HomeMy WebLinkAboutBLD2002-00437 • _ •
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
PERMIT #: BLD02-00437 Received Date 8/5/2002
SITE ADDRESS: 980 BECKETT POINT RD Issue Date 8/6/2002
PORT TOWNSEND, 98368
APPLICANT: ALICE MURRAY PHONE: (360)385-4908
BECKETT POINT FISHERMAN'S CLUB
980 BECKETT POINT RD
PORT TOWNSEND WA 98368 17
SUBDIVISION: BECKETT POINT SOUTH BEACH Block: Lot:
PARCEL NUMBER: 931960010 Section: 23 Township: 30N Range: 02W
CONTRACTOR: EVERWARM INC PHONE:
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 8/17/2004
OWNER, ALICE MURRAY PHONE: (360)385-4908
if different: BECKETT POINT FISHERMAN'S CLUB
980 BECKETT POINT RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: PROPANE TANK, INSERT & PIPING
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 8/6/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: .i BWZ10/UL
,/
[ ] FinalApproval: oGG 20..$/�L • ,'i .k yex_
5Io gl2-87/62- oll
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
,
1PUILDING PERMIT APPLICA•N BLD02-00437
Review
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00437 Received Date: 8/5/2002
SITE ADDRESS: 980 BECKETT POINT RD
PORT TOWNSEND, 98368
OWNER: ALICE MURRAY PHONE: (360)385-4908
BECKETT POINT FISHERMAN'S CLUB
980 BECKETT POINT RD
PORT TOWNSEND WA 98368
SUBDIVISION: BECKETT POINT SOUTH BEACH Block: Lot: 17
PARCEL NUMBER: 931960010 Section: 23 Township: 30 N Range: 02 W
CONTRACTOR: EVERWARM INC PHONE:
257151 HWY 101
PORT ANGELES WA 98362
Contractor's License EVERWI*088NL Expires 8/17/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP PROPANE TANK, INSERT & PIPING
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 08/05/02 49402
Total: $47.00
0 •
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SfdgRIDAN ST, PORT TOWNSENIZZA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE V PROPANE TANK PELLET STOVE OTHER f) r'c):QG it.-Q._. I,/ S. ' r
pi/j,
Is this appliance(htg stove, hot water tank, furnace, etc.)to be installed in a Manufactured/Mobile Home?
YES ENO
SITE ADDRESS(911 #/Roa Name): 1 ,
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c:),.i l ®,..xoY, 1 CA ZIPA s
9_DIGIT PARCEL ID NUMBED -13 f c 1 Gj a l to
Legal Description:
Subdivision Name Block
Lot(s)
Section Township North, Range m^ WM
APPLICANT ar 14 4- 4 PHONE Q' 442," 3'
MAILING ADDRESS i � I
C�Yf U 11 ZIP 9 ,P3
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PROPERTY OWNER.. T .c(ek.k.1\c-Y- , PHONE
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MAILING ADDRESS C-
ZIP
CONTRACTOR � . A�. PHONE c)
MAILING ADDRESS-- �7Z�
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STATE LICENSE# U E 2 ,D i 4- 0 % /i EXP. DATE [.� I Li 1 OZ- '^
FEDERAL I.D.# \ ` \ S LO 1 aj
By signing the application form, the applicant/owner onsets 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 thle permit being null and void.
I further agree to save, indemnify and hold harmiese Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which
may in any way accrue against Jefferson County es 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 end shall occur during regular business hours.
APPLICANT SIGNATUR
1
DATE
-
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BASE FEE CERT#
AUG - 5 2002 SH/CK# 2-1=1E I G(
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