HomeMy WebLinkAboutBLD2000-00241 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
• II
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD00-00241 Received Date: 4/14/2000
SITE ADDRESS: 291 E EUGENE ST
PORT HADLOCK, 98339
APPLICANT: MELVIN COULTER PHONE:
PO BOX 225
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 23 Lot: 32-36
PARCEL NUMBER: 961802313 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509
PO BOX 225
PORT HADLOCK WA 98339
Contractor's License MDCON**084B4 Expires 08/01/2000
ARCH ITECT/
ENGINEER:
PROJECT DESCRIPTION: garage
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 6,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 600 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: 2 Exist: 2 Seismic Streams
Prop: Prop: Flooding Landslide
Total: 2 Total: 2 F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: FJ
Permit $125.25 LMB 04/14/00 27183 �,,JJ
Plan Check $37.58 LMB 04/14/00 27183 AP p 2 0
State Building Code $4.50 LMB 04/14/00 27183 Q
ferdr;
Total: $167.33 &L�uildn ty Planning
0 papartment
I:\F_BLD App Bld.rpt 10/29/99
• •
Jefferson or �
g$onr eon. 621 Sheridan Street,Port Townswel WA 88368[3081 378-4450
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Project Description:
Building Type: ject Type: Frame Type:
❑ Single Family New Wood
/ Garage Attach-• I etached �,❑``Addition 0. Steel
❑ Modular 0 Alteration/Remodel 0 Concrete
❑ Commercial ❑ Repair 0 Masonry
❑ Multi-family/#of Units 0 Demolition 0 Other.
❑ Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 7/'" Existing: Z 0 Sewer 0 Community System ❑ Electricity Oil
Proposed: 0 Proposed:
0 individual System ❑ Woodstove ❑ ropane
Total: Z Total: /If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative 0 Other
Permit# SEP
Water Supply:
O Private well 0 Two Party Well 0 Public:Name of water system:__ t
Square Footage: ForOffice Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee •
3rd Floor Plan'Check fee 1 4`s ;
Htd Basement State Surcharge fee .
Unhtd Basement Subtotal i
Garage/Carport 6 CO �Q�6 Pot Water Review fee """"
Decks 91 -**-1
fee "'��
Commercial TOTAL" � `"3
Industrial Receipt"# aI I %.
Other Cash/Check# tt "
Total Valuation: Initials' 1 "
Or Date 4.1q. 0
Estimated C. ltiv�/�
If within 200' o e S oreline,
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/ownerwlth respect to this application packet may result in this perm¢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 pemrit
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 anyrequired later inspections.
Access and right of entry to the applicant's property or structure shall a req a ed and shall occur during regular business hours
Signature: lje;.� �.---= ���-w�/� Date: y /lf.— ®D�J
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•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX(360)379-4451 (800) 831-2678
PERMIT#: BLD00-00241 Received Date 04/14/2000
SITE ADDRESS: 291 E EUGENE ST Issue Date 04/14/2000
PORT HADLOCK, 98339 Expiration Date 04/14/2001
APPLICANT: MELVIN COULTER PHONE:
PO BOX 225
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 23 Lot: 32-36
PARCEL NUMBER: 961802313 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509
PO BOX 225
PORT HADLOCK WA 98339
Contractor's License: MDCON**084B4 Expires: 08/01/2000
LOAN LENDER/ COCHRAN
BOND HOLDER:
PROJECT DESCRIPTION GARAGE -previously built without permit
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks(Shoreline Setbacks): Mea r "/'c 1 Te7CX L// CD C-09 7/to 6
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Frtubing: IOW L C 5(1)4??„z> LG. 'IQ PY „mil iLS— L t t`
[ ] Propane Tank/Lines: Rya �!b'S 7�c i 7 6>
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval:
HEALTH DEPARTMENT 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.
Inspector's Phone Hours 8:00 a.m. - 9:00 a.m.
SPECIAL CONDITIONS MAY APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY