The URL can be used to link to this page

Home My WebLink AboutBLD2008-00304 N 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 #: BLD08-00304 Received Date 7/9/2008 SITE ADDRESS: 32 QUEETS PL Issue Date 7/9/2008 PORT TOWNSEND, 98368 APPLICANT: DONALD J LEE TRUSTEE PHONE: 360-379-4828 CAROLYN J LEE TRUSTEE 32 QUEETS PL PORT TOWNSEND WA 983689430 34 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 10 Lot: PARCEL NUMBER: 938701032 Section: 13 Township: 30N Range: 02W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 9/7/2009 OWNER, DONALD J LEE TRUSTEE PHONE: 360-379-4828 if different: CAROLYN J LEE TRUSTEE 32 QUEETS PL PORT TOWNSEND WA 983689430 PROJECT DESCRIPTION: ADDITION LuIOFIA CASED COIL TO EXISTING 500 GAL A/G PROP Directions SEE MAP AND DIRTb�i1UN�TI�Rj �1NE - NO MLA REQ'D 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 7/9/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: 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 • BLD08-00304 ItILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00304 Received Date: 7/9/2008 SITE ADDRESS: 32 QUEETS PL PORT TOWNSEND, 98368 OWNER: DONALD J LEE TRUSTEE PHONE: 360-379-4828 CAROLYN J LEE TRUSTEE 32 QUEETS PL PORT TOWNSEND WA 983689430 CAPE GEORGE COLONY DIV 4 SUBDIVISION: Block: 10 Lot: 34 PARCEL NUMBER: 938701032 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 3/3/2008 REPRESENTATIVE: ALL WEATHER HEATING AND COOLING PHONE: 360-452-9813 302 KEMP STREET PORT ANGELES WA 98362 PROJECT DESCRIPTION ADDITION OF A CASED COIL. TO EXISTING 500 GAL A/G PROP TANK & FURNACE - 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: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: /— (1a C� Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $105.00 AMS 07/09/08 100523 Total: $105.00 jiti Tim i. 11_ •• 4w�`S ON c0t,. JEFFERScOUNTY • �Jr) 'al �' ! S, 1' DEPARTMENT OF COMMUNITY DEVELOPMENT JUL 0 �^ 1-3 ' '.4 621 Sheridan Street• Port Townsend • Washington 98368 2W� 360/379-4450 • 360/379-4451 Fax Irrr I 1r111 Is O www.co.jefferson.wa.us/commdevelopment �Jrr SQN COUNT YUlO� Master Permit Application MLA: no ''Y I Cc_ redL 4 Project Description(include separate sheets as necessary): ' Tax Parcel �` \O3� Property Number: "1 )vi U Size: (acres/square feet) Site Address and/or Directions to Property: -; 7 cWeet QL 0Ce / Par\TcwnSf, d1 WA °S (nt) Property Owner(s)of Record: Deo,CA\(\. I .ee Telephone: -;( -Z,'1 ei - y`t)gj.t Fax: email: Mailing Address: Zi, Q\J e e t Pi(i ( , Pc MOO cv►S e v, (A 11 q 'It.3Cv rib Applicant/Agent(if different from owner): A \ (/v Q(A rn e V 1-W41-I nc) t; (ix,1 ti 6' Telephone: ZCo(?-Lit-3 Z- -it\3 Fax: z,I ,O-U S Z-5 fl_I email:Q((A,'h( 6 C t 4 pert. co Wl Mailing Address:?1(17_ 6 inn 'St • cbry //).�f (Al (� O/ r5Co7 3hat kind of Permit?(Check each box that applies 1 (4 wilding ❑Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit ❑Conditional Use[C(a),C(d),or Cl** ❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑Short Plat** 0 Address ❑Road Approach ❑Binding Site Plan** 0 Home Business ❑Cottagelndustry ❑ Long Plat** ❑ Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration*" ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identi any other local,state r federal permits required for this proposal, if known: L 61 1 C,rk '7 L i -t-Stolk-- \vl( DESIGNATION OF AGENT I hereby designat I jo act as myagent in matters relatingto this application for ermit s 9 PP l',�,P,� ( ) OWNER SIGNATURE / Date: J4'le& d alYZ-9 nC 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 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 app'Qatio that he or she w prior notice Signature: Date:_ (- -0 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-trap erable respon ibility f adherin to an c plying with the ESA. The Applicant has read this disclaimer and signs and ates it below. Signature: Date: 69 4—(-_/) C:\Documents and Settings\caral\local Settings\Temporary Internet Files\O1.K86\Master l'ennit Application 12-19-2006.doc r • • BU ILDER 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: Ni NeMY)€— 'CMnC1 (On1r1C) (3 A )LiCii, f 13 (za) 4KLSiI1 MAILING ADDRESS: 3'7 I/ t,n^ St• EMAIL: CONTRACTOR'S LICENSE w� 1 (J�w�1�L`1�9m O�i NUMBER: 1 r ' {� WAINS "1 ✓ U 1euo RC tj) NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: r! Sewer Addition Steel Proposed: Bank ;I Community System Alteration/Remodel H i Concrete Total: Height: i Repair Mason g i Individual System I i Demolition Masonry Bedrooms: SEP Permit# Other: Water Supply: Existing: Setback: i Private well i i Two Party Type of Heat: Proposed: Public 1 (- VU1VIp Total: Name of System: If this is a Commercial Proiect 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 thh�at//a-�p/�lv: �t fin'/ ❑Underground Tank &bove ground Tank Size of Propane Tank: `J�1 gckMY\%k k>c�5fi1'C ,mil`' IF-tf ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove j&pther acka1 1c f,�,,�n Is this appliance being installed in a Manufactured/Mobile Home? Yes / No (c .ekCot CAW r When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property tU/16 l((C{ 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: Mezzanine 110 5-cc Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL } Decks !0 " 911/Rd Approach fee: Other TOTAL: $ 1 0 5 Receipt Number: ,�•�,� Cash/Check Number: r1�` � ESTIMATED COST(REQUIRED) '� � Date: Fair market value of all labor and materials foundation to finish .-71 1 kn Initials: 1 (::\Documents and Settings\caral\Local Settings\Temporary Internet Files\O1.K86\Master Permit Application 12-19-2006.doc 06/06/2008 11:25 3603794451 JEFF CO PERMITCE F_R PAGE 04/06 a •c) . •,� ,• 1 r- `" .. i r I \ l.• i\s„: r �• ' L ' J � ! ;� L J Cd �. / 1 �- • bd aLI:OI 20 170 unr 06/06/2008 11:25 3603794451 JEFF CO PERMITCE ER PAGE 05/06 • ✓ / rF��, 488 s.. /14 • i 111n O I r� r { It . 5 d EeLL:C6 $O b0 unr