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Home My WebLink AboutBLD2012-00018 • • 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 #: BLD12-00018 Received Date 1/11/2012 SITE ADDRESS: 83 CEDARVIEW DR Issue Date 1/11/2012 PORT TOWNSEND, 98368 APPLICANT: DAVID P LAMBKIN PHONE: 360-379-5761 JANE A LAMBKIN 83 CEDARVIEW DR PORT TOWNSEND WA 983682502 202 SUBDIVISION: KALA POINT#9 Block: Lot: PARCEL NUMBER: 965000342 Section: 27 Township: 30N Range: 01W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 OWNER, DAVID P LAMBKIN PHONE: 360-379-5761 if different: JANE A LAMBKIN 83 CEDARVIEW DR PORT TOWNSEND WA 983682502 PROJECT DESCRIPTION: HEAT PUMP 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 1/11/2013. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval. 12-2`t'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 BLD12-00018 GILDING PERMIT APPLICA N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00018 Received Date: 1/11/2012 SITE ADDRESS: 83 CEDARVIEW DR PORT TOWNSEND, 98368 OWNER: DAVID P LAMBKIN PHONE: 360-379-5761 JANE A LAMBKIN 83 CEDARVIEW DR PORT TOWNSEND WA 983682502 KALA POINT#9 SUBDIVISION: Block: Lot: 202 PARCEL NUMBER: 965000342 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: ALL WEATHER HTG & COOLING PHONE: 302 KEMP STREET PORT ANGELES WA 98362 Contractor's License ALLWEWH934MU Expires 8/3/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION HEAT PUMP 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 $111.25 LYK 01/11/12 131375 Plan Check $72.31 LYK 01/11/12 131375 State Building Code $4.50 LYK 01/11/12 131375 Total: $188.06 .¢SON c, ir' 06. JEFFERSO UNTY W ' `\: j DEPARTMENT OF COMMUNITY DEVELOPMENT ~' `` '-' 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 4.qSi Cs`S0� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1b l t i ]h Prole De t. n et(include separate a she as necessary): Ili 'Zl ot\ 0 \� a ' 1 \p (fin\ , Tax Parcel ka Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: WI kA V\Y• RYA-1(�,\(Meek 1 , fi cw \LOACk.P}-. i. Ron Cr-C\ i vv .w om Cecktv\A uz) 6•- Property Owner(s)of Record: , ; YY\� Telephone. .?" lr•��J(C� Fax: email: Mailing Address: Sk `-fr Applicant/Agent(if 3(O Y different from owner): '�E{ (_ Telephone: � '1 J Fax: c -'n--1 email t\G(-C'ialt�j h C.CM) Mailing Address: �rt'.I1(\p S e-e RYA— rtf-Y f is (J' Y /"f 1c30Z What kind of Permit?(Check each box that applies f 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"orUnna eQ ifiGatiutt ❑ Manufactured Home 0 Modular 0 Special Use(Essential, qt t t U v r ram` ❑ Commercial* ❑Boundary Line Adj(IS • n t I ❑ Change of Use ❑Short Plat** l i ❑ Address 0 Road Approach ❑Binding Site Plan"y' , 0 Home Business ❑Cottagelndustry 0 Long Plat** ❑Propane ❑Planned Rural RegidertAal Development(PRRD)/Ame nts** ❑Sign ❑Plat Vacation/Alterlation`'f I ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exel)ttpt (}s{rmiti f f evisions** ❑Stormwater Management ❑Shoreline Mana etnent SubsltgllOOPO ** g NRI�( i1 M�NT ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Vananc"a ❑ Temporary Use 0 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: Al �p�7 7furTI 'LC�It "(CC1JJ' pet OF AGENT I hereby designate �11 tom ��11C1��pp i�t��(,1f f ��as my agent in matters relating to this application for permit(s). OWNER SIGNATURE . 0«a � <S1,3)-� Date: 1 I t 9 lac.1 a. 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 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 applica i that he or shman ri notice.Signature: GO74 V. Date: \ I t`-tLao la. 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 f d Bring to and complying with the ESA. The Applicant has read this disclaimer a d signs and dates it below. Signature: ��- �. Date: II 1 t�3-0(a C\Documents and Settings\coral\Local Settings\Temporary Internet Files\OI.K86\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 a•4411112 the respen ibil" of the General Contractor for the proposed project. Signatu ��'� \� Date: I 0I 0 ENERAL CONTRA_ OR OR MANUFACTURED HOME INSTALL PHONE: FAX: i 1 RXR*11:-'Jgi)td-1 PC1 41 (a)I 1 ho .. MAILING ADDRESS: \C NID EMAIL: .'`k-1�,�•e�, ,y, CON.) CONTRACTOR'S LICENSE �t ��C WAINS�1 C1�tVT NUMBER: 1 'wW L.Vv l l'k M ) NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New 1 i Wood Existing: Sewer Addition i Steel Proposed: Bank i Community System A Alteration/Remodel i 1 Concrete Total: Height: Individual System Repair LI Masonry SEP Permit# Demolition 11 Other: Bedrooms: Water Supply: Existing: Setback: H, Private well Two Party H t Proposed: L Public — � "p 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 tha_apply' ❑Underground Tank °Above ground Tank Size of Propane Tank: �\ L-=- J� _ �/� ❑Heat Stove 0 Cook Stove 0 Woodstove Q Fireplace Insert 0 Hot Water Tank 0 Pelipt tN] � 3ther v I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No " i ,( ' I I When applying for a permit to install a propane tank you must also submit a site plan sh big all of the buildings,all ry lines,tank location and size,distances from the propane tank to all property lines,buikii 4 and septic system comp ' including the reserve area. Square Footage Current Proposed For Office Use Only lqki {EFF[RSO ' U LY Main Floor Heated EH BId App Review t�'r CO'At491!",'1?Y1MFNT 2n°Floor Heated Consistency Review: Other Heated Base fee: 1 Mezzanine Additional Section: Heated Basement Plan Check fee: 12-51 Unheated Basement State Surcharge fee: ti, Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ M, C(Q Receipt Number: 1 31 31' Cash/Check Number: c9'1 t, ESTIMATED COST(REQUIRED) _ I L\3' L.\ Date: l .Fair market value of all labor and materials found bon o finish 1f' li Initials: C:\Documents and Settings\carat\Local Settings\'Temporary Internet files\OLKS6\Master Permit Application 12-19-2006.doc