HomeMy WebLinkAboutBLD2003-00691 IIP
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00691 Received Date 11/5/2003
SITE ADDRESS: 31 HOOD PL Issue Date 11/5/2003
BRINNON, 98320
APPLICANT: LUCILLE E MC LANE PHONE:
31 HOOD PL
BRINNON WA 983209633
SUBDIVISION: SEAMOUNT ESTATES DIV 1 Block: Lot: 45
PARCEL NUMBER: 993000046 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: TITLE ELIMINATION AND 1973 LIFE SAFETY CHECK
RE UIRED INSPECTIONS:
SETBACKS:
UFFER:
Footing:
Foundation:
dr: Underground Plumbing:
/7 Underground Insulation:
Shear Wall :
Framing:
Plumbing:
Propane Tank/Lines:
f J Insulation:
Sheetrock:
f ' Septic Sytem Final Approval:
Zonin Final A roval:
Final/Occupancy Approval: d W Cori t ,, It 13 03
DEPARTME T 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
"" SEP72-00103
__ *WILDING PERMIT APPLICAN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00691 Received Date: 11/5/2003
SITE ADDRESS: 31 HOOD PL
BRINNON, 98320
OWNER: LUCILLE E MC LANE PHONE:
31 HOOD PL
BRINNON WA 983209633
SUBDIVISION: SEAMOUNT ESTATES DIV 1 Block: Lot: 45
PARCEL NUMBER: 993000046 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' TITLE ELIMINATION AND 1973 LIFE SAFETY CHECK
TYPE OF WORK T.E SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1973 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO___AREA___
Exist: 2 Exist: 2 Wetland Erosion
Prop: Prop: Seismic _ Streams _
Total: 2 Total: 2 Flood Way _ Floodplain
Routing Date: F&W Landslide
Shoreline _Aquifer _
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $151.00 RAC 11/05/03 60144
Potable Water Application $51.00 RAC 11/05/03 60144
Total: $202.00
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JEFFERSON COUNTY COM1 NITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
L: i c -4 c--,----,, ,-4-- k.,,, Liji ---1 (4 ,
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
/
0 NEW BUILDING 0 REPLACEMENT
f/
SIZE c S L
YEAR 19'13 'fro
MAKE 6-`1,, 6:10 I s cr '-5
COST N A � °
BEDROOMS: BATHROOMS: ®ujjj
EXISTING a- EXISTING I.' ( )
PROPOSED e PROPOSED (2
TOTAL TOTAL /, 9-S
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
❑ INDIVIDUAL SYSTEM 2I-ConventionalPUBLIC
PERMIT#SEP r-A) /O- ❑ Alternative Name of water system: C- Anv,xrt4- CS-rq-k2 -y
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE KO ft BANK HEIGHT li1 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 structure shall be requested and
shall occur during regular business hours. i
SIGNATURE ' )(144 (_ v tt, !'1- mot)
DATE
NAME(PLEASE PRINT) LLC:1 ,2_ iL Lav1Q-
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE _47.00 RECEIPT ���'
# ` I '
BASE FEE , i -'-
ADDITIONAL SECTIONS CASH/CK# �� _J
SUBTOTAL , / l_ ( DATE / / ". .y
POTABLE WATER ,
911/ROAD APPROACH
TOTAL '
H'W OMEPLNCNTRUNFOBLD\FORMSVv1OBILEAP.11/26/01
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