HomeMy WebLinkAboutBLD2001-00332 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 #: BLD01-00332 Received Date 6/8/2001
SITE ADDRESS: 250 OLD FERRY RD Issue Date 6/8/2001
PORT HADLOCK, 98339 Expiration Date 6/8/2002
APPLICANT: JOHN SCHATZEL PHONE: (360)379-1995
250 OLD FERRY RD
PORT HADLOCK WA 98339
18+
SUBDIVISION: PORTAGE BAY PARK Block: Lot:
PARCEL NUMBER: 989100013 Section: 1 Township: 29N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP"077QP Expires 11/17/2001
OWNER, JOHN SCHATZEL PHONE: (360)379-1995
if different: 250 OLD FERRY RD
PORT HADLOCK WA 98339
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK, PIPING & HEATER
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 06/08/2002.
REQUIRED INSPECTIONS:
[ ] , Tank/ ine/ plianceCO y�-� ;/ ( 0 ,1�, re
[4 Fi nalApproval: C..)K_ r '�Z5 l
a-C,_
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
is\F_BLD_Perm it_Propa ne.rpt 10/29/19
° ..EFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION'PERMIT APPLICATION
WOODSTOVE i-°''7PROPANE TANK PELLET STOVE MOTHER CI((d P v���_ ''�-✓S
SITE ADDRESS: d f
911#/ROAD NAME SO D L�' r� �l
I v*i J Qwcpc., Wk • �l233 7 ZIP
9 DIGIT PARCEL ID NUMBER q 4 1 100 b t 3
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT J oh'1 SC t''1 G��Z PJL. PHONE
MAILING ADDRESS a CO 0/4 /j I`Lj''�''1 (
n
T ( ('1 LALkr W( . ZIP
PROPERTY OWNER A/iJ''-v`,C H'r-( PHONE 5 7 I.
MAILING ADDRESS
ZIP
CONTRACTOR S&n s I-1 I n e.. P2-o P PHONE 3 8,5 - Sly 7
MAILING ADDRESS I O t1 S 3 Q 1-1-0 b y d 2 .
Pov-r 14-A,3 La c.av / (.)c. . ZIP !cr 33`l
STATE LICENSE # Suosti-P14. 077zZe EXP. DATE I I /D'/ _
FEDERAL I.D. # 9 I- t o t 7 8 s7
APPLICANT SIGNATURE �t�GG�"�-- OY f�. DATE 06 / G /
FOR OFFICE USE ONLY
BASE FEE
r�� j� RECF PT # �g Lj I-13
-5yEr9 5 W L5 /CK # - Lj (p
TOTAL
71 - D D 6 / 8 / 1
J
H:\HOME\PLNCNTR\FORMS\INSTALL.0004/98
JEF"rtRSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00332 Received Date: 6/8/2001
SITE ADDRESS: 250 OLD FERRY RD
PORT HADLOCK, 98339
APPLICANT: JOHN SCHATZEL PHONE: (360)379-1995
250 OLD FERRY RD
PORT HADLOCK WA 98339
SUBDIVISION: PORTAGE BAY PARK Block: Lot: 18+
PARCEL NUMBER: 989100013 Section: 1 Township: 29 N Range: 01 W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: NO MLA REQ'D - PROPANE TANK, PIPING & HEATER
INSTALLATION
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
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
—)- r xim.ity - Nlat C d tions
Type Amount Paid By: Date: Receipt: Approve��a�e
Propane Tanks/Stoves $48.00 MAM 06/08/01 28443
Total: $48.00