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Home My WebLink AboutBLD2006-00470 • • 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 #: BLD06-00470 Received Date 8/16/2006 SITE ADDRESS: 290 COLMAN DR Issue Date 8/16/2006 PORT TOWNSEND, 98368 APPLICANT: JACK D SALMON PHONE: 360-379-9342 CAROLYN W SALMON 290 COLMAN DR PORT TOWNSEND WA 98368 26 SUBDIVISION: CAPE GEORGE COLONY DIV 7 Block: 14 Lot: PARCEL NUMBER: 939601425 Section: 13 Township: 30N Range: 02W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, JACK D SALMON PHONE: 360-379-9342 if different: CAROLYN W SALMON 290 COLMAN DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: RELOCATE A/G 95 GAL PROP TANK 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 8/16/2007. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 8'l27o 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 APPLICATION BL v Reviewiew T Ty470 ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00470 Received Date: 8/16/2006 SITE ADDRESS: 290 COLMAN DR PORT TOWNSEND, 98368 OWNER: JACK D SALMON PHONE: 360-379-9342 CAROLYN W SALMON 290 COLMAN DR PORT TOWNSEND WA 98368 CAPE GEORGE COLONY DIV 7 SUBDIVISION: Block: 14 Lot: 26 PARCEL NUMBER: 939601425 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr RELOCATE A/G 95 GAL PROP TANK 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: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routin. D te: Type Amount Paid Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $51.00 LYK 08/16/06 83878 Total: $51.00 1 4110 IA 4,.1Soiv cot JEFFERSON COUNTY \ W ' ay. A DEPARTMENT OF COMMUNITY DEVELOPMENT C c ri\\ - - j-:?2 '+V '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax „ 6. �p www.co.jefferson.wa.us/commdevelopment IIINC Master Permit Application MLA: l,6 iv\. LA Project Description(in Jude separate sheets as necessary): P''L/ofraf� i r0iA4Ne 1454/v# Tax Parcel q q / OL- 4 o'5- Property Number: (o )) Size: (acres/square feet) Site Address and/or Directions to Property: a/ O 6-t9//r,9N 'Pr (C/>T�e 4,org.e) Property Owner(s)of Record: J 1- / o Telephone: (3h0) 37y-f3e/ ._ Fax: email: ,t;e Mailing Address: y1 0Ir1 A.lkl be /0, %ow,vyeAi WV g2-74 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: W at kind of Permit?(Check each box that ap Building v -"`\` , ❑Variance(Minor,Major or Reasonable Economic Use) I i Demolition Permit ( ❑Conditional Use[C(a),C(d),or C]** d Single Family 1A ❑Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Deta n (t 'i`' 9 3 � ❑Special Use(Essential Public Facilities)** ❑Manufactured Home ., Boundary Line Adjustment E]Modular k ^c\\ l Short Plat** Q Commercial* t,1�.A ' ❑Binding Site Plan** Q Change of Use , ;. ,��\: 0Long Plat** 0 Address i Road Apor6M tlPlanned Rural Residential Development(PRRD)/Amendments** JEd Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment DWireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment OForest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees,representatives or agents for the sole purpose of application review and any required later inspections. Sta ccess and right of entry will be assumed unless the applicant informs the County in writing at the time of the a licafon hat /(*she wants prio notice. J/ J Signature: "yypit —� J w <�l Date:�w /1 0 6 The action'or actions Applicant will undertake as a result of tNe issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in com fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans rable re onsi. i or adhering to complying with the ESA. he pplicant has read this disclaimernd signs and dates it below. Signature: ` Date:aij H ..Z 610 D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin the re opsibility of therGeneral Contractor r tJe proposed project. , 1. �Signature: A te: —4/— °CI GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑Sewer ❑ Addition 0 Steel Proposed: Bank ❑Community System ❑ Alteration/Remodel 0 Concrete Total: Height: cl Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: 0 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 0 Underground Tank tikAbove ground Tank Size of Propane Tank: °Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank CI Pellet Stove p Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: S"'6 Other Heated Base fee: I d Mezzanine Additional Section: Heated Basement - Plan Check fee: •Unheated Basement ' State Surcharge fee: Other Unheated - Pot Water Review fee: Garage/Carport SUBTOTAL Decks 1 911/Rd Approach fee: Other ( r TOTAL: $ ")(co_S-0 Receipt Number: 3 Q -23 Cash/Check Number: v /a3f ESTIMATED COST(REQUIRED) Date: / _� .Fair market value of all labor and materials foundation to finish �_/(fJ ‘ Initials:-. 1 D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc / / --1.-0 ,---) c‘ c-z—C ct. Z M \? -t \1 1 , r‘. 0 1 t I . -- . ,...,- rNE m 4. . -›. -,.., --- ....r) -.3 _ ------- ----7-> 7-7 -o --1- 11-----6- c.-- - .. m -z. --) 15 . --r_ -...1-- ,ky k— h -t (.,• —>t, --,c--- I-, -.,'---- - ---- --i----- .." 3,/ 1 --- r - .....ez: m Z > ctk. . \ ' S. --c---) e /1.-• ON 0 -",..73 cr• ,. 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