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HomeMy WebLinkAboutBLD2010-00389 •• 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 #: BLD10-00389 Received Date 11/17/2010 SITE ADDRESS: 431 SUNSET BLVD Issue Date 11/17/2010 PORT TOWNSEND, 98368 APPLICANT: ROBERT MAX KALAR PHONE: 360-379-9427 JULIA ANN LIEBENOW 431 SUNSET BLVD PORT TOWNSEND WA 98368-8911 41 SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 4 Lot: PARCEL NUMBER: 938100441 Section: 13 Township: 30N Range: 02W CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7054 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2012 OWNER, ROBERT MAX KALAR PHONE: 360-379-9427 if different: JULIA ANN LIEBENOW 431 SUNSET BLVD PORT TOWNSEND WA 98368-8911 PROJECT DESCRIPTION: REPLACE ELECTRIC WATER HEATER 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 11/17/2011. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: /9 p-( 17I 1! 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 BLD10-00389 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00389 Received Date: 11/17/2010 SITE ADDRESS: 431 SUNSET BLVD PORT TOWNSEND, 98368 OWNER: ROBERT MAX KALAR PHONE: 360-379-9427 JULIA ANN LIEBENOW 431 SUNSET BLVD PORT TOWNSEND WA 98368-8911 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: 4 Lot: 41 PARCEL NUMBER: 938100441 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: FAST WATER HEATER COMPANY PHONE: 425-636-7054 12601 132ND AVE NE KIRKLAND WA 98034 Contractor's License FASTWWH948BC Expires 1/4/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP REPLACE ELECTRIC WATER HEATER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2009 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 $71.00 LYK 11/17/10 120275 Total: $71.00 • • 508912 re50N cow JEFFERSON COUNTY ,lea `' DEPARTMENT OF COMMUNITY DEVELOPMENT 1 `4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450• 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Co (\ et j Project Description(include separate sheets as necessary): Remove/Replace Electric Water Heater Tax Parcel 938100441 Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: 431 SUNSET BLVD Property Owner(s)of Record: KALAR, ROBERT Telephone: (360)379-9427 Fax: email: �c Mailing Address: 431 SUNSET BLVD CAPE f EORGE, WA 98368 Applicant/Agent(if different from owner): FAST WATER HEATER COMPANY Telephone: 425-636-7054 Fax: 425-636-7055 email;carolr(Jtastwaterneatet.com Mailing Address: What kind of Permit?(Check each box that applies t) uilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ®Single Family ❑Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular El Special Use(Essential Public Facilities)** ❑ Commercial" ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach 0 Binding Site Plan'"* ❑Home Business 0 Cottagelndustry El Long Plat'"' ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments ❑Sign 0 Plat Vacation/Alteration"* ❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions** El Stormwater Management 0 Shoreline Management Substantial Development""' ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance El Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication" El 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE See attached 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 it's knowledge. Any material falsehood or any omission of a materiel 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 attomey'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. Stafrs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: 11/12/10 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: Dale: 11/12/10 C\Documents and Settings\carat\Local Setting\Temporary,Internet Files\OLKS6\Master Permit Application 12-19•Z006.doc • • BUILDER STATEMENT The signor 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: FAST WATER HEATER COMPANY ( ) 425-636-7054 ( )425-636-7055 MAIUNGADDRESS: 12601 132NU AVE NEKIRKLANL), WA gl3U;34 EMAIL: Carnlr@fastwatPsh.PatPr Cam CONTRACTOR'S LICENSE WAINS NUMBER: FASTWWH948BC NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New D Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: Bank El Community System ❑XAlteration/Remodel 0 Concrete Total: Height: ❑ Individual System ❑ Repair 0 Masonry SEP Permit# ElDemolition CI Other, Bedrooms:_._._ Existing: Setback: Water Supply: ❑ Private well C Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Protect 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: 0 Underground Tank CIAbove ground Tank Size of Propane Tank: CI Heat Stove ❑Cook Stove L]Woodstove 0 Fireplace Insert CI Hot Water Tank ©Pellet Stove D 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 BId App Review 2ne Floor Heated Consistency Review Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement_ Stare Surchelye fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other Water Heater 1 TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-21106.doc • e � \ _ c J 'cl -___________5„.... CD s� O oL-i i 1 q H 3 tA S' e -- —,:s c-b < 8_ s N c ) ooi (Lt t ----P ------ -23J- , C 2-"" s. ---___ 4 CF-1— Q cps 0 3 4( L`i ill" ,::6 i - c/1 r I 3 .4- t a- 3 14)