The URL can be used to link to this page

Home My WebLink AboutBLD2010-00164 • • 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 #: BLD10-00164 Received Date 5/19/2010 SITE ADDRESS: 112 TWINSVIEW CT Issue Date 5/19/2010 PORT LUDLOW, 98365 APPLICANT: HARVEY C FLEMING PHONE: 360-437-5171 SHIRLEY N FLEMING 112 TWINSVIEW CT PORT LUDLOW WA 98365-8791 19 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: PARCEL NUMBER: 969800019 Section: 17 Township: 28N Range: 01 E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 7/30/2011 OWNER, HARVEY C FLEMING PHONE: 360-437-5171 if different: SHIRLEY N FLEMING 112 TWINSVIEW CT PORT LUDLOW WA 98365-8791 PROJECT DESCRIPTION: REMOVE & REPLACE EXISTING HEAT PUMP &AIR HANDLER 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 5/19/2011. REQUIRED INSPECTIONS: 1-/ / r(1- Tank/Line/Appliance: ` /L/`� t FinalApproval: iiyill- 1 ' (7r, 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 •UILDING PERMIT APPLICASN BLD10-00164 Jefferson County Department of Community Development Review Type: 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00164 SITE ADDRESS: 112 TWINSVIEW CT Received Date: 5/19/2010 PORT LUDLOW, 98365 OWNER: HARVEY C FLEMING SHIRLEY N FLEMING PHONE: 360 437 5171 112 TWINSVIEW CT PORT LUDLOW WA 98365-8791 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 PARCEL NUMBER: 969800019 Block: Lot: 19 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: ALL WEATHER HTG & COOLING 302 KEMP STREET PHONE: PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 9/7/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP REMOVE & REPLACE EXISTING HEAT PUMP & AIR HANDLER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION 13,732.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid 13v: Date: Receipt: Permit Approved/Date $237.25 LYK 05/19/10 117728 Plan Check $154.13 LYK 05/19/10 117728 State Building Code $4.50 LYK 05/19/10 117728 Total: $395.88 p JEFFERSO COUNTY ! ' AT 4 `'t ,�, DEPARTMENT OF COMMUNITY DEVELOPMENT ~' `` 4' 621 Sheridan Street • Port Townsend • Washington 98368 360/379 4450 • 360/379-4451 Fax • ec,Q www.co.jefferson.wa.us/commdevelopment ITING Master Permit Application MLA: 00 MLA e J) t Project Description(include separate sheets as necessary): ferna)e fC ppuLQ_ el i sib"q V t r� p 4 y•h'I/ld lf`. Tax Parcel Q G Property Number: 1 0O��G Size: (acres/square feet) Site Address and/or Directions to Property: ll 2 %CL)ifVi{tc) , ` 1 . y Lt±di _ 1/0A 9 a3t i5 Property Owner(s)o� 3fRecor / (, Telephone: . 4 'D/—7Z Fax: email- C� ./ , o • / &nY) Mailing Address: ,f nie O ph r(GL� Apolicant/A�lIent(if different from owner): U dr tk'(Li-i *r'c 0l/r� Telephone:JICO 452--CI ✓ Fax: •C Z -`507 email: o eel e coiven.euTk Mailing Address: SD2 K-eMp 51-re40 f ay+ vft s fA A `M3/01 What kind of Permit?(Check each box that applies ,Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d), or C]** $Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach 0 Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat** 0 Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management ❑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 ❑ 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: Ql I I��CtJ her )LLl NATION OF AGENT I hereby designate) 1 L f I TC ,act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE // 14 , Date: /a .2e4/•j By signing this application form,the owner gent attests that the information provide herein, e best his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent nt with respect to thachments,is true is application correct to hpacketof 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 application that he he is prior nlice. Signaturef.y( -4/ Gf e'S C Date: 3 S�'t) 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 . ad ••ng to and mplying with the ESA. The Applicant has read this disclai er nd signs and dates it below. Signature: 9-7,-,e-e, ' //7C /,//L'� C---; Date: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.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 responsibility of the General Contractor for the proposed project. Signature: Date: 1GENERAL ClON/TaRAACTOR OR MANI JFACTURED HOME INSTALLER: l�lI LUQl�l'1 1 r -Pleating_ /.n JarPHONE:I % F . i MAILINGADDRESS: 7 �/ I u` �/r��/� ) , 2` I�,� at0 ^at' -) CONTRACTOR'S R'S LICENSE )2 Vim p C�S`t- +illy iA EMAIL: U7 Ci1(t C.O Coat fin, �D>'y1 NUMBER: A,J ''` WAINS L UDa W�C P LA NUMBER ARCHITECT/ENGINEER: 13ilar PHONE ( ) FAX: MAILING ADDRESS: ( ) EMAIL Project Type: Frame Type: Bathrooms: ❑ New Shoreline: Type of Sewage Disposal: ❑ Wood Existing: ❑ Addition Li Steel Proposed: ❑ Sewer ›IAlteration/Remodel Li Concrete ❑ Individu Concrete Total: He ❑ Comidualt Systemem ❑ Repair gl❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Existin Water Supply: g Setback: Tyype o at: Proposed: ❑ Private well ❑ Two Party i/8,i- e At p Total: ❑ Public 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 IBC Occupancy: IBC Type of construction: Proposed If this is a Propane Tank and/or Appliance Installation permit,mark all items elow that apply: you have Food Service? Yes / No ❑Underground Tank ]Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 al/property lines,buildings and septic system components, including the reserve area. Square Footage I Current Proposed For Office Use Only Main Floor Heated Amount Revision EH Bld App Review: 2"°Floor Heated Consistency Review: Other Heated Base fee:Mezzanine 419. ' 5 Additional Section: __ Heated Basement Plan Check fee: ` Unheated Basement 1 .rJ State Surcharge fee: Other Unheated . 0 Pot Water Review fee: Garage/Carport SUBTOTAL �� Decks 911/Rd Approach fee: Other TOTAL: $ `�^ Receipt Number: I L1r-7^�F.' Cash/Check Number: 1 ESTIMATED COST(REQUIRED) 311- •Fair mar/k/et value of all labor and materials foundation to finish Date: I �(� /(_Q, / '?j3 co Initials: l:_`v —ice C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc ' . ' �J 1 y % * ‘ fS:= j 7 l'' I c 0 a *1)K t2: \ 1 ,, , , e o, [ Cft- C.-- i cl I C* i ) N?) a 't: 4" ,,-pc-, f) `9t, \vy 0 '5 i -.- . J s� 3 ' 4- -4/41M -z? d,S