HomeMy WebLinkAboutBLD2018-00548 - CANCELo o
JEFFERSON COUNTY
DEPARTMENT OF GOMMUNIry DEVELOPMENT
621 Sheridan Street I Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www. co.jefferson.wa. us/co m m deve lopment
MEGHANIGAL AND DEMOLITION PERMIT
PERMIT #:
SITE ADDRESS:
APPLICANT:
SUBDIVISION:
PARCEL NUMBER
CONTRACTOR:
BLD18-00548
50 S CHANDLER CT
PORT LUDLOW, 98365
MARY L BROOKS
1616 PITTAVE
BREMERTON WA 983 1 0-4420
9616.INNER HARBOR VILLAGE CO
PHONE:
Block: Lot:
Section: 17 Township:28N Ranqe: 1E
PHONE: 360-681-3333
Received Date
lssue Date
12t5t2018
12t5t2018
961601 001
PENINSULA HEAT INC
PO BOX 173
CARLSBORG WA 98324
Contractor'sLicense PENlNl.044OW Expires 1011812020
PROJECT DESCRIPTION: NEW MECHANICAL PERMIT- NEw HEAT PUMP
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 121512019.
REQUIRED INSPECTIONS:
lnstallation per Manufacturer Specifications/C
Tank/Line/App
FinalApproval:
BUILDING INSPECTION HOT-LINE 3794455.
REQUESTS MUSr t=o[':""8:u,=,".oftt',t# -T5iil"r=5."r:;fifil}o:iEcrroN
rs NEEDED
\\tidemark\data\forms\F_BLD_Perm it-Propa ne. rpt
HOT LINE AVAILABLE 24 HOURS A DAY
1215t2018
o o
Jodi Adams
From:
Sent:
To:
Subject:
Noreen Lancaster <noreen@peninsulaheat.com>
Tuesday, April 30, 2019 1.2:00 PM
DCD Front Staff
Permit refund - Brooks
Importance:High
Good afternoon,
What do I need to submit to obtain a refund for a permit? The job has been cancelled.
Permit# BLD18-00548
Mary Brooks @ 50 S Chandler Ct Port Ludlow
Noreen Lancaster
Rebate Specialist & Permit Coordinator
http://www. pe ninsu la heat.com
1
Point &Pay - Create Order t o
Thank you for your paymentt
This service has been provided by Jefferson County Dept of Community Development, WA and
Point & Pay. We value your business. Please keep this receipt for future reference.
You have made a payment to Jefferson County Dept of Community Development, WA . Jefferson
County Department of Community Development thanks you for your payment. For questions about
your account, please call 360-37 9-4452
Please note that a Refund (58193682)was processed for the amount: $217.35 for this payment on
05-02-19 4"07 PM.
Page 1 of 1
Name:
Address:
Contact:
Comments:
Payment lD:
Date:
Subtotal:
Fee:
Total:
Method:
Mary Lofstrom
PO Box'173, Carlsborg WA, US, 98324
360681 3333
51779267
12105118 1 1:01 AM
$21 7.3s
$7.50
$224.85
Credit Card(************0383)
Item Purchased Transaction Description Account Amount
lnvoice Payment JeffersonCoCDGOV Brooks $217 35
Signature: Date: I I
By signing thb ,eceet s of this service.
You will see one line item on your credit or debit card statement indicating the amount you paid and will be
identified as Jefferson Co C D GOV .lf you have any questions about the charges please call 'l-888-891-6064.
P_Ufnecetp! Close Windgvg
YrLf + r7llou
https://agent.pointandpay.net/pointandpay_counter/viewReceipt.do?method:viewPaymentR... 51212019
li,.r,*c PERMTT APPL,"^rQ
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
BLD18-00548
Review Type:
PERMIT #:
SITE ADDRESS
OWNER
SUBDIVISION:
PARCEL NUMBER:
BLD18-00548
50 S CHANDLER CT
PORT LUDLOW, 98365
MARY L BROOKS
1616 PITTAVE
BREM ERTON WA 9831 0-4420
961 601 001 Section
Received Date: 121512018
PHONE:
9616 - INNER HARBOR VILLAGE COBlock: Lot:
17 Township: 28 N Range: 1E
CONTRACTOR
REPRESENTATIVE:
PENINSULA HEAT INC
PO BOX 173
CARLSBORG WA 98324
PHONE: 360-681-3333
Contractor's License PENlNl.044OW Expires 1011812020
PHONE:
PROJECT DESCRIPTION: NEW MECHANICAL PERMIT- NEW HEAT PUMP
TYPE OF WORK
TYPE OF IMP
VALUATION
CODE EDITION:
OCCUPANCY:
OCCUPANCY:
CONST TYPE:
CONST TYPE:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS:
Exist:
Prop:
Total:
NON
MEC
2015
BATHROOMS:
Exist:
Prop:
Total:
SQUARE FOOTAGE:
MAIN:
ADD'L:
HEAT BASE:
UNHEATED:
OTHER:
GARAGE:
DECK:
Type
HEAT TYPE:
HEAT TYPE:
# OF STORIES
SHORELINE:
SETBACK:
BANK HEIGHT:
Amount Paid Bv: Date: Receipt
Permit
Scanning Fee
Tech Fee
$184.00 SRE
$23.00 sRE
$10.35 SRE
12t05t18
12t05t18
12105t18
181100
181100
181100
Approved/Date
AFFTqOVED
/6 20 l8
Jefferson County DCD
Total $217.35
o o
DEPARTIUE}{T OF COMMUNITY DEVEI.OPMENT
621 Sheddnn Strceq llort T'r;wnsend, \!';\ gg3(rli
T'cL lifi0.3?9.4450 | I:ax 3d{).}?9.4451
Web: $ana"eoiefli.Eao.:a#,u:lecstruulfulEl,:trreprnen!
Ii -maii: dcd(i co,iesbnol"sra*w
Steps in the Permit process:
MEC HANICAL PERM IT API'LI CATION
-Review required submittal items to ensure all information is com pleted prior to submitting application.-Mechanical Permits can be mailed into our office_and do not require an appointment.-Fees are due at ti me of submitta Mechanical are issued withln 5 business
ls this application for use in a Mobile / Manufactured Home?*tf Yes:A permit from Department of La bor and lndustries,not Jefferso n Co unty lsrequiredfoIappliancesinsta I led with in a mobil e/ma nufactured home L&I 350-41 7-2702!t tt No:Com this form and make an to sub mit to Jefferson Cou Perm it Tech 360-3 79-M50
General Site plan - showing nes, and distance from tank to all existing structures.propane tank, li
signature block only of Mechanical permit Applicationcomplete first page and
A complete solar panel supplemental application.
Assessor Tax Parcel Num ber:
Site Address an Directions to Pro e
Access name of s from which access will
of Work:
Name:
Address:
Phone #:E-mailAddress: p6l
Name:
Phone #:
License #:
E-mail
Expiration Date:
Mechanical Application 1
Washington State
o o
lnstallation manual must be on sitere-inspection fee wiil # :',ffi-Sr':spection or a
By signing this application form, the owner/agent attests that the informpJion provided herein, and in any attachments.rs true and conect to the best oi his, her oi iti rnowieqi,;:' ;id;;ffi;t f;t-r"ftoa-;;n"vlriJ.ion of a materiat facrmade bvthe ownerlagent with respictl" thF&ptHtHib#iti,,i#;:suh in making ariy issueo permit nu* and void.
Signatu nt Name:Date: CI'4-TT
Heating OilElectric Propane*Wood
Fan Bath Fan a ndlor Exhaust Fan
Clothes Clothes with Exhaust Vent
Cook Stove Hood ExhaustCookRa
- Gas or GasFire lnsert
Fireplace - Wood Fireplace-wood,Wood Stove, or
Pellet Stove
Electric Furnace Electric Furnace or Hp +/- Du
e LP Gas Furnace Furnace Ducti
Water Heater - Gas Gas WH Vent and Combustion Air
Gas Gas il
TankP LP Fuel Tank llons:
Heat
Generator
Air Conditioner
*Propane is prohibited in
hazardous locations such as
basements or pits or
anywhere "heavier-than-air',
gas can unsafely collect.
*Propane tanks over 125
gallons require a minimum
setback of 10 ft. from
property line and buildings,
and a site plan must be
submitted with the
application showing the
setbacks. lf propane tank is
over 500 gallons, a site plan is
required to accompany this
application, and a separate
Fire Code approval ls also
red.
*Additional fees may apply
Mechanical Application 2
I further I intend to
state
and
Property
al-l BaTotal
o
From: Mary Brooks
Sen* Tuesday, December 4,ZOL} 12:5G pM
To: Noreen Lancaster
Subjec* Re: Peninsula Heat - Jefferson County permit app
HiNoreen,
Peninsula Heat has my permission to sign on my beharf for a permit.
Thank you,
Mary Brooks
on Mon, Dec 3, 2018 at 8:39 AM Noreen Lancaster <norPen@penin.sqrlaheat.coqr> wrote:
Good morning Mary,
I hope this email finds you doing very well. ln order for me to submit the application for permit, I needyou to reply to this email granting us permission to sign on your behalf for tire permit.
Thank you Mary and have a beautiful day!
Noreen Lancaster
Rebate Specialist & permit Coordinator
.h!1p.././.wrsw,penin$s!q_f
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