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Home My WebLink AboutBLD2009-00095 • • 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 #: BLD09-00095 Received Date 3/31/2009 SITE ADDRESS: 226 HIGHLAND DR Issue Date 4/1/2009 PORT LUDLOW, 98365 APPLICANT: SUNSHINE PROPANE PHONE: 10853 RHODY DR PORT HADLOCK WA 98339 46 SUBDIVISION: SOUTH BAY#1 Block: Lot: PARCEL NUMBER: 995500046 Section: 21 Township: 28N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((3 p 3 5 Contractor's License SUNSHP*077QP Expires 11367/ 0102 -5875 OWNER, REBECCA J JANNING PHONE: (202) 302-8819 if different: TIMOTHY J JANNING 226 HIGHLAND DR PORT LUDLOW WA 98365 PROJECT DESCRIPTION: INSTALL A/G 120 GAL PROPANE TANK, GAS PIPING AND HEAT Directions STOVE ni ;,)6prr;.1 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 4/1/2010. REQUIRED INSPECTIONS: Tank/Line/Appliance:ri. -1I1-1l0`1. FinalApproval: L1 L1 ItY( AT>b SI :Te FF %s_ 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 BLD09-00095 UILDING PERMIT APPLICAIN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00095 Received Date: 3/31/2009 SITE ADDRESS: 226 HIGHLAND DR PORT LUDLOW, 98365 OWNER: REBECCA J JANNING PHONE: (202) 302-8819 TIMOTHY J JANNING 226 HIGHLAND DR PORT LUDLOW WA 98365 SOUTH BAY#1 SUBDIVISION: Block: Lot: 46 PARCEL NUMBER: 995500046 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2010 REPRESENTATIVE: SUNSHINE PROPANE PHONE: (360) 385-5797 10853 RHODY DR (360) 385-5875 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOP INSTALL A/G 120 GAL PROPANE TANK, GAS PIPING AND HEAT STOVE 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 Bv: Date: Receipt: Approved/Date Propane Tanks/Stoves $213.00 KAS 03/31/09 105625 Total: $213.00 • • SITE VISIT REPORT (PLOT PLAN) JOB i '4- t"8 C.0 4 —SAPP N DATE : /Z 0 ONTACT:ONE #: ADDRESS c 9sie 1 �0 L t�� o2't diO DIRECTIONS FAX #: Email PLANNER: I \ti6/ `\ti OW - - • y_ � 111111 I INWor RICEIVED •• MAR 31 2009 JEFFERZ9N COUNTY DCD 7..(--..,(egoN-Z,:>.\\06 JEFFERSOROUNTY i , DEPARTMENT OF COMMUNITY �\P �'}PNIE'NT '" 1t-�� 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax r q� per/ www.co.jefferson.wa.us/commdevelo t 3 1 nog zinIcMaster Pen'nit Application EFFERSON Qum NE MLA: Project Description (include separate sheets as necessary): j Tax Parcel Property Number: `./ 95 -5 U 0 — 6-V6 - Size: (rc es/square feet) Site Address and/oreolflon to Prooertv: „.,..s? ie ti l6) Property Owners)of Record: < /, s ,��•e-L��- Y 9- 7/2 /1 6-- Telephone: d-0 2-- 3°Z—a"er/1- Fax: email: `Mailing Address: a a-C9 t41-r- -0-, Applicant/Agent(if different from owner): 6 CL Ns H I N E P Ro PA N E Telephone: 395'5717 Fax: 3BS 5-S7S email: 1NFOQSUn15N/r,)E-ProPF 1e. Mailing Address;_I04353 RBODy DR• / >°i. Nf°rOt-ock , WA- 9833 f `�'"' What kind of Permit?(Check each box t(�at applies ❑Building ❑Variance(Minor, Major or Reasonable Economic,:.;se) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI** El Single Family 0 Garage Attached/Detached ❑Discretionary"D"or Unnamed-Use Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment • ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** V Propane 0 Planned Rural Residential Development(PRRD)/Akiendments** ❑ Sign El Plat Vacation/Alteration** i ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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.fe.der..al.permits.required._for_this._proposal,if known: DESIGNATION OF AGENT • '\ ,I hereby designate e , S t�S 14 11.1E P _o A " to act as my agent in matters relating to this application for permit(s). /2_WNER SIGNATURE - ., Date: 3 /30/n _ By signing this application form,the o er/ gent ests that the inforrr4E ided herein,and in any attachments,is true and correc to the best of his, her or it's knowledge. Any mat ial falsehoodor any omission o vial 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' 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 l UUU review and any required lat r inspectio . Sta access and right of entry will be assumed unless the applicant informs the County in writing at the timethe a plicati he or a is pri otice. j3 ignature: Date: 0 e/ The action or actions Applicant ill u ertake s a result of the issua ermit may negatively impact upon one or more threatened or endangered species and co lead o a pote tial"take"of an endange ecies as those terms are defined in the federal law known-"s the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this l\ 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- ansferable r sibility f a ering t and complying with the ESA. The Applicant has read this disclaimer pnd si and des it below. —3 Signature: .--7_ Date: -3/J0 4? 7 L9--- G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 111 .1 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 license contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature:— Date: GENERAL CON I';ACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Sm r�H ,�N E P 20 fan FAX: (360) 3�35- 5797 ( 360) 3Bs-587S MAILING ADOR,.;S: 1085 ? 'k o f e v & P. .1� EMAIL: (1-F/q) 'f CONTRACTCR'^,LICENSE 1 Y 11 r I "'` •�((1�57I�t/�� p``�P (? 6 C O(11 NUMBER: U WAINS viSN P;(� a'l7 q P NUMBER ARCHITECT/ENGi'JEER: PHONE' ( ) FAX: ( ) MAILING ADDR,S: EMAIL -- Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: ❑ Addition ❑ Steel Proposed: Bank 0 Sewer ❑ Alteration/Remodel 0 Concrete Total: Height: ❑❑ Individual y Su Comrll System Sym❑ Repair 0 Masonry ❑ Demolition Bedrooms: SEP Permit s.' 0 Other: Water Supp'; . Existing: Setback: Type of Heat: Proposed: 0 Private W.6 ❑ Two Party Total: 0 Public Name of System: If this is a Commercial Project you must answer the following: Numb r of Parki.;g Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current anc Proposed IBC Occupancy y 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 ank shove ground Tank Size of Propane Tank: I 2-0 CI I-leat Stove> Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other c-7..-----1 Is this appliance being installed in a Manufactured/Mobile Home? Yes / No ying for a it o nstall a ne tank you must also submit a site s,all property lines, tankhen llocation and size,distances nces�omathe propane tank to all property lines,)an showing all of buildings and septic systeme s components, includin• the reserve area. p , Current Proposed '- tilt Rrifli r I u r 7 ' rf. n £ r y> o t Square Footage �- � �� _ �. � ,��, f ter. . is c .�'� .a1 M � �'Main Floor Heated r s4'�4r ? . r ya arc >;� °., 2 ' Floor Heated MI ` "°" Consistency Review: Other Heated ; Base fee: cQ I *i! it .�f O pant n l w „ ` 1Ylti'�C Mezzanine `a ` Additional Section: - ��.1 Heated Basement w� . ' k# -'4*r Plan Check fee: Unheated Basement `, , t « o, . �� '�', State Surcharge fee: Other UnheatedN.iCEIL I att Pot Water Review fee: Garage/Carport kt>^ r_. ��p �t1c1 SUBTOTAL ��'11 l!��rr•,� Decks MAP 3 1 2009_ ,,, OC •W 4, " 911/Rd Approach fee: Other JEFFERSON C�IINFY [h F' ,, TOTAL: $ p� �� 4t23 =5" ...-:„ Receipt Number: 1 D5�aC� 1 Al " i1� Pit, Cash/Check Number:D �� ;i . "a l i�,#' 4. 'ESTIMATED COST(REQUIRED) Date: *Fair market value of all labor and materials foundation to finish 3 51 ( 0 Initials: 11) - G;\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc