HomeMy WebLinkAboutBLD2004-00032 1110
BLD04-00032
BUILDING PERMIT APPLICA i ION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00032 Received Date: 1/20/2004
SITE ADDRESS: 431 CENTER RD
CHIMACUM, 98325
OWNER: KIRK C SALVATORE PHONE:
PO BOX 362
CHIMACUM WA 983250362
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 901144001 Section: 14 Township: 29 N Range: 01 W
CONTRACTOR: LINDQUIST CONSTRUCTION INC PHONE: (360)452-4820
1509 W 8TH ST
PORT ANGELES WA 98363
Contractor's License LINDQCI032KR Expires 04/11/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt STRUCTURAL REPAIR & CHANGE OUT WINDOWS - NO MLA REQ
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 36,725.00 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: 2 Exist: 1 Wetland Erosion
Prop: Prop: Seismic Streams
Total: 2 Total: 1 Flood Way Floodplain
Routing Date: F&W Landslide
G//a1 f Shoreline Aquifer
j Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $512.45 KAS 01/20/04 62386 APPROVED
Plan Check $333.09 KAS 01/20/04 62386
State Building Code $4.50 KAS 01/20/04 62386 JAN 2 8 2004
Total: $850.04 Jefferson County Planning
& uilding Department /
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00032 Received Date 01/20/2004
SITE ADDRESS: 431 CENTER RD Issue Date 01/28/2004
CHIMACUM, 98325
APPLICANT: KIRK C SALVATORE PHONE:
PO BOX 362
CHIMACUM WA 983250362
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 901144001 Section: 14 Township: 29 N Range: 01 W
CONTRACTOR: LINDQUIST CONSTRUCTION INC PHONE: (360)452-4820
1509 W 8TH ST
PORT ANGELES WA 98363
Contractor's License: LINDQCI032KR Expires: 04/11/2004
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: STRUCTURAL REPAIR& CHANGE OUT WINDOWS - NO MLA REQ
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
'" Footing:?t,A.41-0 /
Foundation /'Z,57/z,,e
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
Framing: ✓Ois1 o`L743/clef
11 Plumbing:
[ ] Propane Tank/ Lines:
[sAl Insulation: 00,4144 6 c.,/Oa•-c.-d,/a�`o,"
1 1 Sheetrock:
[ ] Septic Sytem Final Approval:
1 1 Zoning Final Approval:
1'1 Final/Occupancy Approval: F ' ►tT DAI.tMI• 4 f/'1 jo �HEALTH DEPARTMENT APPROVAL R QUhR D RIOR 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
r � f c 'SOn ram of Unnnnndty Development
ti
---; 621 Milan Street,Pert Townsend WA 88368 13601 378-4450
101
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Project Description:
Building Type: Project Type: Frame Type:
0 Single Family ❑ New a"'CX/ood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete •
❑ Commercial ( epair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one: /
Existing: / Existing. 0 Sewer ❑ Community System Q Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System Jt2" 'oodstove ❑ Propane
Total: I Total: If not sewer,fill out the following: 0 Heat Pump
❑ Conventional ❑ 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 _S '�— r'�``'4•
Consistency Review -
2ND Floor Base fee 5 I a. "5
3rd Floor Plan Check fee—65% 3 3 3. 09
Htd Basement State Surcharge fee "'1.
Unhtd Basement Subtotal e5 0. O41.
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL e &D , oat
Industrial Receipt# ( 3 g(c,
Other Cash/Check# 3 at
Total Valuation: � '-- Initials
Or ? Date //a-8/0 i
Estimated Co>t: ..3 , ' 7 4( '
If within 200 of tyre Shore Ine,
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.
�%~j4 Signature: / xl `,`-�: .�� Date: / /
OVER it-
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