The URL can be used to link to this page

Home My WebLink AboutBLD2008-00184 ! • 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 #: BLD08-00184 Received Date 5/2/2008 SITE ADDRESS: 396 ARCADIA WEST Issue Date 5/2/2008 PORT TOWNSEND, 98368 APPLICANT: DIANE DI PRETE PHONE: 360-385-6521 396 ARCADIA W PORT TOWNSEND WA 983689615 1 SUBDIVISION: ROBINSON SHORT PLAT Block: Lot: PARCEL NUMBER: 001171026 Section: 17 Township: 30N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, DIANE DI PRETE PHONE: 360-385-6521 if different: 396 ARCADIA W PORT TOWNSEND WA 983689615 PROJECT DESCRIPTION: NEW WOODSTOVE IN EXISTING SHOP Directions SEE DIRECTIONS& MAP 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 5/2/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: le /Lei/ FinalApproval: ,4 ',&5��D l) & 2/116e7/ (ci:.-E lie-nee 9 /, ) OcAg. or � J 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 BLD08-00184 BUILDING PERMIT APPLICAIN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00184 Received Date: 5/2/2008 SITE ADDRESS: 396 ARCADIA WEST PORT TOWNSEND, 98368 OWNER: DIANE DI PRETE PHONE: 360-385-6521 396 ARCADIA W PORT TOWNSEND WA 983689615 ROBINSON SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 001171026 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW WOODSTOVE IN EXISTING SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: WOD 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: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 5--2 Type Amount Paid Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $157.00 LYK 05/02/08 97360 APPROVEDTota Total: $157.00 MAY Z. 2008 PlanningMeson County e • 2 CD C NJ Cs4 1 ›— . -cC 1 1 L ( i r...""'.". .."'"''''........ .... — 1 i . h 'a 4 0 L . 4 8 . D v .•.° . 0 , . d i e...._ , , I --At. 1 i,..__ _ .. gON 00�? JEFFERSO UNTY rti ' IA DEPARTMENT OF COMMUNITY DEVELOPMENT • 1 ~' ` '4 621 Sheridan Street • Port Townsend •Washington 98368 \4„ ...,,JK: D• 360/379-4450 • 360/379-4451 Fax .q4, 0'� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: IJCU MLA. b Proje t p,escription(includ separ to sheets as necessary): Tax'Parcel ` Property Number: COI I I I 02Lr Size: 2 •D (acres/square feet) Site Address and/or Directions to Property: 3 90 f1 vca.ct L.Je S- Property Owner(s)of Record: L1/ evvie° JD l'Pre1e Telephone: 3 gS I S 2-1 Fax: email: Mailing Address: 3/(p itTra .a. (,c.0e' 7 d _ ) Applicant/Agent(if different from owner): & -t_L - K-"--1--t-6( Telephone: `.)C' /- ,3(f)/S Fax: ' / email: Mailing Address: //2-�Z tic "? --/ 'D, —I ;`--1�A1--)ucc is ,: Ilnat kind of Permit?(Check each box that applies uilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 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)** ❑ 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** ❑ 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** ❑ 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 ❑Tree Vegetation 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__zeit;LL.' e-e- Date: 5- ( OE 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 its 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 ap1p lit he hs prior noti /. cSignature: .� C ,trne Date: 527 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-transfer e\respogisibili for ad ring to and omplying with the ESA. The Applicant has read this disclaim nd si n dates it below. Signature: `� L< Date: j y�Q�r G:\PerTlitCenter\###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 as g the spp itatttty of the General C ntractor for the proposed project. Signature: _N `___C.)-4fr>'AA-'(--G"i.,- Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) 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 ❑ Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System O Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type� of Hea • Proposed: ❑ Public /l Ll_OC)V Total: Name of System:PO K1Pt i 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 es / 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: i Heat Stove i Cook Stove Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installe. in - ,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: _ 2�Floor Heated Consistency Review: Other Heated Base fee: I J 7 Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ____—__— Other Unheated Pot Water Review fee: Garage/Carport ,/.1/0 1513C, SUBTOTAL Decks 911/Rd Approach fee: F-k i•i�lY Other �T,LSO ��h TOTAL: $. �r�''7 Ul.� _ . U Receipt Number: '113.00 Cash/Check Number: C- O J ESTIMATED COST(REQUIRED) Date: J �o •Fair market value f all labor and materials foundation to finish !) J/� °� Initials: - 7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc