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Home My WebLink AboutBLD2009-00118 . al 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 #: BLD09-00118 Received Date 4/15/2009 SITE ADDRESS: 41 N BAY LN Issue Date 4/15/2009 PORT LUDLOW, 98365 APPLICANT: RUTH S WEYMAN TRUSTEE PHONE: 360-385-4265 RUTH WEYMAN LIVING TRUST 1101 E MARROWSTONE RD NORDLAND WA 98358-9677 102 SUBDIVISION: PORT LUDLOW CONDOMINIUM #1 Block: Lot: PARCEL NUMBER: 990200002 Section: 8 Township: 28N 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 OWNER, RUTH S WEYMAN TRUSTEE PHONE: 360-385-4265 if different: RUTH WEYMAN LIVING TRUST 1101 E MARROWSTONE RD NORDLAND WA 98358-9677 PROJECT DESCRIPTION: NEW WOODSTOVE IN EXISTING CONDO Directions 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 4/15/2010. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: . �Te,(�c1J;v.� c�IPS_ LIL.,( v`1 To Schedule inspections, call (360)379-4455 by 3:00 PM prior BUILDING INSPECTION HOT-LINE 379-4455. day. Office Hours 9:00 a.m. 4:30 p.m. NOTE: Monday inspections by 3:00 PM prior Thursday. HOT LINE AVAILABLE 24 HOURS A DAY I:\F_BLD_Permit_Propane.rpt 10/29/19 BUILDING PERMIT APPLICfON B RD09 00eview p1e1:8 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00118 Received Date: 4/15/2009 SITE ADDRESS: 41 N BAY LN PORT LUDLOW, 98365 OWNER: RUTH S WEYMAN TRUSTEE PHONE: 360-385-4265 RUTH WEYMAN LIVING TRUST 1101 E MARROWSTONE RD NORDLAND WA 98358-9677 PORT LUDLOW CONDOMINIUM #1 SUBDIVISION: Block: Lot: 102 PARCEL NUMBER: 990200002 Section: 8 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 NEW WOODSTOVE IN EXISTING CONDO 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: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: ��P R pproved�t�� Propane Tanks/Stoves $71.00 LYK 04/15/09 108270 Total: $71.00 APR 6 2009 Jefferson County Planning &Building Department ON 74i '' cot, JEFFERSON UNTY • ea. al DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 �"1 360/379-4450 • 360/379-4451 Fax �S�iIN www.co.jefferson.wa.us/commdevelopment Master Permit Application APR 1 5 2009 MLA: 00 MLA 241 'J Project Description(include parate sheets as necessary): neW nc\ Tax Parcel Number: Property Size: `7 I I L O .Sc( ..f t_ (acres/square feet) Site Address and/or Directions to Property: 4 i ,v _ ,��i LAti- 2 fir_ LvO Low _ Property Owner(s)of Record: RU-11-I S k-0 yMAA) ;_IV (fV (0 "TRv ST /(2/ UL/ l_ 1 .1 51�, jizu S r Telephone: 3(.C - 4 L L j Fax: email: I Q I i 5%-,Q u1I1 p�„'� r"( u r-- Mailing Address: I l 01 -. le-120W.S-A OAT 12-1)- (Al o 1212 LA A/0 WA c( 3 SY Applicant/Agent(if different from owner): PAU1.J ( 5t1 TTZV S"T Telephone: " Fax: email: Mailing Address: . 1Jhat kind of Permit?(Check each box that applies 0 Lot or Road Segregation wilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry ❑Binding Site Plan** ❑ Propane 0 Long Plat** ❑Sign • 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development*" ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 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 the applicatio tha ocshe.w nts prior notice. 4 / Signature: �- I Date: 115161 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 r o ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ` �G, �� Z f L" Date: 4- //5-7 0 1 tiJ G:\PernutCenter\###FORMS###\DRD FORMS\Current 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 they are not licensed contractors and that they will be assuming the resp sibi ty of the General Contractor for the proposed project., Signature,0-A--`-(-- 1 Date: 4- ( 1} U GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: CU ST6 AA Ir-I-/k►Z l ( ) ( ) 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: l -New 0 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: 0 Private well Li Two Party Type of Heat: Proposed: n 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: i Underground Tank i Aboveopund Tank Size of Propane Tank: i Heat Stove i Cook Stove 9Woodstove i Fireplace Insert i Hot Water Tank- i Pellet Stove i Other _ Is this appliance being installed in a Manufactured/Mobile Home? Yes 4 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: 21d Floor Heated Consistency Review: Other Heated Base fee: r--f t 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: $ 1-11 Receipt Number: I OS270 Cash/Check Number: ' DI ESTIMATED COST(REQUIRED) Date: ,[� •Fair market value of all labor and materials foundation to finish — l _ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 7J 0 C rn n -I a m c --1 .33 a 'C X n m * n r Cr Ask IF ..-,... i .\\ ....--, rn Y c3 v N.3-, v N ...."7 r y Z 41 � \ � � ✓ <� `\\ a 0 a .r _I kl -Ir m r \\"\ m co (�, 1 - I__ , .... =,.... „ m t ___,. ..... v fin , vi ,..7, m1 - cn oo COMOA/ LA,/ L� -- o (A/ UAi17 / - z -rn _z —c 1nco Q' X0 • ' ST xG r3 ccn V\cta yz `i�z . � a 2 C --,' * -.DE cri g ..., .13 r GI