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HomeMy WebLinkAboutBLD2007-00275 • • 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 #: BLD07-00275 Received Date 5/25/2007 SITE ADDRESS: 179 GALLOWAY LN Issue Date 5/31/2007 BRINNON, 98320 APPLICANT: CHARLES D GILMORE PHONE: (360) 796-4030 GLORIANN D GILMORE 179 GALLOWAY LN BRINNON WA 98320-9769 TX 13 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601182010 Section: 18 Township: 26N Range: 01W CONTRACTOR: WESCO PHONE: (206) 378-6649 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2007 OWNER, CHARLES D GILMORE PHONE: (360) 796-4030 if different: GLORIANN D GILMORE 179 GALLOWAY LN BRINNON WA 98320-9769 PROJECT DESCRIPTION: INSTALL 16 KW GENERAC GENERATOR AND 70' GAS PIPING TO EXISTING 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 5/31/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance'• (a- 7-0l FinalApproval: (O a7 07 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 IRJILDING PERMIT APPLICATIt N BLD07-00275 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00275 Received Date: 5/25/2007 SITE ADDRESS: 179 GALLOWAY LN BRINNON, 98320 OWNER: CHARLES D GILMORE PHONE: (360) 796-4030 GLORIANN D GILMORE 179 GALLOWAY LN BRINNON WA 98320-9769 SUBDIVISION: Block: Lot: TX 13 PARCEL NUMBER: 601182010 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: WESCO PHONE: (206) 378-6649 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES9710B Expires 9/2/2007 REPRESENTATIVE: NW PERMIT INC PHONE: (360) 945-2787 1345 GULF RD (360) 945-2091 POINT ROBERTS WA 98281 PROJECT DESCRIPTION INSTALL 16 KW GENERAC GENERATOR AND 70' GAS PIPING TO EXISTING 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 Propane Tanks/Stoves $102.00 KAS 05/25/07 90000 Total: $102.00 05/22/2007 16: 45 3603794451 JEFF CO PERMITCENTER PAGE 02/03 OJ—GG— 07 14 59 FROM- • T-208 P0102/003 F-349 '', JEFFERSON COUNTY l._�a , ( I�) f'` DEPARTMENT OF COMMUNITY DEVELOPMENT VA I +A 1►�s J 621 Sheridan Street Port Townsend Washington 98388 W 11 41111 , 360/379-4450 360/379-*1+i51 Fax 1�( 2 � f ij r I t" rifill4 �.q 619 www,co.Jefterson.wa.us/commdevelopment Master Permit Application ONO, .i001' ni .. Project Description(Include separate sheets as neee938ry): Install 18 KW Generac Generator and 70'f)as piping Tax Parcel 601182010 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 179 Galloway Lane, Brinnon WA 98320 Property Ownnrlta)of Record: Charles Gilmore Telephone:360-796-4030 Fax: email: Mailing Address: 179 Galloway Lenp armors WA 953320 Appticsrt'Agent(If difforont from owner): NW Permit ins Telephone:380445-2787 Fax: 360-943-2091 J email; merinwpermtt.00m Mailing Address: 1345 Gulf Rood,Point Roberts WA 98281 What kind of Permit?(Check each box that applies JBullding El Variance(Minor, Major or Reasonable Economic Use) O Demolition Permit 0 Conditional Use j,C(a), C(d),or Cl** L)Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification 0 Manufactured 1-tome 0 Modular 0 Special Use(Essential Public Facilities)" ❑ Commercial* 0 Boundary Line Adjustment O Change of Use 0 Short Plat*• O Address 0 Road Approach 0 Binding Site Plan** O Home&Illness O Cottagelndustry 0 Long Plat" 0 Propane 0 Planned Rural Residential Development(Pees)/Amendments'* ❑Sign 0 Plat VacetionlAiter9tion•" 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 o Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication• 0 Jefferson County Shoreline Master Program Amendment O Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetelon Request 'May require a Pre—Application Contemned "Require*a Pre-Afipllcatlon Conference Please identify any other local,state or federal permits required for this proposal, If known: �7� 4ea71/1',SJ"NATION OF AGENT I hereby designate // /" to act as my agent in matters relating to this application for permit(s). OWNER SION1 L1 MM .77-- Date:,,f o2a 7 By aigning Ihir application form,the owner/agent attests that the information p•ovlded herein,and In Any attachments,is true and corrcot 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 appllcallon packet may result in INS permit being null And void. I further agree to save,Indemnify and hold harmless Jefferson County against till liabilities.Judgments,oourt soon.reasonable attorney's fees and expellent which may In any way Accrue against Jefferson County as a result of or In cos nqunnee Of the granting of this permit, I further agren to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose or application review and any required later Innpectlon.a. Staff a access and right of entry will be assumed unless the applicant informs the County In writing at the lime of the application that he or sng,Wante r notice. M Signature: �c�� Date: .���// The action or actions Appllranf will undertake as a result of the Issuance of thi's permit may negatively impeot upon one or more threatened or endangered species and could lend to n potential"take'of an endangered speciosa an those terms are defined In Iha 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 the 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.ttansferahle responsibility fora Oring toed complying with the ESA. ma Applicant.has read this disclaimer and signs nd rates it below. Signature: „�4_ Date: .-/A7° / C\nrsa+iments and genii"ga\cell\L_nesl Sgrfinpa\Temporary Internet F'dea\OLKM\Melia Permit Application 1219-200641oe 05/22/2007 16: 45 3603794451 JEFF CO PERMITCENTER PAGE 03/03 on-i?-' IV/ 14I:59 FROM- • . T-208 P003/003 F-349 k er Irr(-)Y� euitnrlt ST,4TEMENT / The alpnnr of this etetement doce hereby certlly(het they,are the Ownf(q.of,the parcel referenced herein,that Ihey are not Ileeneed contract'Y::a d that r� tl+ny will bn aMreing the responelblllty f the Gene I Contractor for the eiltriIad proiect. ,c, j;t; signature � OAK:: .29h {` r GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLeR: PHONE: FAX: II +t/I U�///eft? WESCO ( 208)378-6649 ( ) a F 4cr ck+ MAILING Maness: 1800T'horndyke Ave W.Seattle WA 0R199 EMAIL: 2nno Thomdylte Ave W,Setae WA 98190 CONTRACTOR'S LICENSE WAINS NUMBER' WASHIES9710B NUMBER ARCHITECT/FN(;INEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 0.' New Wood Existing: G Sewer C Addition C Steel Proposed: Bank G Community Syt�m 7 Alteration/Remodel -1 Concrete Totnti; Height I Individual System Repair u Masonry SEP Permit# Demolition 0 Other: Bedrooms: Wafter Supply: Existing: Setback: C Private well ' Two Party Type of HeM.: Proposed: El Public TotrA: Name of 3y9tem: if tithe Js a Commercial Project vo rust answer the foliowlnp Number of Parking Spaces: Current: Proposed: Number of A�Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed_ IBC Occupancy: IBC Type of construetlon: Will you have Food Service') e / No his t5 aPrapene Tank aftld(or Appliance InataJa ti_on permit.malt I items_helow that pply_ t1 Underground Tank 0 Above ground Tank Size of Propane Tank 0 Heat Stove 0 Cook Stove O Woodstove 0 Fireptace Insert 0 Hot Water tank O Pellet Stove 0 Other la tills app(Iattee beir_tqinAtelled In a Manuf Lured I Mobile Home? Yes / No When applying fora permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and site,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area, �;:r. ' I �I GI j7l't.r::°.:j !1(' j 1' M i, !,,, ,, tli ttl ' t ,�!� r� t•,!I�I i' s;I,.: ,i,...::,i, III it l;'�ill�;.,�'���Il)�tll 'lt I��,�;} p ih fl�,. TO S dare Foote a Current Pro owed '' 1,,.:=,s,lial 3 'i (t", : 'a1:i Fi@X�q�Btld�IttiF �•,:II,A. Mein Floor Heated • ; R ,,���� }�11: EH E31d App Review. 2''°Floor Heated r .,:,cI I,�tt{,I�_.�.� Consistency Review: Other Heater' e"e tee: Da Q Mezzanine i:l,ti. �1 Additional Section: kifli •.•itI _ Heated Basement ,"' ,,...� ( )fit Plan Check fee; Unheated Basement � State Surcharge fee: $1!'111410 Other Unheated ° `° +ir ig •'�'J� Pot Water Review tee; Oarnge/Carport yy� tf ,:,'-�f, SUBTOTAL I;u,,rZ;l1l' .!I IPI� !�l 1) ,00 Decks �,1�4;!('{"'i-i;�i(l.:il� 911/I�d Approach fee: �,�l�I,il i I, Other 16 KW O n,tmtor to Kweenertner ,I+UI' I TOTAL $ ) ©a- 0 i r�, ' Receipt Number �Ifni '"4?0 ;glJ it Cash/Check Number: _ ESTIMATED COST(REQUIRED) Date; C f�/ •Pair market vphie of nl Loner and materials foundation M Rnrsn ,� �2Ul tC 7 !g Cr) Initials �, C,\r)ocnre�, end Sedtinivi\rrnIALocal Setting\Tamponry intomot DileA\OLK96\Mnerer`ertnit Applloadon t2-I9-2006.Jae. 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F. 300X III 1I. l "" 601073012 1" I AI ' TAX 29 7 601073010 / O EASE �T TAX 27 W/EASE c :S2S48::: MIllig T.- G� SOT. .60'472AQ' '�.\ 265.00' )� f73011 \ 601073007 1] 8 60107 b' X 2�. \ 601073013 TX 21 h SU6J TO EASE, \\\\ �g�a N - 26N — 2.s2 a. v- 5.27 0. \ \ 13 1 e - _4/e' 168' • ,F_.- - _45a - -\\ 170•. 130' / N1 `\ ` 1 \ \ 21.2>cqO.a r, .:J._- / 112d -aF Ii 'y F 458' 70' / / 7. , ,) -. \� / 313' 183' \"i'?) 00' 1 sty\ Z d \ 231.55' �� eo,�awin I \.J 31 tx; w i) 60118200e 14 eo1182ax4 �..rg ' �1 2.2.5 4/ n 00110.1009 y1j \i0i0a 601182010 2 \ WO. 9 I o TAX 13 c 891 0 148' 1\613312.40' 312.40' 1 9' ' ' 441.73' 183.07' \, \/ TAX 14 � No Y I, e0118.1 =2 0.42a 0 / L` us a 708.T1' 163.07' ~ "�/ • ,c311 Jmg �« .611 Z4 N 6ou6zo0t 4 a 1x tt TAX 16 /.00` 0.70 0. 417.27' 48' 2;3.02' 208.71' 380.80' 417.49' b emi63DtD au d T� co+ A®1 S 104.29' 138.42' 801182004 y NW NW (E4-17.42' IN OE 5417.2') t3 014 r: r�, LESS S TAX 23 r TAX 1 + 601182008 - 2.27 0. .. 3.65 0. 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