The URL can be used to link to this page

Home My WebLink AboutBLD2008-00188 • • 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 #: BLD08-00188 Received Date 5/6/2008 SITE ADDRESS: 51 CANDACE RD Issue Date 5/6/2008 PORT HADLOCK, 98339 APPLICANT: HERMAN SCHWEIZER TRTEE PHONE: 360-379-8553 FRANCES SCHWEIZER TRUSTEE 960 HARRIS AVE UNIT 502 BELLINGHAM WA 982257009 SUBDIVISION: CHIMACUM CREEK EST Block: Lot: PARCEL NUMBER: 943600012 Section: 2 Township: 29N Range: 01W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 p Contractor's License SUNSHP*0-77QP Expires 11/((33 67/ 3g52008-5875 OWNER, HERMAN SCHWEIZER TRTEE PHONE: 360-379-8553 if different: FRANCES SCHWEIZER TRUSTEE 960 HARRIS AVE UNIT 502 BELLINGHAM WA 982257009 PROJECT DESCRIPTION: 120 GAL A/G PROP TANK SWAPOUT- NO MLA REQ'D Directions SEE MAP AND 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 5/6/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: -c" -- -`off 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 MILDING PERMIT APPLICATS B RD08-00188 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00188 Received Date: 5/6/2008 SITE ADDRESS: 51 CANDACE RD PORT HADLOCK, 98339 OWNER: HERMAN SCHWEIZER TRTEE PHONE: 360-379-8553 FRANCES SCHWEIZER TRUSTEE 960 HARRIS AVE UNIT 502 BELLINGHAM WA 982257009 CHIMACUM CREEK EST SUBDIVISION: Block: Lot: PARCEL NUMBER: 943600012 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*0-77QP Expires 11/17/2008 REPRESENTATIVE: SUNSHINE PROPANE PHONE: (360) 385-5797 10853 RHODY DR (360) 385-5875 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOr 120 GAL A/G PROP TANK SWAPOUT - 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: 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: 0„,,o --)( CC t.05S Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $52.00 AMS 05/06/08 97440 Total: $52.00 s° o /k , 6 JEFFERSONWUNTY A \q DEPARTMENT OF COMMUNITY DEVELOPMENT "' 621 Sheridan Street • Port Townsend •Washington 98368 N. 360/379-4450 • qs p www.co.jefferson.wa.us/commdevelo360/379-4451Fax pment Master Permit Application MLA: r)0 m to\ r Project Descrip'on (include separate sheets as necessary): 1 / c u— . Tax Parcel C� _ // /-v Property Number: I L 0 -O I Size: (acres/square feet) Site Address and/or Directions to Property: �, � C �/ � 11 c/a- �s G�-t u l I� i Property Owner(s)of Record: / f�/,�_.i e- Telephone: 37/ -- .5� -4 Fax: email: Mailing Address: S -e-- Applicant/Agent(if different from owner): S u-NS H I N E "PRo ?A N E Telephone: 395-57 9 7 Fax: 3 SS-Sa 7.5" email: (IJFt7�Sunlsy 4EPI'-of341-7e. Mailing Address: 102,53 R HOD y D 2• / Pr. NPU I-0Ck Lc)R- 9 833'1 ...D'"' What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic .';e) ❑ 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)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** _❑Home Business 0 Cottagelndustry 0 Long Plat** opane 0 Planned Rural Residential Development(PRRD)/An endments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revit:ins** ❑ Stormwater Management 0 Shoreline Management Substantial Development*' ❑ Site Plan Appro\\al Advance Determination (SPAAD)* ❑ Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map is 'iendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amen;iment ❑ 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: (fit Su iJS I1JE Pilo DESIGNATION OF AGENT I hereby designate H P e...____to act as my agent in matters relating to thi applica ion for permit(s). WNER SIGNATURE - ''\ \� ( Date D r--;- I - 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:'oes and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. ‘f 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 a plication that,he or she wants prctpr no!,.._ ignature .�--�( tea. -,...„ Date: — t The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threaten.,t 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 tie "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this 5, 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-ransferable responsibility for adhering toland complying with the ESA. The Applicant has read this disclaimer and igns a d dates it below. Signature: I \ Date: 1 C) 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 HOME INSTALLER: 't,�,t I 1,C L_ ��O a� PHONE: FAX: [Y� MAILING ADDRESS: p (360) 3 S 5- 5 791 �-7 ( 36 o) 38 5-58 75 085 A3 �}ooY r'v e P. �I. EMAIL: nQ�sU�sl Iie Pry Pane a cor►1 CONTRACTOR'S LICENSE I NUMBER: �1 WAINS L(V1SN P+ a'774 P NUMBER ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE'( ) FAX: ( ) EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: ❑ Addition ❑ Steel Proposed: ❑ Sewer ❑ Alteration/Remodel ❑ Concrete Bank ❑ Community System Total: Height:g ❑ Individual System ❑ Repair ❑ Masonry ❑ Demolition ❑ Other: Bedrooms: SEP Permit# Existing: Setback: Water Supply: ❑ Private well ❑ Two Party Type of Heat: Proposed: Total: ❑ Public 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 IBC Occupancy: IBC Type of construction: Will Proposed you have d If this is a Propane Tank and/or Applianc• nstallation permit,mark all itemss be ow that appov Service? Yes / No I Underground Tank I Above ground Tank Size of Propane Tank: /c--O I Heat Stove I Cook Stove Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I ther Is this appliance being installed in a Manufactured/Mobile Home? Yes / No linesWhen tank lo applying catio fo nr a and permit to installdistances a propanefrom tank you must also submit a site plan showing all of the buildings,all property , size, the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage I k▪ . x L 'A ; F .� k 9 Current Proposed F,or OfficetUse Ohly� >, ,,, g�cr -,r, : '�? ° 'Amountl,,,k ."RQ i b Main Floor Heated �.� f EH Bld App Review: 2"°Floor Heated " "� *�,�4.• ` ,. Consistency Review: Other Heated : Base fee: Mezzanine ,_> rX Additional Section: Heated Basement -- y Plan Check fee: Unheated Basement p State Surcharge fee: Other Unheated 4 Pot Water Review fee: ti Garage/Carport i _ — -- SUBTOTAL Decks r 911/Rd Approach fee: Other TOTAL: $ �,3 Receipt Number: G1.1 y "l 'l 0 Cash/Check Number: ESTIMATED COST(REQUIRED) 3 Date: •Fair market value of all labor and materials foundation to finish s1 Initials: 1 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc