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Home My WebLink AboutBLD2008-00511 • I 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 #: BLD08-00511 Received Date 12/16/2008 SITE ADDRESS: 360 MARINA DR Issue Date 12/16/2008 PORT TOWNSEND, 98368 APPLICANT: CAPE GEORGE COLONY CLUB PHONE: (360) 385-1177 61 CAPE GEORGE DR PORT TOWNSEND WA 983689403 4+ SUBDIVISION: Block: Lot: PARCEL NUMBER: 002123003 Section: 12 Township: 30N Range: 02W CONTRACTOR: OWNER, CAPE GEORGE COLONY CLUB PHONE: (360) 385-1177 if different: 61 CAPE GEORGE DR PORT TOWNSEND WA 983689403 PROJECT DESCRIPTION: REPLACE (1) EXISTING HEAT PUMP, ADD (2) NEW HEAT PUMPS & Directions 4X6' CONCRETE SLAB 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 12/16/2009. 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. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • BUILDING PERMIT APPLIC ION BLD08-00511 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00511 Received Date: 12/16/2008 SITE ADDRESS: 360 MARINA DR PORT TOWNSEND, 98368 OWNER. CAPE GEORGE COLONY CLUB PHONE (360) 385-1 177 61 CAPE GEORGE DR PORT TOWNSEND WA 98368940:3 SUBDIVISION: Block: PARCEL NUMBER: 002123003 Section: 12 Township: 30 N Range: 02 W t 4+ CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: GEORGE CASTANEDA PHONE (360)385-2208 61 CAPE GEORGE DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP REPLACE (1) EXISTING HEAT PUMP, ADD (2) NEW HEAT PUMPS & 4X6' CONCRETE SLAB TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION 60.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 24 CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $157.00 LYK 12/16/08 105152 Total: $157.00 SPECIAL CONDITIONS FOR CASE#BLD08-00511: • 1.) Application was reviewed in Development review meeting on November 12, 2008 to determine if a consistency review or shoreline permit is required. The administrator determined that due to the 6 X 4 foot addition to an existing cement pad no consistency or shoreline permit would be required. The location of the existing cement pad is no further waterward and does not extend beyond existing chlorine room as identified on submitted site plan. Applicant stated proposed pad is 70 feet from ordinary high water mark. The building permit is for a heat pump only. I:\F_BLD_Permit_Propane.rpt 10/29/19 ONco�� JEFFERSO COUNTY ir: ,a 11) DEPARTMENT COMMUNITY DEVELOPMENT `' `' 621 Sheridan Street • Port Townsend • Washington 98368 iti& 360/379-4450 • 360/379-4451 Fax aP. www.co.jefferson.wa.us/commdevelopment `Y`sX1ING�S Master Permit Application MLA: 00 (Yl(.+_ e I b Project Description (include separate sheets as necessary): ,/-// / C��e,�T 4/ ie �x�sT" 4/ c 7 eX/ 77,7 >—/ Tax Parcel Number: d d..2/a2,10 Qj Property Size: (acres/square feet) Site Address and/or Directions to Property: ,�J CA,o e 6 mee 0 V e- C. v 140,r C/�Lc.•., / od L '4/ /1J„k/i c/. 0.E' ► P�T Property Owner(s)of Record: 0,,goe_ r;2o vle- wlom/y �JCz, _ Telephone:- 1 -J2- -//77 Fax: _?60 ---Jd .Y�jr ema": e-, 2Z.,t .0•c'r? Mailing Address: , • tneC1 1%co., u6 6/ .e 6 - , V- • AO 4S‘5- Applicant/Agent(if differnt from owner): a * �•,/ec�.4 Telephone:.3' O -,_?/-.)---- //77 Fax: ? }� .) //7 7 email //9/t/ /Cxy -5 7'e- 0/7Mailing Address:E/ Aj�e-- ae-o r'S - :Ur. ,o v7 ,- 1 /S&t✓c/, /JA yj‘c" What kind of Permit?(Check each box that applies / t lBuilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification K Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business El Cottage Industry 0 Binding Site Plan** ❑ Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration** ❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑ 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 • •ct as my agent in matters relating to this application for permit(s). OWNER SIGNATUR r' Date: 7.1-X47::;11/ 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. Sta cress and right of entry will be assumed unless the applicant informs the County in writing at the time of the gplic io at he or she prio , Signatur - Date: /,, `. 4y 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: Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that. ey are not licensed contractors and that they will be assumin responsibility of the Ge ract for the proposed project. Signatu p Date: ‘4��‘/e GENERAL CONTRACTOR 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: Underground Tank Above ground Tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace Insert Hot Water Tank Pellet Stove 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"tl Floor Heated Consistency Review: Other Heated Base fee: 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: Othesr 'g5f ,,1s1 TOTAL: $ I tsl; ��j Receipt Number: 1 03`'Z Cash/Check Number: �)r- ESTIMATED COST(REQUIRED) Date: �" I •Fair market value of all labor and materials foundation to finish �G Initials: G\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc -----, --p---- —-a--- 4_____,=--......l —3 r- .3... r- 0(1 w g_ co P.. .........••••• i ,-;• P.) •-•C 0 r.., z. ri 2 . , _. __ _ II co cip C.) , I 7 0 0 linj ---• C.,) \./ L,./ L\'. 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