The URL can be used to link to this page

Home My WebLink AboutBLD2008-00238 • • 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 #: BLD08-00238 Received Date 6/3/2008 SITE ADDRESS: 55 TERRACE DR Issue Date 6/3/2008 PORT TOWNSEND, 98368 APPLICANT: SUNSHINE PROPANE PHONE: (360) 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 16+ SUBDIVISION: KALA TERRACE Block: Lot: PARCEL NUMBER: 965900016 Section: 26 Township: 30N Range: 01W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 pl 3g5 Contractor's License SUNSHP*077QP Expires 11/((33 67/2008-5875 OWNER, JAMES G QUANDT PHONE: (360) 385-0567 if different: CHARLENE M QUANDT 55 TERRACE DR PORT TOWNSEND WA 98368-9567 PROJECT DESCRIPTION: RELOCATE A/G 120 GAL PROPANE TANK AND GAS PIPING 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 6/3/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: I FinalApproval/- (p" ro 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 IRUILDING PERMIT APPLICA N B RD08 00238 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00238 Received Date: 6/3/2008 SITE ADDRESS: 55 TERRACE DR PORT TOWNSEND, 98368 OWNER: JAMES G QUANDT PHONE: (360) 385-0567 CHARLENE M QUANDT 55 TERRACE DR PORT TOWNSEND WA 98368-9567 KALA TERRACE SUBDIVISION: Block: Lot: 16+ PARCEL NUMBER: 965900016 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2008 REPRESENTATIVE: SUNSHINE PROPANE PHONE: (360) 385-5797 10853 RHODY DR (360) 385-5875 PORT HADLOCK WA 98339 PROJECT DESCRIPTION RELOCATE A/G 120 GAL PROPANE TANK AND GAS PIPING 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: Type Amount Paid By: Date: Receipt: •` { E C) Propane Tanks/Stoves $105.00 KAS 06/03/08 '100236 Total: $105.00 JUN 3 2008 Jefferson County Planning & Building Department ' , SITE VISIT REPORT • (PLOT PLAN) JOB 1 m `d— (/ LE 11 OT DATE : a� �6 . CONTACT: ADDRESS --TFRRAcz T—,3 33 PHONE #: DIRECTIONS �K�� i�-�) FAX #: Email PLANNER: U3 A 1° ytaA NbW P1 3/1/ Iti°k Li PO L014 JUN - 3 2008 V JEFEEPEN CCU'd Lit (;:i0.1V-?, JEFFERSO 'COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT14 ` 621 Sheridan Street • Port Townsend •Washington 98368 j[� 1f��n� ., -� 360/379-4450 • 360/379-4451 Fax , �Li i �i� �siim rta www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: JUN - $ Project Description(include separate sheets as necessary): Tax Parcel / - C Property Number: 7o 3 900 0 _ Size: (a •res/square feet) Site Address and/or Directions to Property: p, - S� L�il�`!.0.Ct� Q/'. r / (,�Gam. / Property Owner(s)of Record: Ni/., Q K cut. d f Telephone: *3 8S- o 6 7 - Fax: email: Mailing Address: o Applicant/Agent(if different from owner): S(NS N I N E 1)Ro ?A N E Telephone: 395'571 7 Fax: 38S-S87S email: (NFcY Sun's/4 njE proP:41-7e. Mailing Address: I OS53 RHOpy D(2• / j1. E-(Ft0 Lock ()R- 9 8331 `,Dr", 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]*" ❑ Single Family 0 Garage Attached i 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 ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** )ropane ❑ 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 Amer.!anent ❑ 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 DESIGNATION OF AGENT \ I hereby designate 6141,1s NI NE P�(� � to ac my agent in matters relating to this application for permit(s). `(WNER SIGNATURE (Date: I O/3/ By signing this applicati rm,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 review and any required later inspections. Staffs acce nd right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatil that he or she wa s prior noti . gnatur 6/3/� e� `I 6Date:\� The action or a Ors Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered sp- ies 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 S, 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 velopment code.The Applicant acknowledges that he,she or it holds individual � and non- ansferabl responsibility for herig to an complying with the ESA. The Applicant has read this disclaimer an igns and dates it below. ign Sature: Date: zA G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc X/$6,5 ) • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: SON$i1 iNt; P2D pane (360) 323S- 5797 ( 36o) 385-5875 MAILING ADDRESS: )o853 }}-Qo y fl�iV e_ AI-I� EMAIL: I n foP,SUv1s}I(ve pro P e 6 Cpm CONTRACTOR'S LICENSE n !1 WAINS NUMBER: uv1SN P7 0 7'7 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 ❑ Other: Bedrooms: Water Supply: Existing: Setback: Type of Heat: Proposed: ❑ Private well 0 Two Party 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: Numbr:r 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 Pro ane Tank and/or Ap liance Installation permit,mark all items below that apply: I Underground Tank Above ground Tank Size of Propane Tank: /�-0 I Heat Stove I Cook Stove Woodstove t Fireplace Insert I Hot Water Tank I Pellet Stov- I Other -' ' if'- _, Is this appliance being installed in a Manufactured/Mobile Home? Yes / No (J 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 I Current Proposed For Office,Use Only , Amount Revision Main Floor Heated EH Bld App Review: 2n0 Floor Heated . 1:- A �-4 Consistency Review: Other Heated Le( 1+"� s ;,• n Base fee: robin Mezzanine M r a - �_C' _� } r Additional Secti n: Heated Basement JUN 3 2008 ` A'`-"" " ` l,;0„a-1 Q, Plan Check fee: Unheated Basement - * ,rr` 294 ' State Surcharge fee: Other Unheated '0 3E `: Pot Water Review fee: Garage/Carport t - SUBTOTAL Decks ,, 1 �' 911/Rd Approach fee: Other TOTAL: $ 1.05.CL) Receipt Number: I U O / Y " Cash/Check Number: 1 tD ESTIMATED COST(REQUIRED) Date: lSO •Fair market value of all labor and materials foundation to finish CO el Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc