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BLD2003-00023
• BUILDING PERMIT APPLIION • MLLAA03 000 18 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00023 Received Date: 1/10/2003 SITE ADDRESS: 5\ N STROMBERG AVE PORT TOWNSEND, 98368 OWNER: MERIDIAN MTG INVESTORS FUND II PHONE: (206)621-9301 ATTN KEITH HAMMER 701 5TH AVE#4050 SEATTLE WA 98104 SUBDIVISION: IRONDALE Block: 143 Lot: 13-17 PARCEL NUMBER: 962114304 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301 701 5TH AVE STE 4050 SEATTLE WA 98104 Contractor's License MERIDGL973BG Expires 1/7/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIO BREEZEWAY TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 2,970.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: I F&W Landslide C � Shoreline Aquifer I P Imo'/ l Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A PPREev E D Permit $83.25 MAM 01/10/03 52822 Plan Check $54.11 MAM 01/10/03 52822 MAR 0 6 2003 State Building Code $4.50 MAM 01/10/03 52822 Jefferson County Panning Total: $141.86 & Building Departme P/014/1/44- 011160 5C I Jefferson Ce Drartment of Community Development „�.. C'0 621 Sheridan S Townsend WA 08368[360)378-4d50 Prmo1D Ap . 0 SNO .. Project Description: ' Building Type: Project Type: Frame Type: ❑ Single Family NewWood ❑ Garage Attached/Detached - ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel JAN 1 0 �]3Concrete • ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial fOther. �'e>�_t 1A-' Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: ,ndividual System ❑ Woodstove ❑ Propane Total: Total: 0 If n t sewer,fill out the following: ❑ Heat Pump , 1 fi Conventional ❑ Alternative 1 Other °Otto Permit# SEP i Water Supply: ❑ Private well ID Two Party Well /Public:Name of water system: '--+-- 0 I Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee K3•ZS 3rd 65% 54 1 Floor Plan Check fee— � Htd Basement State Surcharge fee I •SO Unhtd Basement Subtotal f # t 111�II; Garage/Carport _ _ - - Pot Water Review fee w Decks - 911/Rd Approach fee 40 '11..:1611o. Commercial TOTAL � Industrial \ //- Receipt# SI C�� Other uv d s tug _ _ •�,, ((pq r� Cash/Check# l©©�j� 9 Total Valuation: A Initials P"-"' Or Date I// 10163 Estimated Cost: 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 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 it€emp o ee representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's pro cture shall be requested an s occur during regular business hours. Signature: Date: IIjJ? H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 ),e: S Oi38"46" W el 124.36 ------• I ® 60' 1 • ••rte" YARD W1111/111111110 5 GI? R ---- .1111111111 -ti-- _ —. ...._ Zm c) _ m PA 770 11Th OPT'AO .1 1 Z 10' O j REVERS£ o Cq N Gr o -i 60 PLANE :40R 9�ED' p 'it REVERSE P m R7 5 ;v.. WM LaJI* - RISERSCPAD ro 20 p i F•ei YARD1 o c) SETBACK c • +10' 124.35 FROM DITCH S 01'38'46" W LI JE N 01 °38 '46 " E 659. 93 ' LOT AREA APVED - - BLGD. CDVERAGE S 3 AN PfRMI IMPERVI�US SURFVICC 3,494 OF - STROMBERG AVENUE OM O R LEGAL D-SCRIPTIC N: P, 15-419 g MI R LUS VE, BLOCK 143, IRONDALE AS PER O 0 COUNTY, WASHINerON:ySI 0 ii•ETCO PAGE NTY OF9 RECORDS ERSON, STATE OFJEFFERSON �F ft Cn N WASHINGTON i� �/ Y JEFFER`I ae U r" "CD EPT.OF COMM D c r PMENT 1 0 2003 SIGNATURE. APPROVED 4-111 SITE PLAN STORMWATER PLAN V -- MAR 4 2003 1 " = 20' 0 5 20 5( h mill M JEFF ER ��-M M I T H U N PROJECT POINT SIGNATURE: Will- - PROJECT NO. 0238700 DRAWING nn.e . 1;} DATE Architects+Designers+Planners LOTS 15-19 01/08/03 Pier 56,1201 Alaskan Way,Ste.200 Seattle,WA 98101 TEL 206 623.3344 Fix 106 6234005 COPYRIGHT©2001 MITHUN,INC. • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00023 Received Date 01/10/2003 SITE ADDRESS: 181 N STROMBERG AVE Issue Date 03/6/2003 PORT TOWNSEND, 98368 APPLICANT: MERIDIAN MTG INVESTORS FUND II PHONE: (206)621-9301 ATTN KEITH HAMMER 701 5TH AVE#4050 SEATTLE WA 98104 SUBDIVISION: IRONDALE Block: 143 Lot: 13-17 PARCEL NUMBER: 962114304 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301 701 5TH AVE STE 4050 SEATTLE WA 98104 Contractor's License: MERIDGL973BG Expires: 01/07/2005 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION BREEZEWAY REQUIRED INSPECTIONS: [:ETBACKS / Footin• - �=4 [ Foundation: [ ] Underground Plum. ./Underground Insulation: [ ] Shear Wall: ] Framing/Plumbing: Lv //03 f /,/diL Ja? [ ] Propane Tank/Lines: ( ] Insulation: [ ] Sheetrock: ( ] Septic System Final Approval: — [ ] Zoning Final Approval: [v]/ Final/Occupancy Approval: /:/C HEALT DEPA T EN 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. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY S • SPECIAL CONDITIONS FOR CASE BLD03-00023 1.) The proposal links a breezeway with a new dwelling unit and detached garage. Refer to all conditions in BLD03-00022/24. i:1F BLD_Permit_Buildng.rpt 10/29/19 1