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Home My WebLink AboutBLD2014-00345 - MECHANICAL •UILDING PERMIT APPLICAN BLD14-00345 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00345 Received Date: 9/24/2014 SITE ADDRESS: 7423 THORNDYKE RD QUILCENE, 98376 OWNER: CASS M WHALEN PHONE: 360-765-3658 RENEE E BARRON 7423 THORNDYKE RD QUILCENE WA 98376-8607 9926 SUBDIVISION: Block: Lot: PARCEL NUMBER: 992600018 Section: 36 Township: 27 N Range: 11/1 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 DESCRIPTIOt New 250 gallon Propane Tank TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP MEC MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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 SRE 09/24/14 151544 Total: $152.00 AP 4 PROVED AP SEP 2 �l 2O1 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 9/24/2014 44011)) , 4,4„ 06 . JEFFERSON COUNTY J DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 3601379-4450 • 360/379-4451 Fax 4.�s p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): f r-0Pc --tc < S Tax Parcel Number: Cl`1 _(Q DOO(' Property Size: (acres/square feet) Site Address and/or Directions to Property: - 1(4)--6 f Hcn203Lf kK CDulL,c! Property Owner(s)of Record:_D � L0 A t- -r`' \f- (<- t`• df2 I N Telephone: —1112`:D 312 5S Fax: email: Mailing Address:-1 LUD--6-F DYUQpL[ cIzZ'''--' ".C- Zp ApplicantlAgent(if different from owner): L6h) i r• 0a-1 i Telephone: -6$S--S-141-1 Fax: email: /(Ift aSc Sh,rtQr{�r `t^`e- Mailing Address: 1C�S 3 12,Q D�-f UA - 1 1, 40L-D r-A �et-33• P te((- What kind of Permit?(Check each box that applies di.:( r ❑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 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat" I ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan"" ❑ 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** ❑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 /�JJ� � //,�� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE .cYee-7 133/2/40- Date: 9.—/Z`!f4 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 notice. Signature: Date: 7�i2-`f 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"lake'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-transfer responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and sigp)d dates it below.— g C,4'Wr) Date: '—1Z sir rd nature G:\PercnitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r • I 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 contractor and that they will be assuming e responsibil' of the General Contractor for the proposed proje . Signature: I t JV� Date: Cl.j 1711‘74 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHRECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disp sal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# , ❑ Demolition ❑ Other: Bedrooms: Water Supply: '. Existing: Setback: ❑ Private well ❑ Two Party Type of Heat Proposed: ❑ Public Total: Name of System: 1 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of 6126,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: I Underground Tanker Above ground Tank Size of Propane Tank: - 5-6 I Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water nk I Pellet Stove T Other Is this appliance being installed in a Manufactured/Mobile Home? Yes 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, includin• the reserve area. S•uareFootage Current Proposed )1fd� c,,� , %„,��rs :` .;M�'. A • ` k, t y a g.E. ikC. Main Floor Heated ! 1Y4,� , EH Bld App Review: AfrALVIO 2ntl Floor Heated IK Consistency Review: (' 1 11.4% tifftl Other Heated `' , rq Base fee: rr " c0 Mezzanine 'i , i .c,;, Additional Section: ` C1 , �J 1 yel,x ', l Heated Basement V as 1{ Plan Chock fee: ? .-. t:"" Unheated Basement � "k A.1 i i '= °°.+'�� State Surcharge fee: Other Unheated = ,I Pot Water Review fee: � v' Garage/Carport • SUBTOTAL Decks s, = �: 911/Rd Approach fee: •kaput it Other ft � k��t fi TOTAL: $ 11 1 . C7J 14,4;.,.. x .' Receipt Number 1 CJ'S�1 L4 k*�°y��"� a� Cash/Check Number 1'.. ESTIMATED COST(REQUIRED) Date: Q j a / •Fair market value of all labor and materials foundation to finish �,/ i L Initials: `CC G.\Pere itCenter\###FORMS###\DRD FORMS\Master Pen nit Application 5-29-08.doc 1,SON e ` go% JEFFERSON COUNTY SyI h6c°2 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: M/ Time Received: I .2U am/pm Mon. Tue. Wed. Thur. Fri. � Date: a1 a/)T BLD: I')"f - Contact Name: Owner: 'Q r'or- Contact Number: 360 - -3--IoS' - 35 35-- Address: 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 Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection - Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling JEFFERSON COUNTY bC17 NO. 1515 4 4 DATE R) L /I Li RECEIVED FROM tU`Sk re c)( - DESCRIPTIOV BAPSA AMOUNT CURRENCY t(�C�`1,∎} :SE isZ• oU 41--- COIN \ f�� ' (� U L _0 (CHECKS' I 1 41,. lc�t�(•a a-otP - 5133 0 c co 1`xU / 1P n 0 9 I1lC3r yr. itP Q0, 1 (o_{'e mo 0 0 RECEIVED BY S EU ( S TOTAL l 31 - U J 09/22/2014 16 : 24 FAX 3603855875 SUNSHINE PROPANE Z001/001 SITE VISIT REPORT (PLOT PLAN) �l JOB 1 --.� r�� Pp�,1,) DATE: CONTACT: ADDRESS -14.1"2- "t e-4\3. PHONE #: DIRECTIONS FAX #: Email PLANNER: Include all strut names adjacent to property.Qroverty lines,tank.appliance&pi.pina location, distances of tank to property lines and uildin s seetic. wells. wetland arevi.disance to water bodied, r., 09/22/2014 16:25 FAX 3603855875 SUNSHINE PROPANE a 001/001 SITE VISIT REPORT (PLOT PLAN) JOB J L ..) 641 P.P._0 DATE ''J CONTACT: ADDRESS -71-PD--..2 J Tf,03eA\} L� PHONE #: DIRECTIONS FAX #: Email PLANNER: Include all street names adiacent to property. nrooertv lines,tank.a &piping location; distances of tank to nropem lines and buildings.se wetlan wells. d areas. istance to water bvdiee 5� ‘\91/ /iv M Parcel Details Page 1 of 2 SO Jefferson County ... .. ;"',,""-Wea r" itabon - `„ Database Tools Maps. Webcari __ Home County Info Departments Search Parcel Number 992600018 1 SEARCH Parcel Number: 992600018 Printer Friendly I Owner Mailing Address: CASS M WHALEN RENEE E BARRON 7423 THORNDYKE RD QUILCENE WA98376-8607 Site Address: 7423 THORN DYKE RD QUILCENE 98376 Section: 36 School District: Quilcene (48) Qtr Section: NW1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: Taxable Range: 1W Tax Code: 0323 Planning area: South Toandos Peninsula,Coyle Area (9) Sub Division: 9926 - SEAHOME Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: SEAHOME LOT 12 W/TL TAX L Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info � t;Y r 'Q e • C. .. .. HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 0.Windows- Mac http://www.co.jefferson.wa.us/assessors/parceUparceldetail.asp?Parcel_NO=992600018 9/24/2014 0 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 #: BLD14-00345 Received Date 9/24/2014 SITE ADDRESS: 7423 THORNDYKE RD Issue Date 9/24/2014 QUILCENE, 98376 APPLICANT: CASS M WHALEN PHONE: 360-765-3658 RENEE E BARRON 7423 THORNDYKE RD QUILCENE WA 98376-8607 SUBDIVISION: 9926 Block: Lot: PARCEL NUMBER: 992600018 Section: 36 Township: 27N Range: 1W CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797 10853 RHODY DR PORT HADLOCK WA 98339 ( 60 385-5875 Contractor's License SUNSHP*077QP Expires 11/17/2014 OWNER, CASS M WHALEN PHONE: 360-765-3658 if different: RENEE E BARRON 7423 THORNDYKE RD QUILCENE WA 98376-8607 PROJECT DESCRIPTION: New 250 gallon Propane 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 9/24/2015. REQUIRED INSPECTIONS: Installation per Manufacturer Specifications/CO2: Tank/Line/Appliance: Final Approval: G{ !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_B LD_P erm i t_Propane.rpt 9/24/2014 . a .