HomeMy WebLinkAboutADR2009-00035 1 RECEIVED r s
ADDRESS REQUEST 2 3 2zy J
RCVT VW- ,^ JEFFERSON COUNTY PERMIT CENTER
#ta t .Cd-r`t 4130/fq
621 Sheridan, Port Townsend,WA 98368 (360) 379-4M: C r.n ' i co
APPLICANT: Please fill ut •' m 1 through 8. Fee as per Jefferson C t �Ft § I�
1. ❑ New Address El Correction Change El Review � DIFF LEFT M.P. RIGHT DIFF
2. Applicant Name: i f/. 4r,01( 1711'V1a i i
3. Mailing Address: 911 3 LI 5*/• X g.,(9-16 .2.-70
f Tw sic/ 4,4'. Sg.6g a-m,9
Town/State/Zipd/� / 0166ti
4. Telephone: Work Home: 38.E 06/�i ads 2 (• O
5. Location: Attach a Detailed Drawing or Map. 2 2.
Additional Fees May Be Required if More Than One
Site Visit Is Necessary 251-14 2,61
*******PLEASE FLAG YOUR DRIVEWAY.*******
a Ll l I A,Li c2-�
Date Flagged:q /€23/DI( Flagging Color 2
Nine Digit Tax Parcel Number DO f 05-3 0/0 2.0 aO 2145-0
Plat Name Block Lot 6214 3)
9'4135 2. 41
6. Road Name: N(.GS)1r?,_s Ilve- ale-611 V3-1
Is this a PRIVATEorCOVNT9road? CIRCLE ONE 02 625 a' 40 Nearest Cross Road: C, ,'7;/ ?OA'?f
7. Neighbors' Address if Known: �� " / z4ai 2.8
Name/Address: g,j�/ /fig�`j`,l�tJ�S �, 624 i�
Name/Address: ` `�,Lj rO/j f!Y!QI YI 2
d•3-1a
8. Do You Ne-• To Construct a Driveway? '13-�I a,3�j a 3-,
YES or NO CIRCLE ONE 04 �u
FIELD NOTES l'
9. Was This miffed With A Building Permit? 62.3-1$
YES or NO CIRCLE ONE
SHADED AREAS OFFICE USE ONLY r t 0/$q5 -f t)
, W. ne ,0
New Address: .,..9,(Q-1 IL -�-IQ�-�-1� � I,,
Postal District: ?or-f. TO Wyk - • C' e' in D?� 5 h L D�(
Real Milepost: .1,10 Road#: PIA-Ta5
Left Right Fire District Building Permit# J f'pCj-tpi�Iate Sent 5 /5 /cI
o� `1
Odd Even Date Paid 9'/623/ Check# /'7 a 1 Receipt# j3 62 7 Date in Computers /� /rii
q laa • 83541 $ " l
LA - 4S. 1A BC2 4
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 $2. 1 - .--
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 If you are constructing a driveway that will connect with a county road, you must apply for
a road approach permit. The fee is $
o To complete the application for the permit, you will need to indicate the nature of work
and to include a simple sketch of the proposed work. You will also receive a survey
ribbon to mark the site.
o Once the permit inspector has visited the site, a permit will be drawn up and will include
the general conditions as well as any specific requirements concerning your site.
o The permit will be sent to you for you to read and sign. You are then asked to return the
permit to the Permit Center for the permit inspector to sign. You will receive a copy of the
signed permit. The permit is valid for a period of one year.
IF BOTH THE ADDRESS REQUEST AND THE ROAD APPROACH PERMIT IS APPLIED FOR
AT THE SAME TIME, THE TOTAL FEE $ l 3 --
If you have additional questions, call the Department of Community Development at(360) 379-4450.
h\home\pIncntr\infodpw\Instruct.doc 2/00
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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. Mon Apr 27 07:36:46 2009
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' Address Database Comparison Page 1 of 4
Enter Street Name String: Or Enter Parcel Number:
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PUBLIC WORKS DB ADVANTAGE DB ASSESSOR DB MASTER
ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL
1611 HASTINGS AVE 1612 HASTINGS AVE W __.33 0 HASTINGS AVE W _..„ No Addresses Found
W 1680 HASTINGS AVE W :r31 F:i3 0 HASTINGS AVE W ,{,:.3 ?,.
1612 HASTINGS AVE oUl (r+. 1791 HASTINGS AVE W 007043(031 1611 HASTINGS AVE
W 001 W ut,l t i 3_3L
1641 HASTINGS AVE 1851 HASTINGS AVE W 0(71(54001
W
1924 HASTINGS AVE W 001054011 1612 HASTINGS AVE 001043003
1680 HASTINGS AVE 2061A HASTINGS AVE
00 1054,021 1641 HASTINGS AVE
W W W 001043009
1711 HASTINGS AVE 2191 HASTINGS AVE W 901054010
W 2250 HASTINGS AVE W 1680 HASTINGS AVE 001043004
0010ti!+t71_� w
1791 HASTINGS AVE 2250 HASTINGS AVE W 0(1051007. 1711 HASTINGS AVE
W 2260 HASTINGS AVE W 0013004016 W 001043010
1851 HASTINGS AVE 2281 HASTINGS AVE W 001054009 1791 HASTINGS AVE
W W OD103f]3
1871 HASTINGS AVE 2323 HASTINGS AVE W 997000013
W 2323 HASTINGS AVE W 99750.001.1. 1851 HASTINGS AVE 001054(006
W �.
1922 HASTINGS AVE 2325 HASTINGS AVE W 9_97600013 1924 HASTINGS AVE
W 2327 HASTINGS AVE W 997600013 w 001054007
1924 HASTINGS AVE 2371 HASTINGS AVE W 0M.0.54:004 1981 HASTINGS AVE 0020°+4020
W 2374A HASTINGS AVE W
1981 HASTINGS AVE W 001051005 2061 HASTINGS AVE
W 2378 HASTINGS AVE W 001052010 W 001.W14021
1984 HASTINGS AVE 2425 HASTINGS AVE W 933601302 2191 HASTINGS AVE
W W f)61054(iIQ
1984 HASTINGS AVE 2425 HASTINGS AVE W 933501301
-0 2241 HASTINGS AVE
W 39 2433 HASTINGS AVE W 933601401 w 001054022
2061 HASTINGS AVE �i01n°,^t)2,1 2435 HASTINGS AVE W 001053026 2250 HASTINGS AVE
W - 2437 HASTINGS AVE W 93:360_1.201 W 001054015
2061-A HASTINGS AVE 90/054021 (.i
2450 HASTINGS AVE W 001013022 2260 HASTINGS AVE ; E
W (,10 i901fi
2541 HASTINGS AVE W 0010 53003 W
2191 HASTINGS AVE 0010 54(710 2673 HASTINGS AVE W 007053014 2281 HASTINGS AVE
W - W 0010 54009
2241 HASTINGS AVE 2675 HASTINGS AVE W 00105:3024
W 2675 HASTINGS AVE W 0010531)24 W 23 HASTINGS AVE 9^>/000(114
2250 HASTINGS AVE 2675 HASTINGS AVE W 001053024 2325 HASTINGS AVE oq761;10a
W 2675 HASTINGS AVE W 00105302.4 W
2260 HASTINGS AVE 2675 HASTINGS AVE 2370 HASTINGS AVE
W WEST .001(05:302!1 W 0010640.1,'
2281 HASTINGS AVE 2679 HASTINGS AVE W 0i01053025 2371 HASTINGS AVE
W W 003054009
2323 HASTINGS AVE 2751 HASTINGS AVE W 001.053_0.13
W `.',''',',"-'1,4-0 2828 HASTINGS AVE W 001053033 2372 HASTINGS AVE
001053020
2325 HASTINGS AVE 3115 HASTINGS AVE W 001043029
99/500C1 2374 HASTINGS AVE
W 3213 HASTINGS AVE W 001064016 w 001051005
2327 HASTINGS AVE 997_600 3217 HASTINGS AVE W 001034015 2376 HASTINGS AVE
W 01;3 3243 HASTINGS AVE W 30 064011 W 01:M52012
2370 HASTINGS AVE 3290 HASTINGS AVE W 001,.)54006 2378 HASTINGS AVE 0. ,-
W W 0010,201.0
2371 HASTINGS AVE 3296 HASTINGS AVE W 00106.4005
W 2410 HASTINGS AVE
3363 HASTINGS AVE W 001 54024 W 0t)053001
2372 HASTINGS AVE 3390 HASTINGS AVE W 3i31004010 2421 HASTINGS AVE
W 3391 HASTINGS AVE W 0 10640 3 w 0010S3c05
2374 HASTINGS AVE 3392 HASTINGS AVE W 0010530.12 2425 HASTINGS AVE
W 9):3611;7.307.
3394 HASTINGS AVE W 001063003 W
2376 HASTINGS AVE
3396 HASTINGS AVE W 001064007 2431 HASTINGS AVE 93.:o. ,
W W ` ll.<i1
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2378 HASTINGS AVE 3398 HASTINGS AVE W 001_0_6300_3
W 3482 HASTINGS AVE W 0010646010 2433 HASTINGS AVE 93360 i
2410 HASTINGS AVE 3491 HASTINGS AVE W 001054(109 2435 HASTINGS AVE
W 3491 HASTINGS AVE W 00106^028 W 001053026
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=hastings+ave+w&parcel= 4/27/2009
' Address Database Comparison Page 2 of 4
•
2421 HASTINGS AVE 3544 HASTINGS AVE W 001071039 2450 HASTINGS AVE 001053022
W 3545 HASTINGS AVE W 001071040 W
2425 HASTINGS AVE 939601301 3651 HASTINGS AVE W 001071001 W 2461 HASTINGS AVE 010'53019
2431 HASTINGS AVE
3801 HASTINGS AVE W 001072011 2591 HASTINGS AVE
yy 3804 HASTINGS AVE W 001072001 w 0010530C)4
2433 HASTINGS AVE 3820 HASTINGS AVE W )010/2006 2595 HASTINGS AVE
W 3831 HASTINGS AVE W Q01071036 W 00_It 53010
2435 HASTINGS AVE 3835 HASTINGS AVE W 001071009 2673 HASTINGS AVE 001G5:U14
W 3837 HASTINGS AVE W 0.01071( :5 W
24 37 HASTINGS AVE 3940 HASTINGS AVE W 0010:1907 2675 HASTINGS AVE 001050024
4011 HASTINGS AVE W 0010/2008
2450 HASTINGS AVE 2679 HASTINGS AVE
Vy 4037 HASTINGS AVE W 00107100.0 w 0010.5302.
2461 HASTINGS AVE 4124 HASTINGS AVE W 001073002 2751 HASTINGS AVE
00105301
W 4130 HASTINGS AVE W 001072019 W
2541 HASTINGS AVE )01.05-c 4132 HASTINGS AVE W 00.107?018 2828 HASTINGS AVE
,.� W 00I0530'3
4134 HASTINGS AVE W 001072014
2591 HASTINGS AVE 3213 HASTINGS AVE
4136 HASTINGS AVE W 001.072001 0010(14016
2593 HASTINGS AVE 4136 HASTINGS AVE W 001072009 3290 HASTINGS AVE
W 4148 HASTINGS AVE W 00107200 w 001.644011,
2595 HASTINGS AVE 3363 HASTINGS AVE OOtC640:M
002_
2600 HASTINGS AVE 3390 HASTINGS AVE
IA;t(iEidC1C
W W
2673 HASTINGS AVE CIS,O.� 3392 HASTINGS AVE 001063017
2675 HASTINGS AVE 3396 HASTINGS AVE
0O1064007
W W 0000_
2679 HASTINGS AVE 3398 HASTINGS AVE P1.06.3003
W W _0.06- -
2751 HASTINGS AVE 3491 HASTINGS AVE 041464009
W W
2822 HASTINGS AVE 3511 HASTINGS AVE
'053010 001071024
2824 HASTINGS AVE 453�i.tI V544 HASTINGS AVE 00101039
2826 HASTINGS AVE 3651 HASTINGS AVE
!053032 001071001
2828 HASTINGS AVE 3801 HASTINGS AVE
1053033 001011011
2841 HASTINGS AVE 3804 HASTINGS AVE 01
00(i720U1
W W 01 001
3211 HASTINGS AVE 3820 HASTINGS AVE ;010720CP
W W 6072 6100_
3217 HASTINGS AVE - 3835 HASTINGS AVE
W D6.0it: W 0U1.0/1108
3243 HASTINGS AVE , I 3851 HASTINGS AVE
t1C;I,Iis,.,ri
W W 001(17Z01_p
3290 HASTINGS AVE 3940 HASTINGS AVE 0010/2007
W W
3296 HASTINGS AVE 3991 HASTINGS AVE
W 1054006 W 001072117
3347 HASTINGS AVE 4011 HASTINGS AVE 00107[008
U 2
3363 HASTINGS AVE 4031 HASTINGS AVE
1064024 00 1.072()13
3390 HASTINGS AVE 4037 HASTINGS AVE
0010_64_010 01)1071.006
3391 HASTINGS AVE 001UGag23 4130 HASTINGS AVE 0010 71019
3392 HASTINGS AVE 4132 HASTINGS AVE 001072018
W W
3394 HASTINGS AVE 4136 HASTINGS AVE 001012009
W W
3396 HASTINGS AVE
W
3398 HASTINGS AVE 106300'
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=hastings+ave+w&parcel= 4/27/2009
• Address Database Comparison Page 3 of 4
w
3482 HASTINGS AVE
w
3491 HASTINGS AVE
w
3493 HASTINGS AVE
w
3544 HASTINGS AVE
w
3545 HASTINGS AVE 10-71040
w
3611 HASTINGS AVE
w 1
3651 HASTINGS AVE
w
3701 HASTINGS AVE
w
3801 HASTINGS AVE
w
3804 HASTINGS AVE OO107:ttiQ1.
w
3820 HASTINGS AVE
w
3835 HASTINGS AVE
w
3837 HASTINGS AVE
w
3839 HASTINGS AVE
w
3851 HASTINGS AVE
w
3940 HASTINGS AVE
w
3991 HASTINGS AVE
w
4011 HASTINGS AVE
w
4031 HASTINGS AVE
w
4037 HASTINGS AVE ,C)r_1��R6
w
4124 HASTINGS AVE
w
4130 HASTINGS AVE
00 l020 li@
w
4134 HASTINGS AVE 1072018
w
4136 HASTINGS AVE
w
4141 HASTINGS AVE
w
4148 HASTINGS AVE
w
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.
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=hastings+ave+w&parcel= 4/27/2009
' Address Database Comparison Page 4 of 4
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.
http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=hastings+ave+w&parcel= 4/27/2009
APPLICATION FOR ROAD APPROACH PERMIT
Jefferson County ) Permit#
Department of Community Development �� 1 - '� , Receipt#
621 Sheridan Street \ V I , I Check#
Port Townsend, WA 98368 Q V Date Paid iF57 Iq
(360) 379-4450
APPLICANT PLEASE PRINT OR TYPE ALL INFORMATION -CHECK BOXES THAT APPLY
Residential Approach Logging Approach [] Temporary
Commerical Approach EI Improvements Only )4 Approach&Address
County Road Name: /7u5//i/j /l/ _- Mile Post#:
0 (office use only)
�4r0( 2- I hereby designate
Applicant or Authorized Representative(Contractor) to act as my agent In matters related to this
Contractor Lic.# appli tion for permi ).
9 / 3 Cam' 5. /a9
Mailing Address Owner Signature /Dat¢
PC rf 9836E DUB 66,53 D l d
City-State-Zip Code Parcel Number
385- 0655 i�� //9
Telephone No. Flagging Color&Date
ACKNOWLEDGEMENTS C)')a;/ Q, ( k" -- - — _--
By signing the application strait provided herein is true and correct to the best of their knowledge
and agrees to al condkior Ilcatlon is being made with the full knowledge and consent of all owners
of the affected property. I '� `l iatedal fact made by the applicant/owner with respect to this application
packet may result in this f
I further agree to saw:,Inc r against all liabilities,judgment,coot costs,reasonable attorney's fees
and expenses which may I 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,re prese ntathes or agents for the sole purpose of
application review and any required later inspection. This right of entry shall expire when the County conckrdesthe application has complied
with all applicable laws and regulations. Access and right of entry to applicant's property shall be requested and shall occur only during
regular business hours.
The action or actions Applicant will undertake as a result 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 applcant that the actions that will be undertaken because this permit
has been issued will not violate the ESA. My Individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
actlon(s)even if you are In compliance with the Jefferson County Development Code
The Applicant acknowledges that he,she or It hokls Individual and non-transferable responsibility for adhering to and complying with the ESA.
They plcart h ,,>-d this disclaimer and signs and dates It below.
z..3A.
(APPLICANT •R AUTHORIZED REPRESENTATIVE SIGNATURE) (DA e
_EC I ilk%
APR 2 3 2C1r,
Irrrr-
r
Updated 2/12/2008
•
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