HomeMy WebLinkAboutBLD2000-00082 PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360) 379-4450 FAX (360) 379-4451 (800)831-2678
PERMIT #: BLD00-00082 Received Date 2/1/2000
SITE ADDRESS: 130 SETON RD Issue Date 2/3/2000
PORT TOWNSEND, 98368 Expiration Date 2/3/2001
APPLICANT: CHARLES LANDAU PHONE: (360)385-3051
85 MARTIN RD
PORT TOWNSEND WA 98368
14
SUBDIVISION: KEARNEY'S PLAT Block: Lot:
PARCEL NUMBER: 964800008 Section: 21 Township: 30N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
OWNER,
if different:
PROJECT DESCRIPTION PROPANE TANK, GAS HEATER& PIPE INSTALLATION
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 02/03/2001.
REQUIRED INSPECTIONS:
[ Tank/Line/Appliance: /, -4-,-Y_
[ FinalApproval: (2 f�- o ) ( ` 0 5
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
Inspector's Phone Hours 8:00 a.m. - 9:00 a.m.
SPECIAL CONDITIONS MAY APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00082 Received Date: 2/1/2000
SITE ADDRESS: 130 SETON RD
PORT TOWNSEND, 98368
APPLICANT: CHARLES LANDAU PHONE: (360)385-3051
85 MARTIN RD
PORT TOWNSEND WA 98368
SUBDIVISION: KEARNEY'S PLAT Block: Lot: 14
PARCEL NUMBER: 964800008 Section: 21 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 11/17/2000
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK, GAS HEATER & PIPE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM. STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: Prop: Flooding Landslide
Total: Total: F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $46.00 MAM 02/01/00 24115
Total: $46.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE w OTHER i,1 /C / , t,,-
SITE ADDRESS: � ( _ C/ � r2 -/c-
911#/ROAD NAME Ij CDcU1---, 1C1.)
PJ - i 1 t)(r->>. Lii,. - ZIP ?s3 G
9 DIGIT PARCEL ID NUMBER 1 (, 1 - ?0 a - d 0 3
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 0_11kin--t' > L""fit--v--.- ( i - -( 'PHON ) 3 3. ` 3o 57
MAILING ADDRESS s )'1't C r is_- & 3 7 9 —35,Pa
PT . Tom-, ! (t/e-- ZIP 9(f)6
.s'
PROPERTY OWNER Orpe-c_4 0-,,, PHONE
MAILING ADDRESS 1
ZIP
CONTRACTOR S-&vl S H in Q. P n-O P Ate_ PHONE 3 8, - 5717
MAILING ADDRESS (O $$3 QH-o Ip y °2 .
Pori- N-> L.o c i c., LO-e% • e,
ZIP 5 33
'
STATE LICENSE #
St-lVlSt} Pi( 077QP EXP. DATE l ( /DCa_
FEDERAL I.D. # 9 l- I o g 7 8 5 7
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APPLICANT SIGNATURE a(,Gl�.--cam ,0(n-, ' 01.• / e DATE C I 3 r / �'��
FOR OFFICE USE ONLY ^�
BASE FEE 15•) CEIPT # 1• Lf ((
11 TOTAL - FEB - 1 2000 jfsHICK #
TE -./ t /®CU
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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