HomeMy WebLinkAboutBLD2001-00397 fK t T
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 #: BLD01-00397 Received Date 7/9/2001
SITE ADDRESS: 72 OLYMPIC BLVD Issue Date 7/10/2001
PORT TOWNSEND, 98368 Expiration Date 7/10/2002
APPLICANT: JAMES MASSEY PHONE: (360)379-0380
TONI MASSEY
72 OLYMPIC BLVD
PORT TOWNSEND WA 98368 31
SUBDIVISION: DISCOVERY BAY HEIGHTS DIV 1 Block: Lot:
PARCEL NUMBER: 947300031 Section: 32 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, JAMES MASSEY PHONE: (360)379-0380
if different: TONI MASSEY
72 OLYMPIC BLVD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NO MLA REQ'D - PROPANE TANK& PIPE 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 07/10/2002.
REQUIRED INSPECTIONS:
[I7 Tank/Line/Appliance: ok ,(,(ikti, \off^ " 4(Z-((o
[17 FinalApproval: jl /la(,(,a�
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
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BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00397 Received Date: 7/9/2001
SITE ADDRESS: 72 OLYMPIC BLVD
PORT TOWNSEND, 98368
OWNER: JAMES MASSEY PHONE: (360)379-0380
TONI MASSEY
72 OLYMPIC BLVD
PORT TOWNSEND WA 98368
SUBDIVISION: DISCOVERY BAY HEIGHTS DIV 1 Block: Lot: 31
PARCEL NUMBER: 947300031 Section: 32 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 & PIPE 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:
OTHER:
CONST TYPE: 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 Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $48.00 MAM 07/09/01 28936
Total: $48.00
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE ' . PROPANE TANK PELLET STOVE \ OTHER
SITE ADDRESS:
911#/ROAD NAME j_ 0 L.L'(41-vp 1 L 63 t V�9
p 6.3 n 6 y). G--- ZIP
9 DIGIT PARCEL ID NUMBER y17 00 O r
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
r ;^APPLICANT �J 3 I G h i �S J PHONE ( - C�. S'c'
MAILING ADDRESS .S I
ZIP
PROPERTY OWNER AV /C ' "I PHONE
MAILING ADDRESS
ZIP
CONTRACTOR SllV1 S N Ir1 P(LOP _ PHONE 38S' (S797
MAILING ADDRESS to !?S 3 Q14-D o f 02
POe'r µf•Wj l c Uc c.Jc. . ZIP 3 3 ct
STATE LICENSE # SLAV1Sf-P'I-077Qp EXP. DATE 11 / O'/
FEDERAL I.D. # 91- 1o4. 7 $S7
APPLICANT SIGNATURE ,0 (• DATE 7
/ / -
FOR OFFICE USE ONLY
BASE FEE /
2 ( RECEIPT # .2 ci'.3K?
IECEDWErB'
CASH/CK # ""I4C1 I
TOTAL {I DATE : / 9 / 01
J U L - 9 2001 ILf
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT