENS PHONE: DANNA M OWENS 5462 CAPE GEORGE RD PORT TOWNSEND WA 98368-9037 SUBDIVISION: 9771 - OCEAN GROVE ESTATES PARCEL NUMBER: 977100506 Section: 24 Township: 30 N Range: 21P CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7055 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2018 PROJECT DESCRIPTION: REMOVE/REPLACE ELECTRIC WATER HEATER 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: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $156.00 JLA 05/11/16 162976 Exist: Exist: Scanning Fee $19.50 JLA 05/11/16 162976 Prop: Prop: Total: Total: Total: $175.50 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. Final Inspections require 24 hour notice. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY • • Jefferson County Building Division Permit Number: Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 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(6,r I FINAL INSPECTION *UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR lik UILDING PERMIT APPLICAIN BLDI6-00202 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD16-00202 Received Date: 5/11/2016 SITE ADDRESS: 5462 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: JESSE D OWENS PHONE: DANNA M OWENS 5462 CAPE GEORGE RD PORT TOWNSEND WA 98368-9037 9771 -OCEAN GROVE ESTATES SUBDIVISION: Block: Lot: PARCEL NUMBER: 977100506 Section: 24 Township: 30 N Range: 2V1 CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7055 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2018 REPRESENTATIVE: PHONE PROJECT DESCRIPTION: REMOVE/REPLACE ELECTRIC WATER HEATER 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: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Prop: Prop: Permit $156.00 JLA 05/11/16 162976 Total: Total: Scanning Fee $19.50 JLA 05/11/16 162976 Total: $175.50 Approved/Date APPROVED MAY i I 2016 ,Jefferson County DCL) \lfiricmor4\rinfo\fnrmo\F RI fl Ann RId rnf F/11/7f11 R FAST WATER HEATER COMPAN Page 1 of 5 II Home Espanol Contact Search L&I 5r" RCA' A-Z Index Help My L&I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing 10 Washington State Department of Labor & Industries FAST WATER HEATER COMPANY Owner or tradesperson 11715 N CREEK PARKWAY S,C-106 Principals BOTHELL,WA 98011 425-814-8381 JORDAN,JEFFERY KING County DAVID,PARTNER/MEMBER HANLEYBROWN, JASON,PARTNER/MEMBER Doing business as FAST WATER HEATER COMPANY WA UBI No. Business type 602 564 544 Limited Liability Company Parent company Governing persons FWH ACQUISITION COMPANY LLC JASON HANLEYBROWN JEFFREY DAVID JORDAN; 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. FASTWWH948BC Effective—expiration 01/03/2006—01/04/2018 Bond DEVELOPERS SURETY&INDEM CO $12,000.00 Bond account no. 549792C Received by L&I Effective date 01/03/2006 01/01/2005 Expiration date Until Canceled Insurance American States Insurance Co $1,000,000.00 Policy no. 01C155607620 Received by L&I Effective date 01/25/2016 02/17/2014 Expiration date 02/17/2017 Insurance history Savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602564544&LIC=FASTWWH948BC&SAW= 5/11/2016 Parcel Print Page 1 of 1 411 • Parcel Number:977100506 03/21/2016 Owner Mailing Address: JESSE D OWENS DANNA M OWENS 5462 CAPE GEORGE RD PORT TOWNSEND WA 98368-9037 Site Address: 5462 CAPE GEORGE RD PORT TOWNSEND 98368-9037 Section: 24 School District: Port Townsend(50) Qtr Section: SE1/4 Fire Dist: Chimacum(1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area: 98368-9037 Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5-Rural Residential Zoning 2: Zoning 3: Sub Division: 9771 - OCEAN GROVE ESTATES Land Use Code: 1100 - Residential - Single Unit 98368-9037 Property Description: OCEAN GROVE ESTATES #2 BLK 5 LOT 6 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?value=977100506 5/11/2016 SuN oG Iikid'AR" M.El�T OF COMMUNI l DEVELOPMENT Street,llion Part Townsend,tib` 98368 W Tel:3 9.44 0 I Fax:360.3-9 44 1 • '— - Web:wxxxx.co.jefferson.wa.us%comnnunitvde\.elopment Fl-mail:dcd( co.jefferson.wa.us 5q I 1 4 1SH---; , G 'C 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. -Fees/ f� 'i' s 1;b y !r 4 3 1 r ��/��,�+`°r oma' fil r rir%�r'`r fir.;err..;, F`".:,D %�° r,,��'�;�'�' �/,. J, /rq^:r/. ,A.r s l,,r./'�i` ;..l„,? /., t;,'<.. r r:'1-4;rq�,.r ?-/ 3!a'"%,.: ', . f.y/l�r :"/,;: F;,.t r/ '/s !; f, fi,f/ .r � �r r' ,!�,r �,� ,, ;,,/r. ,�r/, r �v f r,. /', , lr�r� ,r �' ,� r. r„f.::`s.�,� Y ..off �f.,.�r � ,r, .f��srl,l /% /`,;.vrj!”/,, fi, ,r9r ,.1., lfr.,F.�l r� 1i�;"r� r�,, ,� I' �,'';, f. �� f'fid¢ J%✓ ,+%�s Fr, ,�f; i s! r ,,i%%`, ,f d�fil`�,/ fiV4 , /, r'/ `f /r!r ;f ,r,r r l; r7 r r./F ;. fi 't,. �:<.?�. .. . '. , ,. . ,/`� r �,'..f .'r,,r.;F/Yr�r', /, ,,�!. /,�, f%�, '`,ff��/v r,:�%�f,�`,iir�l�'':�,� .Y �/ .,;;.,, _, '%� "�✓�';7 ,�.'`t �P �� fr ,ap?, n f / rr t� r r ;.fi/s! .J ,,r`��',, ..r�,,r,..rr�rr' r`/iii.� ^' ,�Jr. rr ,�if,%�%„� �,;�,,;�'.i' .�r,,,s° � � ?.� <.., ., ., err/r, ,lrfrr /„/rrf ;I",,r*i4. fl' 7,,l'1r!,`W lrr'.r'r407/ rr'rrf ;a / rrfifi ,d J`� t � ?;' f!r� f .� r� „!i,;..;i„r�.xr`li,'i„r,. .�,r/.r'..Vii!€l:''�< ' „�r,d'"f;��!, �fe�.�;�� 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 t sa a ,' ��3�;39 "' rl,,rg34A1412,; r` ; a a y , f i/, ,r'�rr fr J`' l i % / � plang propane tank, lines and distance fromf tank to allexist n � II General Sitee —showm rogstructures. ,,,,,,,,, PIL.2.7'; ',F.ffer. �1 /�fi � %r °y r, fi ��f ,2,1,1,;#;„1,;7;71zAwc,a,;:,wvi-z,,;,!..1.11,,,I,Lef&,2;0 „.,,,,,,,,,,;,:1,IS,itillif i V",41.&6",,Lf ,:',.1,t,',',.‘,%,X-JA IN Complete first page and signature block only of Mechanical Permit Application. IA complete solar panel supplemental application. ';'?",67,'":w/ , s s r r "11",,r -'<m,'" r ,! /F /004r4l / 3frl1 %r s fi,'r ra ,� � / i Assessor Tax Parcel Number: / � Le Site Address and/or Directions to Property: 5 (Al, c e C E0K6Elei) , port- TJ L4)v vvc,A , W A 1(6'31.12% Access (name of street(s) from which access will be gained: Description of Work: ' ,0'l e,/ v 0Z ,e, ..e�.*0 c, A iC,-. x \/, ' ,,i;,, A( ' // r rf rr !r r .r ! r ,�r rr r ��a a ?`'. tee, . ;., r f f .;::, 7iA,f,/fil/1,..1 l,flll � ,r/r ,✓�fi d'fr i¢i'�:1�f f r!t., Zf-a,p (r ,%/r ,�^ err° ,,; : ,,.;,,:;; ,,, % . ir% .,,�:'!r�<rrx,,r+"f�`Y/,{ M fi,�v;t4t,t�fir, rrf Fi!,rif�fF l/„'.14lil,rl/%/'if ,F/l,'4. ,,,.r.,.' 1 �.,,.,: /.,,. , 1 Name: 3f � S5 )Vvj�� co Address: —A U9 - e, 6 )c c�2,.. 117 , DT, A- 1 gap 0 Phone #: 3U V L1 L ICI ( p E-mail Address: la in x. Name: (iAi- 7 1 PT ' N Are — .-Pt-T\-'1 --E`'-�',t.: - Phone #: },-; 9 3t,„ s E-mail Address: \ License #: 1 � ,v^ j,,\ �� c Expiration Date: #' ''t ' Ck ? ( t.E'1/1 Mechanical Application 1 Heat Scree �, .. Electric 0eating Oil Propane* Wood — 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. 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, and a site plan must be 0Propane (LP) Gas Furnace Propane Furnace+/- Ducting submitted with the Water Heater �b Q,t�G'r1(j(� 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: 1 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 n ik Signature: 1l I IS/ `l/'' Print Name:Y---R-1' ry r ` Date: 5 (.0 1 (j I OFFICE USE ONLY Building Permit Fees Mechanical Permit fee (tank swap,woodstove,furnace,etc) $156.00 Propane— Lines, tank, and appliance (add'l$78.00) Project Scanning Fee $19.50 Total Fees* *Additional fees may apply. Mechanical Application 2