HomeMy WebLinkAboutBLD2001-00337 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 #: BLD01-00337 Received Date 6/12/2001
SITE ADDRESS: 810 BECKETT POINT RD Issue Date 6/12/2001
PORT TOWNSEND, 98368 Expiration Date 6/12/2002
APPLICANT: BECKETT POINT FISHERMEN'S CLUB PHONE:
DAVID G GOODING
323 SHELTER BAY DR
PORT TOWNSEND WA 983685717
SUBDIVISION: BECKETT POINT WEST BEACH Block: Lot:
PARCEL NUMBER: 931920005 Section: 23 Township: 30N Range: 02W
CONTRACTOR: FERRELLGAS PHONE: (360)385-6998
2108 SIMS WAY
PORT TOWSEND WA 98368
Contractor's License FERRELP055LH Expires 08/01/2001
OWNER, EUGENE A BURKE PHONE: 360-466-3784
if different: 323 SHELTER BAY DR
LA CONNER WA 98257
PROJECT DESCRIPTION FIREPLACE INSERT AND PROPANE TANK
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 06/12/2002.
REQUIRED INSPECTIONS:
[`j ine/Applianc : (04 (0— / cSr
[1 FinalApproval: d 6 ' -'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_Permit_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00337 Received Date: 6/12/2001
SITE ADDRESS: 810 BECKETT POINT RD
PORT TOWNSEND, 98368
APPLICANT: BECKETT POINT FISHERMEN'S CLUB PHONE:
% DAVID G GOODING
323 SHELTER BAY DR
PORT TOWNSEND WA 983685717
SUBDIVISION: BECKETT POINT WEST BEACH Block: Lot:
PARCEL NUMBER: 931920005 Section: 23 Township: 30 N Range: 02 W
CONTRACTOR: FERRELLGAS PHONE: (360)385-6998
2108 SIMS WAY
PORT TOWSEND WA 98368
Contractor's License FERRELP055LH Expires 08/01/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: FIREPLACE INSERT AND PROPANE TANK
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: 7/2--/C Shoreline Aquifer
Forest: Commercial Rural
I-'ro ximity Flat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 ZAN 06/12/01 28399
Total: $48.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (3601 379-4450
r
INSTALLATION PERMIT APPLICATION ,
' WOODSTOVE y' PROPANE TANK PELLET STOVE OTHER F r RE PLACE INS
SITE ADDRESS: O I 0 SE k'E/T AD
�Q
911#/ROAD NAME `�' C c.�fril/T
1 O�-r I IoOJNsr�'1ID f �/�/A ZIP 5 63
9 DIGIT PARCEL ID NUMBER q f 9.2-O (/)a_'
Legal Description: �i
Subdivision Name �_/ ii ai' -j% „'/f-Cf/ Block Lot(s)
Section Township North, Range WM
(3 o)
APPLICANT .(,6�—,V E A, 3 04`14e- PHONE Lt-Ip 6, " 375-4
MAILING ADDRESS 2 j S f - qS /) B fF� Did uE
L � V1fA ACC2A)4) r ZIP ?&257
PROPERTY OWNER SAME PHONE
MAILING ADDRESS , 7TME---
ZIP
CONTRACTOR FEiI Z 4 6'45 PHONE 1.3r'/) 38, c-- , '
MAILING ADDRESS
ri2Kr IC D LAJA) ?, 1j ZIP 7 0363
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 e ry to the applicant's property or s ucture shall be requested and shall occur during regular business hours.
APPLICANT SIGNATURE .,--------- N lle r �4 DATE 5 / `Z / D /
7
FOR OFFICE USE ONLY
BASE FEE ,( '
RECEIPT# /�
CASH/CK# `C/ ?
n, Li.....„ ,
TOTAL .e DATE Lei CZ! )
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99