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Home My WebLink AboutBLD2008-00364 0110 • 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 #: BLD08-00364 Received Date 8/12/2008 SITE ADDRESS: 175 JOLIE WAY Issue Date 8/12/2008 PORT TOWNSEND, 98368 APPLICANT: LANCE RENNIE PHONE: (360) 385-5356 TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 98368-9009 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071012 Section: 7 Township: 30N Range: 01W CONTRACTOR: EVERWARM INC PHONE: (360) 452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2010 OWNER, LANCE RENNIE PHONE: (360) 385-5356 if different: TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 98368-9009 PROJECT DESCRIPTION: INSTALL WOODSTOVE INSERT IN EXISTING FIREPLACE Directions SEE GOOGLE 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 8/12/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: ':. SCcl Co g`-09 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 BUILDING PERMIT APPLICA1 N BLD08-00364 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port: Townsend, WA 98368 PERMIT #: BLD08-00364 Received Date: 8/12/2008 SITE ADDRESS: 175 JOLIE WAY PORT TOWNSEND, 98368 OWNER: LANCE RENNIE PHONE: (360) 385-5356 TRACY RENNIE 175 JOLIE WAY PORT TOWNSEND WA 98368-9009 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071012 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: EVERWARM INC PHONE: (360)452-3366 257151 HWY 101 PORT ANGELES WA 98362 Contractor's License EVERWI*088NL Expires 8/17/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL WOODSTOVE INSERT IN EXISTING FIREPLACE 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: Approved/Date Propane Tanks/Stoves $105.00 KAS 08/12/08 102467 Total: $105.00 ��'`'Soly cO JEFFERSONWUNTY • ire �� W `fig +� DEPARTMENT OF COMMUNITY DEVELOPMENT . 1, ]f 4\ v '.4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax AUG 1 2 2000 p www.co.jefferson.wa.us/commdevelopment 01/40 rrrr�,.,..,: Master Permit AppwwwliC;ojenfferson.wa.us/commdevelopment TY IICo Project Description (include separate sheets as necessary): wc:.oD s-rc a E Ifv`-L -T T RE— l s-rr--t_t__ _.t, i,v EKts'r„" G EP,E PLRc. Tax Parcel Number: o c t 4:::::.-1 t c t-Z Property Size: S n (acres/square feet) Site Address and/or Directions to Property: 11 S TaL_ .c wAY P� TUw,,, sc..►'i, , w� 9SL3�% Property Owner(s)of Record: LA-1,..) c -4- Tr-A c'f R-L--"J N t E- Telephone: .3 g 5 - 53 S . Fax: email: Mailing Address: i 1 S So`\c 1..;AN't , Qom.Tc>w ...:!„ — ,�- , tt. W Pi al$3 C., c� Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑ Home Business El Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment El Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **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 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 thQapplication that he or she wants prior notice.Signature: �— --i i"Z--t —'---•t- (�Date: ''+'"mac uq.— ttr'^ 2-40,,z,$ 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 for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ‘--- -.a—e� Date: -otv-s. 1\11.' 2,00ca G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . BUILDER STATEMENT i 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: �•E 2-.I.._)04 e t-i 1y-C 4 2._S7 15 t Hw`t 1c>% (36o)(ems 2 — 3310 , ( ) MAILING ADDRESS: Pc.re.T- A-,--s CA�-Lcs I )A 9 t aft,2 EMAIL: CONTRACTOR'S LICENSE itI t4_ WAINS NUMBER: LEE� J t O% % NJL_- t.F' NUMBER 'Lolp ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Li Wood Existing: Li Sewer Li Addition [1 Steel Proposed: Bank I i Community System ❑ Alteration/Remodel i_l Concrete Total: Height: Li Individual System LI Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well L I Two Party Type of Heat: Proposed: [7 Public 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 that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other-S'Vo v•e_ I r,s c:+;-" Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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: 2nd Floor Heated Consistency Review: Other Heated Base fee: 1,3ooOSk)lit— [05_cYo Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement.I State Surcharge fee: Other Unheated JEF� � �'` Pot Water Review fee: Garage/Carport SUBTOTAL 1 05.00 Decks 911/Rd Approach fee: _______ Other TOTAL: $ t 0 5r 00 Receipt Number: I Lao( i Cash/Check Number: 1 —1 CI ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish l a O q- Initials: �.� G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc TMIT — — - _ r II I 0 CM c_�-�_ j I, CZ r L1J I Z ) 2 0La a GO CI- CL / W a u. / O c4 al J w In z O r ;, _ -_ i I ciiN t co • w ce I C. r jr m 4 � � �_- __r Z I C. ! 1. -- , Y O J m Ill 4 ~ ti fi' L' w i. l I 3 r, E 't 6 ; ,� 3 • U N n J k Q �0 w r I NI lJJ fY r a J 1 N� a ),b4 ("NI ] i 1 u ( w — Z H q) C) w 0 0