HomeMy WebLinkAboutADR2009-00020 '
0311 /0?
ADDRESS REQUEST
JEFFERSON COUNTY PERMIT CENTER PI e GD. - Se c
621 Sheridan,Port Townsend,WA 98368 (360)379-445( ✓4nlut n��
APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson Corn /�
1. ❑ New Address NI Correction? ❑ Change gReview? DIFF LEFT
2. Applicant Name: L,).kao, 'sf)L,
3. Mailing Address: , i 111< 1 I
Town/State/Zip CI--h1)AtA c ikim )4G•
4. Telephone: Work—q 0 l- Home: )32...-0•T1
cL) A'014
5. Location: Attach a Detailed Drawing or Map.
Additional Fees May Be Required if More Than One
Site Visit Is Necessary 1,
*******PLEASE FLAG YOUR DRIVEWAY.******* / L\p
Date Flagged:c2//a-/ (-)9 Flagging Color . 1(�� I ;-„U
Nine Digit Tax Parcel Number 9 01 2£s/ D°3--
O 3 LW\
Plat Name Block Lot
6. RoadN. n-•- tv,d12 • �1�
Is this . ' ' or COUNT; road? IRCLE I (,
Nearest Cross 'oad: . y � -Old -,�/'j
7. Neighbors' Address if Known: J(
c 'J
� r ' � � ate, I C-•
Name/Address: C 31
Name/Address: �7 7
8. Do You N--• To Construct a Driveway?
YES o NO CIRCLE ONE
FIELD NOTES
9. Was This S .,.itted With A Building Permit?
YES or NO CIRCLE ONE C,�
SHADED AREAS OFFICE USE ONLY AaaDi s
New Address: -70 I
Postal District: t CVO')
Real Milepost: , (f) Road #: ✓ 2/09
pRD9-O0D2° DN.) 3/214
Left Right Fire District Builtting-Pcnrrit+# Plate ajI3 IC
Or
Odd Even Date Paid /5 /p Check# t04O5 Receipt# [Q 550g, Date in Computer 5 / /e9
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JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESS REQUEST INSTRUCTIONS
o Complete the address request form in as much detail as possible. The most important
information to include is the complete name of the road where your property is located,
whether or not the property is in a plat, the nine digit parcel identification number and
the block/lot number. The fee is $
o You must also attach a vicinity map or drawing.
o Use the survey ribbons provided to flag both sides of your driveway. If your driveway is
not in yet, mark the location where the driveway will be. You must apply for a road
approach permit if your driveway will connect with a county road.
o The address technician from the Permit Center will assign your address within 5 working
days. The technician will visit the site and determine the address according to the
nearest milepost distance from the start of the road.
o The red address plate will be sent to your current mailing address, as indicated by you on
the address request form, within one week to ten days. The plate is to be posted at the
end of your driveway and is to be clearly visible from both directions.
o The Permit Center will notify the appropriate postmaster, fire district and emergency
services of your new address.
****************************************************
ROAD APPROACH INSTRUCTIONS
o ou are constructing a driveway that will connect with a county road, you must •`y for
a r •,.-pproach permit. The fee is $ 1(1.9'
o To complete pplication for the permit, you will need to i •' .to the nature of work
and to include a s • e sketch of the proposed work. Y: i will also receive a survey
ribbon to mark the site.
o Once the permit inspector has visite. -, a permit will be drawn up and will include
the general conditions as well as a ° •eci IC -,•uirements concerning your site
o The permit will be sent = ou for you to read and sign. .0 are then asked to return the
permit to the Permit enter for the permit inspector to sign. • will receive a copy of the
signed permit. T" permit is valid for a period of one year
IF BOTH THE RESS REQUEST AND THE ROAD APPROACH PERMIT IS ° •PLIED FOR
AT THE S TIME, THE TOTAL FEE $ 1( 4
if yo ` ave additional questions,call the Department of Community Development at(360)379-4450.
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec
in this map is limited by the method and accuracy of its collection. Thu Feb 12 09:19:17 2009
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http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/12/2009
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Address Database Comparison Page 1 of 1
.
Enter Street Name String: Or Enter Parcel Number:
Go
PUBLIC WORKS DB ADVANTAGE DB ASSESSOR DB MASTER
ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL
117 WINDRIDGE 117 WINDRIDGE �., _ 74 WINDRIDGE RD 901275005 11.7 WINDR�D_cE
1175006 — 9SLZ 506
RD RD 117 WINDRIDGE RD
901275006
134 WINDRIDGE 134 WINDRIDGE RD 134 WINDRIDGE.
901275006 989900001 969900001
RD RD 134 WINDRIDGE RD
989900001
213 WINDRIDGE 134 WINDRIDGE RD 21.3 WINDRIDGE
901275008 901275004 901275008
RD RD 393 WINDRIDGE BD
901275001
393 WINDRIDGE 393 WINDRIDGE 901'275001 RD 393 WINDRIDGE 901275001
RD RD 425 WINDRIDGE 901275010 RD
425 WINDRIDGE 425 WINDRIDGE 901275010 RD 425 WINDRIDGE 901275010
RD RD 429 WINDRIDGE 901275009 RD
429 WINDRIDGE 429 WINDRIDGE RD 429 WINDRIDGE
901275009 901275009 901275009
RD RD 734 WINDRIDGE RD
901281005
465 WINDRIDGE 465 WINDRIDGE RD 465 WINDRIDGE
RD 901272004 RD 901272004 RD 901272004
734 WINDRIDGE 734 WINDRIDGE 74 WINDRIDGE RP 901275005
RD 901281005 RD 901281005
74 WINDRIDGE RD 74 WINDRIDGE RD 901275005
For an address search, leave the parcel field blank.This is the signal that you want an address search. For a parcel search,enter the
nine digit parcel number. During a parcel search it does not matter what you have in the address box.
This tool uses a "fuzzy"search so if you enter"ZELATCHED"you will get all addresses that have that word in it. If you enter
"ZELATCHED POINT RD"you will only get the addresses that have that exact sequence of characters in it. This should allow you to
identify the source of many of the discrepancies between the data sources. For instance, searching for"AZALEA LN"gives only 5
addresses in the Advantage DB. Searching for just"AZALEA"adds another address because one was entered incorrectly as"AVE".
I purposely did not make a street picklist so you can have flexibility in your searches.
The far right column is the final list of addresses that will be loaded into the AS400. Clicking on the
address field will give you details about the address. On the details page you can click on links to get a map of the road or search
for more addresses on the parcel. Addresses that have a parcel that is not on our parcel map will not show up on this list as a
hyperlink.
There are many"dummy"addresses in the Advantage DB. Most of these have been filtered out by checking for a blank street
address number. The Assessor DB has been filtered by checking for null in the street address number field.
Let me know if this tool is useful and/or how it can be made more useful.
l
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=windridge+rd&parcel= 2/17/2009
o REvEENN
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someon i°as•"°° REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt
PLEASE TYPE OR PRINT CHAPTER 82.45 RCW-CHAPTER 458-61 WAC when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
(See back page for instructions)
['Check box if partial sole of pmpetty If multiple owners.list pereentaaa of ownership and m nano
l Name Nicholas W.H.Colitsea IN Name Michael C.Tyler
Undsay Golitees Suzanne M.Tyler
Address 47 Outlook err Marling Address 1102 East Washington Street
• CCity/State/Zip p etzip Pat Ludlow,WA 98365 os City/State/Zip Sequlm,WA 98382
Phone No.(including sea code) Phone No.((including area code)
• 3 Send ell property tax correspondence to:0 Same se Buyer/Grantee List all real and personal property tax parcel account Lin assessed vvahsa'(a){��
mambas-cheek box if personal property ❑ 3/S f sh V•�✓
Name 901 281 005
Mailing Address n
City/State/Zip n
Phone No.(with area code) n
iiStreet address of property: 2804 West Valley Road Ct*nacum,WA 98325
This property is located in 0 unincorporated Jefferson County OR within❑city of __. ..
❑Check box limy of the listed parcels are being segregated from a larger parcel.
Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit)
Legal description Is located on the reverse of this document
®Enter Abstract Use Categories: 1SFR ■ List all personal property(tangible and intangible)included in selling
(Please see list on the back page of this form) price.
If exempt from property tax per chapter 84.36 RCW(nonprofit
•
organization),include:
Seller's Exempt Reg.No.:
® YES NO If claiming an exemption,list WAC number and reason for exemption:
Is this property designated as forest land per chapter&133RCW/ El ❑
Is this property dastified as aarentme(rp®moo;farm and ❑ 0 WAC No.(Section/Subsection)
agrieultu d,or timb r)land per chapter 84.34? Reason for exemption
Is this property receiving special valuation as historicalprolxxty ❑ 0
per chapter 84.26 RCW?
If my answers are yes,comply as instructed below. •
(1)NOTICE OF CONTINUANCE(FOREST LAND ORCURRENTUSE) Type of Document Slab+toiy Warranty Deed
NEW OWNER(S):To continue the current designation as forest land or Date of Document 1015/05
classification as current use(open space,farm and agriculture,or timber)
land,you must sign on(3)below.The county assessor must then determine Gross Selling Price $ 390.000.00 1
if the land transferred continues to qualify and wall indicate by signing below.
If the land no longer qualifies or you do not wish to continue the designation *Personal Property(deduct) $
or classification,it will be removed and the compensating or additional taxes Exemption Claimed(deduct) S
will be due and payable by the seller or transferor at the time of sale.(RCW '00 '
84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact Taxable Selling Price $
your local county assessor for more information Excise Tax:State S 4,992.00
Thi-fw: is does ❑does iyy�,yy qualify for ,ntinuance Jefferson County Local $ 1,950.00
/I, /j) . '�. Imo_0/_ '_ _ lob, �S *Delinquent Interest: State S
a.ay e . r •a' , i, - Al,' .1' 0.0050 Local $
rIi 611 ■refs l• Ork ate '•i• -' *Delinquent Penalty $
NEW O' • S):To continue special valuation as historic property, *County Technology Fee $
sign(3)below.If the new owner(s)do not wish to continue,all
additional tax calculated pursuant to chapter 84.26 RCW,shall be due *State Technology Fee $ 5.00
and payable by the seller or transferor at the time of sale.
*Affidavit Processing Fee S
(3) O'/ S)SI r. L
f:r r p�
ziaiA PA∎ Total Out $ 6,947.00
A MINIMUM OF$10.01)IS DUE IN FEE(S)AND/OR TAX
'SEE INSTRUCTIONS
® I CERTIFY UNDER PENALTY OF PERJURY THAT TILE FOREGOING IS TRUE AND CORRECT.
Signature of ' /� Grantee of 6 %�
Grantor or Grantor's Agent -- G'cec (//{Z.e' Grantee or Grantee's Agent
Name(print) Nicholas W.H.Coignes Name(print) Michael C.Tyler
•
Date&city of signing ID''R`05 LUA)t_ Date&cityofsigning: /0 //-DV Sequite
Perjury:Perjury is a class C felony which is per ' imprisonment in the state correctional institution fora maximum)term of sot more than five years,or by
a fine in an amount fixed by the court of not more than five thousand dollars(S5,000.00),or by both imprisonment and fine(RCW 9A.20.020(IC)).
REV 84 000Ies(a)(urn troy) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASTU
:Droll la.. 2/2e..U'L' % ., 10501 bi
5v
`IN\b T tom. C )—
. 'Address & Road Search Page 1 of 3
••
Public Works Road Inventory Tool
SEARCH FOR ADDRESS INFORMATION
•
ROAD NAME SELECT ROAD SEARCH j
ADDRESS ROAD NAME CREATION DATE APPLICANT PARCEL NUMBER
10 W VALLEY RD 01/01/68 TRI CITY COMM
CENTER -
1050 W VALLEY RD 01/01/68 JOHN E KELLEY _
1090 W VALLEY RD 01/01/68 EARL HIGHNOTE _
1091 W VALLEY RD 01/01/66 TOM J NISBET
112 W VALLEY RD 04/10/92 PARADISE BAY
CONST.
124 W VALLEY RD 02/19/92 PARADISE BAY
CONST. -
1244 W VALLEY RD 07/16/93 HALL,LAUREL
1251 WEST VALLEY RD 12/18/07 PETER BRUMMEL 901154008
1291 WEST VALLEY RD 04/04/07 SHAW,DANIEL 901154001
1310 W VALLEY RD 01!01/68 GARY MCNEIL
1311 W VALLEY RD 01/01/68 CHARLES D
BOGGS
1312 W VALLEY RD 01/01/68 MAUREEN MCNEIL
1380 W VALLEY RD 01/01/68 DOUG ANGLIN
1520 W VALLEY RD 01/01/68 DUANE CLOCKSIN _
1521 W VALLEYRD 01!01/68 WALDO
WESTERGAARD
1525 W VALLEY RD 04/18/90 FREITAS,JOHN _
1601 W VALLEY RD 01/01/68 W O
WESTERGAARD -
1630 W VALLEY RD 01/01/68 DONLENE
----- -- - DONLENE
1790 W VALLEY RD 01/01/68 MERLE L
MEACHAM
182 W VALLEY RD 06/25/98 BISHOP BROTHERS 963000314
1833 W VALLEY RD 07/21/95 BEMIS,LORING. _
1912• W VALLEY RD 01/01/68 MICHEL A LEROY _
1TE4 W VALLEY RD 01/01/68
2001 W VALLEY RD 03/05/90 N LEE SHORT
2032 W VALLEY RD 01/01/68 WILLIAM H
ANDERSON
2034 W VALLEY RD 01/01/68 RICHARD
AMERSON
2036 W VALLEY RD 01/01/68 DENNIS SHIELDS _
2070 W VALLEY RD 03/05/90 KATE KAISER
2081 W VALLEY RD 01/01/68 .
2091 W VALLEY RD 03/05/90 LYNN
STRANDSKOV
2092 W VALLEY RD 03/05/90 OLE BIRKLAND
210 W VALLEY RD 01/01/68 MICHAEL J KIESEL
2230 W VALLEY RD 01/01/68
2232 W VALLEY RD 01/01/68
2310 W VALLEY RD 01/01/68
2333 W VALLEY RD 01/01/68 STRANSKOV,LYNN _
2335 W VALLEY RD 01/01/68 -
2337 W VALLEY RD 08/01/96 DONLEY,ROBERT 901271000
&VIRGINIA
2339 W VALLEY RD 08/27/01 STANDSKOV,LYNN 901271007
2391 W VALLEY RD 01/01/68 CLIFF LINDEROTH _
2481 W VALLEY RD 01/01/68 CLIFF E
LINDEROTH -
http://isserver/Address/RoadSearch.asp 2/18/2009
Address & Road Search Page 2 of 3
2610 W VALLEY RD 10/26/90 HIRSCH,JACK
2680 W VALLEY RD 01!01/68 ALBERT MUELLER
2_751 W VALLEY RD 02/18/92 BARRETT,BRUCE
2753 W VALLEY RD 01/01/68 CLIFF LINDEROTH
2755 W VALLEY RD 01/01/68 IRIS LEFKOWITZ _
2757 W VALLEY RD 01/01/68 NEVILLE PEARSALL _
2774 W VALLEY RD 07/29/91 DA DAKOTA
2800 W VALLEY RD 11/30/88 VALDEZ
2801 W VALLEY RD 01/01/68 CALVIN M
SCHIPPER
2802 W VALLEY RD 01/01/68 THOMAS
NICHOLAS W
2804 W VALLEY RD 01/01/68 COLITSES NOW
CHANGED TO 734
WINDRIDGE DR
2981 W VALLEY RD 01/01/68 BAUMUNK,BRIAN 901274003
2981 A WEST VALLEY RD 11/21/08 BRIAN G. 901274003
BAUMUNK
3381 W VALLEY RD 01/01/68 CHARLES W
GUTHRIE
3383 WEST VALLEY RD 12/20/07 ROY WILSON 901342027
3389 W VALLEY RD 05/15/91 EIDSMOE,MELVIN _
3430 W VALLEY RD 01/01/68 BRIAN JOHNSON 901342002
3654 W VALLEY RD 01/15/97 LEWIS,ED 901342005
3663 W VALLEY RD 05/14/97 WHALEY,PATRICIA 90134200.3
3671 WVALLEY RD 01/01/68 DENNIS G BALE -
3752 W VALLEY RD 07/18/94 FRED SCHUBERT _
3756 W VALLEY RD 07/18/94
SUMMERS
3820 W VALLEY RD 01/01/68 IFFLAND,CHUCK
3871 W VALLEY RD 01/01/68 BRODERSON,DE
- ETTE
391 W VALLEY RD 01/01/68 JODY OLSON
3985 W VALLEY RD 03/17/94 SCOTT 901342012
BRODERSON
W VALLEY RD 01/01/68 MELISSA
GOEHRING
4081 W VALLEY RD 01/01/68 ROBERT C
-- - JOHNSON -
4380 W VALLEY RD 09/28/89 WATTERSON,
DAVID S
4444 W VALLEY RD 08/16/91 PLUBELL,RODNEY
452 W VALLEY RD 01/01/68 ARLENE BAUMUMK
453 W VALLEY RD 07/25/94 DAVID SMITH 901151015
454 W VALLEY RD 01/01/68 ROGER D HORNER _
4653 W VALLEY RD 01/01/68 WILLIAM D
LAWSON
4655 W VALLEY RD 01/01/68 ROBERT BUNDY _
4731 W VALLEY RD 01/01/68 ROBERT BUNDY _
4772 W VALLEY RD 01/01/68 JAMES R MCKAY _
4774 W VALLEY RD 01/01/68 MARYNA LAWSON _
5090 W VALLEY RD 01/01/68 ALVIN GRONDAHL
5270 W VALLEY RD 01/01/68 HOWARD G
CARSTENSEN -
5343 W VALLEY RD 07/26/00 HILTON,LILLIAN 801033004
5500 W VALLEY RD 01/01/68 CHUCK NISBET -
5521 W VALLEY RD 01/01/68 T A OLSON
604 W VALLEY RD 09/26/95 CERNA,MAVIS 901151011
680 W VALLEY RD 01/01/68 PETER CERNA
720 W VALLEY RD 05/14/90 GARTEN,CHAD
790 W VALLEY RD 01/01/68 WARREN A PUTAS
80 W VALLEY RD 10/28/04 DOLORES 963000309
http://isserver/Address/RoadSearch.asp 2/18/2009
Address & Road Search Page 3 of 3
CHESSMAN
91 W VALLEY RD 01/01/68 SCHOO UM
- ------ SCHOOL
ADDRESS SEARCH ROAD SEARCH CREATE NEW ADDRESS CREATE NEW ROAD REPORTS
http://isserver/Address/RoadSearch.asp 2/18/2009
IAddress & Road Search Page 1 of 1
Public Works Road Inventory Tool
SEARCH FOR ADDRESS INFORMATION
ROAD NAME SELECT ROAD SEARCH
ADDRESS ROAD NAME CREATION DATE APPLICANT PARCEL NUMBER
117. WINDRIDGE RD 05/22/92 GLAUBMAN,JODY -
134 WINDRIDGE RD 05/27/93 PORTO,TONY 901275006
213 WINDRIDGE RD 06/27/94 HUGH N MURPHY 901275008
393 W SCOTT
INDRIDGE RD 09/26/91 ETHERINGTON,
SCOTT -
425 WINDRIDGE RD 01/11/93 KEEL,JONICA -
MADARASZ,
4 WINDRIDGE RD 09/16/96 9D12751:99
GEORGE
465 WINDRIDGE RD 03/26/03 MCTAVISH,ALEX 901272004
AND BARBRA
734 WINDRIDGE RD 11/15/05 SUZANNE TYLER 901281005
74 W WALLACE
ADDRESS SEARCH ROAD SEARCH CREATE NEW ADDRESS CREATE NEW ROAD REPORTS
•
http://isserver/Address/RoadSearch.asp 2/18/2009