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Home My WebLink AboutBLD2007-00452 . lik 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 #: BLD07-00452 Received Date 8/14/2007 SITE ADDRESS: 110 SUNSET BLVD Issue Date 8/14/2007 PORT TOWNSEND, 98368 APPLICANT: WESLEY B DICKSON TRUSTEE PHONE: EVELYN A DICKSON TRUSTEE 110 SUNSET BLVD PORT TOWNSEND WA 983688913 2 SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 3 Lot: PARCEL NUMBER: 938100302 Section: 12 Township: 30N Range: 02W CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206-282-4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES971OB Expires 9/2/2009 OWNER, WESLEY B DICKSON TRUSTEE PHONE: if different: EVELYN A DICKSON TRUSTEE 110 SUNSET BLVD PORT TOWNSEND WA 983688913 PROJECT DESCRIPTION: GAS PIPING & 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 8/14/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: U2 'LD D, y— 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 IllBLD07-00452 UILDING PERMIT APPLICAI ON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00452 Received Date: 8/14/2007 SITE ADDRESS: 110 SUNSET BLVD PORT TOWNSEND, 98368 OWNER: WESLEY B DICKSON TRUSTEE PHONE: EVELYN A DICKSON TRUSTEE 110 SUNSET BLVD PORT TOWNSEND WA 983688913 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: 3 Lot: 2 PARCEL NUMBER: 938100302 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: WASHINGTON ENERGY SERVICES CO PHONE: 206 282 4700 2800 THORNDYKE AVE W SEATTLE WA 98199 Contractor's License WASHIES9710B Expires 9/2/2009 REPRESENTATIVE: NORTHWEST PERMIT INC PHONE: 360-945-2787 1345 GULF RD POINT ROBERTS WA 98281 PROJECT DESCRIPTION GAS PIPING & GENERATOR 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: 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: 8 1 m i0� Type Amount Paid By: Date: Receipt: Approved/Date Permit $51.00 CJZ 08/14/07 92965 Total: $51.00 08/10/2007 FRI 14: 25 FAX 206 378 6600 weehington Energy Svice. • 0 0 0 3/0 0 3 W`1 )0 tf\ ►Io Sw►sc.- t310 L E 1 7, q C 66 0 Prio?Gve v i yO10, ---I Hai C --)_Q!-J , • i ‘ ‘ IL, . 1. et.veVezC'OJ ';' I E : 4 I t * . E [r))1 ! y JUL 1 4 2007 III • 7, • 44) O , JEFFERSON COUNTY --- _ u t, f 4 DEPARTMENT OF COMMUNITY DEVELOPMENT !!L ", ` 621 Sheridan Street • Port Townsend •Washington 98368 J U L 1 4 360/379-4450 • 360/379-4451 Fax 2007 p www.co.jefferson.wa.us/commdevelopment { Master Permit Application MLA: Na MLA_Iite C Project Description(include separate sheets as necessary): V Installing a 16KW Generac generator and 25 ' of gas piping at 110 Sunset Blvd Tax Parcel 938100302 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 110 Sunset Blvd, Port Townsend, WA 98368 Property Owner(s)of Record: Wesley Dickson Telephone:360-385-3644 Fax: email: Mailing Address: 110 sunset Blvd,Port Townsend,WA 98368 Applicant/Agent(if different from owner): Melissa CrodalNorthwest Permit Inc Telephone: 360-945-2787 Fax: 360-945-2091 email: melissa@nwpennit.corn Mailing Address: 1345 Gulf Rd,Point Roberts,WA 98281 What kind of Permit?(Check each box that applies ZBuilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d), or C]** p Single Family ❑Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)'"" ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat*" ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments*" ❑ Sign ❑ Plat Vacation/Alteration'"' ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ 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 Northwest Permit Inc to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 3/29/07 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 will be assumed unless the applicant informs the County in writing at the time of the application that'Maras.ants r r otice. i (.-` Signature: Date: l u The action or actions Applicant will and ake 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 response ili for adherin� an complying with the ESA. The Applicant has read this disclaimer a d�signns nd dge,s-itt bgJow. Signature: ! '`�!/ 1-, �L --� Date: ( C `�'-,Y, '•''"v 7 C:\Documents and Settings\carat\Local Settings\T'emporary Internet Files\0LK86\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: WESCO ( 206 )378-6649 ( ) MAILING ADDRESS: 2800 Thomdyke Ave W,Seattle,WA 98199 EMAIL: 2800 Thomdyke Ave W,Seattle,WA 98199 CONTRACTOR'S LICENSE WAINS NUMBER: WASHIES971 OB NUMBER ARCHITECT/ENGINEER: PHONE (206 ) 378-6649 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 Total: Name of System: If this is a Commercial Prolect 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 0 Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove m Otherl6kw generator Is this appliance being installed in a Manufactured I 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: 2n0 Floor Heated Consistency Review: Other Heated Base fee: 5-1 " Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL r— j 00 Decks 911/Rd Approach fee: `� l Other TOTAL: $ J51 ►(3:) Receipt Number: CI `Y�q G Cash/Check Number: I J • 1, 1 ESTIMATED COST(REQUIRED) Date: ,//-1/0 1 •Fair market value of all labor and materials foundation to finish Initials: e2 — - - C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc