Loading...
HomeMy WebLinkAboutBLD2003-00750 S PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00750 Received Date 12/3/2003 SITE ADDRESS: 101 MARINER PL Issue Date 12/3/2003 PORT LUDLOW, 98365 APPLICANT: JAYNE W GIFFIN TRSTEE PHONE: JAYNE W GIFFIN REV TRUST 101 MARINER PL PORT LUDLOW WA 983658738 10 SUBDIVISION: BAYVIEW VILLAGE DIV 2 Block: Lot: PARCEL NUMBER: 931900010 Section: 16 Township: 28N Range: 01 E CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTP1983O6 Expires 9/26/2004 OWNER, JAYNE W GIFFIN TRSTEE PHONE: if different: JAYNE W GIFFIN REV TRUST 101 MARINER PL PORT LUDLOW WA 983658738 PROJECT DESCRIPTION: PROPANE TANK INSTALLATION 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 12/3/2004. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: iNk i"< /Z//7/�k 7aPAN //NE t'/< /2//7fr3 [ ] FinalApproval: oK 4 - e/© >2/2-7-/ BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • S SPECIAL CONDITIONS FOR CASE#BLD03-00750: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 12/3/03 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: within Blue Heron & Osprey Nest areas (Heritage Points). 2.) This proposal is a 120 gallon above ground propane tank adjacent to an existing residence. Based on the nature of the proposal heritage points are not a concern. 3.) This approval is for a 120 gallon above ground propane tank only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. I:\F_BLD_Permit_Propane.rpt 10/29/19 • BLD03-00750 BUILDING PERMIT APPLIC ION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00750 Received Date: 12/3/2003 SITE ADDRESS: 101 MARINER PL PORT LUDLOW, 98365 OWNER: JAYNE W GIFFIN TRSTEE PHONE: JAYNE W GIFFIN REV TRUST 101 MARINER PL PORT LUDLOW WA 983658738 SUBDIVISION: BAYVIEW VILLAGE DIV 2 Block: Lot: 10 PARCEL NUMBER: 931900010 Section: 16 Township: 28 N Range: 01 E CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPI983O6 Expires 9/26/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION PROPANE TANK INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: '� Exist: Wetland - Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way iti Floodplainc- Routing Date: F&W P,t.rc Nw rC�i f. Landslide Shoreline N m. Aquifer ,, ;j Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $47.00 PRB 12/03/03 60394 Total: $47.00 JEFFERSON COUNTY COMM(DEVELOPMENT,621 SHERIDAN ST,PORT TO•ND WA 98368 PH: (360)379-4450 - INSTALLATION PERMIT APPLICATION MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION Underground PROPANE TANK* Above Ground PROPANE TANK HEAT STOVE HOT WATER TANK WOODSTOVE FIREPLACE INSERT PELLET STOVE COOKING STOVE OTHER(Please Specify) Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobile Hom YES NO SITE ADDRESS(911#/Road Name): I 0 1 1v1.1 'A/C Z_ L ra C c R U - ZIP (� 9 DIGIT PARCEL ID NUMBER / 3) %eo of t,/ Legal Description: Subdivision Name Block Lot(s) Section / £, Township l )p North, Range 0/ WM APPLICANT � (� C 1 / / PHONE 56, /5 9 6Y3 7 MAILING ADDRESS /C / /0 eft/11t/c. PL.. :4Z 1,v I.ate.. ZIP 9 3G3- PROPERTY OWNER h7s7 - PHONE MAILING ADDRESS ML,u M-ra-c reel < Pt 3 0�' CONTRACTOR is (o 5//�Ci 0 1 PHONE _3(o0 (A,0 96 MAILING ADDRESS L if~/ 3`J►�rVS, D e .#4 ZIP STATE LICENSE# G ;rc EXP.DATE FEDERAL I.D.# By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilitiq,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County a mployees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or sctu be requested and shall occur during regular business hours. APPLICANTS SIGNATURE ------- 7 / DATE /1 / 3 / -7OO FOR OFFICE USE ONLY 00 3q q/ BASE FEE 1� RECEIPT# CONSISTENCY REVIEW 2_3St) (� `-� CASH/CK# 1 `3 TOTAL 70' DATE (7'/ 3/ *Underground Propane Tank applications require additional information to be submitted. 0 V E R Please contact our office at 360-379-4450 if the back of this application is blank. g:\permitcenter\forms\bldg forms\install-revised 10-23-02.doc �! : ., . • 58.3f ` ta e r _ . , • . . „_- - . I.. \C6'(31'.). \ • ION Loom 1 • o • s � .11 • 6't►t 'N 86.50 - al .1 1 ,• • •• • • .M rJ . . . . t'A? .• -- -- 1 .:-, ' tio <4 1 ta a - • • .tin.: . , :: 1....1at lw.14E'..4Crl . J W i' rr .•e {,,• • s • • g:1142. \ . '..•/ -•?';..-.1-` 4,1•7•:;411 .' 63 Q1.,r • ? • . - , `a:=is ., - 3 Ay ,Et, A, '4 z '4r+'•'. w • �' +tjs.F 7rr $.• y 101 Ma_rih.Qr- 1)L o. _.,= :, vis [F..• Po,-.) L IidL©� d " _r -.a.• ,. z 40pi 6'•SCE`55' w 3 .01 ;,�,,1 =,7, . ; :.;,-. iPE /o11• 1-. . y . i .i • \ .. • • • rr J � � t t�NT BCD ,