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Home My WebLink AboutBLD2004-00769 litUILDING PERMIT APPLICASN B RD04-00769 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00769 Received Date: 12/7/2004 SITE ADDRESS: 20 MAPLE LN PORT LUDLOW, 98365 OWNER: WILLIAM B STREAM PHONE: (360) 437-9226 LOIS F STREAM PO BOX 65193 PORT LUDLOW WA 98365-0193 SUBDIVISION: NORTH LUDLOW BEACH Block: Lot: 9+ PARCEL NUMBER: 976500008 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO1, U/G 500 GAL PROPANE TANK, 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: 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 By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 KAS 12/07/04 68788 Total: $48.00 . • SITE VISIT REPORT (PLOT PLAN) JOB /`l )1G0/3% // / DATE : ///7 4% . CONTACT: . ADDRESS PHONE #: . DIRECTIONS FAX #: . Email . PLANNER: '7),¢ . /Ve0 T'l a i pi flovise- .v. rcre7(e , if��d11� eC6S1 1211#/ 1�(I, ! Pc loci{e . 'X rls75 cssrih c7 ,4 ,_ ��--7 -4 real ?Ilk / c4i fc%Lt r _ -� / pct/l o d h.. -r5 r I. E __ . - - - O' IP‘rl. . ,„. --- ----1 Popcm, I c6kcrt4e `IBC, 5-CO \ z 1 ._\._ \ i ig tier- ��ioe 4� c%•7?� j 71Ir7sde(- 2 aS, `/1:' C4a &I 1373 • 3 64-(9 ( i i R moe.. trEC — 1 z004 .' 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 #: BLD04-00769 Received Date 12/7/2004 SITE ADDRESS: 20 MAPLE LN Issue Date 12/7/2004 PORT LUDLOW, 98365 APPLICANT: WILLIAM B STREAM PHONE: (360)437-9226 LOIS F STREAM PO BOX 65193 PORT LUDLOW WA 98365-0193 9+ SUBDIVISION: NORTH LUDLOW BEACH Block: Lot: PARCEL NUMBER: 976500008 Section: 4 Township: 28N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2006 OWNER, WILLIAM B STREAM PHONE: (360)437-9226 if different: LOIS F STREAM PO BOX 65193 PORT LUDLOW WA 98365-0193 PROJECT DESCRIPTION: U/G 500 GAL PROPANE TANK, 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 12/07/2005. REQUIRED INSPECTIONS: Tank/Line/Appliance: Li/a J pie , o/o 4' E rLe,e. Cg1s Az-a< 12/0/6 4 FinalApproval: /K 4 r -C r /5/05, 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 JEFFERSON COUNTY COMMUNITY.ELOPIC!!!,'JT,621 SHERIDAN ST.PORT TOWNSEIIA 98368 PH: (360)379-4450 INSTALLATION PERMIT APPLICATION MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION Underground PROPANE TANK* Above Ground PROPANE TANK* SIZE OF PROPANE TANK �E) O HEAT STOVE HOT WATER TANK WOODSTOVE FIREPLApE INSERT PELLET STOVE COOKING STOVE OTHER(Please Specify) Pr v1'"---- Is this appliance (woodstove, htg stove, hot water t ,furnace,etc.) to be installed in a Manufactured/Mobile Home? rU4 YES NO SITE ADDRESS(911#/Road Name): a.)7—- )—ktU-cnw ZIP yCr' (J 9 DIGIT PARCEL ID NUMBER 9 76, r 500 QO Y Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM r _ 7 a APPLICANT eLL 5 h D i S rea..a. � PHONE MAILING ADDRESS PO — ( b J/T ) 13 / - 1_-/.4.10L0 lam' Lt)f` ') 6 'j ZIP PROPERTY OWNER o. - ci_,r �� b L1' � PHONE 0101.1-1-�--c '"---41- MAILING ADDRESS CL,J�1Vj2�C C 6-1--__(1 j ZIP p t7 7CONTRACTOR S t✓t 11 S I--{ I 1 L. )(-G O ("4 f,�_ PHONE ,/' J I / MAILING ADDRESS i U'-)�� L?11 o c i c_.., I J r OC) r itiO L C}c k t k)19 - ZIP `1 e--3 3`I STATE LICENSE# t" S H P (C' C)/ / O i EXP.DATE 1 I/ 416 FEDERAL I.D.# C1 1 ' / 0 7 I ry Sri 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 '` C- ,�� ti, `,7 L11; DATE /pa--/ 7 / G/ FOR OFFICE USE ONLY �� BASE FEE $48.00 RECEIPT# �J�j D CONSISTENCY REVIEW - $24.00 CASH/CK# Z/-(1 TOTAL r L,t,/ DATE is / /2 / 6 4 Propane Tank applications require additional information to be submitted. OVER Please contact our office at 360-379-4450 if the back of this application is blank. G:\PermitCenter\FORMS\BLDG FORMS\install-revised 01-26-04.DOC • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00770 Received Date 12/6/2004 SITE ADDRESS: 306144 HWY 101 Issue Date 01/31/2005 BRINNON, 98320 APPLICANT: GEORGE SICKEL PHONE: (360)796-4550 PO BOX 228 BRINNON WA 98320 SUBDIVISION: Block: Lot: T 19+ PARCEL NUMBER: 602353017 Section: 35 Township: 26 N Range: 02 W CONTRACTOR: PROJECT DESCRIPTION: SIGN: consisting of 5' x 8' foot community sign. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Appr val: Zoning Final Approval: � `////077�� Final/Occupancy Appro (?/OS HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED 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 SPECIAL CONDITIONS APPLY - SEE REVERSE 1 SPECIAL CONDITIONS FOR CA• BLD04-00770 • 1.) The illumination of signs shall be shaded, shielded, or directed so as not to adversely affect surrounding properties or public and private rights-of-way or create a hazard or nuisance to the traveling public, or to surrounding properties. 2.) The total square foot of the sign shall not exceed 64 square feet. 3.) Only one side of a double-faced sign shall be counted when determining total square footage. The square footage of the sign shall be calculated by the outside dimensions necessary to frame the information displayed. 4.) There shall be no more than two (2) on-premise free standing or projecting signs or combination thereof. 5.) Signs attached to or painted against the structure to which it relates shall not be computed as part of the overall total square footage or number. 6.) All signs shall be continuously maintained. Signs that present a hazard shall be subject to abatement. 7.) 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. 8.) No sign or part thereof shall consist of rotating, revolving, or moving parts; consist of banners, streamers, or spinners; or involve flashing, blinking, or alternating lights. 9.) 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. 10.) The Department of Transportation (DOT), Bill Mauerman, has stated in an email dated January 24, 2005 that DOT did approve a sign location within the DOT right-of-way. The approved location is US-101 south bound adjacent to the Brinnon otel/senior center. The representative for the sign, George Sickel, also has a written OK, via email, for this location with the understanding that if his location choice changes we (DOT) must inspect the new location first to determine the proper clear zone and/or any other concerns there may be. 11.) Free-standing signs shall include measures to restrict vehicles from passing beneath them. 12.) Signs shall be incorporated into the landscaping of the site when landscaping is provided. I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999 . _ . . . • 0 I. - - ---- _ . —--- —- - --—-1 •,- ' [9 -q.iriTI Di 1410PliDi F, fl---k 11-I VAIA 00111 1:11N641011:71g ' ' °' ' '''' 2 3s— ... k 26' 3 P.9 g if. DI f .1 .. , ..... • i'e . n 0 f: t; 'ft f'Z' ii ''' tOOZ 9 — 030 . , ., .„ 54' 2 .r, . 9.; .... m• e ti r., . —=••• ,.' F -- EF: • (7 Pi 13 --,;: :;'• F i R '.. k I • 1- x II ,.: • ‘.. '''..44it,. i 11 .,, f 0 11. 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