HomeMy WebLinkAboutBLD2004-00674 S UILDING PERMIT APPLICAIN B RD p Review
ye:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00674 Received Date: 10/25/2004
SITE ADDRESS: 170 PINECREST DR
PORT TOWNSEND, 98368
OWNER: RICHARD E CROSTON PHONE: (360) 379-4142
REBECCA A CROSTON
170 PINECREST DR
PORT TOWNSEND WA 98368
1 SUBDIVISION: KALA POINT#6 Block: Lot: 378
PARCEL NUMBER: 965000210 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: SUBURBAN PROPANE PHONE: (360) 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/12/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP A/G 120 GAL PROPANE TANK, FIREPLACE INSERT AND COOK
STOVE, GAS PIPING
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
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 Floodplain
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 KAS 10/25/04 67939
Total: $48.00
• ti
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 #: BLD04-00674 Received Date 10/25/2004
SITE ADDRESS: 170 PINECREST DR Issue Date 10/25/2004
PORT TOWNSEND, 98368
APPLICANT: RICHARD E CROSTON PHONE: (360) 379-4142
REBECCA A CROSTON
170 PINECREST DR
PORT TOWNSEND WA 98368 378
SUBDIVISION: KALA POINT#6 Block: Lot:
PARCEL NUMBER: 965000210 Section: 27 Township: 30N Ranpe: 01W
CONTRACTOR: SUBURBAN PROPANE PHONE: (360) 385-5096
P O BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/12/2005
OWNER, RICHARD E CROSTON PHONE: (360) 379-4142
if different: REBECCA A CROSTON
170 PINECREST DR
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: A/G 120 GAL PROPANE TANK, FIREPLACE INSERT AND COOK
STOVE, GAS PIPING
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 10/25/2005.
REQUIRED INSPECTIONS:
Tank/Line/Appliance: So P� 1 /9xt-ay
FinalApproval: 9L9 'to vie\ /4(l , < 1�1�1•G�1
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.
10/25/2004 14:07 36038 15 KELLEY sHIEL INC PAGE 03
r_ 1 . -J JO wvD1 JEFF CO DC;� PAGE 02
% JEFF RSON COUNTY
N
`i OEPA*TMENT OF COMMUNITY DEVELOPMENT
821 Sheridan Street• Port Townsend •Washington 98368
4, 360/379-4450 • 360/379-4451 Fix
�9,�. w'ww. o.Jefferson.wa.us/comntdevaloprnent
Master Permit Application
MLA:
Protect Description(include separate sheets as nets - �-
•
Tax Panel
Number: _5 -C/f -c2 / 0 Property /� ,r�
`! 70r 0i3O ,L.T _ acres/, uquare feet
Site Address and/or Directions to Property: �_ �, ►r I IL'
Property her(e)of Record: 'let C. r~d - .
Mailing 2inaeg: email:_ .
S 4i- 2
Applf nt(If different from owner)ie/ � r
T.I.phon :i i Fax: , —
Maiiia. �/ ii 5//1,1
emali: ` J o/
What kind of Permit?(Check each box that applies)-
- -
❑ Building C Verlenoe(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(s),C(d),or C)"
❑ single ramify Discretionary"D"or Unnamed Use Classificetaor,
Gorse*
Attached
ed/ G Special Use(Essential Public Feelfkies)"*
❑ Modular 0 Boundary Line Adjustment
Commen ial* r Slices Pert r'
❑Change of Use 0Binding Site Plan'*
n Address �Long Piet�
o Road Approach - ti Punned Rural Residential Development(PRROyAmendrrments"
Propane ❑Plat Vacation/Alteration"
C Mewed-yes-Use Conalstiency Analysis 0 Shoreline Master P ..
❑ Stbrmwater Merregem ant rt>flnam ExomptiarVPerml►Reevisiana
C Site Plan Approval Advance t]eterminetion(SPAAD)* 0 ShoreSholine M nagem Management Variance
agement Develeprrr,sot
U Temporary Use G Comprehensive Plan/UDC/Land Use
DistrMap Amendment
CI Wireless Telecommunication munication• Q Jefferson County Shoreline Master P mAmendment
0 Forst Practices Act/Release of Six-Year Moratorium
.P : .Oen 0O,111brerea. •.
Please Identify any other local,state or federal a �rMM �-- ---.
permits required for this propose!, If known:
' I hereby designate, ( BIQItATIf i(�F AOpNT —
to act as my agent in matters relating to this application for perrnh(e),
OWNER SIGNATURE _
- -- Y_ _____ bate:
qy signing this application fonts.the owner/agent attests that the Information provided herein,and In any attachmends,is true end correc.t to the best of
his,her or We knowedpe. Any materiel taisehood or any omission Of a metertel sect made by the owner/agent with reapers to this application pareet
may resat in this permit being nil and void.
I further agree to save,Indemnity and hold harmless Jdteracxt County against all Nobilities,judgments•coup ctmts.reasonable attorneys fees and
ekpenaaa which may in any way apprys against Jefferson County es a result of or in conlierpuence of the granting of this Permit
I further acme to provide access and right of entry to Jefferson County and Its employees,rrprsoentatives or agents for the Pole purpose of appilcation review ard seetnequiatd later inspections,Moms e right of entry b this property Shall be requested and steel!ocour only during rag r
hrs.
sig4ature: I /?k. `5
7,e anion or actions Applicant wet undertake as a resort of the issuance of this permit may negatively Impact upon one or mum threatened or
endangered species and toted lead to a potential"take`of an endangered species as those terms ere defined In the Worse law known as the
"Endanger Speaiae Act'or"ESA,"Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has ad will net violate the ESA Any Indlvinuel,group or agency can file a lawsuit on behalf of an endangered spades rags ding your
arution(e)oven if u In compliance wl e Jeffersc County development cogs.The Applicant acknowledges that hi,she or de individual
and non-lean ab epon dinky m en mplying with the ESA. The Applicant has read tills disclaim ands tits it below.
S�gnetur ' Dear
—
G:\Pcy+naCee4x\T^Olthr5\DM PC).RNS\M a r r F)a lhit Application 7-3-04.doe
10/25/2004 16:22 3603115 KELLEY sHIELDINC PAGE 03
''.0/25/2J J4 13:29 3EAPLI451 JEFF CU DCD PAGE 03
fV.PMMI,
Minim ra ncosnt 3TATEMCNT
The signer of thlr statement does hereby certify that they are the O eners of the par el referenced heroin,tat they are not licensed cen
they vat he essumt►e the tesponsibiity of tho General Contractor for the proposed project. tracexs and that
sror"tu _ _... corn
S GeNeFYY�CO�TM.P9 OReMANuFArr!ratio HOVE INSTALLER IFS
CoNTRACTcpr a LxegNee - WAINs / 1
Nur.IBER: NtltrrNR
AtrcttrrttCVENCoh v New ( — ) Oak
!Mut*Moore & - -.----
Project Type: Frame ypa: roars: +
❑ New //oral no: Type of plapo"� ;
Q Wood Existing: 0 Sower
G Addition CI Steel Proposed: 0 lern
CotnmeeltY 6ya
0 AlterationlRentodel C] Concrete Tom: Height 0 Indlvh hied system
0 Repair C Demolition 0 Other.ry Bedrooms: -- ___ Water SEP 8uppply.
Existing: Setback: V Private well D Two Party
Type of Heat; Proposed:
Total:
____. _, 0 Punic
- - Name of Syetam:
itthl l —
Nuamber of Peddrig Spaces: Current_ _ Pero posed: Number of 8DB Piing Sp ces
Number of oocupfint (includes owners.tenants,employees,ate) Current Proposed
,BC Occupancy: I8C Type of r atttx ton: WM you have Food Service? Yea / No
if this bi•-Emma and/or•Apatlanca lnshrl4 on earmlt mark fl( ,,,may urn that a Qjy,
C Underground Tame s ground Tank Size cif Proptene Tunic (' l' 4
f tit Stove � Stove Q Woodatove Firepinoe invert 0 Hot Water Tank ❑ Pellet Novo n Other
is this oeolittrice)Vino inetallad to a Mahufecturafl/Mobile Hornet Yoe / No
When applying A,r a permit M Instal!a propane tank you must also submit a ate plan showing all of the baslklingst,all p up.rty
lJ mea. tank/*cedla and size,distances from rho pmapana link fo all pmperly Hiatt,bulk nos and sap&sYalem canponerifs.
lncluoing the reserve area,
Squad Foote. o r s r�� icF wZ a Yq r .L
--�- 4 ' r 3 of c1 e "'e '1'+t(� M b�77 l r,+ Ile S�'.4;11£ i,kV.,r,•.
E mean '.. Pro r.• • . .. r�J r� ". a �' K. f`' k1 c Sr,N41t"�.Y"•i tF;.f , a+.l ei !�a!y, h t °. xi
6 Main Floor A,,: x: n ; ' ' NF, T-'(.�' ��s L •jr°fr t aa�" , L la✓ - Li r ,!!Y !p }'r Tip�`,� r,, le; 1.4
F Ail -µ 9r z• � �"RTvk' t" �� 1
I 2 Fi00: ,
-`i•R l� -ri: •1+L r •, ,,, ? Jt ma4l yt4 it
b 's. rli
i•+6 h t
." 4� '7F3rw•15_ P100r j 4 } 1 ti� 1rr •S i i ., r
•
•
c;to
leit < ti— _ t A - ,lc:�uti + a„ ' i � ' !Mouonlne ° 3 1 " � 6^• 1.k. i : i! 'f tkii 4!Q +I LM1. "�' .1.I rMr si . c, . N ," it` " •'' n w f: aaaT' 11,41A r i u�i tf .i 4L.M „..ielt9C Basemen! � Ni! ! . tt • !7r(�im "a r Y s "a � r r ¢[tLC + !� 4 ' elkx - r le, 'IPP iesh,./." L do 4. :, _ iam Unheated 3Ea®rront � �,. y I 7r 1 4{ � ,* + rf ,^¢ 4 E � 1,4 r� .!A / , r . kl,„- . � - ,,. t 1 ',4fi '� 2r 44 ,�7ttr� iw'5 f�4~ V r FY i
•
•
rL ...t„.,«�-.
ULGr i 4eMed f t �. ly} nL k a ¢ ° r !k � Fk, w;`t. r .. Ys tu . },,:74 !f `tr - ' 14 , ,
•
• , !} r1°emigre/Carpost r <ri0Fp.'} # .,"« 'rr6It' 4 �7o & F 'Pt', e„ hL � ,- • ` � R i S ,� Z ti___«
CS
Dec Other -,.,-...r_.....�...�._......r, �♦ r ,4 .. " ,!s'. ' 1'Nri i n• a - „t7"�f n ' t L 'S,,T !r'1.5.
v.
E':5f1MAT1�B CQ4'i7(REQUIRED) — t,• : "' a v. +.*"It r •• V 1 'it"43.t 1r° {It:;.,v ,e a r::
I QUIRED .,: ' .tom' 4 kt"o .,ti .!!uF a�+3,w� eft 2`1 ,m Fa"ra..7
X � 491.41 r� trn-r�L, /M ��
.P*markat r sj:.11V 11 b ' +�''( " 1 r} t °J♦S�.er
vahag or'af!terror end rnarrrr6Na MltndBNote b Redact ',
,!'. -k a�i i+ ,'hl' � er(.-y 1 O !;� pa-t�:.�• -t 1, !x'�Y+�7ArAr jT.r
rlE'..,,...,�--...-- „ r.. s.,k�. 6` <.s,in'nr, fvjrss 7 ;•
O:\ArsnveCptarx\FOR.NN\DM.PUPLIutC\/4 ter Pe mt AppL.L.don 7•11o4.dc
10/25/2004 16:00 36038' 15 KELLEY SHIELD NC PAGE 02
w / 200'
•41(
A _
C T ,
Prim's+d Pewits Per T.P0Z A.
s,%
cue ca m, n N;. � •
'\\
1
71, .
55' �f 70'
w%WtI:V.1 ¢bwr<:,
} �\
c f:t.,..
A