HomeMy WebLinkAboutBLD2002-00336 • 0
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 #: BLD02-00336 Received Date 6/12/2002
SITE ADDRESS: 187 LLAMA LN Issue Date 6/13/2002
PORT HADLOCK, 98339
APPLICANT: OPTION ONE MORT PHONE:
3 ADA
IRVINE CA 926182304
T 40
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001343040 Section: 34 Township: 30N Range: 01W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, OPTION ONE MORT PHONE:
if different: 3 ADA
IRVINE CA 926182304
PROJECT DESCRIPTION: 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 6/13/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: `' ir el Zr
] FinalApproval:__ / 4/ ' I/Q-
1
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
is\F_BLD_Permit_Propane.rpt 10/29/19
JEFFERSON COUNTY PERMIT CENT.21 SHERIDAN ST, PORT TOWNSEND WA 068 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE i PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#/ROAD NAME 18'1 LI2
/ W 0 ZIP ( e33
9 DIGIT PARCEL ID NUMBER DO 1 34 3 0 go
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT 3 l-O.up__ T L u a Yl / 13(L( e. PHONE 3 7 y- L117' 9
MAILING ADDRESS Po "box i 1-
D if- d L 0 C , / 1dJQ ZIP I U33 9
PROPERTY OWNER 114.4.44,0{' PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Suvl s H I n e.. P20 P FI-4,%-z_ PHONE 3 8,5-- 379 7
MAILING ADDRESS (0 4753 Q n y 0 2
Porr N-IYD L P c.lc (..?&. • 0
ZIP S cf 33
STATE LICENSE # SL4 vi s If p 0 7 7 Q p EXP. DATE l I /02_
FEDERAL I.D. # 9l- I o S 7 8 s-7
•
APPLICANT SIGNATURE ,r--c._
( 4JA o!'' l DATE '6 / 16 / D 2.,
FOR OFFICE USE ONLY
BASE FEE I_L!..!, 11. pn IE RECEIPT # � 09
CASH/CK # .'�'"t-t 9
TOTAL U-3 ' ou JUN 1 2 2002 DATE
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BLD02-00336
UILDING PERMIT APPLICN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00336 Received Date: 6/12/2002
SITE ADDRESS: 187 LLAMA LN
PORT HADLOCK, 98339
OWNER: OPTION ONE MORT PHONE:
3 ADA
IRVINE CA 926182304
SUBDIVISION: Block: Lot: T 40
PARCEL NUMBER: 001343040 Section: 34 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 11/17/2002
REPRESENTATIVE(S): STEVE BRUYERE
LUANI BRUYERE
PO BOX 12
PORT HADLOCK WA 98339
PROJECT DESCRIPTIOl 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
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 MAM 06/12/02 47909
Total: $47.00