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Home My WebLink AboutBLD2000-00651 • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00651 Received Date: 10/4/2000 SITE ADDRESS: 21 YEW ST PORT LUDLOW, 98365 APPLICANT: TODD D FISCHER PHONE: (360)437-5028 GERALDINE M FISCHER 21 YEW ST PORT LUDLOW WA 983659632 SUBDIVISION: PARADISE VIEW ESTATES Block: C Lot: 7 &9 PARCEL NUMBER: 984000306 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : AA^(I PROJECT DESCRIPTION: GARAGE/SHOP Qas TYPE OF WORK GAR SQUARE FOOTAGE: _,,,-y-e TYPE OF IMP N 5 C� VALUATION 16 0.00 i MAIN: yC� CODE EDITION: 1997 `%� ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: UNHEA OCCUPANCY: OTHERTED: #OF STORIES: CONST TYPE: [�' SHORELINE: CONST TYPE: ERAGE' 2 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way Flood Plane outing Date: Wz//00 Sho r Landslide Shoreline Aquifer Forest: Commercial Rural 1'r ximlt - APG 8/6tlaons T yp e Amount Paid By: Date: Receipt: Permit $279.25 MAM 10/04/00 34393 APPROVED Plan Check $83.78 MAM 10/04/00 34393 c> State Building Code $4.50 MAM 10/04/00 34393 (i V Total: $367.53 Jefferson County Planning &Building Department i:\F_BLD_App_Bld.rpt 10/29/99 ) f DEPARTMENT OF COMMUNITY DEVELOPMENT 4R WA 621 Sheridan Street,Port Townsend,W 98368 r Tel:360.379.4450 I Fax:360.379.4451 r Web:www.co.jefferson.wa.us/communitydevelopment `.t/1 b,o'''' E-mail:dcd(aco.jefferson.wa.us• CERTIFICATE OF OCCUPANCY PERMIT#: BLD00-00651 APPLICANT: LOUIS J CLEAVER PHONE: PO BOX 65095 PORT LUDLOW WA 98365 SITE ADDRESS: 21 YEW ST Issue Date: 11/1/2000 PORT LUDLOW, 98365 Final Date: 11/19/2014 SUBDIVISION: 9840 Block: Lot: PARCEL NUMBER: 984000306 Section: 22 Township: 28 N Range: 1E PROJECT DESCRIPTION: GARAGE /SHOP THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: U-1 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no 1 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/19/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/19/2014 Jefferson County Dept of Coniniudty Devobpmlent ii coCA 621 Sheridan Street Port Townsend WA 8[3801378-4450 4 ,\ o ti , Perm)? App : k ? 87N Project Description: Building Type: Project Type: Frame Type: ❑ Single Family XNew X Wood X Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial Cl Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: i Bathrooms: Type of Sewage Disposal: . ,/ Type of Heat: / /v// Choose one: /�/J`t Existing: �7 Existing: ❑ Sewer CI Community System ❑ Electricity /❑ Oil t3' Y tY Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: l� ❑ Private well N ❑ Duty Well❑ Public:Name of water system: Square Footage: \ �ori �r}, For Office Use Only 1 . Main Floor 4° -- UBC OCCUPANCY GROUP/ gg�� 6 2ND Floor Base fee c 7a G�` '`tit � 3rd Floor q O Plan Check fee � °`t Q q- HtdBasement / c� t State Surcharge fee j] 4 ' y Unhtd Basement / btotal lD S 3 Garage/Carport •.... . S i F-1 ( 1. 7-"D of Water Review fee Decks T"---1.o v►-s 1 Si + S 911/Rd Approach fee Commercial TOTAL ' S Industrial Receipt# 31 q 3 Other ''/ Cash/' .eck# C-A9/S Total Valuation: �/ Initials /v Or Date IV Y Estimated Cost: 51 000 " 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 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 structure shall be requested and shall occur during regular business hours. Signature: d , ------"/".. Date: /0- O 0 CiA UU -- OU 1 Zto BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00651 Received Date: 10/4/2000 SITE ADDRESS: 21 YEW ST PORT LUDLOW, 98365 APPLICANT: TODD D FISCHER PHONE: (360)437-5028 GERALDINE M FISCHER 21 YEW ST PORT LUDLOW WA 983659632 SUBDIVISION: PARADISE VIEW ESTATES Block: C Lot: 7& 9 PARCEL NUMBER: 984000306 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE /SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 16,320.00 ADD'L: HEAT TYPE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 1,632 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO r- BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA S Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams r-■ Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: W,/,., Shoreline Aquifer .JS � i � Forest: Commercial Rural laroxlmav - Flat G �itIons Type Amount Paid By: Date: Receipt: Approve��ate v Permit $279.25 MAM 10/04/00 34393 (! v Plan Check $83.78 MAM 10/04/00 34393 - # State Building Code $4.50 MAM 10/04/00 34393 e ; 'o " 15'•Total: $367.53 I • > s i *11Sis'il°r i:\F_BLD_App_Bld.rpt 10/29/99 .. A d tea°' Cl) C•))0 x• d 3 D n• 0 r = 3 w m 0 O 0) rte- Z '• a 0 3 . W -I CT R n n n 4o z C"�y.•- y z O 94, 1 o� � o0 G,l, T`, N 40 of n Tq o xiz --no N y m �d <na z f0 ti m z m -i /v z (11 �o m 9A m CI rZ q* i . � d1 d 'O - /Y ..- V xl a r v o m m-y-I O A \ -4 o < r z o w o - 6 0 m c z m c� c y '� ` .ZMI SETBACKS 6 m kvl • A CA Y \ '17 7 igt; 4- 4 IQ () > cer t .'-°—`4'• `O x d Q '7 c o U,- 2. n 2 1-t Qry. 0 \ P.S h7 ti y \ H �'t o y M vi O O F' �1 fly z ►�• ,� _y n b r , O n 0 ro ;; 4 a 5 m �' Alves. '* ''''m 5 .-, . O R, o o o -4"---- ..... '-.rq cl p g ..,,, DI 5t '-0 (:) � 1 a `" co o — n - o °9 'w . G rt. wd Kj N d (D o a a VI rb 6 a o d l G, .-- 'n A) I NI O .y N.tr CD I • I i'l&-:/ , /5fri ,40911 go ilflasia -z.. .,udx • Ir �� t k:v. , t 1 \ _ ,16-)cit-i . :/.1 a .$ I) Cis 50(0 N 2 VI 4 tv, , 0 , ^v— aArd0 % -1S ' ' A kg-ill • . 0 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#: BLD00-00651 Received Date 10/4/2000 SITE ADDRESS: 21 YEW ST Issue Date 11/1/2000 PORT LUDLOW, 98365 Expiration Date 11/1/2001 APPLICANT: TODD D FISCHER PHONE: (360)437-5028 GERALDINE M FISCHER 21 YEW ST PORT LUDLOW WA 983659632 SUBDIVISION: PARADISE VIEW ESTATES Block: C Lot: 7&9 PARCEL NUMBER: 984000306 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE/SHOP REQUIRED INSPECTIONS: [11/1• jy: (Shoreline Setbacks): .4r,> IP`4'o [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: Lv/GoA40,,,`io's)Z f /?-OZ_ �C� �&,fir._4 o,c.S7c# ) [ ] Propane Tank/Lines: [ ] Insulation: f3+-iii tip ! [ ] SheetrockC, 10--q-0-> [ ] Final/Occupancy Approval: 4(•Zara 4M it/ 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