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HomeMy WebLinkAboutBLD2001-00044 • 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 #: BLD01-00044 Received Date 1/23/2001 SITE ADDRESS: 1345 THORNDYKE RD Issue Date 1/23/2001 PORT LUDLOW, 98365 Expiration Date 1/23/2002 APPLICANT: HARRY S SOETE PHONE: DONNA M SOETE 760 THORNDYKE RD PORT LUDLOW WA 983659292 36 SUBDIVISION: TRAILS END HOMESITES Block: 3 Lot: PARCEL NUMBER: 950100335 Section: 16 Township: 27N Range: 01 E CONTRACTOR: OWNER, HARRY S SOETE PHONE: if different: DONNA M SOETE 760 THORNDYKE RD PORT LUDLOW WA 983659292 PROJECT DESCRIPTION Propane Heating stove 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 01/23/2002. REQUIRED INSPECTIONS: [ 1 t Q • ..Hance: 'AMK_ r-c /es/E aid(' /r/0//6,l, _,„CR,, /4 X' //rc1/fc t-= £/C 2(2/a/ ' r [tJ, alApprova & _-_-__,..774:), ,,,,eff 60„4..A.......t,-t, , 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. HOT LINE AVAILABLE 24 HOURS A DAY i s\F_BLD_Permit_Propa ne.rpt 10/29/19 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00044 Received Date: 1/23/2001 SITE ADDRESS: 1345 THORNDYKE RD PORT LUDLOW, 98365 APPLICANT: HARRY S SOETE PHONE: 4-31"6l°() DONNA M SOETE 760 THORNDYKE RD PORT LUDLOW WA 983659292 SUBDIVISION: TRAILS END HOMESITES Block: 3 Lot: 36 PARCEL NUMBER: 950100335 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: Propane Heating stove TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: PRO 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: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Preei ��donsType Amount Paid By: Date: Rcipt: Fiat Propane Tanks/Stoves $48.00 PRB 01/23/01 37239 Total: $48.00 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST PORT TOWNSEND WA 98368 PH: (3601 379-4450 INSTALLATION PERMIT APPLICATION Pf � WOODSTOVE PROPANE TANK PELLET STOVE y OTHER `� SITE ADDRESS: 911#/ROAD NAME /3/' 7`�/f/Z/11.67y/eG / ,6/Z-7 La C� f �/� ZIP 70 3 C 9 DIGIT PARCEL ID NUMBER "l co t OD 3 35- Legal Description: Subdivision Name Block Lotls) Section Township North, Range WM APPLICANT /_ /4 �J(]G- PHONE 3l p f e 7--cp/DO MAILING ADDRESS 7.3,Y5--- 7 .12 oy/e.e)s rofZ-7- L41,p c_o4.4.) fit/ ZIP Yerf--3 a 5� PROPERTY OWNER PHONE 14-1/1-7-A3:7MAILING ADDRESS - ZIP CONTRACTOR 26( der- //�Lf/ G7'L- PHONE J6:Q i,j 7 t7O C' MAILING ADDRESS /1/-1,7 L-!/© zo 4-e-1 •O'� ZIP STATE LICENSE 11 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 pro rfy or structure shall be requested and shall occur during regular business hours. PPLICANT SIGNATURE /1/4 ATE / 2 3/ 0 7 FOR OFFICE USE ONLY BASE FEE ` U �.7 Ji� RECEIPT# ��` CASH/CK it '"T`-'' �a TOTAL `�0 DATE l /?i! dj H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99