HomeMy WebLinkAboutBLD2000-00549 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 #: BLD00-00549 Received Date 8/22/2000
SITE ADDRESS: 787 OLELE POINT RD Issue Date 8/23/2000
PORT LUDLOW, 98365 Expiration Date 8/23/2001
APPLICANT: TOM HERMSEN PHONE:
BARBARA HERMSEN
226 OVERLAKE DR E
BELLEVUE WA 98004 10-15
SUBDIVISION: OLELE POINT Block: Lot:
PARCEL NUMBER: 977400008 Section: 28 Township: 29N Range: 01 E
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 GAS HEAT STOVE & INTERIOR GAS 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 08/23/2001.
REQUIRED INSPECTIONS:
[ ] Tank/Lin /Appliance: CV _ i9 .e O/.
[ `
FinalApprova t--`��\ r 9—)?-0l
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
4
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00549 Received Date: 8/22/2000
SITE ADDRESS: 787 OLELE POINT RD
PORT LUDLOW, 98365
APPLICANT: TOM HERMSEN PHONE:
BARBARA HERMSEN
226 OVERLAKE DR E
BELLEVUE WA 98004
SUBDIVISION: OLELE POINT Block: Lot: 10-15
PARCEL NUMBER: 977400008 Section: 28 Township: 29 N Range: 01 E
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 & INTERIOR GAS 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: 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 Ruralo
Type Amount Paid By: Date: �rReceilpt: Approved/Date ons
Propane Tanks/Stoves $48.00 MAM 08/22/00 33480
Total: $48.00
1 is\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
r
WOODSTOVE PROPANE TANK PELLET STOVE OTHER /L69" —'
SITE ADDRESS: / 37 7 , /�' /24:1Z2- ' . �-- it,-o 7' C14-&
911#/ROAD NAME ✓ ( 3,) ,7' G�..�� O
, L t,se ZIP f U7?6S
9 DIGIT PARCEL ID NUMBER 971 //O 0 Q a?
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 841-,—",,,,,_ -/li,-Lyi.,,s J PHONE 7J 7- 06 �‘.
MAILING ADDRESS 2.Z , L.)I/,e--L.a /Cz Or. i'41 (-'
6e lI o ✓ -( �,-✓4c--. ZIP 5eoo SI
PROPERTY OWNER ) G 4-49. PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Su) S N in Q P2-o P PHONE 3 86"-- 577 7
MAILING ADDRESS l o g S 3 R1+a o 02 .
Porn- F1 i UC C.?c. • ZIP 5 f 33 ct
e
STATE LICENSE # SCdVI 3 h-P 0 7 7 Q P EXP. DATE ( I / DC
FEDERAL I.D. # 9 l- l o t -7 E S 7
APPLICANT SIGNATUREc..CC.GG/'
An-, (4'' / C DATE ? / f- ✓ / Of.)
FOR FFIFfg I To V -"1 i
BASE FEE D _E PT # 331-1 8O
AUG 2 2 200' c H/CK # 1236
TOTAL ATE ' g / ZZ/ 00
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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