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HomeMy WebLinkAboutBLD2014-00207 - MECHANICAL •BUILDING PERMIT APPLIC•ION BLD14-00207 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00207 Received Date: 6/12/2014 SITE ADDRESS: 370 VICTORIA LOOP PORT TOWNSEND, 98368 OWNER: DANIEL L SUTTON TRSTEE PHONE: LINDA SUTTON TRUSTEE 1240 W SIMS WAY#222 PORT TOWNSEND WA 983683058 CAPE GEORGE COLONY DIV 1 SUBDIVISION: Block: 1 Lot: 25 PARCEL NUMBER: 937800125 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPI983O6 Expires 9/26/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP INSTALL FIREPLACE INSERT W/TANK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 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 $152.00 DWJ 06/12/14 148782 Total: $152.00 APPROVED JUN 12 2014 Jefferson County DCC \\firlomor4\riofolfnrm¢\F RI fl Ann Rid rnf pv)/Ini A • 11\1 • N(q . \ ii ),)', ..\*X:1 tilie 114 : 1 ik../., D 1 kJ 4. 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If so, verify the business is up-to-date on workers' comp premiums. L8,1 Account ID Account is closed. 598,421-01 Doing business as MOUNTAIN PROPANE Estimated workers reported N/A L&I account representative T1 /IDA HAYNES (360)902-5635-Email: HAYN235@lni.wa.gov IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. .A,„ Access AM Washington,/ https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602077292&SAW= 6/12/2014 Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY Parcel # 000937800125 Geo Cd 300212202111 Auto Roll : OFF CAPE GEORGE COLONY DIV 1 Nbhd Cd 5520 BLK 1 LOT 25 Loc ID * Taxpayer Cd SUTT 4275 SUTTON TRSTEE, DANIEL L T/P Chg Dt 3/25/2011 * Title Owner T/P Chg Usr JA Tax Code 0111 Status TX TAXABLE Land Use 1100 RES-SINGLE Affidavit 115732 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer SUTT4275 DANIEL L SUTTON TRSTEE LINDA SUTTON TRUSTEE SUTTON FAMILY REV TRUST 1240 W SIMS WAY # 222 PORT TOWNSEND WA 98368-3058 Search Key CMD 6: End Window CMD 7: End of Job � ON col, JEFFERS•COUNTY • rP" }°� ON' . ' Y. DEPARTMENT OF COMMUNITY DEVELOPMENT WO Si Ze O F 621 Sheridan Street• Port Townsend •Washington 98368 -prp pane_ t 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment -S N0 1 p Master Permit Application MLA: Proje t Description(inclu a separate sheets as necessary): 1510 e 1 cuAL W Fire l cc (rS€ ' - w ' (-, Tax Parcel Number `l k BOO— I DS- Property Size: # I l Ci (acres/square feet) Site Address and/or Directions to Property: 31-o U i do j C&. Lcop P. e kUA- Property Owne s)of Re • •: , L ..�. `r - ' Imo at •t\ Telephone: , -0 IL, — 1,070. Fax: ema : Mailing Address: :•. : r`� [ i /N(JI�� f 1 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home _❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address_ ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** Propane ❑Long Plat** ❑Sign • ❑Planned kurai Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑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 Aiiii to act as my agent in matters relating to this pplication for permit(s). AO WI' + v l 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 re. .ed later inspections. Staffs access and right of entry will be assumed unless the applicant i • ,s the County in writing at the time of the appli•, •' that tie o,. a w.Ar is •r'•• - Signature: I _� r� ll Date: V /e/ 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• ou are in compliance with the Jefferson County development code.The Applicant acknowledges th he she or it holds individual and non-tran - -.le resRonsi•Jity fi:d - '.. 1. • plying with the ESA. The Applicant has read this dis ai 1 igns and dates it below. Signature: i e. k _ Ilr-•, Date: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc BUILDER STATEMENT 0 The signer of t . ;tement does hereby certify that they are the Owners of the parcel refer nce erein,that they are not licensed contractors and that they will be -i g the , •;;,, • he General Contractor for the proposed�e �� /maSignature: `� Date: GENERAL CONT CTOR S MANUFACTURED HOME INSTALLER: P r '' : FAX: r 1 ' r j w al g70'N ( ) MAILING ADDRESS: A tr f ,llgrifirtroe` r;Lao EMAIL: I . am- / �ial "1' + — CONTRACTOR'S LICENN •J dr •� WAINS•NUMBER: NUMBER • ARCHITECT/ENGINEER: PHONE 04 , ) MAILING ADDRESS: N EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Li New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System C Repair ❑ Masonry SEP Permit# 91® -Jf ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ 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 th�ltapply: i Underground Tank ► Above ground Tank Size of Propane Tank: l/Q/ U 1 Heat Stove 1 Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i 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 Us_e,On)y Amount; Revision Main Floor Heated EH Bid App Review: — 2�` Floor Heated Consistency Review: Other Heated Base fee: �l�] . `— Mezzanine - C di Additional Section: ICI ,Cf'D Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL aLt-4- .co Decks 911/Rd Approach fee: Other TOTAL $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Initials: G:\FermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc Company Name Work Order Summary Work Order# 3��53 .� mor i t . O - • Scheduled Date/Time ' Notification: Sales Order Plahr er roup: Plant: , Customer: • Assigned to: 8A171MIIs ITN r.tar lita ,if6.r Grid# Zone: 11 ENI 11,47 &alWRIC ICa rAll Material: Owner: Subtanks: Equip ent ID: o pany I I: Manufacturer Serial#: t OP# Description Status Work Center .,, Completed Duration Actual f 3 k ,. ft 3 v :t3.s j y t. r :._�tt%3.ap' ~rat.,,s e, ' + e-„,- ..zi4�; - t.. -1 x t > __ . 1 s}i;��It «�t�s��`'n f���., "'�';� ,..,a r u..,., � ,,. .,, x.._ >> .r _ r.,. .,. .,,jt�w,_., �rr jjh ,.��_..,.��.. ,.,. a��l..�.. a �a a , � 1lk�r..,f Tank Size Recert. Date/ Type(if PFI Performed and DOT/ASME Manufacturer Serial# Manufacturer MFR Year/MO applicable) Documented A )20 443irc45 Q 5 c.. 00 iti tt s ❑ No ... ..<t k , i.., xi ...,. ...,,.,i __.z a 1«..t':: :p' u, i;:r,�%'.-iY' :'s .a s.,,,%.-; z ae:':-, :;=',:e ,.. T} k,_...x„ i ... %., r;5 First Stage Second Stage Inte•ral Twin MAIM A ' i L, L ...... ... .. . .fi.�-. - t.}r .. ..ti .,....,. } v�utxfi4j.: j a> } Le 4�5rf.i= Y r�_.e._.j.. ,. s:a 2.. +»r 5..r .., ...,. ,,2 F'R_.x.,�E.,2 1 ., i.L..re Appliance Type ex. Heat Quantity Per Type 3 Total BTU of Type 54,000 PP i_' .' 's'.,..,.,uv. v..F'.}}3 � ‘.f.E=n'51 ' -'ti~m kl�h.��'3...N iti 1'I FE E-Y Y w�' '.''k' Y f' . F"= _ 51 t } F l> :. �.:..}3 -.�j 3 3 2 s'»' �_� F,L Ain-e s�,rYk^^a 3}'3'��"` g,3,4,. .� YE'% k >5 ':� 3 ,t-' t _Y.t S je� ''��a-�� �t.,._.. Y ; QTY. � '��,,»'..x.;. ��irxk�jttz3',�,c� ���, � New Line Installed or Replaced upstream of the New Line Installed or Replaced after the second stage New Customer Safety Assurances second stage regulator.(Perform Test for Leakage) regulator.(Perform Pressure Test) Line Depth Tank shut off showed to customer? Line Material (In inches) Line material Customer knows the smell of propane? ir- '' . ,.,, ' '‘ieteee k sj a, .,.,.::'2:eS 3 eetel;iiii"tillee.. ,Comments Start Pressure End Pressure Time Held System OK rc'Cf. P P r. 'err' PSIG PSIG MIN 9d` .CS42 P Pe ' { z. }ti;a._ ,fjv"..a v x.-f3wl..mai- ..,>r 5s,.,�a",w13£ $,.e .ssrH'2r:7,,S:,S2,t, NX3 -�.n3 ' ''‘ : r e Start Pressure End Pressure Time Held System OK ,i 13: ', ..,:-.47.9i PSIG PSIG MIN ;V N4 4 �'�': 1€[��giatZ:r.":::, 3 � r._.V,,.. INCtaa„u^W...:x.:. ,..,., r . : .,.., ,N >c;2 ee ' fr;' :; Start Pressure End Pressure Time Held System OK Flow Pressure Lock-up Pressure 1 PSIG PSIG MIN � i x a i1 '� 1 ` '' Y 3 01111EIZZ WEIPMEM:E111 IN WC ,.r t} f� f :at .z 5 ti 2 �> 4: j ;V:1 :' A: i7 s-: ': �t": r jEt ''pf>:u s' u.,. ter .=..-. ,.fr.,, ttl x 4as.a�as uair .x, a.;,,:v, s,,x:'...�;^z���,. t ,° a '% s .% r'" }sr...l,.,,...� ,''`p � K,'.,,,4 3,�,>.,, h..� „ .5 a= : 4 k } $ Start Pressure End Pressure Time Held System QK ,4� FlQw;Pressure Lock-up Pressure ��f' PSIG PSIG MW t..... -�� �Yi����. PSIG n 7 Start Pressure End Pressure Time Held System OK ' k ' w'Pressure Lock-up Pressure � Kx tissr IN WC ss :rtx.,: ti:,: ! Min Customer Signature 9 ---� f t Service Tech i (if required) - a . .,r r /—/— Signature �,L� "—/1/'/ HP-007-F-4 CUSTOMER COPY - ' • IMPORTANT SAFETY INFORMATION:Emergency Teleene#800-Gas-4You IMPORTANT TERMS&It ITIONS Payments-By sending your check,you are authorizing the Company to use For your safety, propane has a strong, unpleasant odor added so that information on your check to make a one-time electronic fund transfer from propane leaks can be detected. You and each person using or handling your account at the financial institution indicated on your check, or to propane must be able to recognize the smell of propane. Ask for a Propane process the payment as a check transaction.This electronic debit will be for Safety Brochure or MSDS to demonstrate the smell of propane. Always take the amount of your check,no additional charge will be added to the amount. action if you smell any foul odor. Since there is a possibility of odor fade or Funds may be withdrawn from your account as soon as the same day we other problems with your sense of smell,you should respond immediately to receive your payment and you will not receive your check back from your even a faint odor of gas. Additionally,it is recommended that you purchase financial institution. If we cannot collect your electronic payment, we will and install propane gas detector(s) according to the manufacturers' issue a draft against your account. If you wish to opt out of the electronic instructions as a back-up warning device. If there is any possibility that a check conversion,please contact your local Company office. person will not recognize the odor of propane,you should not use it until a Definitions— propane gas detector has been installed. Fuel Recovery Fee: This fee, which is assessed for propane deliveries and IF YOU SMELL GAS: service calls, helps to offset the significant expenses incurred by the • No Flames or Sparks: Put out all smoking materials & other open Company in fueling its fleet of commercial motor vehicles.This fee fluctuates flames.Do not use lights,appliances,telephones,including cell phones. on a monthly basis as the Company's cost of fuel fluctuates.For updated fuel Flames or sparks from these can trigger an explosion. recovery fee information, please contact your local Company office on a • Leave the Area Immediately: Get everyone out of the building or area monthly basis. where you suspect gas is leaking. HazMat&Safety Compliance Fee: This fee, which is assessed for propane • Shut-Off the Gas: Turn off the main gas supply valve on the propane deliveries and service calls, helps to offset a portion of the costs the tank if it is safe to do so. Turn the valve to the right to close. Company must incur to comply with federal, state and local government regulations, including, but not limited to, hazardous materials, homeland • Report the Leak:From a neighbor's house or other nearly building away enc emer security, from the gas leak, call the Company right away. If you cannot reach emergency preparedness and workplace safety. It is also used to fund, among other things, vital employee safety training and inspections, The Company,call 911 or your local fire department. cylinder re-qualification, and environmental compliance. THE FEE IS NOT • Do Not Return to the Area or Building until The Company or the local GOVERNMENT IMPOSED, NOR IS ANY PORTION OF IT PAID TO ANY officials who have responded determine it is safe to do so. GOVERNMENT AGENCY. • Get Your System Checked: Before you attempt to use any of your propane appliances,The Company or another qualified propane service Special Trip Charge: This charge is incurred by Customers who request immediate deliveries or non-emergency service after business hours or on technician must conduct a leak check. weekends.This charge can vary greatly due to the distance involved and/or 15'CARBON MONOXIDE: IMPROPERLY VENTED OR DEFECTIVE APPLIANCES the time required to service this request and will be based on local labor CAN CAUSE POTENTIALLY FATAL CARBON MONOXIDE POISONING. HAVE rates which can be obtained from your local Company office. YOUR SYSTEM PERIODICALLY INSPECTED BY THE COMPANY OR ANOTHER Service Dispatch Charge: This charge is to cover the costs associated with QUALIFIED PROPANE SERVICE COMPANY. dispatching a service technician to a Customer's residence or other location to perform service work on customer-owned equipment and appliances or to 7!\ ,----- RUNNING OUT OF GAS: DO NOT RUN OUT OF GAS, SERIOUS SAFETY pick-up a Company-owned tank or cylinder. Customers should note that HAZARDS,INCLUDING FIRE AND EXPLOSION,CAN RESULT. upon arrival at Customer's location, additional charges may be assessed • If an appliance valve or gas line is left open when the propane supply depending upon the nature of the problem. The Service Dispatch Charge is runs out, a leak could occur when the system is recharged with collected at the time the service or tank/cylinder pick-up is scheduled.This propane. charge will not be credited toward service work performed. Please check • Air and moisture could get inside the propane container resulting in the with your local Company office regarding the availability of appliance repair possibility of odor fade. service. • If you run out of gas,your pilot lights will go out and can be extremely Tank Rent is an amount charged to customers who are leasing Company- dangerous if not handled properly Owned Equipment. • A LEAK CHECK IS REQUIRED. Returned Check Charge is an amount charged to customers whose check is • SET-UP REGULAR FORECASTED DELIVERIES. Check the gauge on your returned because of insufficient funds. tank and if the fuel level drops at or near 20%,call The Company. PAYMENT TERMS AND LATE FEES: For Customers Receiving Invoices: iCustomer agrees to pay all fees,rates,and charges within ten days after the 1 LIGHTING PILOT LIGHTS invoice date or on the due date, whichever is later, to the location 1 It is strongly recommended that a qualified propane service technician light designated by the Company. For Customers Billed-On-The-Road: Customer any pilot light that has gone out. agrees to pay all fees,rates,and charges within ten days after the delivery or • A pilot light that repeatedly goes out or is difficult to light may be a service to the location designated by the Company. signal that there is a problem with the appliance or the propane If Customer fails to pay any fees, rates, or charges within 25 days after the system. If this occurs do not try to fix the problem yourself. Contact a invoice or due date, the Company may, unless prohibited by law, add a qualified propane service technician to evaluate the appliance. monthly late charge of 1%%of the average daily balance or a late charge of r� $36.00, whichever is greater. The Company reserves the right to require - '°IF YOU LIGHT A PILOT YOURSELF, YOU ARE TAKING THE RISK OF Customer to pay for propane deliveries or service in advance or to post a STARTING A FIRE OR AN EXPLOSION. MANY SERIOUS INJURIES OCCUR WHEN cash deposit,which may be applied by the Company at any time in whole or PEOPLE ATTEMPT TO LIGHT PILOT LIGHTS. PROCEED WITH GREAT CAUTION in part to the outstanding balance. and follow the manufacturer's directions. The HazMat&Safety Compliance Fee and Fuel Recovery Fee do not apply to OTHER IMPORTANT SAFETY RULES residential customers in VT or to any customers in CT. • DO NOT allow unqualified personnel to service your propane appliances or system. • If any of your appliances have been flooded, shut off the gas CALL BEFORE YOU DIG! If you are planning to landscape or make immediately at the tank. DO NOT use the gas system until the wet or improvements to the exterior of your home or business, the Company flooded appliances have been checked or serviced. reminds you to have the underground lines marked under your State's call • Keep combustible products, like gasoline, kerosene or cleaners, in a before you dig program. It is important for you to know exactly where your separate room from propane appliances. Appliance pilot lights could gas lines are located and avoid digging in that area. We care about your ignite fumes from those combustibles. safety,so contact your local Company office before you start to dig and we will work with you to locate your propane gas lines. g�9e-s°N c c3 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SHrx°'c°2 Date: (Q 1,3 Time Received: O? ra/pm Mon) Tue. Wed. Thur. / Fri. Date: CO '' 1(c. 0 r to —0 BLD: i'}-- A-(9-7 Contact Name: Owner: Contact Number: 360 3' i29$^Z. Address: 37 Cj 01 c_Tv1tio-- L—O,D r 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance .y Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection.1<,_ Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m., we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. • S MECHANICAL AND DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 PERMIT#: BLD14-00207 Received Date 6/12/2014 SITE ADDRESS: 370 VICTORIA LOOP Issue Date 6/12/2014 PORT TOWNSEND,98368 APPLICANT: DANIEL L SUTTON TRSTEE PHONE: LINDA SUTTON TRUSTEE 1240 W SIMS WAY#222 PORT TOWNSEND WA 983683058 25 SUBDIVISION: CAPE GEORGE COLONY DIV 1 Block: 1 Lot: PARCEL NUMBER: 937800125 Section: 12 Township: 30N Range:02W CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883 265 CHIMACUM RD PORT HADLOCK WA 98339 Contractor's License MOUNTPI98306 Expires 9/26/2015 OWNER, DANIEL L SUTTON TRSTEE PHONE: if different: LINDA SUTTON TRUSTEE 1240 W SIMS WAY#222 PORT TOWNSEND WA 983683058 PROJECT DESCRIPTION: INSTALL FIREPLACE INSERT W/TANK 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 6/12/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/COO Tank/Line/Appliance: Final Approval: C2-1 o 14 BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 6/12/2014