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BLD2010-00195
• • 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 #: BLD10-00195 Received Date 6/7/2010 SITE ADDRESS: 886 GRIFFITHS POINT RD Issue Date 6/8/2010 NORDLAND, 98358 APPLICANT: GEORGE MACIEJEWSKI PHONE: JAMIE MACIEJEWSKI 886 GRIFFITH POINT RD NORDLAND WA 983589506 SUBDIVISION: S. HARRIAGE SHORT PLAT Block: Lot: PARCEL NUMBER: 021324033 Section: 32 Township: 30N Range: 01E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 7/30/2011 OWNER, GEORGE MACIEJEWSKI • PHONE: if different: JAMIE MACIEJEWSKI 886 GRIFFITH POINT RD NORDLAND WA 983589506 PROJECT DESCRIPTION: New 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 6/8/2011. 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. HOT LINE AVAILABLE 24 HOURS A DAY I:1F_BLD_Permit_Propane.rpt 10/29/19 •BUILDING PERMIT APPLICOION BL Review vy195 iew T Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00195 Received Date: 6/7/2010 SITE ADDRESS: 886 GRIFFITHS POINT RD NORDLAND, 98358 C3bc) OWNER: GEORGE MACIEJEWSKI PHONE: "3V4'`1Zgb JAMIE MACIEJEWSKI 886 GRIFFITH POINT RD NORDLAND WA 983589506 S. HARRIAGE SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 021324033 Section: 32 Township: 30 N Range: 01 E CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEHC003DC Expires 7/30/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI New Heat Pump & Air Handler TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC 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: Type Amount Paid By: Date: Receipt: Approved/Date Permit $125.25 RAC 06/08/10 117819 APPROVED ` O/E D Plan Check $81.41 RAC 06/08/10 117819 AID p IR State Building Code $4.50 RAC 06/08/10 117819 Total: $211.16 JUN gJ 2010 Jefferson County Planning & Building Department 05/20/'2010 08:23 3603794451 JEFF CO PERMITCENTER PAGE 03f 03 ' ;�:t. 5, 2��GQ T:52P HFH EAST JEFFERS4N '� L- �� /(,t ' 19�05/2609 Mal 13604525177 ALL WEATHER HEATINGN�' �42� rra�P. i: 02✓a2 NI k�,GQIh14r`�j ( 4 JE RSON COUNZ"Y ,_ ENT . F1 /$ DEPARTMENT OF CgMlUli,tfaliY Q� E'It'ELOP t.,L`, '4 621 ShOrtden Street-Port Touurtsend•Washington 98368-- E i_ff ,.,.. • ✓ ,Q . '',4, 36.0/379-445rJ• 360/3794451 Fak �, ,rQ wagatco,iefforuOrmiva.ueicommdiavelopttt©nt l J inn PrgfI Dezcttptiiun(Include separate sheets as rrtexaary);L./ 1- apt-- I.e+Irla,,p14.gix Y1.l20t. Qt�f'f 1 , Tax Parrs! Property NUn her. o .1 ,2.(0? (aeres/squatg feet Slue Addtp_as and/or Directions in Property: C1 l '1"� I v d l t7LP1L'1 too '+ cr`�:-ia I.nsrti 1a a 1 D t , L GO 11.Li'f1Cx"t.f'ti , 12,, tsri €'Don bt. • Property owner( j or Ree0(tl: a Moihng tlddt ; .1C.1.:p PO P`r - small: _ ApptimrtrAgeti x(It dilientu�tfromweer); ,iA"�A .---. Telephnnr.- cA c ____...Far ' ^t:IS2. 1_1 e emat Of CZ5r1 Mclinilg Add/ S: what:Med aR Peamlt7(Check each box that applies " - I Bullding 0 Variance(Mlnor,Major or Reasonable Fconomio Una ❑ Den7ofllion Permit 0 C1onditietael else TC(a),C(d),or0)*` y pi Single Pen* 0 Garage Attached I Detached 0 mscretianary"O'or Unnamed tins Mean:anon Q tulanufartomi Home Cl Wafer 0Special Llee(Essential Public Paeiliti ;)Mk CICnmmFrctal" Q Boundary IAne Adjustment a Mango or Use Cl Short Plat°" 0 Addnc 0 Rood Approach 0 Binding Sit Plan"- 0 Home Suslntl^s 0 CottatpInducttry Cl Long Plat" 0 Propane 0 Planned Rural Ridanki D©volopment(PriRD)IAmtandrne'rts"GI Sign CI PI'nt Vacation/Ntetation" Cl Alletnrnd Ye Ut a Can,it trzttty Abblysfs l)Shoreline Master Progr;m Exemptiontf rmil Revisterr «" • 0 6tOrnimter Management 0 Shoroliw Management Substantial Development""0 Site Plan Approval Advan Clone raination(SPAAO)• ID Zhoreltna Iulanage rnenlvftrrentae U Tentnerety Usu 17 DompnIthentive P1aMJDC/Land Use°Mitt Map Amendment 0 Mel=Telecx,rrtntunfcat on` 0 Jefferson Cow 8lto r sere Master Fromm CI Fcres't Practfe PicYRelel959 AFS`h:-YearMpratoribrn 1N� t9tldment *May,tt+gw+maAute GastonCuntaime C171 veget ire Request ' "'•,•,.•tees a• . ,..gty0flborr Contour Maw?.itlspitffy arty other Neat,state or federal permirg re. ifed for thtb pnepasai,if Nntotture LI+—clei( t - r- to is MI r,1�,..raf' Oi .et(lit l.aI ix r err' 4 �, '14-1"I 1� 0 y f�t�rtiilC. It DESI NATION OF ACE S' M I hereby tt.. J T ' ' to act as any agent in mzttter.:tainting lo this appticytion for peemilt'al. ar ditn++)rots Ramat font).Ure awneNbgept shoats that Utz infmmution provided boreal,and io any attachments,la true and crux t to rho unit of may c��r thl mi Warn*and held nk,rg y J t)y omission a n!n llat#tl tatx,rnr.,a e.4y flea aYw+eriiagenl wf(h.r—rat w•lhtx apAlicrrAan paoir+t oriel: im Anhd p �+ > rr tBulSrrtd irdrl i Further Amor to!caw; efforaoft Courtly ogsire&tat/IabNGnR,judgments,court cc ii.rmsonebte attorney`%fees and oxprrurre which rimy In any way amrua agahtet Jefferson County es a Mullet win ronnseptlt:nce of the groping of dris permit. I tamer none to Oltivitfe Sloes and right of entry to JeffItwson County and IN raofr' and Any letrultrd 1s31?�rinsplrtlorta. Start'Amyx and rinhr otentry wtil be a".,st matt IIc h ppivm llnrtI sprite e Go::: for the sole t otn at010prr Timm of the pkrolon(hat Re or she fluty,Sign atrl r :nK u rear,ni orthg r> o>tli onclrv} ert ae.rpr cull,zvkl lend to al pckI WW lakeofWIa noptivoare deltruad bt the fderaJlaw ownase Aeorlanilor�d Spooloc Act"or"SSA,'Millman County mum no a t�pd opto the appli4lnt 1 we be txldgt'tuben be use Ns poem*has men(mind Will not Wargo the EGA, Any Indtvlduat,group or army tarn plc it Mesas an Wharf man scion fa)mt,*n rtyoou oro in ooraprance mar tftr inn County dovctopmo„t coda.•rrrn *tom ammo tdivi u your and non-trar el(eribkt rhrmetttt*I far ARptrpnt atkrrrtivfpdg�s that n�,oho of N holds MdiViltual tg to complying wahine Sri. TileAppKtar>t' rest,this triisdalmarand nx WO dales dhelow. — .2ritf, iegTir+[fLltned.r.mt....1.13- ...nrpen d Ats.c.4 n;l,11p 2„i lGx E.0/zn 3E1ha L.INI1h3H S3HIW7M 177 LLt9ZGtinet LE=QT 0T0r,fr=T/S0 . 05r'20/2010 08:23 36037R 451 JEFF CO PERMITGENTER PAGE D2163 Ocr ; r, 2009 I :52PM HFN EAST JEFFFRSON • No. 0421 P 2. la/db, hey :,8:crl X$60naea.r.rr ALL WEATHER HEATING l 2/9z ttUtt.lakk STATEMENT . 'The elgoor of this siutoment doe!+heraby e*rtifj that they ma the owners cf the parrr_1 rrf'amnfa,ta hererls,that trey are not tloenvett cortaetoru and Id rat they wUi tan atsUrnlrrg the reeponsibtity of the errrentl ccin➢aclurlbr dm pmpueeo proka. Simeon . Data_ , Gr,ntrt<ro.CONTRACTOR OR tn.JFACTUr r+HomeI rauER: PHONS: FAX: - L a ate A .i�hn+ ' �jy _lac, ( U) � (ivy -'1s� 2.- ' a . 1`1-) 11/1A1*ir;ADDRESS: ...,,: ( 1 iL�Y1C m�im..t`Ac rm's LICENSE I,S _ IBER Aftct rmarteMOINLAR: PHoNc() FAX:( MATUNG ADl11teat EMAIL Project Frame Typo: Baal room: $ Dram "Iypc tShtiRr,I- olepneal: LI Nevi Wood Existing: ❑Sewer 0 Addition 1 Steei Fr pDsi d: •_„ Bank I7 Community Systarn ,iirAltemtionniem tfel ;•J Concrete TotaM Height 17 Individual System Repair o Masonry —�~ SSP Remit 1Demolition n Mier Gnd n;cnoa I WaterSuDpIy; ri_ntin Setbndc D Private well p Twp Flirty . , Pnpcoad: LI FuttAc Hpn = —o , me;or System:,, Ij i_ If this ll9 n CsT:nn"c�c-i3tl. ekrtunn must a ttwar the rolkmdm_ Number of Parking Spar; Conr3rrt Pivpe snrr: Number ol'A�A Perking braces: Number of acoUp1nt V(inderrtr+s omen:,ftdAt*,ennpIoyeeS.etc) Conant PrxtpoSed IBC Occupancy: T !SG Type of construction: Will ye,u have Food St vied y. II Na ythis is a PronAW Tank attdfor Aroganeo jImlitknimponnit,mark altitesns beam!thgtgpply: DUndernroundTonk 01 Above prormdTpnk Stett of Propane Tame - f lwent Stare Cli Cook Stave ❑I Voodo we CT Fittaalene Insert 0 Hot Water Tank 0 Pellet Stove 0 Other irxrmi5.setrWaltToe belna.Fngftwtted tn_a nufg14td!Moblte Hwne7 Yes Saar,applying fbr 2 premedit fo instal a propane took ynn Art also sonnet a xite plen slkrrriag rx1l of Ore baiklings.,all pmperty Larms,tank lOOt1on and ,dratenrew from the pn p ne tank to all pmperir!feet,trnl '1nns and septic systrrrrr coMpearntx, lnahndrstvho,rme re Drat. _ ....Sown Fa v • Cunent Pt sad par Clfficit Drs.,.only Amount Rey Shan - n lain 6 Inor Hence EH laid App Review: Z^ F1anr He aled 'Consistency Review: Other Heated "-Rase,fee: I fl -"dam - IVIe.7-trnine —M»'' Additionni Serbon: ^. J •GI lfDlatetf Rar,Qtneret Pion Check fee, _. 1 4 ',I ---`— u arr- nheated Rettleta - state SurctiorIIer tee; other Unhe icd ,,FotWater Review te: GafacriCtirport 5 .1 --_ "'-91 VFtd Approaon Tee: -. Dther - TOTAL: $6 9 I • 1/9 _ Receipt Number Y� l_-___ Ca Ii1Check Number! �'/ •73` Eu m Pfl Ltct7RT#REOUJRE1Jt —, Data: Arirmlrrfntt Nam ormrl F.rbor and rmctetrtls founcratfon to Rnl 1 oZ A/n C:1:Tonrm1.1ry rind Yr.KirteAco rillA411 Barth r\Tirrrrury rarame.A1,,101.TOMta:tce aormlc Appoordon 12_19_2904.dMx r-ra/E:ij 397'r7j 91,NI-I,V3H 63H1r3M "I`i'" LLTG(,1b99ET 40:8T 9T9E/E,T/S0