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Home My WebLink AboutBLD2020-00587 - WITHDRAWNMechanical Application 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.jefferson.wa.us/communitydevelopment E-mail: dcd@co.jefferson.wa.us 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: Site Address and/or Directions to Property: Access (name of street(s) from which access will be gained: Description of Work: Property Owner Name: Address: Phone #: E-mail Address: Applicant/Contractor: Authorized Agent/Representative Name: Phone #: E-mail Address: License #: Expiration Date: 251 Kennedy Rd, Port Hadlock, WA 98339 From WA 19 S turn right onto Kennedy Rd WA 19 Grid-tied Garage Roof Mounted Solar Al Latham 251 Kennedy Rd, Port Hadlock, WA 98339360-821-1323 alelatham@gmail.com Power Trip Energy Corp 360-643-3080 karen@powertripenergy.com POWERTE934QE 11/05/2051 No access at assessor website Mechanical Application Heat Source  Electric  Heating Oil  Propane*  Wood Indicate Quantity of NEW Fixture Types Below *Propane is prohibited in hazardous locations such as basements or pits or anywhere "heavier-than- air" gas can unsafely collect. Quantity Fixture Type Description Fan Bath Fan and/or Exhaust Fan Clothes Dryer Clothes Dryer with Exhaust Vent Cook Stove Cook Stove, Range Hood Exhaust Fireplace - Gas Fireplace-Gas or Gas Log Insert *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. If propane tank is over 500 gallons, a site plan is required to accompany this application, and a separate Fire Code approval is also required. Fireplace - Wood Fireplace-wood, Wood Stove, or Pellet Stove Electric Furnace Electric Furnace or HP +/- Ducting Propane (LP) Gas Furnace Propane Furnace +/- Ducting Water Heater - Gas Gas WH Vent and Combustion Air Gas Pipe System Gas Pipe System LPG/Oil Propane Tank LP Fuel Tank (# gallons: ) Heat Pump Generator Air Conditioner 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 Single item only Tank, lines & appliance Mechanical Permit fee (tank swap, woodstove, furnace, roof -solar panel, etc ) $192.00 $192.00 Propane – Lines, tank, and appliance (add’l $96.00) $96.00 Project Scanning Fee $24.00 $24.00 Technology Fee – 5% $10.80 $15.60 Total Fees* $226.80 $327.60 *Additional fees may apply Andy Cochrane 11/30/20 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.jefferson.wa.us/communitydevelopment E-mail: dcd@co.jefferson.wa.us EXPEDITED PERMITTING CHECKLIST FOR RESIDENTIAL PHOTOVOLTAIC SYSTEMS: ROOFTOP MOUNTED ❶Project Information Project Applicant: Site Owner Name: Project Address: PV system description: ❷Determine if your project needs a building permit (check all that apply): Yes No 1.PV system is designed and proposed for a structure previously built to code.☐ ☐ 2.PV system is designed for rooftop of a building in general compliance with applicable codes.☐ ☐ 3.Mounting system is engineered and designed for PV.☐ ☐ 4.Rooftop is made from lightweight material such as shingles.☐ ☐ 5.PV system has been pre-approved by electrical permitting agency.☐ ☐ 6.To address uplift, panels are mounted no higher than 18” above the surface of the roofing to which they are affixed. Except for flat roofs, no portion of the system may exceed the highest point of the roof. ☐ ☐ 7.Total dead load of panels, supports, mountings, raceways and all other appurtenances weigh no more than one of the following. If YES, indicate which: ☐ No more than three and one-half (3.5) pounds per square foot (PSF) ☐ Frameless panels on at least 3/12 pitch roof weighing no more than four and one-half (4.5) PSF ☐ Frameless panels on at least 5/12 pitch roof weighing no more than five (5.0) PSF ☐ ☐ 8.Supports for solar panels are installed to spread the dead load across as many roof-framing members as needed to ensure that at no point are loads in excess of fifty (50) pounds are created. ☐ ☐ 9.Attachment to the roof is specified by the mounting system manufacturer.☐ ☐ 10.Method and type of weatherproofing roof penetrations is provided ☐ ☐ 11.Home is code compliant to setbacks and height, or code allows expansion of nonconformity for solar panels. ☐ ☐ 12.Panels are mounted no higher than the roof ridge or apex of roof (applies only to pitched roofs)☐ ☐ If you answered yes to all of the above questions, an over-the-counter permit is authorized. ❸Submit this Checklist and Mechanical Permit Application and Site Plan to: I attest that all information in this checklist is accurate to the best of my knowledge. Applicant Signature: Date: Applicant Name (Please Print): Power Trip Energy CorpAl Latham 251 Kennedy Rd, Port Hadlock, WA1.4 Residential Garage Roof Mounted Grid-tied 11/03/20 Andy Cochrane JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment MECHANICAL AND DEMOLITION PERMIT BLD20-00587 11/4/2020Issue Date 11/4/2020Received Date , SITE ADDRESS: PERMIT #: APPLICANT: 901033007PARCEL NUMBER: Lot:Block:SUBDIVISION: ALFRED W LATHAM JR SUSAN P LATHAM 470 DHARMA RD CHIMACUM WA 98325-9719 PHONE: 251 KENNEDY RD Section: 3 Township: 29N Range: 1W POWER TRIP ENERGY CORP 83 DENNY AVE PORT TOWNSEND WA 98368 360-643-3080PHONE: CONTRACTOR: Contractor's License POWERTE934QE Expires 11/5/2021 PROJECT DESCRIPTION:NEW MECHANICAL - SOLAR ROOF 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 11/4/2021. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO:________________________________________________ _______________________________________________________________________________________ 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_Permit_Propane.rpt 11/4/2020