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BLD2004-00123
BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00123 Received Date 02/27/2004 SITE ADDRESS: 71 WINDSHIP DR Issue Date 03/5/2004 PORT TOWNSEND, 98368 APPLICANT: KENNETH E LIVINGSTON PHONE: (360) 385-2063 71 WINDSHIP DR PORT TOWNSEND WA 98368-9545 SUBDIVISION: KALA POINT#1 Block: Lot: 64 PARCEL NUMBER: 964700064 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: GENE'S HOME REPAIR & MAINT PHONE: (360) 379-5779 223 AERIE LN PORT TOWNSEND WA 98368 Contractor's License: GENESHR036J2 Expires: 04/22/2005 PROJECT DESCRIPTION: DECK REPAIR- NO MLA REQ REQUIRED INSPECTIONS: [ ] =;ETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: ( 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: [ 1 Sheetrock: [ ] Septic Sytem Final Approval: 1 Road Approach Final Approval: [ ] Zoning Final Approval: 14 f Final/Occupancy Approval: t7' {Zd HEALTH DEPARTMENT AND PUBLIC WORKS 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 I:\F_BLD_Permit_Buildng.rpt 10/29/19 �5© �� • Jefferson Comity rtment of Comm*Dewloot 621 Sheridan Street,Port Townsend WA 8 [3601378-4450 ,. 1.. _- _,, ,,-_-54 . „ .,_.. �N perniir pp © n © Building Type: Project Type: Frame Type: ❑ Single Family IYI New FEBi Wood ❑ Garage Attached/Detached ❑ Addition B 2 r 2004 ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial , . Repair ❑ Masonry- ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ,« R Other: e 44:.. Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Office Use For Office Use Only Main Floor Consistency Review No M,LA ) 2ND Floor Base fee I c 3 . 2,5- 3rd Floor Plan Check fee a q• 6 Htd Basement State Surcharge fee Lf•cb Unhtd Basement Subtotal 457.7. 3,6 Garage/Carport Pot Water Review fee CO Decks 3 60 4.0 911/Rd Approach fee s� 0 Commercial TOTAL 57- b Industrial Receipt# 62(.10 Other Cash/Check# O-ro-1 3 —� Initials V /' p° Date • 2-7( T Estimated C st: ©0(90, If within 200' of fhe 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. 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 s cture sh 1 be requested and shall occur during regular business hours. Signature: .'''--ae---- (---c Date: f2(0e;?/ 1- OVER to- G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 ' € 14 4 _ 1 • \ i a \ } '" \•.____ x 1 ' X i r AN ® p I' s ti : \ -oftt I -7-7* f Q t. { UN r e F r .._,-..1. . , 1 +.► t j (£ r7 • ¢3 , _ - -_. a 6 --- �_...._— __ -.. .. _. ..�.. •fir , +aa.,. - _._. ..._.._ _.. F I A, i • NI ►v I V ip} .. ••e t _.. ji L"i i -_-_ 1 • BUILDING PERMIT APPLIC '`ION BRDO4eview-OOTyp 2.3 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00123 Received Date: 2/27/2004 SITE ADDRESS: 71 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: KENNETH E LIVINGSTON PHONE: (360) 385-2063 71 WINDSHIP DR PORT TOWNSEND WA 98368-9545 SUBDIVISION: KALA POINT#1 Block: Lot: 64 PARCEL NUMBER: 964700064 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: GENE'S HOME REPAIR & MAINT PHONE: (360) 379-5779 223 AERIE LN PORT TOWNSEND WA 98368 Contractor's License GENESHR036J2 Expires 4/22/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` DECK REPAIR - NO MLA REQ TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 8,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 360 SETBACK: 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: / F&W Landslide ) ,2- /aC Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.25 KAS 02/27/04 62670 /� ���®, I Plan Check $99.61 KAS 02/27/04 62670 A V E State Building Code $4.50 KAS 02/27/04 62670 MA� _ 5 200 Total: $257.36 Jefferson County Planning Building liepartme /I i__ 1,� • tei," ` I \ . 1 •. i 3 \...' 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