HomeMy WebLinkAboutBLD2003-00001 • .
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 #: BLD03-00001 Received Date 1/2/2003
SITE ADDRESS: 1000 LINGER LONGER RD Issue Date 2/24/2003
QUILCENE, 98376
APPLICANT: LARRY G MC CLANAHAN PHONE: (360)374-3173
811 K ST
FORKS WA 98331-9169
T 50
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702244007 Section: 24 Township: 27N Range: 02W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, LARRY G MC CLANAHAN PHONE: (360)374-3173
if different: 811 K ST
FORKS WA 98331-9169
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 YEAR.
THE EXPIRATION DATE IS 2/24/2004.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: /I;P4,41 '44.#t 7`1dvI
[ ] FinalApproval: .0K -car 0 3J//G
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
UILDING PERMIT APPLICN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00001 Received Date: 1/2/2003
SITE ADDRESS: 1000 LINGER LONGER RD
QUILCENE, 98376
OWNER: LARRY G MC CLANAHAN PHONE: (360)374-3173
811 K ST
FORKS WA 98331-9169
SUBDIVISION: Block: Lot: T 50
PARCEL NUMBER: 702244007 Section: 24 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION WOODSTOVE 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 01/02/03 52798
Total: $47.00
0 0
1:', • 15: 33 3E03794451 JEFF CO DOD PAGE 01/02
=FFE,RSOJ+I COUNTY COMMUNITY DEVELOPMENT.621 HERIDAN ST, PORT TQWNSEND WA 98368 PH: (360}379-4450
INSTALLATION PERMIT APPLICATION
r MARK ALL ITEMS Pr ,)ERTAIN TO THIS INSTALLATION
Underground Pi-4 PA.._ I ANK* CAbove Ground PROPANE TANK /K HEAT STOVE HOT WATER TANK
WOODSTOVE FIREPLACE INSERT PELLET STOVE DOKING STOVE
OTHER(Please Specify) ---
Is this applian a (htg stove, at water tank,furnace, etc,)to be installed in a Manufactured/Mobile Home?
-2 -' a.e ,71) 0-2Y7-D,6,' lLPi ,a.YES — NO
SITE ADDRESS(911 #f Road Name):
/a C9O Z--/Nor-EiQ 4_e7 /-�ex. RGJ/g,D_ZQ- �Cr ..//j (�C/� g ZIP � ( .
9 DIGt PARCEL ID NUMBER___„ _a_A , V.V. QO 7
l ription.
In Name �7 Block �- Lot(s)
�
Section 01 Township, ./ A) North, Range A til WN1
APPL.:CANT /.., 4R ,,q / " L- "r-v - 7 A/14/7.4 PHONE(.3K).37 - .3/73
MAILING ADDRESS _8`1 -_ __.l-)►-- Rc E1
.._ Q, s,_ Cdy _ ....... ZIP 9`e35/
PROPERTY OWNER GZQie-e, -_-- PHONE--_.__..__
MAILING ADDRESS
ZIP
CONTRACTOR MOl__ P_ _Qt ._,W__E__- PHONE (/_ 3 Sl — 3
MAILING ADDRESS__ gk5. C hl.11..R Ca In RD
PORT /f Loci , WA - 9"g3 9 ZIP
,DENSE 6'C e5 3-3 9 ( Wf )/ /� �d� EX P.CIA?E �/
FEDERAL i,D,# / .A L✓ _. ..S.:-S--
siring the spp:ication t, -T nd ap, a.• - ..er attests that the information prcviden herein 'g;rue ano Larrect t;o the Ues. Of thV r kno;.,,-q, r,i r•,a,
-aahoQti Or any urn.Sa `rte al 'a:. ads by the applicant,o.vner with reepect to tf application packet may result in the permit being n and void
I further agree to r.+y and hold harmless Jefferson Co,," aaemst ell fab.',thes,judgments, court costs, reasonable attorney's fees end expenses which
may in any way a: ',a' Jefferson County as a result of or In .. ,ar li, -' ;ranting of t .i.3 permit.
I further agree to ;r and right of entry to Jefferso^ �,_, and a's ernc!oyees, representatl es or agents ftrr the purpose of al>piiQ,acicn restew and any
required later:-•s e,- s and -ht of entry to the po,^an•'s prouart,or structure shall be requested and shall occur during regular ous less hours.
APPLICANT'S SIGNATURE ( _ _ _____-_ DATE J_.3QI_ C.)p2'
a.1 � :fib FO :WP S-ta OW ,
t a : itv ° ..._ :..., . . . . .- yam_,.. l
*Underground Props• , s require additional informs (� (p'tare Q n n re E R
Please contact our office at 360 If the back of this appllcatit 75') LE Vu I U 1011.1111
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