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Home My WebLink AboutBLD2004-00137 IllUILDING PERMIT APPLICAtN BLD04-00137 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00137 Received Date: 3/8/2004 SITE ADDRESS: 121 BAY RIDGE RD PORT TOWNSEND, 98368 OWNER: DAVID C FOSTER PHONE: (360) 379-8454 TRUDY B FOSTER 121 BAY RIDGE DR PORT TOWNSEND WA 98368-9681 SUBDIVISION: Block: Lot: TX 20 PARCEL NUMBER: 002131025 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ADD BATHROOM TO POLE BARN - NO MLA REQ'D TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 4,831.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: 74 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way_ Floodplain Routing Date: '2 /l / r/r , r) F&W Landslide C 7.)! a i I cP, Shoreline Aquifer L" Yv Forest: Commercial Rural Type Amount Paid By: Date: Receipt: t ' Approved/date r.r^, Permit $111.25 KAS 03/08/04 62684 Plan Check $72.31 KAS 03/08/04 62684 MAR 2 9 2004 State Building Code $4.50 KAS 03/08/04 62684 Jefferson County Planning Total: $188.06 & Building Department CADO-122,-r\ rt. tr— ak ,,,s0N 00 • offo'�1 pa'tnlont of Community UeYelapnont 4, 621 Shorts!Street,Port Townsend WA 88368[3601 378-4450 47 permit A �is, �TING,„, ,,_____„,2 04.K )1" 1")."°."---' App CQf o0 rt Building Type: Project Type: Frame Type: ❑ Single Family , , New • Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular I Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial II Other: 13/. R t l Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: ® Existing: C? D Sewer ❑ Community System I Electricity ❑ Oil Proposed: I Proposed: 0 ® Individual System ❑ Woodstove ❑ Propane Total: ( Total: 0If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: I Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Office Use For Office Use Only Main Floor Consistency Review 2ND Floor Base fee I 1 . 2 .S 3rd Floor Plan Check fee .7.a3 . 3 Htd Basement State Surcharge fee 4• /SO Unhtd Basement Subtotal Leff, V Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee .---17 Commercial TOTAL /a 0 • °6 Industrial Receipt# lv Z 6 TAI-- Other ITI4RD0 7' y'31 Cash/Check# ( D 2C� � Initials Uc--�22 Date 3[ -(04-* Estimated Cost: 4 a 000• 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. 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. 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 t. e... iii s property or structure shall be requested and shall occur during regular business hours. .1 Signature: Argo -- '_ 'lp am Date: 0.3)04 0 OVER ► G:\PemutCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 n t -• ' • w _ a . t1 zfr ;' fri 3 1 G _. _ 0 1 p a 0 i .. L lci9 /10 = N . m - oj - - - - tOOZ 8 - IIVVI ---j P„ a G ' y C in • • 25 r .� r cli o03 a _ N 6\ n - 1 F-- a0 1 ` „ 1 R'n ^ V J t T,3 O 21 4. al 1700Z 8 iti a ---( — UC7 -r._ rri o ii E) -‹. c› > VI rn "IC W �_CV 1 1 a v V BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00137 Received Date 03/8/2004 SITE ADDRESS: 121 BAY RIDGE RD Issue Date 03/29/2004 PORT TOWNSEND, 98368 APPLICANT: DAVID C FOSTER PHONE: (360) 379-8454 TRUDY B FOSTER 121 BAY RIDGE DR PORT TOWNSEND WA 98368-9681 SUBDIVISION: Block: Lot: TX 20 PARCEL NUMBER: 002131025 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADD BATHROOM TO POLE BARN -NO MLA REQ'D REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: 1 Plumbing: 0 1471fr [ ] Propane Tank/ Lines: [ ] Insulation: f 1 Sheetrock: [ ] Septic Sytem Final Approval: 1 Road Approach Final Approval: [ ] Zoning Final Approval: f 1 Final/Occupancy Approval$-50� HEALTH DEPARTMEN 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 __ . . , -1--- •n-- 1- ---, - 1 F----, 1 i I ' , 1 1 1 1 1 i ' I 1 i ' ' 1 i 1 1 1 -I- f-t . !_.____t -I .-I - -- -- j I I I 1 ! I , 1 , . ____1_____ ____4_____,- ti- — ' t I - , ..-. _r-. 1 .....f..... 1,..........I t.... ...... -......, .....1.,..... ‘,..... . I I......H. ^,*•-,h- i,....,-.-' .i..... MI i 1_ _. 1 ! . , 1 1 , 1 . 1 , 1, ,1 111 , ,-- - M iI __________t_______ _ _ ,_ ) , d 1,-4 MEM 111 1 t--1 - , --i 1 1 I(11 i _j___________,_,..15 th 4 1 'n ,/1 [ 1i, al--h i , . . , 1111 I 111 r 1 < , 1 111 r--- 1 -1 _ ! • I i "77 I L .1 1 i ------y - - 1 - t-II ----, - 1 1 , , - f -I- . ---r- -4-- ____ _ . --. H . . . : . - • -I il 1 , „. _r_ __,_ _ ' 7 - --- ---r---'-- --I , 'rti 1 :t . ' :r , . , , , _I- '15- _ - ._ , L r 0 PIVEV.-bq Id 1 i I 13114! -I) t____ I 1_ 1 I.' 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