HomeMy WebLinkAboutBLD2005-00794 UILDING PERMIT APPLICAN BLD05-00794
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00794 Received Date: 12/30/2005
SITE ADDRESS: 187 LLAMA LN
PORT HADLOCK, 98339
OWNER: JEFFREY GRAHAM PHONE: 541-504-1569
CONNIE GRAHAM
PO BOX 450
TERRE BONNE OR 97760
SUBDIVISION: Block: Lot: T 40
PARCEL NUMBER: 001343040 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: ALL ABOUT GAS INC PHONE: 360-681-5474
970 RIVER RD
SEQUIM WA 98382
Contractor's License MOUNTP198306 Expires 9/26/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr 120 GAL PROP TANK W/ HEAT STOVE, COOK STOVE & HOT WATER
TANK
NO MLA REQ
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:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $49.00 LYK 12/30/05 73838
Total: $49.00
• •
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 #: BLD05-00794 Received Date 12/30/2005
SITE ADDRESS: 187 LLAMA LN Issue Date 12/30/2005
PORT HADLOCK, 98339
APPLICANT: JEFFREY GRAHAM PHONE: 541-504-1569
CONNIE GRAHAM
PO BOX 450
TERRE BONNE OR 97760 T 40
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001343040 Section: 34 Township: 30N Range: 01W
CONTRACTOR: ALL ABOUT GAS INC PHONE: 360-681-5474
970 RIVER RD
SEQUIM WA 98382
Contractor's License MOUNTPI983O6 Expires 9/26/2006
OWNER, AMERICAN EXCHANGE SERVICES INC PHONE:
if different: PO BOX 652
SALEM OR 97308
PROJECT DESCRIPTION: 120 GAL PROP TANK W/ HEAT STOVE, COOK STOVE & HOT
WATER TANK
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 12/30/2006.
REQUIRED INSPECTIONS:
Tank/Line/Appliance: L�/Nra' �?it�C AJiqit/CE5a< 2/5/4,i,
FinalApproval: . -P,ir -(inc../ 011
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
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as�r}:
Tax 0b13 �f30 `Ij
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s :dress undo( 187 � + Lr�rvPmPenYE . �a RT lowus�u ems} SAL?
per' )of E DNN(E G-2t't�-,i _
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e �- e 4s.0 oeeeM�n
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AppScantlAeant#if different front mimed:
T _Fax entail:
Mating Address:
What hind of Porn*?(Check each box that apples) - —
0 Budding C Variance(Maw,Major or Reasonable Eccoomic Use)
0 Dernadon Permit ci Conditional Use[C(n),C(d).or q-
o Slawkl.Famly o Dlatatilionary Tr or Unnamed Use Clash
r(3 kr solved I Detached 0 Special Use(Essenlial Public Facilities)wa
0 Modular Home 0 Boundary tD Lobe At�t rtttett
D Ga mnen**,* 13 Wading Site Plan
0 Change of Use
0 0 Approach .. o limo
..
Rom!Reolderatal Don'elossnerA tat midis"
' U AbwarrY '13,a Cceststancy Anal** ❑Shore ne Master I grunt .
n'$etrtil Revisbne"
❑Sloan Sent D Sttoruine Antertagernent Substantial De MO*`
. 0 Sae Plan Apgrovel Advarint Nittoritiefion fSPA ;* Et Shoreline Management Variance_
T Use
0 Wireless T rr�rrttart itsut* ®fir r�r+u ire awed.fr'id.Map Amendment
[3 Jefferson County Shoreline:Y'+4-7,at PrcvrsiaAmendment
R Forest Practices AdoRelease of Six-Year i..ierathrikan
roads Pre .Cenferettoa — ..Requires a Pre,-.. ppatereti:CfMn4,,Mlig
Please ideniity any other local,tests or federal permits required fo!this proposai,It k-, .irr,
Mt OF AGENT
I hereby designate 1 IM ,L eE . K6 E to stir as my agent Ors Mallen relating to Ibis Liparcaticelor per7t s).
OWNER SlatattnetE
By eignina We application amtrtarsAgerttatilests that the informatirvi provided herein.and in any attactimeii& b to le the best et
Ws,her csr' IIIIENtedee. Arty=Wall elsehood Bratty crri saion or a reatertai Ind reeds by the owrIefiaMIt:Met tee to this wiac n packet
may mesa ks tie p €being;aaa,uvak#.
s furter Katt 10 low%Indernriti arid kits hattnfess.n6nitisto g Courtyatttairtat ad debilities,luciarnerils.court mats,r asar. j e at arrtey's fens and
espeeves Ni4gth may ka a very nasals wind Jradierwi Vets*as a xeacdl et ar k46oru.equeiiGe.d the srantsna at this pettnit
I lurelvIc Aggt,e V: OODeeS end tight of entry to Jogierson Cate►, and lb employees,repmeereafivoe or agenb tor the sits of
revue end: y That later; Tri'4 it of entry k>ibis properly steak be g regular
application
his. 94t' ,
/ t+►d and shall occur cxuy taring rgQtrtAr ibet;s(tree®
L.....47 SIgnatiure,:
The edict or*Atom Ataliennt with undertake of a result stf II*issuance rites permit may net ab eiy impact upon one or more i 1 ned..•.•••or _
endangered species and 4outd lead too emum.. Wiseroleo erviervey4 speckle as ewe leans are darted in the federei?kw totter as the
'Endangered Species Act-or $A.*Jar son County makes no assurencre to the applicant that the aims gnat v °tf,+ ' '12ken e---ai lle .is
f bee been essuori tide not Notate are ESA. Any InditAdeJal.camp or agenCy can fib a iaMrwit are behalf of an endangered coodetmgetstriP%fox
a s) yrc we tts the Jellerson County development code.The Applicant acitnoveledgestkat he,she or it hokin indriduat
and s-. 5 and comet 4ry atin Eae ESA The Appa:sent has read fiia suns and dates it(view.
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GAPeu0104Sx.tevsri FORMS%wiumtx Prarait Appliakison 74.344a4;
12/27/2065 16:15 3603 794451
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,... PAGE 03
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III Cretan KILMER StAlliEfIENT 41
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they we be easeeing fte,resenrelbak of stve Genent•Ctoitador lot ha pnopueee project
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ARDETECT/Eavalverge: 0
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Protect type: Fraillne 1VPIE
o New a Wood Evitring. _____ 0 Sewer
0 Addition 0 Steel Proposed: _____ Bank 0 Coeurnuney Systein
0 AtberadoniRernodei 0 Concrete Totat _ ____ Height: 0 111rhteittai 4siken o ROPitif 0 Mason
: Pooriii 11 _____
0 Demi/bon 0 Ortier: __ itedreeree:
%ter thipply:
Ealetkg: Setback: El Primes web !:.!. Two Party
Type of Wet — PFDpOlteet —_____ 0 Palk
— Task __ Name&Sweat
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Nurnber of Padang Spek.iee: lAerrine Pt's:taw:fad; _ Number of 606 Perking 5acts:
timber d pot:wanks raraitgles owners,tenants.eroployem,eb;# Curren(_ _ Proposed_ _
IBC Occuraew - _ IBC Typo of corstructbo• _ WM yoll have Food SenAce7 Yto I No
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0 Underground Tank ...ground Tar* size of Propene. MI*: ILO G A-I.-
, Wriisar Stove 11-Cook Stove 0 Woori,dri.,--4 n Felon/ace ineeri eitliot Werter Tort rcit Pule Sb-4.• :', Oitia,
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unee,iiiirrk alocadon and sho4 distances frown She Drown.rank k na po, .fxbfAr iinea,busdrngs and&Lode weber ograspenenti4
IrigiutittoR the niserre atea.
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