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Home My WebLink AboutBLD2007-00089 • 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 #: BLD07-00089 Received Date 3/9/2007 SITE ADDRESS: 82 MASONIC HALL RD Issue Date 3/9/2007 PORT HADLOCK, 98339 APPLICANT: GARY R SMITH PHONE: 385-9579 NILAH K SMITH 82 MASONIC HALL RD PORT HADLOCK WA 983399567 5 SUBDIVISION: OLSON LONG SUB-DIVISION Block: ? Lot: PARCEL NUMBER: 977600005 Section: 2 Township: 29N Range: 01W CONTRACTOR: COOL TEC HVAC PHONE: 253-589-2300 10111 S TACOMA WAY LAKEWOOD WA 98499 OWNER, GARY R SMITH PHONE: 385-9579 if different: NILAH K SMITH 82 MASONIC HALL RD PORT HADLOCK WA 983399567 PROJECT DESCRIPTION: NO MLA REQ'D INSTALLING ELEC HEAT PUMP/ ELEC FURNACE/ ELEC AIR CLEANER 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 3/9/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 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 WILDING PERMIT ReviewAPPLICATION TyN BL Ty089 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00089 Received Date: 3/9/2007 SITE ADDRESS: 82 MASONIC HALL RD PORT HADLOCK, 98339 OWNER: GARY R SMITH PHONE: 385-9579 NILAH K SMITH 82 MASONIC HALL RD PORT HADLOCK WA 983399567 OLSON LONG SUB-DIVISION SUBDIVISION: Block: ? Lot: 5 PARCEL NUMBER: 977600005 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: COOL TEC HVAC PHONE: 253-589-2300 10111 S TACOMA WAY LAKEWOOD WA 98499 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO1, NO MLA REQ'D INSTALLING ELEC HEAT PUMP/ ELEC FURNACE/ ELEC AIR CLEANER 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 $153.00 DJK 03/09/07 87245 Total: $153.00 FROM Ch.imacunl Creek • PHONE NO. 360 379 3803 Mar. 07 2007 03:49PM R k-44,061 \t-I\V P ma0s 21111 0JEFFERSON COUNTY U��`� "r� ' J DEPARTMENT OF COMMUNITY DEVELOPMENT "r%11 ' 521 Sheridan Street• Part Town td• Washington 9E368 .1t •)V 3601379-4450• 360/379-4451 Fax A' wen/,co.jeffemort-wa.uslcommdevelopmant Master Permit Application MLA; Project Description(include separate sheets ao neoessery); Instati Heat Pump/G1EIeC. Furnace/Elec.Air Cleaner t1 Tax nlumherl l �� DU J�J Property • l 1 (acres/square fast) Bite Address and/or Directions to Propesiiy 82 Masonic Hall Rd, Port_ Hadloc WA 98339 - — Property Owner(s)of Record: Smitf,Gary Telephone;36G 0579 Fax!_ ,� email; Meiling Address: saflte as site ApplleantlAgentoif different from owner); Jake Saunders/CoolTeo I1VAC - Telephone;263-589-2300 -Fax:253-58S-2303 email:J�'S c cItecIlc.00m Mailing Address' Sae"t;onhectcxlnfb" -_ — ._ what kind of Permit?(Check each box that applies) plBalding to Variance(Minor,Major or Reasonable Economic Use) 17 Demolition Permit ❑Conditional Use[C(a),CO),tar c]"" Er3ingle Family 0 Dlecretionory"1J"or Unn€rned Use Cleesifioatior' 0 Garage Attached I Detached I3 Special Use(Emmental Public Facilities)" O Manufactured Home l'.:i Boundary Line Adjustment O Modular 13 Short Plat-- O Com nercial* 11 Binding Site Plan" n Change of Use 1J Long Plat" O Address ❑Road Approach lJ Planned Rural Residential Development(PRRDiAmendments*" 0 Propene !7 Plat VaCation/Alteratipn'" ❑Allowed"Yes'Use Consistency Anatyele '7 Shoreline Master Program Exemption/Permit Revlelone O StnrmwaterManagement 7 Shorellne Management Substantial Development" O Site Plan Approval Advance Determination(SPAAD)" 3 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plen/UDCtLond Use District Map Amendment 1:Wireleso Telecommunication" ❑Jefferson County Shoreline Master Program Amendment CI Forest Practices Act/Release of Six-Year Moratorium I:Tree Vegetaion Request " way require a Pre 41 ppUcd?Jan Conference "Requirea APre-Appllcaf►on Cdnlbwries Please Identify any other Iocaj.state or federal permitter required for this proposal,If known: DESIGNATION OF AGENT I hereby deslgnete to art 618 my agent in matters relating to this application for permit*.OWNER SIGNATURE - Date: - .signing this application form.the owr-er/ayydrl at!atlt$that the[Roma-tort provided herein.and In any Grtrachrnents,Is true-and correct to the best or his.her or it's knowledge. Any materiel re ehaod or any omission of a material fact made by the owner/agent with respect to this spoliation packet may result m this permit being null and void. i further agree to save,Indemnify and hold harmless Jefferson County against all liabilities,judgments,court costa,reaeellab1e attorney's fees and euponaos Mien may in arty way accrue against Jefferson county as a result of or in consequence of the grunting of this permit. 1 i further agree to provide access and right of entry to Jefferson County end its employees.reprsasntativeG Cr agents for the sole purpose Of apglication E review end any r4guired later Inspections, Staffs access and right of enwv will be*$ Lead unless The auplicent informs the County In vrritlrta at the I time;of the emanation ttet ho or she nia r notice. +} �f .,, Sigrature Data: S '.Te action or actions App nt will undertake as a result of the Issuance of this permit may negatively teasel upon one or mare threatened or endangered species and ould lead fa a.potential"take"of an endengerety species as those terms are defined In the leperai law known as the °Endangered Speciee Act'Or"ESA".tetferton County in MOM no assurances to the applicant that the actions that will be undertaken because title permit has been issued Will not violate the ESA.- Arty individual,group Or agency can file a 1swauit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson county development code,The Appticant acknowledges that no,one at it holds individual end non-trennfe)bie responsibility for adhe' o end sompi'in with the ESA. ''he Applicant nss read his dlscl9 tar and signs and dates it below, lL. Signature; 6 � 4_ Date: ti "^ 7 -07 • C!\Doeumcnzt end Scrooge\c s1\Lt.ca1 S4ttirtye,Tarnpoery'Intcrnct riles\C1 Klid\Mt set Fianur Applicednn 12-10-20f11,2rc 711/TO '.-1 MI-I ng1lllD Ea€ SESESZ DE:VI L90Z/L9/E13 • BUILDER ST EMENT • .) a j ; � ' � The signer of this stateme oes hereby certify that they are the Owners of the parcel enced herein,that they are n' =• ��on -c ors antitrra they will be assuming the respo ility of the General Contractor for the proposed project.Signature: Date: MAR 0 9 2007 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: '` +t4� ��*� i,,��" CoolTec HVAC (253 ) 589-2300 MAILING ADDRESS: Will S.Tacoma Way D-2 Lakewood WA 98499 EMAIL: JakeS@cooltecllc.com ra CONTRACTOR'S LICENSE WAINS NUMBER: COOLTHA949D4 NUMBER ARCHITECT/ENGINEER: 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 Two Party Type of Heat: Proposed: Public Electric 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: ❑Underground Tank ❑Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert ❑Hot Water Tank 0 Pellet Stove ❑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: 2"d Floor Heated Consistency Review: Other Heated Base fee: 51 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: $ 1 53.00 Receipt Number: Oi a Lt+ Cash/Check Number: 1 ESTIMATED COST(REQUIRED) Date: 1 .Fair market value of all labor and materials foundation to finish Initials: (k) 9-.) v..))6__ C:ADocuments and Settings\caral\Local Settings\1'emporary Internet Files\O1,KRG\'Master Permit Application 12-19-20116.doc S3 S 1 -- -.3 op (Gifc) )-S 3 5 ?1- 43o3 (69k) &A o f N cu5 - -11EACEV) 1 A04,4 MAR 13111 06S166° „ ,,, t: E- <- ,_.,, ?2,— T , .—). os — r ei*AgDE IC d CAM 66 I N FP.U ` of /4oc'55 TO/TO 39Vd 017 =1000 E0EZ68565Z 0T:60 L00Z/60/E0