HomeMy WebLinkAboutBLD2004-00099 BUILDING PERMIT APPLIC ON SREPOw00p125
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00099 Received Date: 2/13/2004
SITE ADDRESS: 173 FAIRMOUNT RD
PORT TOWNSEND, 98368
OWNER: CHRISTOPHE CALERO PHONE: (360) 379-8886
SUSAN CALERO
173 FAIRMOUNT RD
PORT TOWNSEND WA 98368-9745
SUBDIVISION: Block: Lot: T 82
PARCEL NUMBER: 902243048 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE: (425)456-2146
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION REMODEL OF ESXISTING RES - NO MLA REQ
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 6,000.00 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: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 1 Exist: 1 Wetland Erosion
Prop: Prop: 1 Seismic Streams
Total: 1 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
Aquifer
a ��v �� Shoreline
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A PkPeRcetV
Permit $125.25 KAS 02/13/04 62566
Plan Check $81.41 KAS 02/13/04 62566 FEB 2 7 2004
State Building Code $4.50 KAS 02/13/04 62566 Jefferson Count
Total: $211.16 Buildin DepartmentY taun
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Project Description _ . .C�/eaJ7t�1�1.- - Cg t'4'r A d°4" OA 41 t ►M- awl rt V l'1 Lea ''c Get.3 f v yL..
Building Type: Project Type: Frame Type:
Single Family New \ I
Garage Attached/Detached Addition Steel
Modular Iteration/Remod) Concrete
Commercial Repair Masonry
Multi-family/#of Units Demolition Other
Industrial !tJ
Other J
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat
Choose one:
Existing 1 Existing ( Sewer Community System ,lectrici Oil
Proposed .1- Proposed 04 ividual Syste Propane 1
Total: Z Total: ( If not;-•• , o tut the following: Heat Pump
Conventional Alternative Other I
Penuit= SEP
Water Supply: _
Private well Two Parts Well Pttb' .Name of water system PA or.i G I *67 V16 U I
Square Footage: For Office Use Only
Main Floor j7 Consistency Review _ -- 0� ai(2 Floor (',. I Base fee 12-5. �S
3rd Floor Plan Check fee a I. LtI
Htd Basement State Surcharge fee Y' So
"
Unhtd Basement Subtotal ' / r
W
Garage/Carport 7 Pot Water Review fee '-"PrIltleh.pvN, 'Dc1;101'567
Decks 911/Rd Approach fee ,94-11 1
//
Commercial TOTAL 02 I(' /*
Industrial Receipt# (0.35 Cr,c
Other Cash/Check# 1 OCR
Total Valuation: Initials O
Or kS0OD Date 0/ t3 I
(c—
Estimated Cost: y
If within 200' oh e—Sli line,Distance to Bank or Ordinary High Water Mark 30 ft.Bank Height 1 Q
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 be the applicant owner with respect to this application packet may result m this permit being mill 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 en. 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 th licant's p•.. rty or structure s e r ueste d shall occur during regular business hours.
Signature: Date: 2- /j 2- 1 o q
OVER ►
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
• 0
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00099 Received Date 02/13/2004
SITE ADDRESS: 173 FAIRMOUNT RD Issue Date 02/27/2004
PORT TOWNSEND, 98368
APPLICANT: CHRISTOPHE CALERO PHONE: (360) 379-8886
SUSAN CALERO
173 FAIRMOUNT RD
PORT TOWNSEND WA 98368-9745
SUBDIVISION: Block: Lot: T 82
PARCEL NUMBER: 902243048 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REMODEL OF EXISTING RES -NO MLA REQ
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Underground Plumbing L- 3A7A)y
[ ] Underground Insulation:
[ ] Shear Wall :
Framing: IV/Or
txt Plumbin 2 01
[ ] Propane nk/40 es:
Insulation94,
Sheetrock:ci-liCaktiN C-S/%y
[ ] Septic Sytem Final Approval:
F 1 Road Approach Final Approval:
[ ] Zoning Final Approval:
( 1 Final/Occupancy Approval: £H -Prsr- -ria.J ?,,4�f a4
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE UIRED 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
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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TFH Design UPPER LEVEL PLAN PERMIT SET DATE:2.10.04
Seattle,WA
Phale46 7134 CALERO RESIDENCE SCALE:i/a'=r tr Al .2
JEFFERSON COUNTY, WA JOB#-ool(Pt