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Home My WebLink AboutBLD2008-00050 1110 • 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 #: BLD08-00050 Received Date 2/7/2008 SITE ADDRESS: 831 OLELE POINT RD Issue Date 2/7/2008 PORT LUDLOW, 98365 APPLICANT: JOHN KREMER II PHONE: 360-437-2534 ELLEN KREMER 831 OLELE POINT RD PORT LUDLOW WA 983659413 SUBDIVISION: OLELE POINT Block: Lot: PARCEL NUMBER: 977400014 Section: 28 Township: 29N Range: 01E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 pl Contractor's License SUNSHP*077QP Expires 1 1/((33 67/ 3g52008 5875 OWNER, JOHN KREMER II PHONE: 360-437-2534 if different: ELLEN KREMER 831 OLELE POINT RD PORT LUDLOW WA 983659413 PROJECT DESCRIPTION: 2 x 7.5 GAL D.O.T. BOTTLES & COOKSTOVE - NO MLA REQ'D Directions SEE MAP& DIRECTIONS IN FILE 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 2/7/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: /ArrER/lilt 016 fr FinalApproval: ✓�a / 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 ItILDING PERMIT APPLICATON BLD08-00050 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00050 Received Date: 2/7/2008 SITE ADDRESS: 831 OLELE POINT RD PORT LUDLOW, 98365 OWNER: JOHN KREMER II PHONE: 360-437-2534 ELLEN KREMER 831 OLELE POINT RD PORT LUDLOW WA 983659413 OLELE POINT SUBDIVISION: Block: Lot: PARCEL NUMBER: 977400014 Section: 28 Township: 29 N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP 2 x 7.5 GAL D.O.T. BOTTLES & COOKSTOVE - 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: D\1113 Type Amount Paid Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $157.00 AMS 02/07/08 95897 Total: $157.00 • S • SITE VISIT REPORT (PLOT PLAN) JOB Elk-0 14-6721 DATE : /xA g CONTACT: ADDRESS PHONE #: DIRECTIONS FAX #: Email PLANNER:, E C , FL 3 8 7 2008 JFf RSON COUNTY DCu I I ( �I. do °o `IJ Lo Nye (4, /;� ON cor,. JEFFERSOIUNTY • !y 14 DEPARTMENT OF COMMUNITY DEVELOPMENT ` K1 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 9: s0 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: (10 tr Y QC(/C Project Description(include separate sheets as necessary): ie—dix � P-' �, 2 is —cj �- - Parcel (' Pro Property Number: 2 / / OO 07y _ Size: (acres/square feet) Site Address and/or Directions to Property: ?3/_ D/e/( ? . Ag /i LGz-d1� J Jc Property Owner(s)of Record: T E/t/ /r2 -7 - Telephone: '7�53 V - Fax: email: Mailing Addr ss: Sl7`C Applicant/Agent(if different from owner): S u-NS H I N E P Ro PA N E Telephone: 395'5-79 7 Fax: ,32S" SO 7.5— email: INFQ SuA5N/NE Prof4r? . Mailing Address: I t7g53 RH01)y D( • / Pi. Nl9fl Lock [)A- 9 8339 ter), What kind of Permit? (Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑ Singie Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** ropane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use ❑ 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: t designateSu i�S H I NE PR-0 OF AGENT \ I hereby P e_to act as my agent in matters relating to this application for permit(s). �WNER SIGNATURT) c.'l C G L 1 bl Q/1/h-t2 -}L—, ( Date: /` 30 0 6 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 VV review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a plication(Ih or she wants prior notice. ignature ,c Pir 1 Date: /'" }(' C' 5 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 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- ansferable r _pp�pn,�bility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and d tes it below. --I& ure: ) _X / - ��kiz- - ate: (- 3/) G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT • The signer of this statement does hereby^ertifv 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: St/ rA-2H j0L" P2o part /� (360) 3�35- 5797 ( 360) 385-5875 MAILING ADDRESS: )0 85J .\-} 1 coy i U e— P. H. EMAIL: (n O) 1Ay sHR1 pro P e a C oM CONTRACTOR'S LICENSE l WAINS NUMBER: u rlS'14 Pf o 7 7 P P 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 Cl 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:i Underground Tank i Above ground Tank Size of Propane Tank: 0 '. ,Nc77 L-C.. 6,6),_ . i Heat Stove 4 Coo—kk tove; i Woodstove i Fireplace Insert i Hot Water Tank I Pellet Stove Ot er . �/ c 71,z.n Is this appliance being installed in a Manufactured/Mobile Home? Yes / No (l 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 ',. , :_`_, i , „ ,' Main Floor Heated EH Bld App Review: 2'6 Floor Heated Consistency Review: Other Heated Base fee: lv—7_ 1 ,),� Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport t SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ a%7 63 Receipt Number: CJ c0 67 -7 Cash/Check Number: (—lcj 9 ESTIMATED COST(REQUIRED) Date: v •Fair market value of all labor and materials foundation to finish ')\ Initials: COY') G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc