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HomeMy WebLinkAboutBLD2000-00585 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 #: BLD00-00585 Received Date 9/12/2000 SITE ADDRESS: 1670 KALA POINT DR Issue Date 9/12/2000 PORT TOWNSEND, 98368 Expiration Date 9/12/2001 APPLICANT: RICHARD MATWELL PHONE: (360)379-1292 LAURA MATWELL 1670 KALA POINT DR PORT TOWNSEND WA 98368 332 SUBDIVISION: KALA POINT#8 Block: Lot: PARCEL NUMBER: 965000292 Section: 27 Township: 30N Range: 01W CONTRACTOR: FERRELLGAS PHONE: (360)385-6998 2108 SIMS WAY PORT TOWSEND WA 98368 Contractor's License FERRELP055LH Expires 08/01/2001 OWNER, RICHARD MATWELL PHONE: (360)379-1292 if different: LAURA MATWELL 1670 KALA POINT DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTION PROPANE TANK& GAS HEATING STOVE 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 09/12/2001. REQUIRED INSPECTIONS: [,]f Tank/Line/Appliance: C'?lc .� [ ' FinalAppro I: r/=% e. 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 #: BLD00-00585 Received Date: 9/12/2000 SITE ADDRESS: 1670 KALA POINT DR PORT TOWNSEND, 98368 APPLICANT: RICHARD MATWELL PHONE: (360)379-1292 LAURA MATWELL 1670 KALA POINT DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#8 Block: Lot: 332 PARCEL NUMBER: 965000292 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: FERRELLGAS PHONE: (360)385-6998 2108 SIMS WAY PORT TOWSEND WA 98368 Contractor's License FERRELP055LH Expires 08/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: PROPANE TANK & GAS HEATING STOVE INSTALLATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION AMYL: HEAT TYPE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: KALA PT 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: —Proximity Appro a conditions pp ��ate Propane Tanks/Stoves $48.00 MAM 09/12/00 34256 Total: $48.00 is\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 INSTALLATION PERMIT APPLICATION WOODSTOVE X PROPANE TANK PELLET STOVE OTHER JA.."..\ , w•,Si..._ SITE ADDRESS: � )0 K k I c ft 911#/ROADNAME JJv A �], v �72/ o r 1 li vLi � , /� 't 1 ZIP �) C) (1' 9 DIGIT PARCEL ID NUMBER C� ODD f 2 l 0 Legal Description: / Subdivision Name jf--n \00 ,n c Block Lot(s)33a /2 1 6O51 5` Section Township North, Range WM APPLICANT g l ChC>1,rdj 1 l (cc o Uc`'1 s _ mco` l NE ( -3 -iaq MAILING ADDRESS f (Q1 O KA11 6 /v{ ! D r l'* Thv'k)1n L n a' (; ), ZIP I 2 J<-70 PROPERTY OWNER 1(, a I-droyuet) %-l_ j Ucc, ( ki PI ONE (/ 0)3 79 -lea. MAILING ADDRESS W)o \(%L C), Fp( tit D r t V-C_ t) (k toU3Y? nC, (/VrL ZIP 9 -e3b3 CONTRACTOR r,,rr-el i0c s PHONE 3 J - GC)1 2 MAILING ADDRESS ZIP STATE LICENSE # EXP. DATE 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. .-------')L : L 1 1- A ` u PPLICANT SIGNATURE a/ \ DATE / / / /Zoo FOR OFFICE USE ONLY Q Q BASE FEE �4 RECEIPT# -) G( + "62*-- CASH/CK# /( / TOTAL Lire: © 0 DATE ? /(' cd H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99 BLlD CC s- -- "�