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HomeMy WebLinkAboutBLD2013-00259 1113 UILDING PERMIT APPLICAtN BLDI3-00259 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00259 Received Date: 8/23/2013 SITE ADDRESS: 570 ADELMA BEACH RD PORT TOWNSEND, 98368 OWNER: DARIA E FRANK TRUSTEE PHONE: 360-390-8717 DARIA RADTKE REV TRUST 570 ADELMA BEACH RD PORT TOWNSEND WA 98368-9612 SUBDIVISION: Block: Lot: TX114 PARCEL NUMBER: 901051008 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR, HEATED AND PLUMBED with SPAAD over demoed house outside of old footprint. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,535 VALUATION 165,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 2 Prop: 2 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,482.00 MEB 08/19/13 142400 Plan Check $963.30 MEB 08/19/13 142400 APPROVED State Building Code $4.50 MEB 08/19/13 142400 Total: $2,449.80 OCT 21 2013 Jefferson County DCD \\ilrlcmrlr\rlaio\fnrme\F P1 I, Ann Plrl mf R/7'2/7(11'2 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00259 APPLICANT: DARIA E FRANK TRUSTEE PHONE: 360-390-8717 DARIA RADTKE REV TRUST 570 ADELMA BEACH RD PORT TOWNSEND WA 98368-9612 SITE ADDRESS: 570 ADELMA BEACH RD Issue Date: 10/21/2013 PORT TOWNSEND, 98368 Final Date: 7/16/2014 SUBDIVISION: Block: Lot: TX11 4 PARCEL NUMBER: 901051008 Section: 5 Township: 29 N Range: 1W PROJECT DESCRIPTION: Single Family Residence and Shoreline Exemption THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/17/2014 off ub - cflb JEFFERSOPCOUNTY 1 - c Q v `l DEPARTMENT OF COMMUNITY DEVELOPMENT I Li 621 Sheridan Street• Port Townsend •Washington 98368 E f AUG 1 9 2013 360/379-4450 • 360/379-4451 Fax �� www.co.jefferson.wa.us/commdevelopment ` -x1rN � JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: 1.0(05 l 00 B Property Size: •1`} acre S (acres/square feet) Site Address and/or Directions to Property: 510 tctel l a P=eat Y-ek Tr* TwkftSe l 1r83053 Property Owner(s)of Record: -D0.ri c ,Fra n� Telephone:.-390 - dal t-I Fax: email: ci0.riA, lrAyrly=. V114ru(•corm Mailing Address: 5a.CYte. Applicant/Agent(if different from owner): ��rrA. ya(\ 9 Telephone: �(PO- 114-1-114- A Fax: email: t((A Col e n l hJe.0 ern Mailing Address: ?It CI 5t- 'Pork- -roWNtge.nel , WY} ce,34 Wh t kind of Permit?(Check each box that applies ❑Lot or Road Segregation 1uilding ❑Critical Areas Stewardship Plan ❑}Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Mingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use , ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑Long Plat** • ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate ^TC'ril2 CO1Gt_rt to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1 TQJU Q (�( ,. � Date: P4 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 attorney'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 its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap• ication that he or he wants pr or notice. Signature: OAP A i I o.. ,� AL '�.h .. Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra Ai able responsibi'ty for adh ing to and complying with the ESA. The Applicant has read this disclaims and signs and dates it below. Signature: MR.4 _ wr/ •.. Date: 6 (1 11 G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc ID a BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature:-1---. I Date: f ib )•3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHC:NE: FAX.: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: _ PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ` c∎lood Existing: -_L_ ❑ Sewer 0 Addition 0 Steel Proposed: Z Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: Height: individual System 0 Repair ❑ Masonry 4(P9.VI SEP Permit# 0 Demolition ❑ Other: Bedrooms: Water Supply: Existing: I Setback: ❑ Private well ❑ Two Pa Ty of Heft: Proposed: Party 1:11(Public t° ect-Y-1G Total: 3 iglk Name of System: pu,u*k If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed Office U Main Floor Heated _ 2 We Only .' At�pl�Dlt, ;.Revision • 5-3 EH Bld App Review: 2"d Floor Heated Consistency Review: 2 n Other Heated G Base fee: C "l t ` V n .a) Mezzanine Additional Section: b G Heated Basement Plan Check fee: o • o Unheated Basement State Surcharge fee: lit r– Other Unheated Pot Water Review fee: -- Garage/Carport — SUBTOTAL Decks 911/Rd Approach fee: --- Other TOTA : $ Z".4 0 MSc -tk.41'1(.9 Receipt Number: 14124 Uv Cash/Check Number: (0V/h ESTIMATED COST(REQUIRED) Date: / air market value of all labor and materials foundation to finish Of i‘„�'X 0 0 0 Initials: ((( ` G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • 0 } CC CO H O O O C3 LL N .EI Z LL � o H O O LO N .. •- r•-- \ CC (4- — O � J O O L. 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The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 0-15--13 /]_ Erosion Control Foundation Footing Footing Drains Foundation Stem Wall it 'j Attu -rb' Povi Underground Plumbing INS/A Under Floor Framing h1 i. _ f$ Straps(hold downs) Ext. Shear Wall Nailing 1_b_1.4 Rough-in Plumbing 1414('4 -tJc" Framing /511-(k ,�e Airseal I1 - 1�' Insulation:Walls Insulation:Floors 5/0 Insulation: Ceiling 5/2:, 1 It gir Int.Shear Wall Nailing >>/-` --(e, 0 Wallboard Nailing Gas Line: Interior Gas Line:Exterior IYA Propane Tank Heat/Chimney Clearance Mechanical Systems Duct Test Cert Blower Airtight Test - q. 14 9 Smoke&CO2 1 I 1 ),i Drywell/Alt Drainage Address Posted 0 f FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • S CONDITIONS for Building Permit# :BLD13-00259 1.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 2.) A vegetative buffer of 35-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (top of shoreline slope). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 3.) A Geotechnical Report was prepared by NTI dated October 16, 2013 and submitted in conjunction with this application. The report addressed the stability of the geologic hazard area and made recommedations for stormwater treatement. The applicant shall comply with the recommendations contained in the Geotechnical Report. 4.) All construction activities shall not encroach upon the Shorleine buffer. This includes the storage or preparation of materials. 5.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) The site plan as submitted with the Building Permit application on August 19, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated October 18, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Bulding setbacks are 20 feet from the Adelma Beach Road right-of-way. Side setbacks are five feet. Shoreline setback is 115 feet per the Geotechnical Report. \\tiriamark\data\fnrmc\F RI fl Parmit Rlrin rnt 1(1/91/9(113 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00259 Received Date: 8/23/2013 SITE ADDRESS: 570 ADELMA BEACH RD# Issue Date 10/21/2013 PORT TOWNSEND, 98368 Expiration Date 10/21/2014 OWNER: DARIA E FRANK TRUSTEE PHONE: 360-390-8717 DARIA RADTKE REV TRUST 570 ADELMA BEACH RD PORT TOWNSEND WA 98368-9612 SUBDIVISION: Block: Lot: TX114 PARCEL NUMBER: 901051008 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: Single Family Residence and Shoreline Exemption TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,535 VALUATION 165,000.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,482.00 MEB 08/19/13 142400 Exist: 1 Exist: 1 Plan Check $963.30 MEB 08/19/13 142400 Prop: 2 Prop: 2 State Building Code $4.50 MEB 08/19/13 142400 Total: 3 Total: 3 Total: $2,449.80 Directions to Site: 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. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED ;f °r2., JEFFERSON COUNTY -4111 0 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: "j(7 Time Received: ;2.,5-1, amJ� Mon. 4110 Wed. Thur. Fri. Date: BLD: (3 - 2S9 Contact Name: 4-,LrG.. Owner: Contact Number: 360 -771-1 7 q ( Address: yH,a 134 206 570 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection -), Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling - „ - . . .•......1-4".fIgAtil'.. . - -:. ...e..........:,,....V. 1.1a,.......... • . 0 .. • ittki ;-..,,,a5=--'1.4- . . -.-....1.2,..1.....ttre... ...-tr....2.e. , • _ Dateit_-__- 11--( time received (7-3-10 am l Mon. Tue . Wed: Thur. 1-Ogir _ BLD: ,1 3 -_ >.3--q . Date: OWNER: Contact Warner. ADDRESS: 7O A D_LS, b e....e,....," , Contact Number.360 7 7 Li-2-1 7 LI _ ill 206 , , Li ri _ Notes: • . • - Foundation Plumbing - Framing . Propane Tank Mechanical Setbacks ,)14'' tinder-ground Framing . Under ground Furnace Footing __YRough in Air seal Above ground Gas . Stemwall - - Hydronic Exterior shear Exterior lines Oil Straps — Interior shear Interior lines • Ducts ______ Post Hole " Ventilation - Appliance _ Underfloor _ . Gas/wood stove Man-Homes Setbacks • Insulation. - - Final Inspection Foundation - Block&Tie floor wall ceiling. . Address Posted i ,.- ,SON co t 61.; JEFFERSON COUNTY 9sylN�.,o� DEPARTMENT OF COMMUNITY DEVELOPMENT „,„ Date: '7/3 Time Received: /p3 an 'on. Tue. Wed. Thur. Fri. Date: 7-7 BLD: 0—.A.5-17 Contact Name: 'qc_ 1 Owner: Contact Number: 360 7211 2:79 Address: --.7O 14-b t wit. 206 Notes: A J (--• o-c, , At) , Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection >c • Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 9 94 °� JEFFERSON COUNTY 4. ? DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 51D ?Time Received: 0 `2_,'? a gip Mon. Tue Wed ) Thur. Fri. Date: BLD: ,3 —.02r-S--47 Contact Name: 71' 4- Owner: 5- Contact Number: 360 7-754,2 79V Address: 570 iiiiiit. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection • Setbacks Floor i_. Foundation Wall Address Posted I Block&Tile Ceiling e-sON `be, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT f2/vi c -1''11 7 NG- Date: 3,1 Time Received: /I1/ am? Mon. Tue. Wed. all Fri. Date: fidil/y BLD: /3 DO 159 Contact Name: Owner: Contact Number: 360 7 74 2794 Address: 5 7(j ],,o,J 5EAeU Lei 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor x Foundation Wall Address Posted Block&Tile Ceiling 4,"50N 6 6t JEFFERSON COUNTY $ DEPARTMENT OF COMMUNITY DEVELOPMENT L ,) Date: _.2h Time Received: 21 o am/pg) Mon. Tue. r e. . Thur. Fri. Date: 2,,(, BLD: 12j r„ Ji Contact Name: Owner: f _ _ Contact Number: 360 7? t t _2 ? lel.. Address: S as 1, 206 Notes: (i i Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling IIi 4w4s°N °'o JEFFERSON COUNTY etv\ -, ` DEPARTMENT OF COMMUNITY DEVELOPMENT c e �)srix°z Date: k 3/4-Time Received: ( 2 ,C0 am/' 412 , Tue. Wed. Thur. Fri. j Date: . ` BED: ( —) ( Contact Name: Owner: At , Contact Number: 360 77 4;ET q?-4 I Address i isnj omb!�- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal V Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4,4,ON co 4,y ° JEFFERSON COUNTY 1-4./NGK(-S DEPARTMENT OF COMMUNITY DEVELOPMENT Date: Time Received: 2; am/pm Mon. Tue. Wed. 410 Fri. Date: 2")-0 BLD: k3- 2,$ Contact Name: Owner: -Triskt∎3`_— Contact Number: 360 . ( "'Z'7 4 - 79L? Address: '6`1.O 4. c ecitCf/t_ 206 Notes: IC)/L.t■ LAT-a- Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ^44¢S6N °��� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT NSy1NGS0 Date: 413 Time Received: 2..3 'Z.. ant Mon. Tue. ed. Thur. Date: 1 r BLD: )g — ..)-, 5—cr Contact Name: Owner: f 1 J)/—, Contact Number: 360 3q ' 7/ 7 Address: '7 p ,- f #Li( 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ¢g ON CO �`` oa JEFFERSON COUNTY «t so DEPARTMENT OF COMMUNITY DEVELOPMENT Rr N6, Date: i-3 Time Received: //$ OM Moe. Tue. Wed. Thur. Fri. Date: /'— , BLD: /3 -- S;', Contact Name: Owner: Contact Number: 360 0 87,7 Address: 5-70 19-vc cx- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear— "� Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4gON �, �7'�r► fJ' bs ^4Q �°� JEFFERSON COUNTY ���ppp &'`SKIN-°� DEPARTMENT OF COMMUNITY DEVELOPMENT "/t�od ' +Y■ 'j`Yr`e Date: 1AZe Time Received: /5-2- am Mon. Tue. 4112rIP Thur. Fri. C04. Date: ,/t�?,7 .,7" C ', BLD: /3 25-7 Contact Name: U Owner: Contact Number: 360 (!;) 7/ 7 vgL Address: �770 /9-b6c",-+,r �,,,,,?..�' 77`e 3 9 4 ' Notes: Z11L1 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling