HomeMy WebLinkAboutBLD2001-00170 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 #: BLD01-00170 Received Date 3/26/2001
SITE ADDRESS: 120 ROCKY PT RD Issue Date 3/26/2001
BRINNON, 98320 Expiration Date 3/26/2002
APPLICANT: WILLIAM L FINEFROCK PHONE:
PO BOX 214
BRINNON WA 98320
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502294010 Section: 29 Township: 25N Range: 02W
CONTRACTOR: A SQUARE PHONE: 360-796-3014
733 WA WA POINT RD
BRINNON WA 98320
Contractor's License SQUAR**023JZ Expires 04/09/2001
OWNER, WILLIAM L FINEFROCK PHONE:
if different: PO BOX 214
BRINNON WA 98320
PROJECT DESCRIPTION PROPANE TANK AND 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 03/26/2002.
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.
HOT LINE AVAILABLE 24 HOURS A DAY
i:\F_BLD_Permit_Propane.rpt 10/29/19
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00170 Received Date: 3/26/2001
SITE ADDRESS: 120 ROCKY PT RD
BRINNON, 98320
APPLICANT: WILLIAM L FINEFROCK PHONE:
PO BOX 214
BRINNON WA 98320
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502294010 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR: A SQUARE PHONE: 360-796-3014
733 WA WA POINT RD
BRINNON WA 98320
Contractor's License SQUAR**023JZ Expires 04/09/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: PROPANE TANK AND PROPANE HEATING STOVE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
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
Routing Date:
F&W Landslide
/_�� Shoreline Aquifer
C� Forest: Commercial Rural
�r ximrtV Fiat c;d/ditions
Type Amount Paid By: Date: Receipt: Approveate
Propane Tanks/Stoves $48.00 ZAN 03/26/01 38911
Total: $48.00
i/
JEFFERSONACOUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-445�
INSTALLATION PERMIT APPLICATION
WOODSTOVE XPROPANE TANK PELLET STOVE /\OTHER c)� aec, h erg__,. q_-,„j U J
SITE ADDRESS: /A� J
911#/ROAD NAME 1 r2V J b C.k\ b 1 14 J\ C.4
- 3 26
V" 1 ✓� Y( r'✓(,. 1 � A- ZIP —1 q
9 DIGIT PARCEL ID NUMBER
Legal Description: R �,Y
Subdivision Name O c j Q 0 t iL t' Block Lot(s)
Section Township North, Range WM
1
APPLICANT 1IIV l I L L Q W- L , ( 0 'r 0 C kPHONE 7 1(.P - 3 /C-,
MAILING ADDRESS 9 0 6 .,. i v
03 t 1 q i1 t-Yi. ZIP e1 3 0
PROPERTY OWNER S C 1,mt-'--- PHONE
MAILING ADDRESS
ZIP
CONTRACTOR PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# 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 applicaps's,property or structure shall be requested and shall occur during regular business hours.
41( . , // - ( '
APPLICANT SIGNATURE t--.-- I T� 1 /DATE. - 2
- / v I
FOR OFFICE USE ONLY
BASE FEE l ,) RECEIPT# ' 1 f i
`_- CASH/CK # / 6 Lit
TOTAL '`.!' c. t. DATE 2 / ),i r
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC10/99
SON OOG
'TSrir NG ° JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street
Port Townsend, WA 98368
Al Scalf, Director
March 5, 2002
William L. Finefrock
P. O. Box 214
Brinnon, WA 98320
RE: Expiration Notice
Site Address: 120 Rocky Point Rd.; Brinnon
Project Description: Propane tank and propane heating stove
Dear Mr. Finefrock:
Permit number BLD01-170 was issued by this department on March 26, 2001 and was valid for
one year and is not renewable. According to our records, a final inspection has either not been
scheduled or has not been passed.
TO SCHEDULE A FINAL INSPECTION, CONTACT THE DEPARTMENT OF COMMUNITY
DEVELOPMENT INSPECTION HOTLINE AT 360-379-4455 and leave your request after the
recorded message.
In the event a final inspection is not passed, the inspector will give you a written notice of
required corrections. You must call for a re-inspection to receive final approval.
A FINAL INSPECTION MUST BE SCHEDULED BY 4/5/2002.
Please contact the Department of Community Development at 360-379-4450 with any
questions.
Sincerely,
Zoe Niswonger ,J
Permit Technician
Building Permits/Inspections Development Review Division Long Range Planning
(360) 379 4450 FAX: (360) 379-4451
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