HomeMy WebLinkAboutBLD2002-00733 • •
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#: BLD02-00733 Received Date 12/18/2002
SITE ADDRESS: 50 S CHANDLER CT Issue Date 12/18/2002
PORT LUDLOW, 98365
APPLICANT: MICHAEL C FARRAR PHONE: (360)437-1411
VELMA FARRAR
50 A S CHANDLER CT
PORT LUDLOW WA 98365 10A
SUBDIVISION: INNER HARBOR VILLAGE CONDOS Block: Lot:
PARCEL NUMBER: 961601001 Section: 17 Township: 28N Range: 01 E
CONTRACTOR: KITSAP LUMBER & HARDWARE INC PHONE: (360)582-0231
INSERT 450 NATIONAL AVE S
BREMERTON WA 98312-3697
Contractor's License KITSALH09306 Expires 1/1/2004
CONTRACTOR: FERRELLGAS L P PHONE: ( 360 ) 385-6998
TANK 646 S 3RD AVE
SEQUIN, WA 98382 FERRELP055LH Ex. 8/1 /2004
PROJECT DESCRIPTION: PROPANE & INSERT 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 12/18/2003.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: %� 6: cc�,2�c ��-�-: I
[ ] FinalApproval: /0[�=,� C / L_2-f--c+z
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
410B
UILDING PERMIT APPLICA�''��� BLD02-00733ON Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00733 Received Date: 12/18/2002
SITE ADDRESS: 50 S CHANDLER CT
PORT LUDLOW, 98365
OWNER: MICHAEL C FARRAR PHONE: (360)437-1411
VELMA FARRAR
50 A S CHANDLER CT
PORT LUDLOW WA 98365
SUBDIVISION: INNER HARBOR VILLAGE CONDOS Block: Lot: 10A
PARCEL NUMBER: 961601001 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: KITSAP LUMBER & HARDWARE INC PHONE: (360)582-0231
INSERT 450 NATIONAL AVE S
BREMERTON WA 98312-3697
Contractor's License KITSALHO9306 Expires 1/1/2004
CONTRACTOR: FERRELLGAS L P PHONE: (360)385-6998
TANK 646 S 3RD AVE
SEQUIM WA 98382
FERRELP055LH Ex. 8/1 /2004
PROJECT DESCRIPTION PROPANE & INSERT 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 12/18/02 52766
Total: $47.00
• •
JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST.PORT TOWNSEND WA 98368 PH: (380)379-4450
INSTALLATION PERMIT APPLICATION
MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION
Underground PROPANE TANK* Above Ground PROPANE TANK HEAT STOVE H0T WATER TANK
WOODSTOVE X _FIREPLACE INSERT PELLET STOVE COOKING STOVE
OTHER(Please Specify)
Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured!Moblle Home'
SITE ADDRESS(911#/Road Name):
5 0/4 „co ci �j £r`l'and/er 7 oar
4r L L(4lp r 2 ZIP q e 3 to..S
9 DIGIT PARCEL ID NUMBER 9e.v/ 4;(.)/ D O
Legal Description: 'i
Subdivision Name L9'iiI- /G/I' -Liins r' ftari7or (A, //&q e_ Block Lot(s)
Section Township North, Range WM
I/Y\KFt 1. ` V ✓✓11� / 'l
APPLICANT ir],eAae/ d, v G/��•iele /terra/- PHONE (.. 4'6) 4L37- /`'//
MAILING ADDRESS 3-O A (=
S 0 • Lla S(er di.
An'
Lud/Ow, t/4 ZIP q'363
PROPERTY OWNER (5 a.y,e) PHONE
MAILING ADDRESS
/- ZIP
CONTRACTOR k4/SO
// -5a f1"_ ,f beer- F!,Vitt C PHONE (-3Co.0.) '7C/- 44)/ `f
MAILING ADDRESS '/SO /tla-4 d yia/ /4oe V J
6reYner"-1-04r ZIP �/ff-3 /O..
STATE LICENSE# K/ESA Li-/ O 7/344 EXP.DATE 0//O'1
FEDERAL I.D.#
ay 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 reautt 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 end 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'S SIGNATURE . � a4. \ t- y ~ --c.,` ..•-__ DATE / I /1 f O
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'Underground Propane Tank applications require additional Inform rtjo Gas �(� {� E R
Please contact our office at 360-379-4450 if the back of this spou (Jts' �i s bh t-� �J !. g L/ LIB 1...„„EIPLNCN..NFpC,......,..NsTA,LL.�OCi
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DEC 18 2002
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DEPT. OF COMMUNITY Y DEVELOPMENT
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