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Home My WebLink AboutBLD2008-0081 • I 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 #: BLD08-00081 Received Date 2/27/2008 SITE ADDRESS: 175 JOLIE WAY Issue Date 2/27/2008 PORT TOWNSEND, 98368 APPLICANT: LANCE RENNIE PHONE: TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 983689009 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071012 Section: 7 Township: 30N Range: 01W CONTRACTOR: EVERWARM INC PHONE: (360) 452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*0E8NL Expires 8/17/2008 OWNER, LANCE RENNIE PHONE: if different: TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 983689009 PROJECT DESCRIPTION: INSTALLING A NEW WOODSTOVE - 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 2/27/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: kid p>,bs` FinalApproval: 3. BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOJRS 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 • BUILDING PERMIT APPLICCION BLD08-00081 Review Type: Jefferson County Department cf Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00081 Received Date: 2/27/2008 SITE ADDRESS: 175 JOLIE WAY PORT TOWNSEND, 98368 OWNER: LANCE RENNIE PHONE: TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 983689009 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071012 Section: 7 Township: 30 N Range: 01 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 INSTALLING A NEW WOODSTOVE - NO MLA REQ'D TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: 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: ( lamIO Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $105.00 AMS 02/27/08 97057 Total: $105.00 K.)-3‘3°14 G1l. %)J 11 jj /o�3 JEFFEN COUNTY • DEPARTM NT OF COMMUNITY DEVELOPMENT FEB 2 7 2008 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax rCp IS L < www.co.jefferson.wa.us/commdevelopment JEFFERSPf FANG Master Permit Application MLA: Project Description(include separate sheets as necessary): T..r, �•-C::_.4.A ,.. r 1 43-- ►-v"...) tnn-.c.1-cic� -.,--.Q_ Tax Parcel001071012 Property 5 Acres /2758 Sq. Ft. Number:: Size: (acres/square feet) Site Address and/or Directions to Property: 175 Jolie Way, Port Townsend, WA 98368 Property Owners)of Record: Lance Rennie&Tracy Rennie Telephone:(360)385-5356 Fax: email: africarennie@yahoo.com Mailing Address: 175 Jolie Way,Port Townsend,WA 98368 Applicant/Agent(if different from owner): N/A Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d), or C]** I 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 0 Road Approach 0 Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat** 8 Propane w oJb s 1 - ,.,CI 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** ❑ 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 provide acc s and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a required lateA pections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap I ion that h: she wants prior notice. Signature: /l i.f. r jL,u�a 1-5-_<y�___., ? ' Date: v Z '2" '2 c S. The action or fictions Appli t nt 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' A."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has en issued will n t iolate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve 'f y u are in cqm iance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans;fe e responl.ibil for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: l l t .4-e,rr�. T T--'L. -1.,- Date: ` 4 f 27 /2 rscD SS f r .. • BUILDER STATEMENT Ill The signer of 's s tement oe hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as u ' g the re pon ibility of the General Contractor for the proposed project. Signature: _ .....,« J 3 -., Z c�., ti_-`, Date: t'L 27 Z61o8 ,. GENERAL CO TRACTOR 0 MANUFACTURED HOME INSTALLER: PHONE: Fax: Everwarm Hearth&Home ( 360)452-3366 (360 )452-3367 MAILING ADDRESS: a_5 7 i t i t4,.3.j ,`,t C_ . P Z,C T ar,I, ,EMAIL: CONTRACTOR'S LICENSE i,.�A 4;1 4,3 L.'L WAINS NUMBER: EVERWI*088NL/Fed I.D.#91-1540709 NUMBER ARCHITECT/ENGINEER: N/A PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Li New 1 Wood Existing: L7 Sewer VI Addition LI Steel Proposed: Bank LI Community System Alteration/Remodel LI Concrete Total: Height: ❑ Individual System Repair L i Masonry SEP Permit# Demolition I I Other: Bedrooms: Water Supply: Existing: Setback: i I Private well 11 Two Party Type of Heat: Proposed: I Public Total: Name of System: if this is a Commercial Proiect you must answer the followina: 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: 0 Underground Tank °Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove m Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / N,6 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 BId App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: ,,,. ins Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL .J Decks 911/Rd Approach fee: Other TOTAL: $ I O 3 ''`'3 Receipt Number: Gj---)`J J`7 $2900 Cash/Check Number: I U CO I ESTIMATED COST(REQUIRED) Date: , � � ',\ V .Fair market value of all labor and materials foundation to finish r� Initials: r 0 • 1 O O c 1 o c� 6 -o o Co b 2 o c co cri I LU - Q E a .0 o c I 1 CO 0 - Co 3 P 2 Q] 1 i'Yr �t I IN a o .2 i r- b 'a , Lb En 0 --) v co .> U- �' En i -0 0 _o in E U L- 2 t� c� .-t- i co co Li i.L. o o � m i � o r- 1 ,C F o C.) 3 i cYi in o = - a o uC RECEIVED o o 4 b- c FEB 272008 0 JEFFERSON COUNTY DCO 6