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Home My WebLink AboutBLD2013-00405 lihUILDING PERMIT APPLICAN BLD13-00405 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00405 Received Date: 12/23/2013 SITE ADDRESS: 702 WOODLAND DR PORT TOWNSEND, 98368 OWNER: WILLIAM W PUTNEY III TRST PHONE: 360-379-2687 GAIL C RODGERS TRUSTEE 702 WOODLAND DR PORT TOWNSEND WA 98368-9576 MADRONE RIDGE SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001273008 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 Contractor's License SUNSHP*077QP Expires 11/17/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION GAR FIREPLACE SWAP OUT, LIKE FOR LIKE 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 $76.00 MEB 12/23/13 145655 Permit $76.00 MEB 12/23/13 145655 APPROVED Total: $152.00 DEC 2 3 2013 Jefferson County DCD \\firicmer4\rinfo\forme\G RI Il Ann PIA rnf 17/7'3/')(11'3 49 .,,,5 cow JEFFERSON COUNTY 0 w / ` DEPARTMENT OF COMMUNITY DEVELOPMENT 9SHrNGS Date: i/j(p Time Received: 1:i7.- at•m Mo.. Tue. Wed. Thur. Fri. "j Date: n//0 BLD: 13-0041,5 Contact Name: Owner: Fil'TwEY $ D8&e.S Contact Number: 360 3-9. ,?(x,97 Address: ,OZ- ideriDLAAID D 206 //1� 'la 3c1 - 7,66t, Notes: 'g t ,,i wow O vr 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 RInrl, Q.Tile Ceiling G114 7) #-- 6S, - 4 �d JEFFERSO COUNTY 4 Y A DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 •• 360/379-4451 Fax ' 449Zrnie(Sw www.co.jefferson.wa.us/commdevelopment ......) Master Permit Application MLA: Project Description(include separate sheets as necessary): tad Fi re1/ c& l a- — tG c- 6L S'a-r L 00-44-4>- Tax Parcel Number: 6)O/ a 1 3 0 0 8' Property Size: (acres/square feet) Site Address and/or Directions to Property: ( ,--�. 7o a &)o�� Dr- T:._ ‘ e-rpD, LOS ' gt$3d e Property Owner(s)of Record: / t i�,I f Telephone: 3 7 41 0—‘R?7 Fax: em AI: Mailing Address: S(--tom Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies OBuilding ❑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 Cl Modular ❑Discretionary°D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** O Home Business ❑Cottage Industry ❑Binding Site Plan** Sropane ❑Long Plat** ign ❑Planned Rural Residential Development(PRRD)/Amendments** O Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** O Temporary Use ❑Shoreline Management Variance O Wireless Telecommunication* 0 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /",�Z 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 attorneys 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 application that he or she wants prior not( =. / "c9 "/ �� Signature: _ Date: 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 igns and dates it below. Signature: Date: ! .2// 9/oJ 613 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc III 4 . 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR : PHONE: FAX: MAILING ADDRESS: /G Q S 3 ,E " ! ) / A hi EMAIL CONTRACTOR'S LICENSE WAINS NUMBER: J'GC_/n s5H-10 * e)7-7‘ip NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing:. 0 Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System O .Repair ❑ Masonry SEP Permit# O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of 6a6 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: C— e/S T/ f16:7 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace 1 Hot Water Tank 1 Pellet Stove 1 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. C °' 71:7,,,',7,--,,]r - 1 "'II',infr,' ,r ' 7' T It *,w ' pi { I n r-h';', 1IwIrre .; '#, b9 OF tRf S•uare Footer s e Current pro osed 4 4 ,, ;1`, rrorillo T '� ' � <<,_i-'," 0'..t bi a _ ,,,,, '11_ � f 4 ,r Main Floor Heated '1 ��' EH Bld App Review: 2na Floor Heated I 4 v '' Consistency Review: Other Heated 2'„ *� a Fi q� �� `�'�� Base fee: . �2 A i Mezzanine {' ' ' Additional Section: to 1,„„,',. .1, `r5ry Heated Basement �'4 Plan Check fee: Unheated Basement rsfj State Surcharge fee: Other Unheated 1141 71 ; 'r Pot Water Review fee:Pt Garage/Carport 6 it . ' SUBTOTAL Decks aq', , q 911/Rd Approach fee: Otherq TOTAL: r , tea . ', I " Receipt Number: t(45--&S q f q 1 Cash/Check Number: sle ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish ` 'T.3/f Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Pennit Application 5-29-08.doc 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#: BLD13-00405 Received Date 12/23/2013 SITE ADDRESS: 702 WOODLAND DR Issue Date 12/23/2013 PORT TOWNSEND, 98368 APPLICANT: WILLIAM W PUTNEY III TRST PHONE: 360-379-2687 GAIL C RODGERS TRUSTEE 702 WOODLAND DR PORT TOWNSEND WA 98368-9576 3 SUBDIVISION: MADRONE RIDGE SHORT PLAT Block: Lot: PARCEL NUMBER: 001273008 Section: 27 Township: 30N Range: 01W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ((33 )602014 3g5 Contractor's License SUNSHP*077QP Expires 14/1 -5875 OWNER, WILLIAM W PUTNEY III TRST PHONE: 360-379-2687 if different: GAIL C RODGERS TRUSTEE 702 WOODLAND DR PORT TOWNSEND WA 98368-9576 PROJECT DESCRIPTION: GAR FIREPLACE SWAP OUT, LIKE FOR LIKE 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 12/23/2014. REQUIRED INSPECTIONS: Tank/Line/Appliance: FinalApproval: V21J'I11 f a C- C 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 12/23/2013 JEFFERSON •UNTY • No. 145655 DATE I 2c/i' • RECEIVED FROM s.. .t01 St,....'6-e DESCRIPTION BARS# AMOUNT CURRENCY Cage,cA..... $ COIN k % '� )2, �CHECK-D C . O Z1.._ n O 3e ,,, of €. A ......N RECEIVED BY ___44g2! � TOTAL ,--