HomeMy WebLinkAboutBLD2013-00151 BUILDING PERMIT APPLIC ON BLD13-00151
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00151 Received Date: 5/15/2013
SITE ADDRESS: 1032 WOODLAND DR
PORT TOWNSEND, 98368
OWNER: WILFRED S LITZLER PHONE: 360-774-2030
SANDRA M LITZLER
1032 WOODLAND DR
PORT TOWNSEND WA 98368-2522 WOODLAND HILLS NO 1
SUBDIVISION: Block: Lot: 30
PARCEL NUMBER: 001275022 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIO1 INSTALLATION OF LP DIRECT VENT FIREPLACE TO REPLACE
WOODSTOVE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP MEC MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2009 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 $228.00 JLA 05/15/13 142093
State Building Code $4.50 JLA 05/15/13 142093 APPROVED
Total: $232.50
MAY 202013
Jefferson County DCD
Wirinm.rlArl.+.\fnrmc\C RI fl Ann RIA mf F/1 F/7f11
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440"9°11 COUNTY
iter kri DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
3601379-4450. 360/379-4451 Fax
waver.co.jeftersan.wd.us/comfndeveIopment
Master Permit Application MLA:
Project Description(,dude separate sheets as necessary):
Installation of LP direct vent fireplace to replace woodstove
Tax Parcel Number: 001275022 Property Size: 5 acres (acres/square feet)
Site Address and/or Directions to Property:
1032 Woodland Drive (Woodland Hills No.1 Lot 30)
Property Owners)of Record: Wilfred S. Litzler and Sandra M. Litzler
Telephone: 360-774-2030 Fax: email: will.litzlerOgmail.com
Matting Address: 1032 Woodland Drive, Port Townsend, WA 98368
Applicant/Agent Of different from owner);,
Telephone: Fax: email:
Mawbng Address:
What kind of Permit?(Check each box that applies
KIBullding ❑Critical Areas Sterwardsidp Plan
O Demolitian Permit ❑Variance(Minor.Maacr or Reasonable Economic Use)
Oa Single Famly 0 Garage Attached/Detached ❑Conditional Use[C(e),C(d),or CI"
O Manufactured Home ❑ Modular ❑Discretionary"D'or Unnamed Use Classification
❑ Commercial• 0 Special Use(Essential Public Facilities)"
O Change of Use 0 Boundary Lkie Adjustment
❑ Address ❑Road Approach ❑Shat Plat"
Home Business ❑Cottage Industry ❑Binding Site Plan"
RI Propane ❑ P�" rilEOEINE
,
❑Sign 0 Planned Rural Residential ■= I(PRRIVAmend menu•,
0 Allowed'Yes'Use Consistency Analysis 0 Plat Vacation/Aiterat on" V 1 r'
❑Stonnwater Management ❑Shoreline Master Program
❑Site Plan Approved Advance Determination(SPAAD) 0 Shorans Management Su.- , ; •• it"1
❑Temporary Use ❑Shoreline Management Va •-
❑Wireless Telecommunication• ❑Compraherailve PiarW r nd Use Distdi:ff8110)*1tfaiitRhent
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Short , IffilaffiNtOffialeillefttatatLOPMENT
•May require a Pre tan Contemn* ❑Tree Vegetation Request y�y/�__�
••/�a Catfi tent t
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 lo this application for permit(s).
OWNER SIGNATURE Date:
By signing this application farm.the owner?agent attests that the Inform ton provided herein,and In any attactwasata,la 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 ow er/e gertt with respect to this appbcation packet
may rectal in this permit being null and void.
I further agree to save.Inds reify and hold harmless Jefferson County*plat as kabala,Judgments.court costs,reasonable a tomeYs fees and
expenses which may in any way=rue 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 a will be assumed unless the applicant informs the County in writing at the
time of the application that lie or far
Signature: 5—//'J`/2.—�Signature: r / O bete
The alien or actions Applicant will undertake as a result issuance of this permit may negatively impact upon one or more t neatened or
endangered species and could lead to a potential'take'of an endangered species as those tents are defined in the federal law known as the
'Endangered Species Act'or'ESA.'Jefferson County makes no assurances to the apphaam that the actions that will be undertaken because this
permit has been issued will not violate the ESA Any exhvidual,group or agency can file a lawsuit on behalf of an endangered species regarding your
ac tion(s)even if you are in eminence with the Jefferson Clio � devekipmerit code.The Applicant acknowledges that he,she or it holds individual
and retie responsibility roc �, ' • , sund:I,� ��, "�"ESA. The Applicant has reed this diatonic and signal and dates Wow.
3:/i t
6:\Pcnn Ccr rt * #FORmstu a aim Foitmg I, #PcmvtAppkuoun 5-29- clot
. •
BUILDER STATEMENT
The wirer of this statement does hereby candy that they a - • of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the retponsbflIy• + . • .'y the Proposed Project / /�-�
Stpnettue. r/!/"""' 1 i i < Dam `r/r-�/ 1)
�,
GENERAL CONTRACTOR OR MANUFACTURED !, INSTALLER: PHONE: FAX.
/
&VAIN°Mneess: EtatiL:
CONTRACTOR'S ticENsE WAINS
NUMBER- Kumasi
ARCnrTECTIEt4+EEn: PHONE ( ) FAX:( )
MALN IG ADDRESS; EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: _Type of Sewage Dieposal;
I
1 New I Wood Existing: Sewer
i„Addition I Steel Proposed: Bank Community System
;X wterationlRemadei Concrete Total: Height: D Individual System
Repair L Masoniy SEP Permit At
Bedrooms Water S
OemoG6on Other: :Existing: Setback: :i Private well C Two Party
Type of Heat Proposed: _I Public
Total: Name of System;
If this is a Commercial Proisot you must answer the tansy/Ina:
Number of Parking Spaces: Current Proposed: Number of MA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Cement Proposed
IBC Occupancy; IBC Type of construction: Will you have Food Service? Yes o
If this is a Pron use Tank an+deer AooSance Installation aeemlt mark all items below that aeolva
t Underground Tank i Above ground Tank Size of Propane Tank: LP direct vent
un
t Heat Stove 1 Cook Stove I Woodalare t Fireplace insert ; Hot Meer Tank 1 Pellet Stove )4 Other fireplace
Is this soprano,beltxgkssfalled in it Mpnufactu red/Mobile Home? Yes ! No
Mien applying fare permit to install a propane lurk you must also submit a site plan slicrefag ell of the buildings,ill property
lines,tank location and size,distances hum the propane tank to all properly lines,beildktgs and septic system components,
nts,
Including the reserve area.
Square Footage Current Proposed F `f �. ,,, Amotstt .t s ,
Main Floor Heated 77 Eli BM App Review:
211°Floor Heated -,
:: Consistency Review:
Other Heated ; :, Base fee:
iii 22 g,
Mezzanine ` Additional Section:
Heated Basement Plan Check Me:
Unheated Basement : Stale Surcharge fee:
1I-5,
Other Unheated ' - Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 011/Rd Approach fee;
Other TOTAL: $2_32 -50
'444' Receipt Number
i t ,-
:; Cash/Check Number.
` E TI MATED COST(REQUIRED) Date:
.Far market veto.of all labor and motorists founda0'on to finish
$ 5000 Initials:
G 17'crnuK rnorAN#irr'ORMS###\I)RL)t[}RMS\Master Yemiit Aptatkuuon 529 OR d o
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#: BLD13-00151 Received Date 5/15/2013
SITE ADDRESS: 1032 WOODLAND DR Issue Date 5/15/2013
PORT TOWNSEND, 98368
APPLICANT: WILFRED S LITZLER PHONE: 360-774-2030
SANDRA M LITZLER
1032 WOODLAND DR
PORT TOWNSEND WA 98368-2522 30
SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot:
PARCEL NUMBER: 001275022 Section: 27 Township: 30N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, WILFRED S LITZLER PHONE: 360-774-2030
if different: SANDRA M LITZLER
1032 WOODLAND DR
PORT TOWNSEND WA 98368-2522
PROJECT DESCRIPTION: INSTALLATION OF LP DIRECT VENT FIREPLACE TO REPLACE
Directions WOODSTOVE
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 5/15/2014.
REQUIRED INSPECTIONS:
Tank/Line/Appliance: Gl/4 ANO /n%r /2- -/�
FinalApproval: '" 511 )
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 5/15/2013
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1032 Woodland Dr LP GAS DIRECT VENT FIREPLACE INSTALLATION Sheet 8
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SON
:44' X61 JEFFERSON COUNTY
�9S
DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: 11L- S. Time Received: r/ a ,ja. j Mon. Tue. Wed. Thur. lir
sate: !2/4
BLD: _LE L 3 —UU i c f Contact Name: (50e,itk_..-)
Owner: W 1( L i+ 2I E r" I Contact Number: 360 77y( -,,,?t 3c=
Address: f 03 - V` rxtfaini4 Dr- 206
Notes: - Psre55GtoZ- k5 on S LIn-_ --- file, 10,/ *--, .R,rr5l r j J?, /
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
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling