HomeMy WebLinkAboutBLD2006-00401 0 •
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 #: BLD06-00401 Received Date 7/14/2006
SITE ADDRESS: 351 FOXFIELD DR Issue Date 7/14/2006
PORT TOWNSEND, 98368
APPLICANT: JOHN H DONEY III PHONE: 360-385-3896
DONNA MURPHY DONEY
351 FOXFIELD
PORT TOWNSEND WA 98368 116A
SUBDIVISION: KALA POINT#4 Block: Lot:
PARCEL NUMBER: 965000111 Section: 27 Township: 30N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP`077QP Expires 11/17/2006
OWNER, JOHN H DONEY III PHONE: 360-385-3896
if different: DONNA MURPHY DONEY
351 FOXFIELD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: A/G 120 GAL PROP TANK, GAS PIPE & GAS FIREPLACE
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 7/14/2007.
REQUIRED INSPECTIONS:
•
Tank/Line/Appliance: .y- i0 -(e-c.
FinalApproval: jc- IC' r le-DL
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
BLD06-00401
I ILDING PERMIT APPLICATI� Review T
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00401 Received Date: 7/14/2006
SITE ADDRESS: 351 FOXFIELD DR
PORT TOWNSEND, 98368
OWNER: JOHN H DONEY III PHONE: 360-385-3896
DONNA MURPHY DONEY
351 FOXFIELD
PORT TOWNSEND WA 98368 KALA POINT#4
SUBDIVISION Block: Lot: 116A
PARCEL NUMBER: 965000111 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr A/G 120 GAL PROP TANK, GAS PIPE & GAS FIREPLACE
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 IN
e:
1 I 0(.o
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $51.00 LYK 07/14/06 83823
Total: $51.00
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SITE VISIT REPORT
(PLOT PLAN)
JOB --30 ha DOPPA DATE : 4 I zo/°Ca
CONTACT:
ADDRESS PHONE #:
DIRECTIONS KKR\A Q4. FAX #:
Email
PLANNER: �2
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RECEIVED
JUL 14 ?Or
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Jul 14 06 11:08a Townsend Bay Prey Mng __ ......._.... . ..-. ....- 14 360-385-1490/p, j, I ���/�}\p.2
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°N JEFFERSON COUNTY �1/
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l • DEPARTMENT OF COMMUNITY DEVELOPM
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--• ml 621 Sheridan Street • Pod Townsend•Waahirigton 98368
2 '' ° ) l art w s/ level „end JEFFERSO UN1Y OCO
Master Permit Application MLA: MO Mk
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Project Description(include paste sheets 88 necessary): ,
isp v 5_ fri / — 5 Fir "e
Tax P Property Number. 9 4 5". v 0 C.7'/// Size: jacrreslsquare feet)
Site Address and/or Directions to Prvp3rty: f-"/""y r e;e4 PT / b€. Jj j 7//,
Property Owner(s)of Record: (JONnJ 4 pOA)A/A A o Al �'
Telephone: .3 —3 e yG Fax / emaa:
Ma ling Address: 51 ,
Applicant/Agent(If dlffarent from owner); _ sir a,f'. 1././V e ,QOP/i--FJ Q
Telephone: 3 if So 7 7 Fax .P R.5"--s9 75 man: %w Fo f��tt/�hC�/•041A/Q .
MailingAddresa: / eS ) ,ekoo y £) '. -)V//,a(,..D C/c 04, 9, . -3 F Cap
What kind of Permit?(Check each box that apes)
0 Building ❑ Variance(Minor,Major or Reasonable Economic Use)
p Demolition Permit ❑ Conditional Use IC(a), C(d),or Cj"
0 Single Family 0 Discretionary'D'or Unnamed Use Classification
0 Garage Attached/Detached ❑:Spede Use(Essential Public Facilities)"
0 Alsoltfactzed Home 0 IBoundsry Line Adjustment
0 Modular 0 Short Plat"
❑ Commercial• ❑String Site Plan**
0 Change of Use i,Long P'at
0 Address 0 Road Approadi C Planned Rural Residential Development(PRRDYAmondments'"
Plat Vamtion/Aiteration"
0r4ti°wedgy i7
"Yes Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions"
0 Storrrtwater Management 0 Shoreline Management Substantial Development••
0 Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Variance
o Temporary Use 0 Cemprehenshre Plan/1lOCA.end Use District Map Amendment
o Wheres&Telecommunitxanon• 0.Jefferson County Shoreline Master Program Amendment
0 Forest Practices Act/Release of Sic-Year Moratorium
•Ma/require a Pre-.4ppfleallon conference • "Requires n Pre-AppHuuon Conference
Please Identify any other local,state or federal P ermits required for this proposal,if known:
I ' �I SIGMA....111111111 • :cl • ENt -�
orow A .ate:
By signing tide application tom,the ownsr(apent attests that the nnonnallon provided hereln,and In awry attaohmerts.istees and=reet to the best of
his,her or Ire kw/dodge. My mama]falsehood or any omlealon of a mediate)fad made by the cwner/agent with respect to this application packet
may result H Mk Pit betnp null and void.
I further Kites la save,ktdemnrry end hold harmless Jelfemon County against ali est>tNs,judgments,court costs,reasonable attorneys fees and
expenses -. .y In any way accrue against Jefferson County ea a result of or In consequence of the granting of this permit
thither:. " 10. • •e access and ettri cf entry to Jefferson County and as employees,representatives or agents for the Will purpose of application
review a • any • :• rater Inspection.Acuass and try q fy shall be requested and shall occur only during a rareness
�� _.tl+ Does: l 7 ;;06.
..t` The action or actions Applicant will undertake as a result of the issuance of this permit may negatively Impact upon one or more threatened or
endangered species and Cnuld lead toe potential'take'of an enamored spades as twee terms are deened in the federal law knavm as the
'Endangered&petits Jed'or'ESA'Jefrreraon County makes no assurances to the applicant that the actions that will be undertaken because this
< Permit has been Issued will not vialsis the ESA Any individual,moue or agency can file a lawsuit on behalf of an endangered species regarding your
action(a)even If you are In compliance with the Jefferson County beveloprnant code.The Applicant acknowledges that he,she or I t holds Indlvrdual
and non-eaneferable responsibility for adhering yrng wit'i he ESA. The Applicant has read this disc an ins and dates It below.
`7 Date:
o:\Paula \roam\Darr FORM terPemtir Appacarion 7-8-44..nc
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