The URL can be used to link to this page

Home My WebLink AboutBLD2007-00562 • • 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 #: BLD07-00562 Received Date 10/29/2007 SITE ADDRESS: 510 W UNCAS RD Issue Date 10/29/2007 PORT TOWNSEND, 98368 APPLICANT: RAYMOND E HUNTER PHONE: 360-379-0584 510 W UNCAS RD PORT TOWNSEND WA 983689358 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234019 Section: 23 Township: 29N Range: 02W CONTRACTOR: EVERWARM INC PHONE: (360) 452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2008 OWNER, RAYMOND E HUNTER PHONE: 360-379-0584 if different: 510 W UNCAS RD PORT TOWNSEND WA 983689358 PROJECT DESCRIPTION: NO MLA REQ'D -WOODSTOVE Directions To Site: 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 10/29/2008. REQUIRED INSPECTIONS: Tank/Line/Appliance: il20,11vve,fZ4144047t k tz / 07 /� ,1 FinalApproval: 17k eir ,,o 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 1 p/29/1 9c BUILDING PERMIT APPLICA•N BRLD07N005562 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00562 Received Date: 10/29/2007 SITE ADDRESS: 510 W UNCAS RD PORT TOWNSEND, 98368 OWNER: RAYMOND E HUNTER PHONE: 360-379-0584 510W UNCAS RD PORT TOWNSEND WA 983689358 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902234019 Section: 23 Township: 29 N Range: 02 W CONTRACTOR: EVERWARM INC PHONE: (360) 452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NO MLA REQ'D - WOODSTOVE 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: l o 1acl 0 Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $102.00 CJZ 10/29/07 93478 Total: $102.00 Mon Output 0 Page of l ArcIMS HTML Viewer Map mxu34o23 , vooumm Legend Selected Features pax431+* -- Boundaries Wakr 9022330v08 wm2261004 ^mm==ved W C"rvry«°*^e�°��um~ FOR INFORMATIONAL PURPOSES ONLY- Jefferson Counh/ dnenncdattesttotheocounaoyofthedataoontainedhereinandmokaonovvonantywith respect to its correctness or validity. Data contained in this map is limited by the method and aoouxooy of its collection. Mon Oct 2Q1O:24:O22OU7 � (40 �� JEFFERSO -OUNYY-,. DEPARTMENT OF COMMUNITY DEVELOPMENT 1 F' " `'C 621 Sheridan Street • Port Townsend •Washington 98368 \4.h .. r> 360/379-4450 • 360/379-4451 Fax qS` NOZ O/ www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description (include separate sheets as necessary): hirtJ 7TA*4.-k• -- LoViliD,c o sT Yt Tax Parcel 90 . 13 4 61 Property . Number: Size: s (acres/square feet) Site Address and/or Directions to Property: 51 D u. S'E sr LPAl .4 S &-� 14t LA-5-4 y Zj -re› /71 sea r '7 — Lc Fr Y V 11z 7t. i 00-r C/}s rZ4J Property Owner(s)of Record: ,/9(/j4 D/•./j7 E t-4UM Telephone: 3(2..6 • 'I-7 c1•.n.S '#ax: email: v' le. Mailing Address: a 1_0 ES}— UA.1 O/Q P l�p 7' 8 e94 eN'EV Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** 0 Commercial* 0 Boundary Line Adjustment 0 Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** .0 Propane t.ja&C,''E 5'p'6%lig— 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 ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ 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 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 provi.: access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requi • ater inspections. Staff' a .ss and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic a/ at he or she wa s .r'A • / Signature: . �4 // • r / - Date: G D Z / b The action or actions Applicant will undertake 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 is d 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 yo are in compliance with the Jeff son County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe le responsibility f adh ' g nd compl "' the ESA. The Applicant has read this diyr,(aimer n igns an dates it below. Signature: ��"6 Date: i' -7- 6 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 Hong E INSTAL PHONE: FAX: £ V E?UZ-vs rci -Vt - P- Nc611.-s- ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# _ O Demolition ❑ Other: Bedrooms: Water Supply: Existing: - Setback: ElPrivate well LiTwo Party Type of Heat: Proposed: Li 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 i Abov un Size of Propane Tank: i Heat Stove 1 Cook Stove Woodstove i eplace Insert I Hot Water Tank i Pellet Stove i Other Is this appliance being inst d 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: P' Floor Heated Consistency Review: Other Heated Base fee: O o^� - Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL G/ I Q . - Decks 911/Rd Approach fee: �f l Other TOTAL: $ Receipt Number: 93` -12 Cash/Check Number: i4- ESTIMATED COST(REQUIRED) Date: 1 �� `/O 'Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc C9 C9 c4 - a O CL O a o U O m J F- W J 1-- E- a X Nd 2-1 0