HomeMy WebLinkAboutBLD2000-00505 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 #: BLD00-00505 Received Date 8/1/2000
SITE ADDRESS: 320 MARINA DR Issue Date 8/1/2000
PORT TOWNSEND, 98368 Expiration Date 8/1/2001
APPLICANT: CAPE GEORGE COLONY CLUB PHONE: (360)385-2208
61 CAPE GEORGE DR
PORT TOWNSEND WA 98368
4
SUBDIVISION: CLUB HOUSE - POOL Block: Lot:
PARCEL NUMBER: 002123002 Section: 12 Township: 30N Range: 02W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTI00088CC Expires 05/01/2001
OWNER,
if different:
PROJECT DESCRIPTION PROPANE TANK & HEATER INSTALLATION @ POOL
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 08/01/2001
REQUIRED INSPECTIONS:
[` ' cTank/pe/Appliance: r'K Pee Pe ►/ 'iw Co‘4r/t g-2,6')
] FinalApproval:. �-d i- 1
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 #: BLD00-00505 Received Date: 8/1/2000
SITE ADDRESS: 320 MARINA DR
PORT TOWNSEND, 98368
APPLICANT: CAPE GEORGE COLONY CLUB PHONE: (360)385-2208
61 CAPE GEORGE DR
PORT TOWNSEND WA 98368
SUBDIVISION: CLUB HOUSE - POOL Block: Lot: 4
PARCEL NUMBER: 002123002 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420
PO BOX 1031
PORT TOWNSEND WA 98368
Contractor's License PETTI00088CC Expires 05/01/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK & HEATER INSTALLATION A POOL
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
Proximity Flat Conditions
Type Amount Paid By: Date: Receipt: Approved/pate
Propane Tanks/Stoves $48.00 LMB 08/01/00 32276
Total: $48.00
is\F_BLD_App_Bld.rpt 10/29/99
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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 heG�
SITE ADDRESS:
911#/ROAD NAME 360 Marina Dr (2 pOO (_-
Part Townsend , WA zIP98368
9 DIGIT PARCEL ID NUMBER e1)&2 /2J
Legal Description:
Subdivision Name Cape George Colony Club Block Lot(s)
Section /�2 Township North, Range /c 24.) WM
APPLICANT George A- Castaneda PHONE 385-2208
MAILING ADDRESS 61 Cape George Dr
Port Townsend, WA ZIP 98368
PROPERTY OWNER Cape George Colony Club PHONE 385-2208
MAILING ADDRESS 61 Cape George Dr
port Townsend, WA zIP98368
CONTRACTOR Pettit Oil Company PHONE 385-1420
MAILING ADDRESS 23 S e t on Rd
Port Townsend, WA ZIP 98368
STATE LICENSE # PETTI0co88cc EXP. DATE May 01
FEDERAL I.D. # 91-0754501
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 DATE Cl/ d/ / oC
FOR OFFICE USE ONLY
BASE FEE RECEIPT# 322.E
CASH/CK# �( SG"
TOTAL "t . DATE le,/ \ / 00
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