The URL can be used to link to this page

Home My WebLink AboutBLD2007-00045 • • 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 #: BLD07-00045 Received Date 2/9/2007 SITE ADDRESS: 191 OTTO ST Issue Date 2/9/2007 PORT TOWNSEND, 98368 APPLICANT: EAGLE COAST LLC PHONE: 344-3233 2023 E SIMS WAY#346 PORT TOWNSEND WA 983686905 4 SUBDIVISION: SPERRY/SLATER SHORT PLAT Block: Lot: PARCEL NUMBER: 001212028 Section: 21 Township: 30N Range: 01W CONTRACTOR: SUBURBAN PROPANE PHONE: (360) 377-7647 351 CHICO WAY NW BREMERTON WA 98312 Contractor's License SUBURPL044DA Expires 3(/1gp)2/2007 6756 OWNER, EAGLE COAST LLC PHONE: 344-3233 if different: 2023 E SIMS WAY#346 PORT TOWNSEND WA 983686905 PROJECT DESCRIPTION: NO MLA REQ'D INSTALLING A/G 250 GAL PROPANE TANK TO POWER BACK-UP GENERATOR 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 2/9/2008. REQUIRED INSPECTIONS: • Tank/Line/Appliance:l.( - _/)�/'7 FinalApproval: t—s7/6/d J 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 GILDING PERMIT APPLICAAN BLD07-00045 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00045 Received Date: 2/9/2007 SITE ADDRESS: 191 OTTO ST PORT TOWNSEND, 98368 OWNER: EAGLE COAST LLC PHONE: 344-3233 2023 E SIMS WAY#346 PORT TOWNSEND WA 983686905 SPERRY/SLATER SHORT PLAT SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 001212028 Section: 21 Township: 30 N Range: 01 W CONTRACTOR: SUBURBAN PROPANE PHONE: (360) 377-7647 351 CHICO WAY NW BREMERTON WA 98312 Contractor's License SUBURPL0.44DA Expires 3/12/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NO MLA REQ'D INSTALLING A/G 250 GAL PROPANE TANK TO POWER BACK-UP GENERATOR 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.00 DJK 02/09/07 87215 Total: $153.00 7.,:c..C) JEFFERSO UNTY `�\��\�(1011� I �0 II — LI .i0.71'?..N.06 'y A DEPARTMENT OF COMMUNITY DEVE PgNT (t-D 4 "4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ' '/ ". 4,./s p�' www.co.jefferson.wa.us/commdevelopment ' UNIV in �rFE��UN�U Master Permit Application MLA: IQ Y\I\L\-\ �1(e C, Project Description(include separate sheets as necessary): .�1X)Si A0fi13Y1 CDC Q` 2-Sri 5o L PiOj `\t5 "fib wer' 1C -4 p _ Tax Parcel /� n o/-� Property Number: 00 l 1j o( Size: . r4-5 acreskquare feet) Site Address and/or Directions to Property: Hi ate' j e ',} ,' �GL�sc a�W F ` .a3(.9_. Property Owner(s)of Record: P C Grk`cr* I .L r - Telephone: QC • •7l oZ?? Fax: 5(9O• 3 -,• 332,- email:0,1(1116 [CLri soilieu,w- • Mailing Address: ,9(;2--, c• S+•mb wCua - 3`�� ,{7O TOV.S , jP 18 �d Applicant/Agent(if different from owner): U Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building i Variance(Minor, Major or Reasonable Economic Use) 1 Demolition Permit I Conditional Use[C(a), C(d), or C]** I Single Family I Discretionary"D"or Unnamed Use Classification i Garage Attached/Detached I Special Use(Essential Public Facilities)** Manufactured Home I Boundary Line Adjustment Modular I Short Plat** I Commercial* I Binding Site Plan** I Change of Use I Long Plat** Address I Road Approach I Planned Rural Residential Development(PRRD)/Amendments** :'Propane I Plat Vacation/Alteration** Allowed"Yes"Use Consistency Analysis i Shoreline Master Program Exemption/Permit Revisions** I Stormwater Management 1 Shoreline Management Substantial Development** i Site Plan Approval Advance Determination (SPAAD)* I Shoreline Management Variance I Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless telecommunication* I Jefferson County Shoreline Master Program Amendment I 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: 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 wi I be assumed unless the applicant informs the County in writing at the time of the applicationli/ that he or sh wantsts�prior notice. / Signature: ,tnr /4(1� 71j Date: a �0-6-7 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-transferable responsibility r ad ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: is iJ � �'f- Date: 6O\ p77 ,:qOJ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: S al-t AARAINn i, ,,•;` ( ) ( ) MAILING ADDRESS: /SS, c(L. ,_3_ w�/ 3f��""" ' 1 EMAIL: CONTRACTOR'S LICENSE �-+�� WAINS NUMBER: S 1.J u\\ Q 1.-. Dya OP NUMBER ARCHITECT/ENGINEER: l 1 PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,New ❑ Wood Existing: ❑ 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 i 1 Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: 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: 1 U• nderground Tank 4 o` Above ground Tank Size of Propane Tank: S C c��lo� i Heat Stove I Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Sto'e 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 Bld App Review: 2rd Floor Heated Consistency Review: Other Heated Base fee: lp Gs — _ Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 13 Decks �� 911/Rd Approach fee: Tet-‘181‘ OthRt4TOTAL. $ 1 s-- _, f EB 0 9 NV Receipt Number: ( ;.'-) a( 5 ap,� Cash/Check Number: 5 ESTIM k ► % �` >( �IY ED�,'�1 Date: �7� .Fair ma . '•r:I labor and materials foundation to finish -- `"1 ' i�1 Initials: \C- G:\PcrmitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc • CV BI‘fl VA) R\" Lc) I VOW I co tke Li 1 . ! 43 n U O N o (n C (. C O N M F in N - N O O I <V co Nr a) LIT as(o — a_ Q 0) a c Y m US Y I.- 0 io CO O o x a. ao - d Co / / .,o-.o L fa d IDE: •0 0_ 0 J m N — - ( n r m a)X N / / ,A-.Ol N M X W 0 / x -o m c ^ CO a) 1- o � N d m On C U o O ac.d O J M >1 a y a) > Q L N Ci „s-,z Reserve Area a 0 O