Loading...
HomeMy WebLinkAboutBLD2001-00444 s s 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 #: BLD01-00444 Received Date 8/6/2001 SITE ADDRESS: 555 BLUE SKY DR Issue Date 8/6/2001 PORT TOWNSEND, 98368 Expiration Date 8/6/2002 APPLICANT: THOMAS WYLIE PHONE: (360)385-2559 GABRIELLE LAROCHE 555 BLUE SKY DR PORT TOWNSEND WA 98368 20 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: PARCEL NUMBER: 001195120 Section: 19 Township: 30N Range: 01W CONTRACTOR: OWNER PHONE: OWNER, THOMAS WYLIE PHONE: (360)385-2559 if different: GABRIELLE LAROCHE 555 BLUE SKY DR PORT TOWNSEND WA 98368 PROJECT DESCRIPTION NO MLA REQ'D - HEAT STOVE & GAS PIPING 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 08/06/2002. REQUIRED INSPECTIONS: [ ] Tank/Line/Appliance: [ ] Fi nalApproval: ` ``(c 0 `( 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 #: BLD01-00444 Received Date: 8/6/2001 SITE ADDRESS: 555 BLUE SKY DR PORT TOWNSEND, 98368 OWNER: THOMAS WYLIE PHONE: (360)385-2559 GABRIELLE LAROCHE 1603 BEACH DR DOUGLAS AK 99824 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: 20 PARCEL NUMBER: 001195120 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTIO NO MLA REQ'D - HEAT STOVE & GAS PIPING 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: 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 Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Propane Tanks/Stoves $48.00 MAM 08/06/01 30056 Total: $48.00 t JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (3601 379-4450 INSTALLATION PERMIT APPLICATION a..,..e2. S la WOODSTOVE PROPANE TANK PELLET STOVE OTHER SITE ADDRESS: 911#/ROAD NAME 6-5-s S7 ��Y`e p� " / p ` �A- ZIP 9�36 O 9 DIGIT PARCEL ID NUMBER ©©/ — !/,S' /Z0 Legal Description: L �� /c - of. -t.e-;/ 3 p Subdivision Name �" Block Lot(;) 2O c . Section /!q Township 3v North, Range / aW v► %ZtA-wi-ey 41. /-1(y/c.I2. APPLICANT 6 a 6 r:e!/'L/� G. 4.4, cli-e PHON�36°) 3c ' - Z35 7 MAILING ADDRESS ,�. 'C ,getn�e.. .S% "D=! P!1. T , �/7Q ZIP g36/0p PROPERTY OWNER <Salt"'-'_-- > PHONE MAILING ADDRESS ZIP CONTRACTOR ��1 /'e't _t 6 ‘,.,t� 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 applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE DATE / / FOR OFFICE USE ONLY BASE FEE RECEIPT# 3005 CASH/CK# 0 I Z1 TOTAL Li S 019 DATE 8 t b / O H:\HOME\PLNCNTR\FORMS\INSTALL.DOC 10/99