HomeMy WebLinkAboutBLD2003-00761 •
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 #: BLD03-00761 Received Date 12/8/2003
SITE ADDRESS: 4615 CENTER RD Issue Date 12/8/2003
CHIMACUM, 98325
APPLICANT: RICHARD S BARROWS PHONE:
PO BOX 622
PORT HADLOCK WA 983390622
1
SUBDIVISION: JOHNSTON SHORT PLAT Block: Lot:
PARCEL NUMBER: 801034013 Section: 3 Township: 28N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2004
OWNER, RICHARD S BARROWS PHONE:
if different: PO BOX 622
PORT HADLOCK WA 983390622
PROJECT DESCRIPTION: NO MLA REQ'D - HEAT STOVE
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 12/08/2004.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] FinalApproval: S 11
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
I:\F_BLD_Permit_Propane.rpt 10/29/19c
UILDING PERMIT APPLIC BLD03-00761
�N Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00761 Received Date: 12/8/2003
SITE ADDRESS: 4615 CENTER RD
CHIMACUM, 98325
OWNER: RICHARD S BARROWS PHONE:
PO BOX 622
PORT HADLOCK WA 983390622
SUBDIVISION: JOHNSTON SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 801034013 Section: 3 Township: 28 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NO MLA REQ'D - HEAT STOVE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: None ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 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 Floodplain
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 CJZ 12/08/03 60558
Total: $47.00
JEFFERSON COUNTY COMM•Y DEVELOPMENT,621 SHERIDAN ST,PORT TOND WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION E :4
15 r
MARK ALL ITEMS BELOW THAT PERTAIN TO Th.-
Underground PROPANE TANK* Above Ground PROPANE TANK HEAT STOVE HOT WATbRrTCCllrrANI4 8 2003
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-Home?
YES i+/ NO
SITE ADDRESS(911#/Road Name): p
/5ut.,,-l�""t �.
f -(,ice Wig ig ZIP `9�3z5
9 DIGIT PARCEL ID NUMBER 'C-/ (_/hf Q f 3
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
` 1 /9/2/qe W PHONE K ` / i
APPLICANT /( '7 dW r f 3 � � L - Lfl rG}
MAILING ADDRESS [./ , 2:
Hi fd (11C 14 4. ZIP 90 33
PROPERTY OWNER PHONE 3 Go -73L - / 4?
MAILING ADDRESS
ZIP
CONTRACTOR n/S' h 1 � yn 90044, PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# 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 liabilities,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 and it's employees,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 structure shall be requested and shall occur during regular business hours.
APPLICANTS SIGNATURE DATE
FOR OFFICE USE ONLY �^U��
BASE FEE $47.00 RECEIPT#
CONSISTENCY REVIEW CASH/CK# C ' (Q 3
TOTAL -4 s DATE /a / /a'Z(JO
Propane Tank applications require additional information to be submitted.
Please contact our office at 360-379-4450 if the back of this application is blank. OVER 4 4 4
G:\PermitCenter\FORMS\BLDG FORMS\ install-revised 10-30-03.DOC
•
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#: BLD03-00762 Received Date 12/8/2003
SITE ADDRESS: 593 MC MINN RD Issue Date 12/9/2003
PORT TOWNSEND, 98368
APPLICANT: BRIAN C PERCIVAL PHONE:
CYNTHIA ELMORE
593 MCMINN RD
PORT TOWNSEND WA 983689646
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002014002 Section: 12 Township: 30N Range: 02W
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 09/06/2004
OWNER, BRIAN C PERCIVAL PHONE:
if different: CYNTHIA ELMORE
593 MCMINN RD
PORT TOWNSEND WA 983689646
PROJECT DESCRIPTION: NO MLA REQ'D - MOVING ABOVE GROUND PROPANE TANK
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 12/09/2004.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: - /�Uk.. /s-Sfri
[ ] FinalApproval: 7K ..4 - /'/D I2 /15//3
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
• •
SPECIAL CONDITIONS FOR CASE#BLD03-00762:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on December 9, 2003 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:
Susceptible aquifer recharge area, Coastal seawater intrusion protection zone (SIPZ).
2.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
4.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
5.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
6.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
7.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
•
8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
10.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
11.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
12.) This approval is for an 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk(or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
I:\F_BLD_Permit_Propane.rpt 10/29/195.
BLD03-00762
'BUILDING PERMIT APPLIC,PON Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00762 Received Date: 12/8/2003
SITE ADDRESS: 593 MC MINN RD
PORT TOWNSEND, 98368
OWNER: BRIAN C PERCIVAL PHONE:
CYNTHIA ELMORE
593 MCMINN RD
PORT TOWNSEND WA 983689646
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002014002 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 09/06/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NO MLA REQ'D - MOVING ABOVE GROUND PROPANE TANK
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 0)0
Prop: Prop: Seismic Np Streams &No
Total: Total: Flood Way Floodplain I`o
Routing Date: F&W NQ Landslide &YO
Shoreline IJ4P Aquifer la-
Forest: Commercial . Rural No abiscierott-414
Type Amount Paid By: Date: Receipt: Q4.'t Approved/Da
Propane Tanks/Stoves $47.00 CJZ 12/08/03 60557
Total: $47.00
JEFFERSON COUNTY COMMU DEVELOPMENT,621 SHERIDAN ST,PORT TOWN,WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION
✓ lI'JOV/h% X/ 57,09
Underground PROPANE TANK Above Ground PROPANE TANK HEAT STOVE HOT WATER TANK
WOODSTOVE FIREPLACE INSERT PELLET STOVE COOKING STOVE
OTHER(Please Specify)
Is tnis appliance (ntg stove, hot water tank, furnace,etc.) to be installed in a ManufacturediMobile Home?
YES X NO
SITE ADDRESS(911#/Road Name):
s13 rr c m l by lac(
r
?orT T;(4lys&"NQ WA- ZIP 'l e36
9 DIGIT PARCEL ID NUMBER 0 o a to 1 y Q 0 2.
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Cm?ITN A 6-Lno12E }3r1AN 141-6,lv41 PHONE 366 - 34FIS 'ct 7 7 `j
MAILING ADDRESS € 3 C a n h
!� 1 a y�a late
Pc4--t h LANs eJ:[d ✓A t ZIP r g
PROPERTY OWNER $Arne as friAa v e_ PHONE
MAILING ADDRESS
ZIP
CONTRACTOR C' e me_x PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# 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 liabilities,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 and it's employees,representatives or agents for the purpose of application review and any required later
inspections. Access and right of entry to the applicant's ropert r str Lure shall be requested and shall occur during regular business hours.
APPLICANTS SIGNATURE C._. • • /��- DATE ,2. / 07 / 03
FOR OFFICE USE ONLY
BASE FEE $47.00 RECEIPT# (eV 55 -1
CONSISTENCY REVIEW o93 5O CASH/CK# -1 51
TOTAL � ' fr- I ` DATE )%/ / 6 3
Propane Tank applications require additional information to be submitted. l'
Please contact our office at 360-379-4450 if the back of this application is bJa 1 3 OVER 4 4 4
i
L.
CF
G:\PermitCenter\FORMS\BLDG FORMS\ install-revised 10-30-03.DOC
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