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Home My WebLink AboutBLD2006-00670 • • 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 #: BLD06-00670 Received Date 11/27/2006 SITE ADDRESS: 271 QUINAULT LOOP Issue Date 11/27/2006 PORT TOWNSEND, 98368 APPLICANT: IMRE J HORVATH PHONE: 379-2716 ROSE MARIE HORVATH 271 QUINAULT LOOP PORT TOWNSEND WA 983689432 27 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 10 Lot: PARCEL NUMBER: 938701025 Section: 13 Township: 30N Range: 02W CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTP193306 Expires 9/26/2008 OWNER, IMRE J HORVATH PHONE: 379-2716 if different: ROSE MARIE HORVATH 271 QUINAULT LOOP PORT TOWNSEND WA 983689432 PROJECT DESCRIPTION: NO MLA REQ'D A/G 120 GAL PROPANE TANK, CHANGING WOODSTOVE TO PROPANE HEAT STOVE 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 11/27/2007. REQUIRED INSPECTIONS: Tank/Line/Appliance:"rikr1'it..: 1AJ`T L1h115 -lt.-g'pG.. FinalApproval: . 12- - IS -Cif," 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 IR ILDING PERMIT APPLICAN BLu06-00670 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Pori: Townsend, WA 98368 PERMIT #: BLD06-00670 Received Date: 11/27/2006 SITE ADDRESS: 271 QUINAULT LOOP PORT TOWNSEND, 98368 OWNER: IMRE J HORVATH PHONE: 379-2716 ROSE MARIE HORVATH 271 QUINAULT LOOP PORT TOWNSEND WA 983689432 CAPE GEORGE COLONY DIV 4 SUBDIVISION: Block: 10 Lot: 27 PARCEL NUMBER: 938701025 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTP198306 Expires 9/26/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NO MLA REQ'D A/G 120 GAL PROPANE TANK, CHANGING WOODSTOVE TO PROPANE HEAT STOVE 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 $51.00 DJK 11/27/06 86828 Total: $51.00 ��''sON 'St D O(�-(1O ��`�' off,, JEFFERSON UNTY �, Iz i� -� (,,j[ � `4,, DEPARTMENT OF COMMUNITY DEVELOPMEI�CL`. .?`� �-t `' i14�� JJ "' ' 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �S, N 0 www.co.jefferson.wa.us/commdevelopment Master Permit Application JErf E�SUI � �i�'il�� \,L� t� w Project Description(include separater sheets as necessary): ��i c,/ cr c ve 9 Ye i,t rid -/-0 n 1C L./3at re, : vi W0Cd Lie.., /C pro lee_ ''Ic L'-',) _ /aL p �fGt-l!o✓1 S I .2� Tax Pa(cel �� / J Property / _ Number: 76 �0-2_�� Size:/6,0CQ S Gc.are- t eet (acres/square fe t) Site Address and/or Directions to Property: 7/ U iL'�9v,--7 o J / t",ot'?7— •� )w;h,•;e'r),� Property Owner(s)of Record: ..r/)) h r_ c,�h c,r ne s-, /L ,c i-h . Telephone: -,O :7 c% v��-7 /(c l`Fax: email: _ Mailing Address: i c a F'- ct S CL 1.1 C';,' Applicant/Agent(if different from owner): Telephone: y—" Fax: email:_ _ Mailing Address: ~� hat kind of Permit?(Check each box that applies) Building I Variance(Minor, Major or Reasonable Economic Use) Demolition Permit 1 Conditional Use[C(a), C(d), or C)** 1 Single Family 1 Discretionary"D"or Unnamed Use Classification I Garage Attached/Detached 1 Special Use(Essential Public Facilities)** ,, I Manufactured Home 1 Boundary Line Adjustment t I Modular 1 Short Plat** 1 Commercial* 1 Binding Site Plan** 1 Change of Use 1 Long Plat** 1 Address 1 Road Approach 1 Planned Rural Residential Development(PRRD)/Amendments** " 4'ropane 1 Plat Vacation/Alteration** Allowed"Yes"Use Consistency Analysis 1 Shoreline Master Program Exemption/Permit Revisions** 1 Stormwater Management 1 Shoreline Management Substantial Development** I Site Plan Approval Advance Determination(SPAAD)* 1 Shoreline Management Variance 1 Temporary Use 1 Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* 1 Jefferson County Shoreline Master Program Amendment 1 Forest 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: I 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he qr a wants pri r notice. Signature: c�¢—e— ` Date: // 7— 0 C' 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 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 compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual /� and non-transfer le responsity for adher' g to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. \A/ Signature: --L tt 'L Date: // — 0 C% / \, i G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc • BUILDER STATEMENT • r 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: i__ GENERAL CONTRACTOR OR MANUFA RED HOME INSTALLER: PHONE: FAX: / -�I�CC rr 7-0 , -yL c34.1'DCe nMAILING ADDRESS: 6.5-• mcz r u YY‘ PC' F) 0EMAIL: CONTRACTOR'S LICENSE �C'�� P4`K. iv/Ic7K�.3 C' WAINS NUMBER: IT / NUMBER ARCHITECT/ENGINEER: . PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ❑ Wood Existing: Li Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Typo of Haat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Protect 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: I Underground Tank--Above ground Tank ,Siz_e of Propane Tank: I.2C1 Z c �/c ) L - Meat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water I Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes No ) 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 Bid App Review: 22 Floor Heated Consistency Review: 25. 50 Other Heated Base fee: 51 . oa Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ --ND • 5 0 Receipt Number: ?3°6 S e`2 Cash/Check Number: ql 3 U ESTIMATED COST(REQUIRED) Date: I I' 2/7'06 •Fair market value of all labor and materials foundation to finish Initials: \� G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc fi10 G_ 0,...,,,„„ . -p �m m cti 3 (i) m -5 3:-, A _...c, it ,..›, -0 ,_ cxt (/) e (-3 ; sji ;0 c) o r...,...4.--- e , i.7._ As, rt- Z _v. oe T o e =...., 0 1 Q / c L o k7 n z" M -I Ztd v II Pr) _ ti o � � 6, cr} __. 6\ o „, ,» 0 • --...,).,__. o 0 ft - ,' r1 rt. O J --I • r m N. -I m r m EN 0 0 0 NZ 1 z t> $ m 0 P. 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