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Home My WebLink AboutBLD2014-00353 - MECHANICAL •UILDING PERMIT APPLICAN BLD14-00353 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00353 Received Date: 10/1/2014 SITE ADDRESS: 10-2 BLUFFS DR PORT TOWNSEND, 98368 OWNER: JANET SPRAGUE PHONE: 360-344-2867 7955 WEST 47TH AVE WHEAT RIDGE CO 80033 9653 SUBDIVISION: Block: Lot: PARCEL NUMBER: 965300002 Section: 26 Township: 30 N Range: 1V1 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 DESCRIPTIOP REPLACE PROPANE TANK- NO CHANGE IN SIZE- SAME LOCATIONS AND SAME SIZE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP MEC VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: PRO 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 $152.00 SRE 10/01/14 151584 APPROVED Total: $152.00 r-Ci /� ; 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/1/2014 •4 % JEFFERSON COUNTY • `` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 A 360/379-4450 • 360/379-4451 Fax EyS, N www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): ,f am-e 71V-7-,--/<- �c,)/970 a u f - ,- -7e S/7 e .1 am,e Lo c�//o 4 Tax Parcel Number: 96 5-3 00 —O O Z Property Size: (acres/square feet) Site Address and/or Directions to Property: /D--2 2 i L4t 17-j k • Propert Owners)of Record: `TA AI S ',Z 4 G !��''�t-- Telephone: 3'/4'--..?8 4.7 t k R C 4 Fax: cc'.-tx- -d( " V411-(: -I-e ail: Mailing Address: .5/77)1 6- 45 4"/T& Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑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 Cj** ❑ 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** ❑ ome Business ❑ Cottage Industry ❑Binding Site Plan** r,�,Propane ❑Long Plat** ❑Sign ❑Planned Rural 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** 1 ❑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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ��sir ,ir .4 ,r- Dat @: / 1/ / / Y By signing this application •rm,the owner/agent attests4 at 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 pen-nit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fee 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 pplication review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writin at the time of the appli =n that he or she wan/•rior notice. / / Signature: 1 ' .,4 4 ,t ' . / Date: r C' 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 ad ' ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: z-4f/t.L.„, /s( .0 Q Date: 1, ! / '-I G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc I �� NN `be,. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT l'5'1111 GZ Date: 3/75 Time Received: '?/ Cf:2:7 am/pm Mon. Tue. Wed. Fri. Date: BLD: 14 - O03 5.3 Contact Name: Owner: 5F(ZAC.cke Contact Number: 360 3gs ° 57,E Address: 16 -7- 0c.uFF Dg_ 206 Notes: Foundation Plumbing Framing pane TanI M han ecic 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 nl,.,.l, o. T;In Ceiling • 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 #: BLD14-00353 Received Date 10/1/2014 SITE ADDRESS: 10-2 BLUFFS DR Issue Date 10/1/2014 PORT TOWNSEND, 98368 APPLICANT: JANET SPRAGUE PHONE: 360-344-2867 7955 WEST 47TH AVE WHEAT RIDGE CO 80033 SUBDIVISION: 9653 Block: Lot: PARCEL NUMBER: 965300002 Section: 26 Township: 30N Range: 1W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 (a601385-5875 Contractor's License SUNSHP*077QP Expires 11/17/2014 OWNER, JANET SPRAGUE PHONE: 360-344-2867 if different: 7955 WEST 47TH AVE WHEAT RIDGE CO 80033 PROJECT DESCRIPTION: REPLACE PROPANE TANK- Directions NO CHANGE IN SIZE- SAME LOCATIONS AND SAME SIZE 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 10/1/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: ----31 z f/s 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 BLDTPermit_Propane.rpt 10/1/2014 •