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Home My WebLink AboutBLD2007-00440 a 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 #: BLD07-00440 Received Date 8/8/2007 SITE ADDRESS: 32 LEONE CT Issue Date 8/8/2007 PORT LUDLOW, 98365 APPLICANT: ROBERT J CAMERON PHONE: 360-437-8818 JOLENE V CAMERON 32 LEONES CT PORT LUDLOW WA 983658265 SUBDIVISION: GARTEN ESTATES Block: Lot: PARCEL NUMBER: 952900025 Section: 34 Township: 28N Range: 01 E CONTRACTOR: WESTSOUND CHIMNEY SERVICE PHONE: 360 698 4669 8322 BIG BIRD DR SILVERDALE WA 98383 Contractor's License WESTSCS933M6 Expires OWNER, ROBERT J CAMERON PHONE: 360-437-8818 if different: JOLENE V CAMERON 32 LEONES CT PORT LUDLOW WA 983658265 PROJECT DESCRIPTION: NEW WOODSTOVE - NO MLA REQ'D 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 8/8/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance: @Ams-rpVE LIJSTAILATIC OK 16/3/07, FinalApproval: QK --Gt -c"\r1 d t!?/3/d76/ 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 10/29/19c BLD07-00440 ILDING PERMIT APPLICAT�N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00440 Received Date: 8/8/2007 SITE ADDRESS: 32 LEONE CT PORT LUDLOW, 98365 OWNER: ROBERT J CAMERON PHONE: 360-437-8818 JOLENE V CAMERON 32 LEONES CT PORT LUDLOW WA 983658265 GARTEN ESTATES SUBDIVISION: Block: Lot: PARCEL NUMBER: 952900025 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: WESTSOUND CHIMNEY SERVICE PHONE: 360 698 4669 8322 BIG BIRD DR SILVERDALE WA 98383 Contractor's License WESTSCS933M6 Expires REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW WOODSTOVE - NO MLA REQ'D TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2006 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: g iS ar? Type Amount Paid Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $102.00 AMS 08/08/07 93052 Total: $102.00 • • 1 .i�10N1111iI1fGEND NOM 1LGEND 111111�1� IL L❑c1111,f� • BENCH MARK =/1sxSTEP DON11�leWWATER LINE (91111 ,*.� TIGHT LINEN* CLEANCUT 11PERE, PIPE �111 — � Vit11/11111111,�1111111111111 QPUMP CHAMBER111111111�111111j1111i11� CD �1�1***,*f11111111117�111111 SEPTIC TANK o 4004111111 111 11 1 11111 11�.114411�'11,�1111111111I,A1r .— 4 4Pir'1111 111111 111111 1ri .,,.P L co �te 1 111 111111 11 1[-�,yr�li• a� � i c7\ 01111'11 411*11V 1J44r. 1H o ��111.1i1111111111: cb a k111 1111111�..' a� cv A M1Vel _ 51_ _Q_ 0 o u7 Ali, ::-___ _01 4,0;\ ) ..,5----" Lri u -I ---- -:-4. --.' -';:;.-.1-:--:1- -- \\ I AR M cn 5.101 01°---I" �5 IXER�/E 25 o, CV ,�p2 t\,R�R 1,OT' i W t _--- ----)i--___ 1 \ z ox , 06 fl', . .--- \i„, ,,,,.________ , \ \_ I Lu • ,5� �, \ ES N V 1 10� v� G�# \S R .i DESIGNED BY: - P.M.C. O� k,c vi �� Ill. ��O DATE: r p. 4' Z? 08/11/2004 F SCALE: SEWAGE DISPOSAL SYSTEM �� 26486‘o��w 1"=20' AS-BUILT LOT-23 4ss S113 j.,\ DRAWN BY: S/ONAL D.L.S. 32 LEONE COURT EXPIRES 02/05/06 I 1 OF INFORMATION PER ( AS-BUILT • D.O.H.) 3.10 TIME ON DRAWDOWN TIME OFF RESIDUAL PRESSURE DOSE COUNTER /SQUIRT HEIGHT READING 120 sec 4-1/2 Inches 6 hrs. 42" 08/05/2004 110 gallons PUMP MODEL No. HYDROMATIC OP50 (1/2 HP) FLOAT MODEL No. SJE RHOMBUS PANEL MODEL No. SJE RHOMBUS(TYPE-TD) TIMER MODEL No. SJE RHOMBUS(TYPE-TD) SEPTIC TANK: 1000 GAL. PUMP CHAMBER : 1000 GAL. SCREEN : SHROUD FLOAT ARRANGEMENT FROM BTM. OF TANK ( REDUNDANT OFF )----23" ( ON-OFF) 27" (ALARM ) 35" o b3i • �; , STORAGE : 385 GAL. Zb .'/� '� �:1104 ��j�111• 1 •1•�1/1••1:•►j11� 1••1 es* *AN 444 •i**aRii *e11.1•.g4/••11.14 IN/ i 11.11111111*N 111 11 • Rea r ieef .1eireft 1it11�ri** 144.1 4 fitwit 4114/***/**4*******40411114/11*-0; .1•i1.1ii1i111 1. 11 �M► 11 1. 11 111 1 11. 11 114� 11 1a • t** **.11•I1i�►•11.11•ir emit 1.1,�1•�'►- 11 11i e lapror *air sear Ili 1•• 11. ii•11. 1.11•• 1.11i1 1111•• 1i1 1a 1/ es*11 1. 1• 11 11 11 11 1r►- 111.11 .11.111i11i111i•1.111i1io. *Noir 11 11 111 11 111 11 1i• •1�, 4 4,4 4***/**4*****/**4411/4110 111i11ii11i1••i �� •1::�%e�i rite,96, <_ ,,i►;,ram Eiv 0* SPAC -" T -,\ l • C 0 0 40 80 1 inch = 20 ft. r sec- ta:50c��v�� • • . • PATIO 5' X 3' LLL_LLL LLLLLLLL L LLLLLLLLLLLL_L L LLLLLLLLL_LLLL LLLL_LLLLLLLLLL LLLL_L_LLLL L LLLLLLNOok-LLLLL LL_LLL.LLLLL. _LLLLLiz'x 12'-6"LLLLI. LLLL_L-LLLL- _LLLLLLLLLLLLLL LLL Kitchen.LL' _LLLLLLL_LLLLLLL_LLLL-L11'-6"x 12'LLL 00 _LLLLLLL_LLLLLLLLLLLLLLi_L_L_i_ Family __LLLLLLLLL_LLL_LLLLLLL_i_LLLL_LL 15'x19' _LLLLLLLLLLLLLLLLLL_LLLL LLLL __LLLL_LLLLLLLLLL.LLL LLLL _LLLLLLLLLLLLLLLLL' refer _LLLLLLLLLLLLL LLLL _LLLLLLL I _LLLLLLLL _LLLLLLLL . LL L� U _.LLL_LLLLL� L`W/ L_L.LI I I i i_LLLL �_L i2ath' —LLLIPantry_LLLL v, r � �B�_ LLLL LLLL Archway Q O • Livin Garage 19'x17� 20'x 20-6" { I_LL_Li_ LL Entry' LL___ LLLLLLL LLL LLL Parlor LL' L L 11'-6"'x 9.-6" LL r • L • Select New Homes Plan 2949 1st Floor RH \ } , c .) lAllraftino\T•mrdntP,\C,io,r\Q 'lnn0.+.... IAi '•"no in_40.41, inI� • • L (4)16• i 12" Shelf (r) Ire: —sheWes_j--- -- _L..LLLL_I.-Li_I__ I. ; W.I.C. 1 L! I i i l i I l l 14'-6"x 6' M. Bath .LL J Master L.L L_L _L L.L L L % f 12" Shelf 16'x 14' L i_L . l _/�LLL. I r -1_L __i ..L_l L_I_LL. r,c4 LL .L_1 LLLLLL' W> n l (t r`( Bedrm 2 10'-6" x 11'-10" I Sitting Area '1 ale 1611 — . elves y 12" Shelf gr 1 , NY N u( LLL LL L_' L L N . Bedrm 3 c;- J J.L 10'-6"x14' =F. LI � F. -a--by-- .T .__I_LL�_LI Bonus I' ___L l 20'-6"x 18'-6" 10L__Li LLLI 1 „ o 2 Den 11'-erx 10'-6" Select New Homes Plan 2949 2nd Floor RH ;►\ .i;�,,... ¢SoN cod JEFFERSON�UNTY 0 1h11l11 im4.4fa ``A DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax ,qs N� p www.co.jefferson.wa.us/commdeveiopment (( tI it}qc1 1):IdI Master Permit Application MLA: N O t'-. t C.L c-e q ' c) Project Description (include separate sheets as necessary): 0ooJ -13urn‘^9 e_-- Tax Parcel 9 5-02,goo O25 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 3a Leone5 C-+• Ter A- Lkcc low f (,34 q$3(o 5---- Property Owner(s)of`Record: -o�crF -Tole ()pN1eriI Telephone: (31dd)^t37 -$a1% Fax: email: re__4 r%ci:JvC.Q mph eor1 Mailing Address: T.O. ' jpc q43 ChieVekw f we Q$3?5— Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies w❑ ildingm ❑Variance(Minor, Major or Reasonable Economic Use) Deolition Permit 0 Conditional Use[C(a), C(d),or C)** 0 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 ❑ Road Approach 0 Binding Site Plan** O Home Business 0 Cottagelndustry 0 Long Plat** O Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 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 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 attorneys 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 agreerovi acc and righ entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a y requir later ection . affs access and right of entry will be assumed unless the applicant in ormsthe County in writing at the time of the appli a' at he e wa is p for notice. ''7 Signature: Date: The action or actions Applicant will u ertake 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 b:-n issu;d will It violate t - ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)e -n if you re in 1• plianc=wi the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tr:ns :- '`espo`, • ity fo ad -ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: J:�`6.f� �!yt' ,EL.-- Date: 7, 7 07 Nir G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.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: l,j - Saute Okiwine)/ -vices. ( )6,91-4t t/P ( ) MAILING ADDRESS: !j�� "a '�rcL Dc. 5'idera&m !sop,• eilm3 CONTRACTOR'S LICENSE W-AINS NUMBER: tAwSTSC q33M NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: El 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 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 I Above • • •• -nk Size of Propane Tank: Heat Stove Cook Stov- Woodstove Fireplace Insert I Hot Water Tank Pellet Stove Other Is this appliance being instal e• in a anufactured/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: 2n6 Floor Heated Consistency Review: Other Heated Base fee: 1oa 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: $ Receipt Number: OCD� Cash/Check Number: ESTIMATED COST(REQUIRED) Date: czCJ ic2- 10'7 •Fair market value of all labor and materials foundation to finish cc J� Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc