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Home My WebLink AboutBLD2010-00369 �UILDING PERMIT APPLICAtON BL 369 Revview iew Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00369 Received Date: 10/21/2010 SITE ADDRESS: 8123 FLAGLER RD NORDLAND, 98358 OWNER: GEORGE FISHER PHONE:917-744-7000 ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 850169104 GLENNAN SUBURBAN ACRE SUBDIVISION: Block: 4 Lot: 13 PARCEL NUMBER: 953700432 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)379-5222 PO BOX 127 PORT TOWNSEND WA 98368 Contractor's License LDRICC*066L0 Expires 5/29/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr INTERIOR REMODEL - REPLACE WINDOWS FLOORS, CABINETS,PAINT JPS y cstire-✓ TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 800 VALUATION 125,000.00 ADD'L: 1,000 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,133.75 LYK 10/21/10 120220 APPROVED Plan Check $736.94 LYK 10/21/10 120220 State Building Code $4.50 LYK 10/21/10 120220 OCTc ?( 2010 Total: $1,875.19 Jefferson County Pianninc & Building Department 0 • ,,,,0-* `) ' c rr DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment 4C-5-t(: P ,�o E-mail:dcd(a�co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD10-00369 APPLICANT: GEORGE FISHER TRUSTEE PHONE: 917-744-7000 ANN FISHER TRUSTEE 2402 E ESPLANADE LN #1102 PHOENIX AZ 85016-9104 SITE ADDRESS: 8123 FLAGLER RD Issue Date: 10/21/2010 NORDLAND, 98358 Final Date: 9/17/2014 SUBDIVISION: 9537 Block: 4 Lot: 13 PARCEL NUMBER: 953700432 Section: 29 Township: 30 N Range: 1 E PROJECT DESCRIPTION: INTERIOR REMODEL TO ADU OVER GARAGE - REPLACE WINDOWS FLOORS, CABIN 1 S,PAFNT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/17/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/19/2014 ��cs4s°N cp JEFFERSON COTY • w DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment If1"ING�o Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center RESIDENTIAL FINAL INSPECTION LIST, INCLUDING BUT NOT LIMITED TO: ➢ One complete and operational bathroom; All bathroom fans and whole house fans must be operational. ➢ The cooking appliances and hood fan to be installed and operational. ➢ Fan in laundry room to be installed and operational. ➢ Sheetrock must be taped and sealed. ➢ All plumbing lines must be in and approved; Hot and cold on correct sides; Dishwasher to be provided with air gap. ➢ Septic system to be finaled by Environmental Health Department. ➢ Heating system must be operational. ➢ All electrical outlets must be covered. No exposed wires. ➢ Stairways and decks must be equipped with handrails and guardrails. ➢ Smoke detectors must be operational and interconnected. ➢ Drainage system must be operational with downspouts tightlined in. (unless approved alternate method is to be used). ➢ Siding must be on and painted if not treated. ➢ Garage door must be installed. ➢ 911 placard (address) must be posted. ➢ Manuals must be available with permanent appliances. ➢ Waterlines in unheated spaces must be insulated. ➢ Hotwater pressure relief valve vented to exterior with elbow pointed down at end. ➢ Firewall between house and garage with 20 minute rated door. ➢ Any holes in firewall/sheetrock where pipes, wires or ducting penetrate are to be sealed with approved materials. ➢ Crawl space and attic access sealed with weather stripping and insulated. ➢ Attic access in garage must be fire rated. ➢ Provide insulation certificate verifying R-values. ➢ Exterior doors must be tight fitting and threshold checked for airleaks. ➢ All glass in hazardous locations must be tempered. ➢ Masonry fireplaces must have glass doors installed. 4�4gON 0 JEFFERSON C•TY 40 s DEPARTMENT NT F COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368(Web:www.co.►efferson.wa.us/communitydevelopment 9sFll N GAO Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning/Watershed Stewardship Resource Center July 17, 2013 GEORGE FISHER TRUSTEE PATRICIA TRUSTEE 2402 E ESPLANADE LN#1102 PHOENIX AZ, 85016-9104 RE: Building Permit No. BLD10-00369 Dear GEORGE FISHER TRUSTEE PATRICIA TRUSTEE, It has come to our attention that your building permit No. BLD10-00369 has been expired since 10/21/2010. As you may know, our department offers renewal of building permits for an annual fee of: $228. These annual fees owed accumulate each year. Since your permit has been expired since 10/21/2010, your total renewal fees owed are: $222. However, to encourage you to renew your permit and continue with required inspections of your building, our Department is offering to renew your permit for the single-year amount of$228. Once your permit is renewed, you are again eligible to receive County inspections with the goal of completing the building review process over a one-year time period. Having your building receive and pass all of its required inspections is valuable to you as it is your assurance that your building meets adopted standards for quality and safety. Additionally, having documentation that your building has passed required inspections may be required from lenders or buyers if you ever decide to sell or re-finance your building. The reverse side of this letter lists the typical items required for a final inspection approval. To take advantage of this offer, we must receive your full payment of$228 by March 30, 2013. Please make your check or money order payable to: Jefferson County DCD and include your building permit number on your check. You may also pay at our office with check, money order, cash, or credit card. http://www.co.jefferson.wa.us/commdevelopment/Credit%20Card.htm This is the only notice you will receive. If we do not receive your full payment by the due date, your permit will be cancelled. Once cancelled, if you later decide to renew your permit, you will have to apply for an entirely new building permit, pay all associated fees, and comply with current building and zoning code requirements. In the event that your building permit is cancelled and your construction is not finalized by the building inspectors, the County may choose to record a "Notice to Title"on the property, to document the property is out of compliance with the County's development codes. If you have any questions about this offer, you may call our office at: (360)379-4450 and ask for Permit Technician Lisa Keller. I hope you will take advantage of this offer! Sincerely, Carl Smith, Director • Lisa Yobbagy-Keller From: Randy Marx Sent: Monday, August 13, 2012 1:08 PM To: Lisa Yobbagy-Keller; Rich Balderston; Jim Coyne Cc: Nathan Cleaver Subject: George Fisher finalS BLD92-342 and BLD10-369 and BId11-24 SEP10-00105 is ready for final pending a designer issue. As far as health is concerned These building permits can ALL be finaled Za.mdf literrx Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><((((0> ><rrr> ><( ((0> ><((((°> ><{{r°> ><((«°> >< ><((((0> ><W> ><> ><> ><{{{°> ><»<>><((((°> ><{{c> ><( ><( (( > ><((((°> ><(W((°> ><((((°> ><{{{°> ><( ((0> Online Septic Permits Web Link Environmental Health Web Site Link CONFIDENTIALITY NOTICE: This e-mail message, including any attachments: is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or isstr ibution is prohibited. If you are not the intended recipient, please contact the sender by refry e-mail and destroy oy all copies of the,original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address. has 1,00T1 received by the jefiereen County e-ia ui system and is ttwcretore subject to the Public Records Act,a state law found at RCA 42.36. Under the Punlic Records law the C o. ode;to in release this e-mail and its cont.tents to any person Who asks to obtain a copy tor for inspection)c t this e-mail unless it is exempt from disclosure under state law,including RC t V 42.36, 1 L. D- KICHEKT GENERAL CONTRACTORS WASHINGTON STATE LICENSE#LDRICC•o66 LO FISHER GUEST HOUSE 19 OCTOBER 2010 8123 FLAGLER ROAD NORDLAND WA. RENOVATION OF GUEST HOUSE SCOPE OF WORK REPLACE FAILED WINDOWS WITH NEW CLAD WINDOWS REPLACE ALL INTERIOR TRIM REPLACE ALL FLOOR COVERINGS REPAIR DRYWALL AND RE TEXTURE REPLACE ALL PLUMBING FIXTURES REPLACE CABINETS AND COUNTER TOPS COMPLETE PAINT)OB REPLACE LIGHT FIXTURES RE CONFIGURE CLOSET SHELVING REPLACE DEFECTIVE HEATERS IN STORAGE REMOVE CEMENT TILE ROOF AND REPLACE WITH COMPOSITION ROOFING REPLACE BROKEN DECK RAILINGS, DECK BOARDS REPAIR ROTTEN DECK JOISTS AS NECESSARY REPAIR DRYWALL IN GARAGES AND REPAINT REPAIR/REPLACE PROPANE FIREPLACE NO STRUCTURAL CHANGES,NO CHANGE OF USE ��.RIC ERT r.o.BOX I27 PORT TOWNSEND WASHINGTON 98368 360-379.5222 rickertcontractor®way poi nt.com i .. , . i (...Wt "kC . tr ...I., •••••110 kl••••..............1 J....*.*OI■••••••I.Iii.......■0 .C.... _ \ 1 . 0 c*s% 0 t ;.) ....R.3 W"4:1 2. L -v• z v Tr . • . 0 . 4.,,, ....... ---il t7 • Sr` al N:N I 6•10 t .....14 C-• ...... " _ 0 . H , . (Pi , rk-1 r * V . 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S O 5 ca � �� ►o` d o a N rn o CD rDn ° !. 3 g o In mom , n o � R to co 0 N 0 in c CD i d N CO CO 0 \ c) °\\ Op • N SO ni CO C v 3 • 2 Z = a' im x. II m D p m. II Da \ �. _ � � co Q o n o..m co n ��„ x O O r7 • m -..I c p j, Z X 9 rr N rp ° N N co �� U1 .i '7'1 N d I 0 7 7 j ct V 0 m 0 p C �- j� m D AA Cr V m ,♦• , O 1T1 D V ,� li CD W W O m /�J D /�,�� 0, m w tO G7 ' d .O � D CD � O W ,W, VO m °� ,\ (D m N. Q \\(J2, ill'I N N o /41116''4►,` N D ill 4 .-1' Z ,/ 4 \ �3 A % Illy. O m cr O a ` \ ,,` I (/i II rn C .p 7/./ - `, I < - ,i, cn_ - .�ON OO JEFFERSON COUNTY III I� 1 ill `� DEPARTMENT OF COMMUNITY DEVELOPMENT r 4\ : 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax , ww w.Co.jefferson.wa.us/commdevelopment s Master Permit Application MLA: �lh Project Description(include separate sheets as necessary: -Evil.A a Cel, eV Co o /J a STA.Hcrta, .. Orpty(' Tax Parcel Number "33-i(XD`4'.°2._ Property Size 3"3 /4L (acres/square feet) Site Address and/or Directions to Property: $(23 F.,44. 20 lJae-a WA Property Owner(s)of Record: Coe-o Loe JL1 StiO✓"L Telephone: Fax: - email: Mailing Address: 2.40 2 C 66 PLPeN Ar 04, (,N 110 2 Pr)0 w0- A2. 9,5 01 Applicant/Agent(if different from owner) LI) 121646,4s cs COM7 get el OK- Telephone: S(9 I" O 5 '5 Fax: ,�3'7'i 45.22 email: Ian 1 G heAr Ci fr To to W •• Mailing Address: 4 I'2. a P( ' %r .C o k What kind of Permit?(Check each box that ap lies ❑Lot or Road Segregation :wilding 4N ' 0 4. 1,, ❑Critical Areas Stewardship Plan ❑ Demolition Permit r ❑Variance(Minor,Major or Reasonable Economic Use) ,-.2'Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular - 0 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 0 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-A•• ' ..-o C.,/,w, ence Please identify any other local,state or federal permits required for this props •I, if known:. LP Aar, ,i DESIGNATION OF AGENT I hereby designate c to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE t•F5etW bl Ca 'tot Date: it' JD 1 lb 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 attorneys 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 an requir, 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,licati•" .- e or sh ants prior not' Signature: ,�'� Date: 10 12V `lb The action or actions Applica t 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 yo £re in compliance with the Jefferson County development code.The Applicant acknowledges that he sh or it holds individual and non-tran ferab rte� •,,nsibility eying to and complying with the ESA. The Applicant has read this disclaim and sins s and dates it below. '' Signature*.��I .„ ' _ Date: l0 1* r, G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this stat= ent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that a they will be -ssumin•j - bility of the General Contractor for the proposed project. Signature: --vii,....-- Date: 10( 20 /O GENERAL CONTRACTOR OR ' .UFACTURED HOME INSTALLER: PHONE: FAX: C, g Ic4tw-T 7)51 , (gip '19 c z22 ( ) 5, t� MAILING ADDRESS: , I?i0- EMAIL: t a;l IIrntiye l OL ` 6.,rtift7t al CO" CONTRACTORS LICENSE A WAINS NUMBER: LE)el e OA O(a V LO NUMBER . ARCHITECT/ENGINEER: Imo'/� .l-A PHONE ( )- .�--- FAX:( ) MAILING ADDRESS: • ^ EMAIL -- Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ood Existing: • 0 Sewer O A••ition 0 Steel Proposed: Bank ❑Community System s •Iteration/Remodel ❑ Concrete Total: Height: ividual System ❑ Repair ❑ Masonry SEP Permit# Bedrooms: Water Supply: ❑ Demolition ❑ Other: Pp Y: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: dblic Q� Total: Name of System t t 1£ If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed:ember of i4DA Parking Spaces: Number of occupants(indudes owners,tenants,employees,etc) Curren Proposed IBC Occupancy: IBC Type of construction: Will you have Food"Service? Yes / No If this is a Pro•-ne T •..c!, ;1• • �.I .?3ur.:=Ilation -rmit mark all items below that a I' 1 Underground Ta• 1 Above ground Tan Size of Propane Tank: 16144 1 Heat Stove 1 C••kSlave .•'• stove . 1 Fireplace Insert 1 Hot Water Ta•• 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Ye •o When applying for a'permit to install a propane tank you must also subm 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, includin• the reserve area. * t" Current Fre..sec t' ! E� 1 a�: a t R ;� r, S•uare Foota!e ..._. , .� ti a. Main Floor Heated /./ t .1r EH Bld App Review: 2 Floor Heated G x Consistency Review: ' gyp DDS D Other Heated , : /4,-,'?,,?, Base fee Mezzanine 45,_..... Additional Section: l Heated Basement Plan Check fee: Unheated Basement 4 State Surcharge fee: Other Unheated. �.-� Pot Water Review fee: Garage/Carport - 1'' SUBTOTAL V �9 �.: f 5a J Decks , 911/Rd Approach fee 1 Other r TOTAL. � - Receipt Number: i Cash/Check Number: ,i ESTIMATED COST(REQUIRED) Date: •Fair market value of all lad materials foundation to finish ._. 4 t°1/C7 •On j A I "als sT1%( G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Perrot Application 5-29-08.doc Contractors or Tradespeople Per Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name L D RICHERT CONSTRUCTION UBI No. 601548958 Phone 3603790236 Status Active Address Po Box 127 License No. LDRICC*066L0 Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 6/20/1994 State WA Expiration Date 5/29/2011 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date RICHERT, LARRY D Owner 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date_Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC SD7277 04/08/2002 Until Cancelled $12,000.0005/29/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 6 CBIC INSSD7277 05/25/2002 05/25/2011 $1,000,000.00 05/01/2010 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/21/2010 • :^_� - = Date /9 6AS time received w'4"`• am 1 pm Mon. Tues. .,Wed: -Fri. BCD: / /25 — ec73h9 Date: /Ls///C OWNER: 09 i - _ Contact Name: ADDRESS: 81 Z-1 - 01-.4 r D. Contact Number 360 341-6543 : -.,,- r - . 206 ;. - a Notes: - - Foundation Plumbing - Framing - Propane Tank Mechanical • Setbacks Under-ground Framing Underground . Furnace Footing Rough in Alrseal 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 `?�� 9. ddmss Posted i I Jefferson County Building Dion Permit Nun. BLD10-00369 Applicant: FISHER BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2009 International Building Codes To schedule inspections,call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Framing 41/17/14 Insulation:Walls I71 Wallboard Nailing u� / I c Oftt % AT 9M' FINAL INSPECTION .911711( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00369 Received Date: 10/21/2010 SITE ADDRESS: 8123 FLAGLER RD Issue Date 10/21/2010 NORDLAND, 98358 Expiration Date 10/21/2011 OWNER: GEORGE FISHER PHONE: 917-744-7000 ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 850169104 GLENNAN SUBURBAN ACRE SUBDIVISION: Block: 4 Lot: 13 PARCEL NUMBER: 953700432 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)379-5222 PO BOX 127 PORT TOWNSEND WA 98368 Contractor's License LDRICC*066L0 Expires 5/29/2011 PROJECT DESCRIPTION: INTERIOR REMODEL - REPLACE WINDOWS FLOORS, CABINETS,PAINT �- TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 800 VALUATION 125,000.00 ADD'L: 1,000 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,133.75 LYK 10/21/10 120220 Exist: 2 Exist: 2 Plan Check $736.94 LYK 10/21/10 120220 Prop: 0 Prop: 0 State Building Code $4.50 LYK 10/21/10 120220 Total: 2 Total: 2 Total: $1,875.19 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 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY BUILDING PERMIT EXPIRATION NOTICE Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD11-00025 SITE ADDRESS: 8123 FLAGLER RD# Date Issued: 5/4/2011 NORDLAND, WA 98358 Date Expires: 5/4/2013 APPLICANT: GEORGE FISHER ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 85016-9104 SUBDIVISION: GLENNAN SUBURBAN ACRE BLOCK: 4 LOTS: 13 PARCEL: 953700432 Section: 29 Township: 30N Range: 01 E According to our records, YOUR BUILDING PERMIT HAS NOT PASSED A FINAL INSPECTION AND WILL EXPIRE ON 5/4/2013. To keep your building permit active you must pay a $228 renewal fee. This will keep your permit active for one year after the date of expiration. If renewal fee is not paid by time of expiration, no more inspections can be performed until received. Please contact our office if you have any questions. Sincerely, Permit Technician ' - 1.0 5. _ C_ L.*e4 Cd%).eJEL \\tidemark\data\forms\F_B L D_P erm it_Exp_Ntc.rpt