HomeMy WebLinkAboutBLD2003-00642 4111
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00642 Received Date 10/10/2003
SITE ADDRESS: 2364 ELKHORN LN Issue Date 11/7/2003
QUILCENE, 98376
APPLICANT: MARTIN C SAUNDERS PHONE: (360)698-6653
7375 BRIDLEVALE BLVD NW
BREMERTON WA 98311-8914
SUBDIVISION: Block: Lot: T 4
PARCEL NUMBER: 802272003 Section: 27 Township: 28 N Range: 02 W
CONTRACTOR: INNOVATED FIRE SPRINKLERS SYS PHONE: (360)452-7583
VINCE BETTGER
81 NEW HAVEN LN
PORT ANGELES WA 98362
Contractor's License: INNOVFS044DR Expires: 08/12/2004
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: NO MLA REQ -FIRE SPRINKLER SYSTEM
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing:
( 1 Plumbing: ��i�'lb.) �Z �.y`''Y�? ,mac L /< ////�3 T-4444, rt.-sr el( 7'
[ ] Propane Tank/ Lines:
[ ] Insulation:
( 1 Sheetrock:
[ ] Septic Sytem Final Approval:
1 Zoning Final Approval:
[ ] Final/Occupancy Approval: /0-L0-05
HEALTE PARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
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
•UILDING PERMIT APPLICA VN BLD03-001 27
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00642 Received Date: 10/10/2003
SITE ADDRESS: 2364 ELKHORN LN
QUILCENE, 98376
OWNER: MARTIN C SAUNDERS PHONE: (360)698-6653
7375 BRIDLEVALE BLVD NW
BREMERTON WA 98311-8914
SUBDIVISION: Block: Lot: T 4
PARCEL NUMBER: 802272003 Section: 27 Township: 28 N Range: 02 W
CONTRACTOR: INNOVATED FIRE SPRINKLERS SYS PHONE: (360)452-7583
VINCE BETTGER
81 NEW HAVEN LN
PORT ANGELES WA 98362
Contractor's License INNOVFSO44DR Expires 3/13/2001
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NO MLA REQ - FIRE SPRINKLER SYSTEM
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 3,450.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: 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
F&W Landslide
Routing Date:
lotc.- (
? cpess.3
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: /�11 PP • t /E
Permit $97.25 KAS 10/10/03 60259
Plan Check $63.21 KAS 10/10/03 60259 NOV -- 7 2003
State Building Code $4.50 KAS 10/10/03 60259
Total: $164.96 Jefferson County Planning
& Building Department
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i Jefferson Camtyletment of Co mmdty Development
��' r r ° 621 Sheridan Street,Port Townsend WA 88368[360]378 A450
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Project Description:
Building Type: Project Type: Frame Type:
_g Single Family X New 15K Wood
❑ Garage Attached/Detached 0 Addition 0 Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete •
❑ Commercial ❑ Repair 0 Masonry
O Multi-family/#of Units ❑ Demolition 0 Other:
O Industrial
O Other: ..re,.. , p.', 1:iC t
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat
Choose one:
Existing F.'risting. 0 Sewer 0 Community System ❑ Electricity 0 Oil
Proposed: Proposed: ❑ Individual System 0 Woodstove ❑ Propane
Total: Total. If not sewer,fill out the following: ❑ Heat Pump
0 Conventional 0 Alternative ❑ Other
Permit# SEP
Water Supply:
"�:,.Private well ❑ Two Party Well 0 Public:Name of water system:
Square Footage: For Office Use Only
Main Floor :.r' / t
Consistency Review
2ND Floor Base fee t7•25
3rd Floor Plan Check fee—65% (.3.2{
Htd Basement State Surcharge fee .14'.SO
Unhtd Basement Subtotal 1(:).-i: qio
Garage/Carport Pot Water Review fee -!
Decks 911/Rd Approach fee
CP
Commercial TOTAL 16 y'-q G
Industrial Receipt# 6,&Z5 9
Other Cash/Check# n?32 7
Total Valuation: i--i � Sp✓:'�c1C 1•e o"J' Initials i"gja
Or Date (Ol R°( d3'
Estimated Cost >(/S ci.c )
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft Bank Height ft.
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 attomey'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.
Signature: tip. .:
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APPR®VE[l
JEFFERSON COUNTY BCD
NOV - 7 2003
Jefferson County Planning
& Building Department
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CITY OF PORT TOWNSEND
FIRE DEPARTMENT