HomeMy WebLinkAboutBLD2004-00469 MLA04-00433
IIUILDING PERMIT APPLICA N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00469 Received Date: 7/13/2004
SITE ADDRESS: 161 QUINAULT LOOP
PORT TOWNSEND, 98368
OWNER: GARY W PARKER PHONE: (360) 379-9288
DENISE PARKER
161 QUINAULT LOOP
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 10 Lot: 20
PARCEL NUMBER: 938701019 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & DECK(S)
ALSO PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,836
VALUATION 276,843.00 ADD'L: 622 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: 1,836 #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 78 SHORELINE:
CONST TYPE: GARAGE: 845 SETBACK:
DECK: 373 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CAPE GEO I PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: F&W Landslide
/y O/ Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,984.95 KAS 07/13/04 66527
Plan Check $1,290.22 KAS 07/13/04 66527
State Building Code $4.50 KAS 07/13/04 66527
Potable Water Application $52.00 KAS 07/13/04 66527
Total: $3,331.67
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Jefferson Countyartment of Community Development
, 621 Sheridan Street.Port Townsend WA 88368[31,i l 370-4450
-> ��'{ JUL 1 p
4. � , L. _ UAppilGicatioon
is. a . rERSONCOUNTY
KEPT IMMUNITY DEVELOPMENP
Project Description:
Build'. ... • Project Type: Frame Type:
le, (Wood)
Garag: •ttached P•tached Addition Steel
Modular Alteration/Remodel Concrete
Commercial Repair Masonry
Multi-family/#of Units Demolition Other
Industrial
Other
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
a
Existing 11 r Existing. Sewer Community System (lectrici Oil
Proposed: 3 .. Proposed: (Individual Systee) Woodstove Propane
Total Total If not sewer,fill out the following: Heat PuRp l
Conventional ( temattve Other a'c`A'`� F`'"'
Permit# SEP C`�S J v CJ0 3(
Water Supply:
C Private well Two Party Well tame of water system _ ' G.e0 1
Square Footage: (, 'l For Office Use Only �T
Main Floor `8 A.
`4� I LE soo•gcog Consistency Review QQLi i 00
2ND Floor Cc)t. a. _cc/4 /• O 6 Base fee /%O/� . 95
3rd Floor ` j S• Plan Check fee / ' %0 O. ?
Htd Basement ` '/ Q -� State Surcharge fee if' /D
Unhtd Basement \ C 3(-U 2 s(��%7 •��I,,,1,,, 6 Subtotal 3 3 a ! 4 7
Garage/Carport 3 y`, l 9 /1 �; l S Pot Water Review fee vJp - ��
Decks 31 3 a 791 I 911/Rd Approach fee -Rev t ew 9!! Prt v
de Commercial Y\ TOTAL c 3 y/ 7 • & 7
Industrial V\/A �+ p Receipt# && 5
Other Fc04*(p Cc�n �
t i Y l 6 2 '`(08 Cash/CheckQ
# /0 /I /
0
Total Valuation: �l Q Si 0 0 C (1 , — •.ti. /1/
Or di V43 f '.2.
ate (((/// 1i 2/0 r
Estimated Cost: /`J
If within 200'of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. I
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 rope.c to this application packet may result m 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 pent-:.
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 stru re shall be requested and shall occur during regular business hours. MMW
Signature: V� Date: C�
OVER ►
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