HomeMy WebLinkAboutBLD2000-00592 •
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 #: BLD00-00592 Received Date 9/14/2000
SITE ADDRESS: 2210 SEAVIEW DR Issue Date 9/15/2000
PORT TOWNSEND, 98368 Expiration Date 9/15/2001
APPLICANT: HENRY R KIMBALL TRSTE PHONE: (360)385-6976
ELSIE E KIMBALL TRUSTEE
2210 SEAVIEW DR
PORT TOWNSEND WA 983681011 3
SUBDIVISION: SEA VIEW ESTATES Block: Lot:
PARCEL NUMBER: 993800003 Section: 33 Township: 31N 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, HENRY R KIMBALL TRSTE PHONE: (360)385-6976
if different: ELSIE E KIMBALL TRUSTEE
2210 SEAVIEW DR
PORT TOWNSEND WA 983681011
PROJECT DESCRIPTION GAS HEAT 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 09/15/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[ ] FinalApproval:
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 #: BLD00-00592 Received Date: 9/14/2000
SITE ADDRESS: 2210 SEAVIEW DR
PORT TOWNSEND, 98368
APPLICANT: HENRY R KIMBALL TRSTE PHONE:
ELSIE E KIMBALL TRUSTEE (360)385 6976
2210 SEAVIEW DR
PORT TOWNSEND WA 983681011
SUBDIVISION: SEA VIEW ESTATES Block:
PARCEL NUMBER: 993800003 Section: 33 Township: 31 N Range: 01 W Lot: 3
CONTRACTOR: SUNSHINE PROPANE
10853 RHODY DR PHONE: 385-5797
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2000
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: GAS HEAT STOVE 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:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: BANK HEIGHT:
WATER SYSTEM:
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
—PrQxlmlty N►at c;0rlditlons
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/14/00 34311
Total: $48.00
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00592 Received Date: 9/14/2000
SITE ADDRESS: 2210 SEAVIEW DR
PORT TOWNSEND, 98368
APPLICANT: HENRY R KIMBALL TRSTE PHONE: (360)385-6976
ELSIE E KIMBALL TRUSTEE
2210 SEAVIEW DR
PORT TOWNSEND WA 983681011
SUBDIVISION: SEA VIEW ESTATES Block: Lot: 3
PARCEL NUMBER: 993800003 Section: 33 Township: 31 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: GAS HEAT STOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
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
1-'rm xiityy Flat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 09/14/00 34311
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
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JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE ,,OTHER ' T
SITE ADDRESS:
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7� ZIP
9 DIGIT PARCEL ID NUMBER q !G J v �+��
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Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT4.,,,,..., A / PHONE 3 YS '? 7,
MAILING ADDRESS f/ /_
ZIP
PROPERTY OWNER 19-ppI1--4-4". PHONE
MAILING ADDRESS
ZIP
CONTRACTOR S(4V.1 S H in Q_ P2-0 P A-r-,-Q.-- PHONE 3 a - 3717
MAILING ADDRESS (O 8 S 3 RN D p 0 Q .
Parr 141110 Lc) uc L,?A . e
ZIP 5 e 33
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STATE LICENSE # SLA v1 S ff A' O7 7 Q p EXP. DATE I I /DC?
FEDERAL I.D. # 91- I O 41 7 8 S 7
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APPLICANT SIGNATURE GGU"6--- ,0r11, ' afr- / ( DATE 5 / l( /
FOR OFFICE USE ONLY
BASE FEE • RECEIPT # 31-1 1
CASH/CK # 7Z5 1
TOTAL DATE 9 / I LI / Oc
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