HomeMy WebLinkAboutBLD2002-00369 • •
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 #: BLD02-00369 Received Date 6/26/2002
SITE ADDRESS: 184 QUINAULT LOOP Issue Date 6/27/2002
PORT TOWNSEND, 98368
APPLICANT: MARY L ROTHSCHILD PHONE: (360)385-1407
184 QUINALT LOOP
PORT TOWNSEND WA 98368
15
SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 11 Lot:
PARCEL NUMBER: 938701115 Section: 12 Township: 30N Range: 02W
CONTRACTOR: SUNSHINE PROPANE PHONE: 385-5797
10853 RHODY DR
PORT HADLOCK WA 98339
Contractor's License SUNSHP*077QP Expires 11/17/2002
OWNER, MARY L ROTHSCHILD PHONE: (360)385-1407
if different: 184 QUINALT LOOP
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: PROPANE TANK GAS PIPE & HEAT STOVE 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 6/27/2003.
REQUIRED INSPECTIONS:
["] Tank/Line/Appliance:? pgig.,te-
p a j (`{ ....O'3
[V] Fin alAp proval: P 6 74, Z ^t 4—03 _
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
BLD02-00369
"-'-• 43 UILDING PERMIT APPLICAN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00369 Received Date: 6/26/2002
SITE ADDRESS: 184 QUINAULT LOOP
PORT TOWNSEND, 98368
OWNER: MARY L ROTHSCHILD PHONE: (360)385-1407
184 QUINALT LOOP
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 11 Lot: 15
PARCEL NUMBER: 938701115 Section: 12 Township: 30 N Range: 02 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):
PROJECT DESCRIPTION PROPANE TANK GAS PIPE & HEAT STOVE 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
Routing Date: F&W Landslide
Shoreline __ _Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Propane Tanks/Stoves $47.00 MAM 06/26/02 49110
Total: $47.00
JEFFERSON COUNTY PERMIT CD., 621 SHERIDAN ST, PORT TOWNSEND WO368 PH: (360) 379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE r` PROPANE TANK PELLET STOVE �/ w
(� OTHER rig-70"-Q_
i'�9-+�
SITE ADDRESS: ,
911#/ROAD NAME i g q `--'i bt /,,4 Lc.-l:l L 00 ,n
QC7 � � 1—Di.,) rJ I
nsen0 /JQ ZIP gd3‘ci'
9 DIGIT PARCEL ID NUMBER CI S Si 7 0 i ( l 5
]t gi
Legal Description: .
Subdivision Name Block '`
Lot(s) , '
Section Township North, Range WM '
�6"r 2071'�f C�l L.cc/ PHONE 3 es � r v
APPLICANT u y
4417
MAILING ADDRESS
ZIP
PROPERTY OWNER l" / t L4 - PHONE /
MAILING ADDRESS t
ZIP
CONTRACTOR Suvi s I-I Ine, PaoPic14,-Q_ PHONE 38,5-- 5717
MAILING ADDRESS (D g 5 3 1Z14-0 t9Lj. 0 2
POI'T 14-1940 LD QC i Lea . ZIP 5 33 1
STATE LICENSE # SLA vl s t(-P 0 7 7 Q P EXP. DATE I l /O,
FEDERALI.D. # 9i- Ioc 78S7
,
APPLICANT SIGNATURE `..Gl.."-c._- ,Q,de), ' 01,' ( DATE 6 / c"2-5/ d
FOR OFFICE USE ONLY
BASE FEE
D E C rF A V E RECEIPT #
v l5 l5 CASH/CK # 7 7c,
TOTAL
.. 11 JUN 2 6 2002 DATE / /
J
H:\HOME\PLNCNTR\FORMS\INSTALL.DOC4/98 DEPT. OFCOMMUNITY DEVELOPMENT