HomeMy WebLinkAboutADR2009-00064 i
ADDRESS REQUEST I /
JEFFERSON COUNTY PERMIT CENTER
621 Sheridan, Port Townsend, WA 9468 1(3643;79-4450
APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson County Fee Schedule
1.14 New Address ❑ Correction El Change ❑Review DIFF LEFT M.P. RIGHT DIFF
2. Applicant Name: ael A E Ev4'R 1 C64 Y.
3. Mailing Address: .2 6. I Tc & e D
Town/State/Zip tK r i,t t Ai 0,d “4, '78. -.2 0
4. Telephone: Work -- - Home: 79613V53— 4-33 actil 33
5. Location: Attach a Detailed Drawing or Map. '(J r '3 1 3Va
Additional Fees May Be Required if More Than One 3 3
Site Visit Is Necessary
*******PLEASE FLAG YOUR DRIVEWAY.******* 0 3411
Date Flagged: '7/d J . Flagging Color ��
gg gg g F4 ii
Nine Digit Tax Parcel Number q 3(occc-, I QZ__ ),,-I r 3
Plat Name g,-I y,,,,;,u,L;,∎ £aJ Block r Lot y,
6. Road Name: (0 - 4 I l
Is this a PRIVATE o OUNTY .ad? CIRCLE ONE .2 l
Nearest Cross Road: - - v,L i f s KR,y/w'Y' /0 I % 02,(D
7. Neighbors'Address if Known: ( q ( i 0 -1
Name/Address: 2 8 / 7,;" ( g 1>
Name/Address: ,3 js TD (j, p I b I r I 0
8. Do You --• To Construct a Driveway?
YES or NO CIRCLE ONE
FIELD NOTES
9. Was This 'fled With A Building Permit?
YES or_N CIRCLE ONE
SHADED AREAS OFFICE USE ONLY ftql-e-S
New Address: 3 c,7 MI_ /
Postal District: Tyr( Ina y\
Real Milepost: ,36t Road#: /
�p eft Right Fire District 4 Building Permit# Y Plate Sent -7 /�09
It° dd Ic'rEven Date Paid 1 I t 5/ Check# rj I I -p Receipt# f( Date in Computer'?/2O D
1I
12Z.5835
'il.717 42-
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 $ J
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.
Y Y Y
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 $2.1 3
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 $ j 3 --
If you have additional questions,call the Department of Community Development at(360)379-4450.
h:\home\pincntr\infodpw\instruct doc 2/00
Map Output Page 1 of 1
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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 respect to its
correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jul 13 14:15:30
2009
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2009
Address Database Comparison Page 1 of 1
, 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
101 TOG RD 101 TOG RD 936000116 0 ROCKTOGO RD 821312001 101 TOG RD 936000116
1072 ROCKTOGO 1072 ROCKTOGO 21 TOG RD 936000119 1072 ROCK TOGO
$21312001 821312001 821312001
RD RD 101 TOG RD 93.60_001
121 TOG RD 121 TOG RD 936000114 121 TOG RD 936000114 121 TOG RD 93600.1.14
161 TOG RD 93600011.1 161 TOG RD 936000111 161 TOG RD 936000111 191 TOG RD 9360001.09
191 TOG RD 191 TOG RD 936000109 191 TOG RD 936000109 21 TOG RD 93600011.9
21 TOG RD 21 TOG RD 936000119 221 TOG RD 936000107 221 TOG RD 936000101
221 TOG RD 221 TOG RD 9360001.07 241 TOG RD 936000105 234 TOG RD 936000208
234 TOG RD 936000208 234 TOG RD 936040208 281 TOG RD 936040103 241 TOG RD 936000.1_0
241 TOG RD 241 TOG RD 936000105 322 TOG RD 936000203 281 TOG RD 936000103
281 TOG RD 281 TOG RD 936000103 335 TOG RD 602234017 322 TOG RD 936000703
30 TOG RD 322 TOG RD 936000203 352 TOG RD 936000202 335 TOG RD 602234017
32 TOG RD 335 TOG RD 602234017 365 TOG RD 936000101 34_TOG RD 936000214
322 TOG RD 936000203 352 TOG RD 936000201 394 MONTOGOMERY 352 TOG RD 936000702
333 TOG RD 365 TOG RD 936000101 LN 990600117 365 TOG RD 936000101.
335 TOG RD 433 TOG RD 602234029 433 TOG RD 602234_029 433.TOG RD 602234029
34 TOG RD 936 00.0 1072 ROCKTOGO RD 82131.4005
Z14 1072 ROCKTOGO RD 821314003
352 TOG RD 9000201
36 TOG RD
365 TOG RD 93600_010.1
433 TOG RD
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 he 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.
http://www.co.jefferson.wa.us/IDMS/DEVTEST/address.asp?street=TOG&parcel= 7/13/2009
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APPLICATION FOR ROAD APPROACH PERMIT` C"
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Jefferson County Permit#
Department of Community Development Receipt# (O It fL1
621 Sheridan Street Check#
Port Townsend, WA 98368 V c "`"_ ) Date Paid Ij�
(360) 379-4450 "' � ���
APPLICANT PLEASE PRINT OR TYPE ALL INFORMATION -CHECK BOXES THAT APPLY
Residential Approach Logging Approach Temporary
ElCommerical Approach El Improvements Only Approach&Address
County Road Name: i (" ktry/) Mile Post#:
(office use only)
I hereby designate
Applicant or Authorized Representative (Contractor) to act as my agent In matters related to this
Contractor Lic.# application for permit(s).
2i To & !y'P 7-V -o
Mailing Address Owner Signature Date
g riu4,a..✓ hLt 9 822 0 936oac / o2
City-State-Zip Code Parcel Number
3 6o 7 9'C 3 Y,4.s" ll s _ L ;.
Telephone No. Flagging Color& Date
ACKNO WLE DGEM ENTS
By signing the application form,the applicant attests that the Information provided herein is true and correct to the best of their knowledge
and agrees to al conditions on the permit. I also certify that this application Is being made with the full knowledge and consent of all owners
of the affected property. Any material falsehood or any omission of 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 sate,indemnify and hold harmless Jefferson County against all liabilities,judgment,coat 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 its employees,representatives or agents for the sole purpose of
application review and any required later inspection. This right of entry shall expire when the County concludes the application has compiled
with all applicable laws and regulations. Access and right of entry to applicant's property shall be requested and shall occur only during
reg:«ar 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 applicant that the actions that will be undertaken because this permit
has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regardingyour
adior(s)even If you are In compliance with the Jefferson County Development Code
The Applicant acknowledges that he,she or it holds Individual and non-transferable responsibility for adhering to and complying with the ESA.
The Applcant has read this dsclaimer and signs and dates It below.
(APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
•
JUL 1 3 2009
Updated 2,12/2008
5
PLEASE ATTACH A MAP OR DRAW A DETAILED SKETCH
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JEFFERSON COUNTY _.... _�j NO. 1078744
DATE 1—i�
RECEIVED FROM 1D6c1 E r EVePr
DESCRIPTION BARS AMOUNT
CURRENCY q II ccl3
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ECEIVED BY _ j TOTAL 02i3