HomeMy WebLinkAboutBLD2003-00676 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00676 Received Date 10/27/2003
SITE ADDRESS: 164 SWANSON AVE Issue Date 11/19/2003
PORT TOWNSEND, 98368
APPLICANT: LAURA K SOUZA PHONE: (360) 379-8338
HENRY M SOUZA
164 SWANSON AVE
PORT TOWNSEND WA 98368-9222
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 8 Lot: 13&14
PARCEL NUMBER: 977100819 Section: 24 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: NEW SCREEN FENCE
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing:
1 1 Plumbing:
[ ] Propane Tank/ Lines:
[ ] Insulation:
1 1 Sheetrock:
[ ] Septic Sytem Final Approval:
1 Zoning Final Approval:
[ ] Final/Occupancy Approval: ' /'Ar79S
HEALT/1 EPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PE MIT 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
BUILDING PERMIT APPLICA•N MLLA03 00p592
Review Ty
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00676 Received Date: 10/27/2003
SITE ADDRESS: 164 SWANSON AVE
PORT TOWNSEND, 98368
OWNER: LAURA K SOUZA PHONE: (360) 379-8338
HENRY M SOUZA
164 SWANSON AVE
PORT TOWNSEND WA 98368-9222
SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 8 Lot: 13&14
PARCEL NUMBER: 977100819 Section: 24 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SCREEN FENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 500.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: V_ 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: (o( ,L0. F&W Landslide
'1 o Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A 1.1 Approved/Date
Permit $38.75 KAS 10/27/03 60287rPROVE
.
Plan Check $25.19 KAS 10/27/03 60287
State Building Code $4.50 KAS 10/27/03 60287 NOV 1 9 2003
Total: $68.44 Jefferson County Planning
& Bui ding Department as
• Jefferson Comitylkartmentof Comedy Doveknimait
�1 ON ��� 521 Simla!Strait,Port Toward WA 88358(UV 378-4450
4.�s0
� ° permo up ° - o cash Din
Project Description: kg I e-Fe_._(J CIE--
Building Type: Project Type: Frame Type:
Ji Single Family New ,Wood
❑ Garage Attached/Detached ❑ Addition Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete •
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition 11 Other:
❑ Industrial �+�-
YC Other. C-
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity _ it
Total Total: ❑ Individual System O Woodstove ,, pf Propane
Proposed: sed:
If not sewer,fill ou a following: ❑.._Heat p ';,�'
❑ Conventional Alternative ❑ Other
Permit# SEP i
Water Supply: ,!
❑ Private well 0 Two Party Well❑ Public:Name of water system: t
Square Footage: For Office Use Only J F, S ` COUNTY
1- r, ne .i,: c,•t op l,rtr it!' F
Main Floor Consistency Review 47.0u
2ND Floor Base fee g8-7S
3rd Floor Plan Check fee—65% 25,.11
Htd Basement State Surcharge fee t{'.S-Q
Unhtd Basement Subtotal )) 5, 44—
Garage/Carport Pot Water.Review fee
Decks 911/Rd Approach fee 11
Commercial TOTAL /�111 g5--.1�-A1—
Industrial Receipt# 15 `
Other Cash/Check#
Total Valuation: Initials 17e-�/
Or
Date )fri D,
Estimated Cos 0
If within 200' o reline
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 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 s cture shall be requested and shall occur during regular business hours.
Signature: Date: / / 291
OVER
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