HomeMy WebLinkAboutBLD2019-00086 - MECHANICALo a
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www. co. jefferson.wa. u s/com mdevelo pme nt
MEGHANIGAL AND DEMOLITION PERMIT
PERMIT #:
SITE ADDRESS:
APPLICANT
SUBDIVISION:
PARCEL NUMBER:
CONTRACTOR:
BLD19-00086
660 SNAGSTEAD WAY
PORT TOWNSEND, 98368
DENNIS L BRODERSON
CAROLA BRODERSON
660 SNAGSTEAD WAY
PORT TOWNSEND WA 98368-9668
Received Date
lssue Date
3t11t2019
311112019
001295008
PENINSULA HEAT INC
PO BOX 173
CARLSBORG WA 98324
Contractor'sLicense PENlNl.044OW Expires 1011812020
PHONE: 360-379-8310
Block: Lot:
Section: 29 Township: 30N Ranqe: 1W
PHONE: 360-681-3333
PROJECT DESCRIPTION: NEw HEAT PUMP
THIS PERMIT IS VALID FOR ONE YEARAND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 3/11/2020.
REQUIRED INSPECTIONS:
lnstallationperManufacturerSpecifications/Co:
TanULine/Applia
FinalApproval u."/
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
\\tidemark\data\forms\F_BLD_Perm it_Propane. rpt
HOT LINE AVAILABLE 24 HOURS A DAY
3t11t2019
Qr,rrNG PERMTT APP.,.frl,u BLD19-00086
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #:
SITE ADDRESS
OWNER:
SUBDIVISION:
PARCEL NUMBER:
BLD19-00086
660 SNAGSTEAD WAY
PORT TOWNSEND, 98368
DENNIS L BRODERSON
CAROLA BRODERSON
660 SNAGSTEAD WAY
PORT TOWNSEND WA 98368-9668
001295008
Block:
Section: 29 Township: 30 N
Received Date: 311112019
PHONE: 360-379-8310
Lot:
Range: '1\
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 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:
RES
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
$188.00 SRE
$24 00 sRE
$10.60 sRE
03111t19
03t11t19
03t11t19
1 83580
1 83580
1 83580
Approved/Date
APPFTOVED
l,lAR r I 208
Jefferson County DCD
Total:$222.60
ol
DEPARTMENT OF COMMT.INITY DE\IELOPMENT
621 Sheridan Srreer, port'fonrrsend, WA 9g36g
Tcl 360.379.-l+50 | Fax: 360.3r9.-+-t5t
\\'eb: :Etdg.sGigdisrrn.rra. us /commuail.dcvelrrpmenr
E-rnail : dcdf(Dco.i e ffes on.rva.us
MECHANICAL PERMIT APPLI CATIONSteps 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 Mechanical are issued within 5 business
Mechanical Application 1
Date: ljiriit,,o
#:
Receipt *: tg?u€qFor Department Use Only
Related #s:
ls this a pplication for use tn Mobile I Ma nufuctured H me?,t o
rf Yes:A permit from Washington State Depa rtment of La bor and ndustries,not Jefferson Cou oty,tsrequiredforppliancesinstalledwithinamobile/man ufactured home.:f rf No:th L&t 3 60-4 1 7-2702
ts fo rm and make an ntment to submit to Jefferson Perm it Tech 3 60-379-4450
tankuiredSubmlttalItemsfor
Site lanp showing propane lintank,dand€S,fromistance nkta to a lt structures.
mount com
Subrnitta Items for roof mount Solar Panel installation
Co fimplete rst a ndpage signature onblock of echaMly nical Permit Application.
A solarcomplete nepa supplemental ap ication.pl
Slte lnformation
Tax r:Assessor Parcel N umb e
Site Address or Directions to
of street willbe ined:Access
of Work:
Owner
Name:
Address:
Phone #:E-mailAddress:
e
Contractor:Authorized
Expiration Date
E-mailAd
Name:
Phone #:
License #:
@roo
-{
!o\1-ooobt,
General
existing
a t
N.r", oate:3-l\- \a
Heat Source
Propane*
Electric
Wood
lndicate
BelowofNEWFixture
Fixture
Fan Bath Fan Exhaust FanClothesClothes D r with Exhaust VentCook Storre Cook Hood Exhaust- Gas or Gas lnsertFireplace- Wood Fireplace-wood,
Pellet Stove
Wood Stove, or
Electric Furnace Electric Fu rnace or Hp
Gas Furnacene e Furnace
Water H eater - 6as WHGas Vent an d Com AirbustionGas Pi Gas
Tank LP Fuel Tank
Heat Pu
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 ptan is
required to accompany this
application, and a separate
Fire Code approval is also
red.
OFFICE USE ONLY
Permit FeesBui
etc )
feeMechanicalPermit fumace, roof -solarswap,woodstove,
and atan nce dd'l
Scan Fee
Fee - 5%Technol,
I cJ. t-0 C)
Total Fees*daaa.\-oo
. *Additional fees may apply.
Mechanical Application 2
7 Heatingoit n n