HomeMy WebLinkAboutBLD2001-00383 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 #: BLD01-00383 Received Date 7/2/2001
SITE ADDRESS: 35 OAK SHORE CT Issue Date 7/3/2001
PORT TOWNSEND, 98368 Expiration Date 7/3/2002
APPLICANT: RON CAMPBELL PHONE: (714)669-8741
PO BOX 3147
TUSTIN CA 92780
368
SUBDIVISION: KALA POINT#5 Block: Lot:
PARCEL NUMBER: 965000180 Section: 27 Township: 30N 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, RON CAMPBELL PHONE: (714)669-8741
if different: PO BOX 3147
TUSTIN CA 92780
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK 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 07/03/2002.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance:
[s] FinalApproval: QK � / �3/:
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_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00383 Received Date: 7/2/2001
SITE ADDRESS: 35 OAK SHORE CT
PORT TOWNSEND, 98368
OWNER: RON CAMPBELL PHONE: (714)669-8741
PO BOX 3147
TUSTIN CA 92780
SUBDIVISION: KALA POINT#5 Block: Lot: 368
PARCEL NUMBER: 965000180 Section: 27 Township: 30 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
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - PROPANE TANK INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
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 Floodplain
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Proximity _ Plat Condition&
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 07/02/01 28907
Total: $48.00
JEFFx RSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
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WOODSTOVE PROPANE TANK PELLET STOVE OTHER
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SITE ADDRESS: �,�jj / 1
911#/ROAD NAME �/� ` 1a 4 C1 VW ( -- C;t- ,
07 o w i,S,a VIA _ ZIP q e 0
9 DIGIT PARCEL ID NUMBER q(5 000 1 g v
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT k)e-//l, C PHONE f RI C9 9- 87 j
MAILING ADDRESS co i 'o 3) (fr-
'—uSr In CA— ZIP
PROPERTY OWNER PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Sun S H I('l Q P 20 9 P9-r.Q_. PHONE 3 8,-- <571 J
MAILING ADDRESS (D 3 5 3 R N o Ip c.( E 2 .
Pori- N-14.0 L.o (4c c,Je, • ZIP 5 33 1
STATE LICENSE # SLA Vl S i f P- p 7 7 c P EXP. DATE 1 I /0/ _
FEDERAL I.D. # 9 l- 10 Cl 7 pj S 7
APPLICANT SIGNATURE a-Gt,""'c..- ,Otf), ' try V DATE l'1 / , C7/ e)
FOR OFFICE USE ONLY
BASE FEE • EIPT # O
.ZQ�0.4
RECEOVE
SH/CK # LiS
TOTAL L13 ,01)
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JUL — 2 2001 { —E l /-2,/0
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT