HomeMy WebLinkAboutBLD2000-00351 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 #: BLD00-00351 Received Date 5/31/2000
SITE ADDRESS: ORCAS DR BLD 2 UNIT 13 Issue Date 6/1/2000
PORT TOWNSEND, 98368 Expiration Date 6/1/2001
APPLICANT: WORLDMARK THE CLUB PHONE:
9805 WILLOWS RD
REDMOND WA 98052
SUBDIVISION: DISCOVERY BAY YACHT& RACQUET Block: Lot:
PARCEL NUMBER: 947500213 Section: 18 Township: 29N Range: 02W
CONTRACTOR: CARL KNAPPLE CONST PHONE: (360)681-8195
173 SUNNY VIEW DR
SEQUIM WA 98382
Contractor's License CARLKC*050NW Expires 08/11/2000
OWNER, WORLDMARK THE CLUB PHONE:
if different:
9805 WILLOWS RD
REDMOND WA 98052
PROJECT DESCRIPTION GAS LOG SET
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 06/01/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Lin /Appliance: t -.) S_0 J
[ FinalApproval: t- S(- Co Z3 -cib
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 #: BLD00-00351 Received Date: 5/31/2000
SITE ADDRESS: ORCAS DR BLD 2 UNIT 13
PORT TOWNSEND, 98368
APPLICANT: WORLDMARK THE CLUB PHONE:
9805 WILLOWS RD
REDMOND WA 98052
SUBDIVISION: DISCOVERY BAY YACHT& RACQUET Block: Lot:
PARCEL NUMBER: 947500213 Section: 18 Township: 29 N Range: 02 W
CONTRACTOR: CARL KNAPPLE CONST PHONE: (360)681-8195
173 SUNNY VIEW DR
SEQUIM WA 98382
Contractor's License CARLKC*050NW Expires 08/11/2000
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: GAS LOG SET
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE: PRO
CODE EDITION: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: �rReceipt A pro Cote
Receipt: pp Conditions
Propane Tanks/Stoves $48.00 LMB 05/31/00 31576
Total: $48.00
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 13601 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER c hfc� {.T
SITE ADDRESS:
911#/ROAD NAME
ZIP
9 DIGIT PARCEL ID NUMBER 4, /cOiAy / /3 9.fJ,j 6)
Legal Description: 4,5
(/
Subdivision Name �//,5ccaie..�.7 Block Lot(s)
Section Township North, Range WM
APPLICANT PHONE
MAILING ADDRESS
ZIP
PROPERTY OWNER �e-e'cc/ )(7,-5/ PHONE
MAILING ADDRESS
ZIP
CONTRACTOR �/,��, PHONE g�^ — G -/` tS)l S7cf---
MAILING ADDRESS
c[,//u C�Z ZIP 9
STATE LICENSE# 6),4-/LL A'C (��j C) iv IN EXP. DATE E�P/Z ti
FEDERAL I.D. #
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material
falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which
may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any
required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE L rs DATE Il it / 6'e)
FOR OFFICE USE ONLY
BASE FEE i i r a RECEIPT# -
CASH/CK# 4
TOTAL ,$, () DATE / \/ 0 a.%
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