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HomeMy WebLinkAboutBLD2003-00757 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00757 Received Date 12/5/2003 SITE ADDRESS: 7443 BEAVER VALLEY RD Issue Date 12/8/2003 CHIMACUM, 98325 APPLICANT: MICHAEL A ELDRIDGE PHONE: SANDRA J ELDRIDGE 7443 BEAVER VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901242004 Section: 24 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License: BISHOBC093D6 Expires: 12/14/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: WATER DAMAGE REPAIR - NO MLA REQUIRED REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: 11 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: _IA.—i ..a-s [ 1 Sheetroc •• ►.2.�at,, [ ] Septic Syt m Final Approval: 1 Zoning Final Approval: [ ] Final/Occupancy Approval: /-z - f Via /€1>5' HEALTH DEPARTMENT APPROVAL RE�QUI D F�'R10 {-FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR MUST B ROPERLY 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 APPLICATON BLD94-00366 view Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00757 Received Date: 12/5/2003 SITE ADDRESS: 7443 BEAVER VALLEY RD CHIMACUM, 98325 OWNER: MICHAEL A ELDRIDGE PHONE: SANDRA J ELDRIDGE 7443 BEAVER VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901242004 Section: 24 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBC093D6 Expires 12/14/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr WATER DAMAGE REPAIR - NO MLA REQUIRED TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 53,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 3 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: ved/Date- Permit $664.75 KAS 12/05/03 60553 Plan Check $432.09 KAS 12/05/03 60553 State Building Code $4.50 KAS 12/05/03 60553 DEC Total: $1,101.34 Jefferson County Planning Building Department 0 NO wyLk- I, otv co Jefferson Cou lepartment of Com dty�v�pmen1 zict, tt 621 SborbIan Street,Pm't Townsend WA 1 ' ,,! r6-4450 �. ... �� 1 r ._____-111 _., . 4. p©rmo � o o . , , �S �� - a` 0® oo3 D 0 Project Description: : Building Type: Project Type: ',;;;FT.OF J°'Frame-Type: ,. Single Family ❑ New yt. Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial ,& Repair 0 Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: oZ "Z-- Existing. 3 ❑ Sewer 0 Community System ,'Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump 0 Conventionaltemative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee L?(-' 1, '1.5 3rd Floor Plan Check fee—655% -1� . j Htd Basement State Surcharge fee // 1/• 50 Unhtd Basement Subtotal / `6 1 , 31 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee ) 161 .. Commercial TOTAL SI Industrial Receipt# Lid 55 3 Other Cash/Check# a 51/5 Total Valuation: r Initials 6)26 Or Date /a/g/03 Estimated Cost: ��/ 0 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. s 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. Signatur Date: /e2 — O y- 03 OVER 1 H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 t n �► I w S' (III l ry �\ s NZ c4cw C to k pi d , 6 F 1 a 1 z , ...- ik\kr\k, 13 / ..e•• IP ...Ft -esI , 0 rya r+ N CPA _ ; n, " a t, B , k 1