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Home My WebLink AboutBLD2007-00087 • • 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 #: BLD07-00087 „ �� Received Date 3/7/2007 SITE ADDRESS: 195 AIRPORT RD Q�d� E 3-- Issue Date 3/7/2007 PORT TOWNSEND, 98368 APPLICANT: STEPHEN GOODWIN PHONE: 360-509-2112 1224 32ND ST PORT TOWNSEND WA 983684815 SUBDIVISION: A HANGAR CONDOMINIUM AT J C I Block: Lot: PARCEL NUMBER: 956300101 Section: 33 Township: 30N Range: 01W CONTRACTOR: C H S INC PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CHSIN**9790Z Expires 9/7/2008 OWNER, STEPHEN GOODWIN PHONE: 360-509-2112 if different: 1224 32ND ST PORT TOWNSEND WA 983684815 PROJECT DESCRIPTION: NO MLA REQ'D REPLACING TWO 50 GAL BOTTLES WITH AN A/G 250 GAL PROPANE 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 3R/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance 77 45 C /(%7 FinalApproval: 3/i7 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 •UILDING PERMIT APPLICAT N B Review 00087 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00087 Received Date: 3/7/2007 SITE ADDRESS: 195 AIRPORT RD PORT TOWNSEND, 98368 OWNER: STEPHEN GOODWIN PHONE: 360-509-2112 1224 32ND ST PORT TOWNSEND WA 983684815 A HANGAR CONDOMINIUM AT J C I SUBDIVISION: Block: Lot: PARCEL NUMBER: 956300101 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: C H S INC PHONE: (360)732-4585 PO BOX 518 AUBURN WA 98071-0518 Contractor's License CHSIN*"9790Z Expires 9/7/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NO MLA REQ'D REPLACING TWO 50 GAL BOTTLES WITH AN A/G 250 GAL PROPANE 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: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.00 DJK 03/07/07 87237 Total: $153.00 �' r ()N„r, 4 .off JEFFERSUIUNTY • f;-()) 0 ? 4COMMUNITYW DEPARTMENT OF DEVELOPMENT ~' ' `-4 621 Sheridan Street • Port Townse: ih 1 �jo0 C 360/379-4450 • 360/379-4451 Fax 11 ��p$ www.co.jefferson.wa.us/commdevelopment merit �S Norco GZ t wit< 0 7 2007 \ Master Permit Application A: Oo �1\LIB Y-�Q e, Project Description (include separate sheets as necessary): M1Nt UIU1 Ob �'; ��; max _ > ;..) ,a'cZ s- C iJ -V Tax Parcel j•�• Property ;6, �_ Number: `1 — >UU (0� I Size: /� e: `10 X 50 (acres/square feet) Site Address and/or Directions to Property: • Z C.�-1_, 1\s-cp-nr- -17 (E)441--- Property Owner(s)of Record: .1)WI -PtF-OK____ Telephone: 31:70 •SQQe) ' 2.(%2_ Fax: "3eo 6,11 62-5-Z email: j \ r,1 171i'v0S tC611/4110 ,it( Mailing Address: \ 7 S4 ) )- VY1C -.›F0W V9 - c•-+ S Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: `W at kind of Permit? (Check each box that applies Building CI Variance (Minor, Major or Reasonable Economic Use) Demolition Permit 0 Conditional Use[C(a), C(d),or C]** El Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** El Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** 0 Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment El Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment El Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *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 applic tion for permit(s). 41 OWNER SIGNATURE e-------"--_------ Date: 1� ? By signing this application fo ,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 to inspections. Staffs access and right of entry will'De assumed unless the applicant informs the Co ty in writing at the time of the application th or she wants prior notice. . ' Signature: --—- _ _ . Date: C)(..) The action or actio Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered speci s 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 coin iance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsib. ty for adhering to and complying with the ESA. The Applicant has read this disclaim and si s and dates it below. Signature: Date: ( / 1 ( 111 111 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc IIII,—. BUILDER STATEMENT i—_ill, I "``( r. V f L) , The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are`not li sed contractors they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: ° ::' `7 0 1/ 7 2007 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: (HONE:) L�It�/�J\�pt�,J'ONI��EI1 C v\eX C (f�LLLf'f 11J �MY U U MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL ❑ oject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 1 I Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 1-1 Private well ❑ Two Party Type of Heat: Proposed: 11 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: i Underground Tank�(Above ground Tank Size of Propane Tank: 9-5 0 \ Heat Stove i Cook Stove I Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove rither 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: 2nd Floor Heated Consistency Review: Other Heated Base fee: I o 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: $ I S 2 . 0 0 Receipt Number: '$ - a 3J Cash/Check Number: ()oS O l -i ESTIMATED COST(REQUIRED) Date: O� .Fair market value of all labor and materials foundation to finish l Initials: \C G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 O __--c , m � 1 z 3 i i xi n rr 7 • I i 1 1 1 m I a v v 7 N EXII )V c.3 i 1 ,� . '. F. i ,i v .-.7t, 7 m L S _i al m cR\' 5 r .4--xp t----—,..„ ,1) F z D m q v m ! to �, lo c 3 CO 00 73 -o m O Z 73 m a 7 ,-,— -----)Y-- • G.) -p j-- 7-i_____ F. ‘3 ili ,_., * t * 4.---'' .4 P,i A 73 •Li t ........1 % 0 S, T