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Home My WebLink AboutBLD2008-00409 • • 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 #: BLD08-00409 Received Date 9/15/2008 SITE ADDRESS: 292 BLUE SKY DR Issue Date 9/15/2008 PORT TOWNSEND, 98368 APPLICANT: KRISTI KOBETICH PHONE: 360-385-6252 CRAIG SANDERS 292 BLUE SKY DR PORT TOWNSEND WA 983689686 SUBDIVISION: DISCOVERY RIDGE DIV II Block: Lot: PARCEL NUMBER: 001195039 Section: 19 Township: 30N Range: 01W CON TRACTOR: OWNER/BUILDER PHONE: OWNER, KRISTI KOBETICH PHONE: 360-385-6252 ii different: CRAIG SANDERS 292 BLUE SKY DR PORT TOWNSEND WA 983689686 PROJECT DESCRIPTION: NEW WOODSTOVE -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 9/15/2009. REQUIRED INSPECTIONS: Tank/Line/Appliance: U .)00 OUe FinalApproval: 0 i( 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 i BLD08-00409 ILDING PERMIT APPLICATRJN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00409 Received Date: 9/15/2008 SITE ADDRESS: 292 BLUE SKY DR PORT TOWNSEND, 98368 OWNER: KRISTI KOBETICH PHONE: 360-385-6252 CRAIG SANDERS 292 BLUE SKY DR PORT TOWNSEND WA 983689686 DISCOVERY RIDGE DIV II SUBDIVISION: Block: Lot: PARCEL NUMBER: 001195039 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW WOODSTOVE - 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: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: , 6\ I Ct 16 Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $157.00 AMS 09/15/08 102660 Total: $157.00 t s • • RECEIVED ) /68 88 M#8i,9 f,6a SEP 1 5 2008 S x JEFFERSON COUNTY DCD f,"/ cy y /c...) H---q N...,, f� a .. L, s-,, ., kt, C7 aLi o o --------k—A'—= .-. ,_ ce Li FAmi Q Q —c X tZ. O— w Yt O— ce e Q X V v1 r wco /\- \ `� ►- 3 3 t.. / O co D ( t1� ' �. N n, . cu i w xi/ CO tii CC)0 $ CO z z v, r . w w — :, w D CZ N _ i1 to CZ w 0 i CZ i aik V) LI- J r' O N E. rl O ce d z 3 ,. w I o w . a -) ; a w w L. 3 Q Al 61 Ili jQ >iS ---Z `L8 cf) (-( c-4. ,OL 99 r 6ap8S �� 8t�,8S6apjZS /r`�"8S,ZS \,r-) ti\m 00'OOL=? MSt,9v6apSti=d 4ii4S0N c0G JEFFERSOODUNTY • �' DEPARTMENT OF COMMUNITY DEVELOPMENT '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 4QS ,,o www.co.jefferson.wa.us/commdevelopment f HIND JEfrE(1Si'wj !^2llfl'r,/ .,. Master Permit Application MLA: ,r\, :.-\ I (, r- r �l) ri Project Description (include separate sheets as necessary): Ins-tall Wood burring S-11"le Tax Parcel O O I _ 19 5 _ b 3 9 Property 5 Qu i s Number: (acres/square feet) Site Address and/or Directions to Property: 2512- 151u.e S kvl 1>riJ-e,, Pork. Tov etnd Property Owner(s)of Record: 1'(r i 5ti Kobe+ --- nand Cra t C\ Sandtrs Telephone: 31oD - 3S 55 - Io25 2 Fax: email: Mailing Address: 2Ci2 81ue-Sk•A Pr., i?tt('k To►)nsend, 1rJA C 3L c Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building El Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d), or C]** El Single Family ❑ Garage Attached/Detached El Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular El Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** El Address ❑ Road Approach 0 Binding Site Plan** El Home Business El Cottagelndustry 0 Long Plat** El Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** El Sign ❑ Plat Vacation/Alteration** El Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** El Stormwater Management El 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 Cl 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 ntry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any req 'ed later inspections. taffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl /ein that he or she want rior tice"-- Signature: , r}o,�o,� Date: 9^ /5 O The action or actions Appl� t 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 t 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 th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe I responsibility for ering t complying th the ESA. The Applicant has read this disclai er and signs an aces it below. Signature: �� _ �t- /! Date: ��SA. 69 (::ADocuments and Settings\caral\Local Settings\Temporary Internet Files\O1.s86AMaster Permit,Application 12-19-2000.doc • BUILDER STATEMENT • The signer of this statement does here certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu s�to e responsibili f the GeneraJ Coontcar for the proposed project. p� Signature: l � � ��_/ Date: g—1 9 --do GENERAL CONTRAC lJR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: 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: 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: 0 Underground Tank [J Above ground Tank Size of Propane Tank: ,18[Heat Stove 0 Cook Stove Qt.Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 Other 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: C-j Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ " Receipt Number: DC,1CC 0 Cash/Check Number: ESTIMATED COST(REQUIRED) Date: l 1l *Fair market value of all labor and materials foundation to finish -1 r� ` )`� Initials: �� C:ADocuments and Settings\caral\Local Settings\Temporary Internet I'iles\01,KSG\Nlaster Permit.lpplication 12-19-2006.doc