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Home My WebLink AboutBLD2008-00319 • • 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 #: BLD08-00319 Received Date 7/17/2008 SITE ADDRESS: HOOD WAY Issue Date 7/24/2008 PORT LUDLOW, 98365 APPLICANT: K AUSTIN KERR PHONE: (360) 437-7152 RITA B KERR PO BOX 65084 PORT LUDLOW WA 98365 SUBDIVISION: THE ADMIRALTY Block: Lot: PARCEL NUMBER: 990300121 Section: 9 Township: 28N Range: 01E CONTRACTOR: CUSTOM HEARTH PHONE: (360) 373-1332 3301 WEST HWY 16 PORT ORCHARD WA 98366 Contractor's License CUSTOH*9520K Expires 9/12/2009 OWNER, K AUSTIN KERR PHONE: (360)437-7152 if different: RITA B KERR PO BOX 65084 PORT LUDLOW WA 98365 kerr.6(a osu.edu PROJECT DESCRIPTION: _1RETTPllLALLCWE 40 YEAREgA ��OEELD WOOD STOVE WITH A SMALL MODERN Directions SEE GOOGLE MAI�XIVDIDYYPP 'IQNT91TFILE 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 7/24/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: Id 4a< 0/0-4, FinalApproval: C� -per 441 OP/6—g, 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 ILDING PERMIT APPLICA1N BLD08-00319 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00319 Received Date: 7/17/2008 SITE ADDRESS: HOOD WAY PORT LUDLOW, 98365 OWNER: K AUSTIN KERR PHONE: (360)437-7152 RITA B KERR PO BOX 65084 PORT LUDLOW WA 98365 THE ADMIRALTY SUBDIVISION: Block: Lot: PARCEL NUMBER: 990300121 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: CUSTOM HEARTH PHONE: (360) 373-1332 3301 WEST HWY 16 PORT ORCHARD WA 98366 Contractor's License CUSTOH*9520K Expires 9/12/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE 40 YEAR OLD WOOD STOVE WITH A SMALL MODERN JOTUL WOOD STOVE 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: 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 Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $52.00 KAS 07/17/08 100570 Total: $52.00 11 • �G JEFFERSON COUNTY', DEPARTMENT OF COMMUNITY DBIMOlavaN2008 LC. ` I ow hut- • 621 Sheridan Street • Port Townsend • Washington 98368 4 360/379-4450 • 360/379-4451 FaX t t ) >> ,� www.co.jefferson.wa.us/commcgl Itilp06 !MINI U.L,U Master Permit Application MLA: Project Description(include separate sheets as necessary): replace 40 year old wood stove with a small modern Jotul wood stove Tax Parcel p Property Number: 9Q6 3 0O / 9 99 9.o soo la/ Size: (acres/square feet) Site Address and/or Directions to Property: I xioob w/3-y 13 7 p a R 7—_Z.. u AG v &.) Property Owner(s)of Record: K.Austin and Rita B.Kerr Telephone:360-437-7152 Fax: email: kerr.6@osu.edu Mailing Address: Po Box 65084 Port Ludlow Wa 98365 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ 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** ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑ 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 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 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application tha e or she wants prior notice. Signature: Date: I <,1 y/ .210v6— 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-transferable responsibility or adhering to and complying with the ESA. The Applicant has read this disclaim9r and signs and dates it below. Signature: Ss I ay -r'5j � Date: / ) Ji/' (,: I�„cuu ivnl and Sig Ln,'- rer,11 I SC1111u' I an I u,Aml HI C II,186 Alaul'r Prnnil.Appin,m..ni 12 10 2'11,6.,1.n- • • �.� BUILDER STATEMENT R 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. AL 1+ 7 2008 Signature: Date: I GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: CL2Si O,tl N 4R7-dl ( ) Jk-IBSOU COUNTY ULi MAILING ADDRESS: /� �c �j/(. '� 3os EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (a O) 8-/y gj(S// FAX:( ) MAILING ADDRESS: POOL$ IS lJ - 16-3 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: I Sewer Addition Steel Proposed: 1 Bank Community System Alteration/Remodel Concrete Total: Height Individual System Repair Masonry SEP Permit# Demolition . Other: Bedrooms: Water Supply: Existing: Setback: Private well Two Party Type of Heat: Proposed. Public Total: 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 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: ❑Underground Tank ['Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 91 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/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: G ' Mezzanine Additional Section: J Heated Basement Plan Check fee: • Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 5a. co Decks 911/Rd Approach fee: Other TOTAL: $ ba oD Receipt Number: 1C051D Cash/Check Number: DISCA ESTIMATED COST(REQUIRED) Date: 00 D.Fair market value of all labor and materials foundation to finish Initials: �:. ll. unirnt•..uu1 S ttuq•. lutcrrto I II,s t)I 1c1.16 11a>tcr I'emot Af 1'6cxti,nI 12 19 1 e/ - / • _ I ) ---C ( ---.‘ ,--- d -_--- 1 tr- "1- x ‘, • Nc-- e .----, , Q.) RECEIVE ) 't- / JUL 1 7 NI I r Jitli. .,.i,. r„ ,111, it ,,,i! T'