HomeMy WebLinkAboutBLD2000-00770 ,
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BUILDING 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 #: BLD00-00770 Received Date 11/30/2000
SITE ADDRESS: 401 S BAY LN Issue Date 11/30/2000
PORT LUDLOW, 98365 Expiration Date 11/30/2001
APPLICANT: ROBERT W BECKMAN PHONE:
ELAINE E BECKMAN
401 S BAY LN
PORT LUDLOW WA 983659778
SUBDIVISION: LUDLOW POINT TRACTS Block: Lot:
PARCEL NUMBER: 969300006 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License: SUNSHP*077QP Expires: 11/17/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION PROPANE TANK INSTALLATION, GAS PIPE, &2 INSERTS
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[,.J- ropane Tan L/ .. 4-- ,ZNLc` r 7-00 Q I / /crs 67i
[ ] Insulation:
[ ] Sheetrock:
[ ]_ e` upancy Approval:0/e" J_, /!`-'/ e ' -7_ ,'
HEALTH DEPARTMENT APPROVAL REQUIRED PRI R TO FINAL INSPECTION.
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
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 #: BLD00-00770 Received Date: 11/30/2000
SITE ADDRESS: 401 S BAY LN
PORT LUDLOW, 98365
APPLICANT: ROBERT W BECKMAN PHONE:
ELAINE E BECKMAN
401 S BAY LN
PORT LUDLOW WA 983659778
SUBDIVISION: LUDLOW POINT TRACTS Block: Lot:
PARCEL NUMBER: 969300006 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK INSTALLATION, GAS PIPE, & 2 INSERTS
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 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
Routing Date: 1‘ 3 g9
Shoreline Landslide
Aquifer
Forest: Commercial Rural
Flat C; ditions
Type Amount Paid By: Date: Receipt: Approved/sate
Total:
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
WOODSTOVE Y.PROPANE TANK PELLET STOVE V OTHER pg-i
cr.Q>
SITE ADDRESS:
911#/ROAD NAME / 0 ( E/,cD
t/ CA. ZIP 4S 6 c
9 DIGIT PARCEL ID NUMBER g 6 3a-0 006
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 894j £' (c/A . �G�,y� PHONE 1743 7_ cJ 2 S3
MAILING ADDRESS
ZIP
PROPERTY OWNER Q.QA_L -
PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Suvl s N I n e P20 P A. u._ PHONE 3 85-- 571 7
MAILING ADDRESS (0 g 5 3 (41-0 j 0 2
Po,r-r- (}111(3 l o UC L)& . ZIP 5 Cr J'j`I
STATE LICENSE # SLI VI S FI•p. 0 7 7 Q P EXP. DATE I I O/
FEDERALI.D. # 9l- 10cl78S-7
APPLICANT SIGNATURE �Gl.�"'�- � ' rry c DATE G f / ge) /
FOR OFFICE USE ONLY
BASE FEE ��/ RECEIPT # 355 Z
CASH/CK # 13
TOTAL / DATE /3U / pD
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