HomeMy WebLinkAboutBLD2002-00282 BUILDING 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#: BLD02-00282 Received Date 05/14/2002
SITE ADDRESS: 24 HUNTINGFORD Issue Date 05/14/2002
PORT TOWNSEND, 98368
APPLICANT: ERIC L LUCAS PHONE:
BARBARA G LUCAS
24 HUNTINGFORD ST
PORT TOWNSEND WA 983689228
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 6 Lot: 13,14
PARCEL NUMBER: 977100612 Section: 24 Township: 30 N Range: 02 W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License: SUBURPL044DA Expires: 03/08/2003
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION PROPANE TANK INSTALLATION
REQUIRED INSPECTIONS:
( ] SETBACKS / Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ opane Tank/Lines: 1//C /1 /c'
[ ] Insulation:
[ ] Sheetrock:
[ ] Septic System Final Approval: _
[ ] Zoning Final Approval: /
inal/Oup ccancy Appr gal: 1 / )
HEALTH DEPARTMENT APPROVAL RE IRED'PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR R IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
BLD02-00282
BUILDING PERMIT APPLIC ION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD02-00282 Received Date: 5/14/2002
SITE ADDRESS: 24 HUNTINGFORD
PORT TOWNSEND, 98368
OWNER: ERIC L LUCAS PHONE:
BARBARA G LUCAS
24 HUNTINGFORD ST
PORT TOWNSEND WA 983689228
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 6 Lot: 13,14
PARCEL NUMBER: 977100612 Section: 24 Township: 30 N Range: 02 W
CONTRACTOR: SUBURBAN PROPANE PHONE: 385-5096
P 0 BOX 989
PORT TOWNSEND WA 98368
Contractor's License SUBURPL044DA Expires 03/08/2003
REPRESENTATIVE(S):
PROJECT DESCRIPTIO PROPANE TANK 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
Routing Date: F&W Landslide
Shoreline Aquifer
��j�/j�`{� Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 ZAN 05/14/02 47632
Total: $47.00
1
JEFFERSON COUNTY COMM,. DEVELOPMENT,621 SHERIDAN ST,PORT TOWWND WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
Is this appliance (htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobile Horne ,?
YES NO
SITE ADDRESS(911 #/Road Name):
\t �2TC L �''\S(����1 ZIP 36
9 DIGIT PARCEL ID NUMBER 4 ` 7 — l �� ^ 6 !
Legal Description:
Subdivision Name Block Lot(s)
Section Townnsh�ip North, Range WM
APPLICANT SJOk \ V ` ►J' - PHONE -� C%
MAILING ADDRESS ✓L�J��11 \
�� ZIP ? 3C4 V
PROPERTY OWNER PHONE 3 7 ! ^8} 2 7
MAILING ADDRESS 2'" L'f'LNl `�YC
ZIP 98 $`
CONTRACTOR ZJ ` 0' b PHONE Or`�
MAILING ADDRESS ' —CI7ACy (P-C(
j j/ ZIP
STATE LICENSE# v F L £ %4 �\ EXP. DATE
FEDERAL I.D.# 1�
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 J"- /y� DATE l ill
FOR OFFI USE ONLY
BASE FEE y RECEIPT# ���C��/,.,��9,�
(i �} CASH/CK# C,r-5
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TOTAL ( ' fP DATE /(`1 / 2
H:\HOME\PLNCNTR\INFOBLDG\FORMS\INSTALL.DOC 11/05/01