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Home My WebLink AboutBLD2004-00045 • 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 #: BLD04-00045 Received Date 1/26/2004 SITE ADDRESS: 502 BEACH DR Issue Date 1/28/2004 QUILCENE, 98376 APPLICANT: ERIC J FROINES PHONE: (206) 325-8727 SUSAN E WARWICK 206 EUCLID AVE SEATTLE WA 98122-6528 T21 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701344028 Section: 34 Township: 27N 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, ERIC J FROINES PHONE: (206)325-8727 if different: SUSAN E WARWICK 206 EUCLID AVE SEATTLE WA 98122-6528 PROJECT DESCRIPTION: UNDERGROUND PROPANE TANK -500 GAL FOR FUTURE HOME - NO MLA REQ 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 01/28/2005. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: Ok Q (4,2, -/- iv9421,60bA/b J®dS‘® 7/.117/44i [ ] FinalApproval: OK -r G,4 3//1/3 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/19 • BUILDING PERMIT APPLIG'�!CION B RD04 00w 04 5 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00045 Received Date: 1/26/2004 SITE ADDRESS: 502 BEACH DR QUILCENE, 98376 OWNER: ERIC J FROINES PHONE: (206) 325-8727 SUSAN E WARWICK 206 EUCLID AVE SEATTLE WA 98122-6528 SUBDIVISION: Block: Lot: T21 PARCEL NUMBER: 701344028 Section: 34 Township: 27 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 DESCRIPTIOP UNDERGROUND PROPANE TANK - 500 GAL FOR FUTURE HOME - NO MLA REQ TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 1997 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: t F&W Landslide 2-� bl� Shoreline Aquifer ll Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /tl PP 1}v V E Propane Tanks/Stoves $47.00 KAS 01/26/04 62469 Total: $47.00 JAN 2 9 2004 Jefferson County Planning & Building Department licpyjm‘ity)) fa/ JEFFERSON COUNTY COMM ' Y DEVELOPMENT,621 SHERIDAN ST,PORT TO 'END WA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION MARK ALL ITEMS BELOW THAT PERTAI TO THIS INSTALLATION 50C, c FOR-- Fu.titr HvmE Underground PROPANE TANK* Above Ground PROPANE TANK* HEAT STOVE HOT WATER TANK WOODSTOVE FIREPLACE INSERT PELLET STOVE COOKING STOVE OTHER(Please Specify) Is this appliance (htg stove, hot water tank,furnace, etc.)to be installed in a Manufactured/Mobile Home? YES NO SITE ADDRESS(911#/Road Name): 50� f3 e r ZIP �7 9 DIGIT PARCEL ID NUMBER / 0 i — — �eZ Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM • APPLICANT fife I e- e s /St& rt v� I i/ t2t,J K.k- PHONE 4%2 O*o • .3 3 J 'dD 7.- MAILING ADDRESS S l ZIP PROPERTY OWNER ,i... 4 PHONE MAILING ADDRESS ZIP -7 G CONTRACTOR ( P �Q-�--+� PHONE 3 e J -_S [ ! 7 MAILING ADDRESS 10$�3 au)& Or P T M d LO ram` , �a ZIP STATE LICENSE# SI&vt I f -P 07 7 Qr EXP.DATE WO V FEDERAL I.D.# (( - [0 7"SS 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 structure shall be requested and shall occur during regular business hours. APPLICANTS SIGNATURE e ) DATE� / ...)-0177 6 Y FOR OFFICE USE ONLY BASE FEE $47.00 RECEIPT# (..(0-1(09 CONSISTENCY REVIEW CASH/CK# l 4 /-] 7 TOTAL '7 O .50 DATE 61 / ryl 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 Jan 28 04 02: 28p p. 2 SITE VISIT REPORT i ADDRESS `/` / r1,'%''': ✓;---,: r DATE BY PHONE Draw a simple plot plan: include property lines and proximity to lines, tanks, wells, driveways, shrubs & trees, exhaust vents, air intake, combustible sources, relevant windows and do rs. In Claffam County, include septic. House Mobile Home Commercial ors. n 1 1 1 i ..: 4 I lt i /7/ 1 • v r/ 1 I 1 / I. !J! 1 1 • 7-((.oil ,:`0..)E l�I, .. y --- -2a II Description: