HomeMy WebLinkAboutBLD2002-00677 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 # BLD02-00677 Received Date 11/15/2002
SITE ADDRESS: 393 BAYCLIFF DR Issue Date 11/15/2002
PORT TOWNSEND, 98368
APPLICANT: NOAH CURTISS PHONE: (360) 385-3286
393 BAYCLIFF
PORT TOWNSEND WA 98368
274
SUBDIVISION KALA POINT #5 Block: Lot
PARCEL NUMBER: 965000159 Section: 27 Township: 30N Range:
CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 732-7208
PO BOX 944
PORT HADLOCK WA 98339
Contractor's License CRANSCC070J7 Expires 03/1
OWNER, NOAH CURTISS PHONE: (360) 385-3286
if different: 393 BAYCLIFF
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: WOODSTOVE INSTALLATION
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEA
THE EXPIRATION DATE IS 11/15/2003.
REQUIRED INSPECTIONS:
[ ]
Tank/Line/Appliance: .:72:7u� Cf-f/.e f -3
FinalApprovaI: ('").-e-
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 10/29/1
BLD02-00677
•UILDING PERMIT APPLICAON
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT # BLD02-00677 Received Date: 11/15/2002
SITE ADDRESS: 393 BAYCLIFF DR
PORT TOWNSEND, 98368
OWNER: NOAH CURTISS PHONE: (360) 385-3286
393 BAYCLIFF
PORT TOWNSEND WA 98368
SUBDIVISION KALA POINT #5 Block: Lot 274
PARCEL NUMBER: 965000159 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: CRANSTON CONSTRUCTION
PHONE: 732-7208
PO BOX 944
PORT HADLOCK WA 98339
Contractor's License CRANSCC070J7 Expires
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION WOODSTOVE INSTALLATION
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
MAIN:
VALUATIO ADD'L: HEAT TYPE:
NDDE EDITION: 1997
HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY:
UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE:
DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS:
Exist: Exist STORMWATER: YES NO
AREA
Prop: Prop: Wetland Erosion
Total: Total
Seismic Streams
Routing Date:
Flood Way Floodplain
rt,v v
Type Amount Paid By: Date: Receipt : Approved/Date
Propane $47.00 PRB 11/15/0 51330
Tanks/4$tys: $47.00
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST,PORT TOWN D WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
WOODSTOVE Above Ground PROPANE TANK PELLET STOVE OTHER
Is this appliance (htg stove, hot water tank,furnace, etc.)to be installed in a Manufactured/Mobile Home?
YES . NO
SITE ADDRESS(911#/Road Name):
3ct3 /o/ Le_ �: k LA /d1 kTr-
oc)r- roc,,ofs-PWit..4. / ZIP .r(f) '34P
r9 DIGIT PARCEL ID NUMBER ' - /- 000 5 I
Legal Description: ,r1 f�
Subdivision Name i at A Pc 1 .-t r Block Ur�(/ s Lot(s) ? ?
Section -( Township ' C T v North, Range Ut/ WM
APPLICANT C rl�Yj S�`t1�1 lr(?41 41 % (C), PHONE )() - )--).( - 7A {r�
MAILING ADDRESS 0- /C( 9'(lc o rT f RI Li,C k
6,,r0`i k I ZIP 4 3 3 c
PROPERTY OWNER l J O c( ( C U v I t'S �j PHONE 3 65 �o:
y.-) .
MAILING ADDRESS .�q da10•j CL ' 1z I`(
po r t jot,/ h S , vt 1 ZIP q P 3 6 P
CONTRACTOR Cr- a ti-2%o'1 �l/yt -Co r (C5, PHONE ) 7,2 op
MAILING ADDRESS 6C)' Ea( g$1. •
/� ��
Po r .fi !' /f�6/ t rc t!/I ZIP 3 /
STATE LICENSE# s(� kJ'0 4L-C‹.) �e, t EXP.DATE ),/G�C1?!
1 FEDERAL I.D.# / f,S 5 -7 Li 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 SIGNATURE6(414(-1--LePl DATE i j / tr- / CVLt.
//�� ( FOR OFFICE USE ONLY
BASE FEE 4 l •COG RECEIPT# 51
: ,:
CASH/CK# 3( 7
1.
4-1 TOTAL ..0c> DATE I I / I ST C)Z'''
H:W OME\PLNCNTR\INFOBLDG\FORMS\INSTALL.DOC 11/05/01