HomeMy WebLinkAboutBLD2015-00140 - WATER DAMAGE REPAIR 5°N o� DEPARTMENT OF COMMUNITY DEVELOPMENT
h 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
9sflt N`,.0 E-mail:dcd @co.jeffcrson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT #: BLD15-00140
APPLICANT: ROSALIND J TEVIS TRUSTEE PHONE:
TEVIS TRUST AGREEMENT
350 N 190TH ST#C522
SEATTLE WA 98133-3868
SITE ADDRESS: 42 KETCH LN Issue Date: 04/29/2015
PORT LUDLOW, 98365 Final Date: 7/8/2015
SUBDIVISION: 9907 - PORT LUDLOW NO. 3 Block: Lot:
PARCEL NUMBER: 990700080 Section: 8 Township: 28 N Range: 1E
PROJECT DESCRIPTION: REPAIR WATER DAMAGE ON THE WESTSIDE OF THE HOUSE. TO
RtF'LAI.t uuOR ON UPPtK FLOOR. ALL RhPAIKS WILL MATCH
EXISTING DESIGN.
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/8/2015
\\tidemark\data\forms\F_BLD_Occupancy.rpt 7/15/2015
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD15-00140 Received Date: 4/23/2015
SITE ADDRESS: 42 KETCH LN Issue Date 4/29/2015
PORT LUDLOW, 98365 Expiration Date 4/29/2016
OWNER: ROSALIND J TEVIS TRUSTEE PHONE:
TEVIS TRUST AGREEMENT
350 N 190TH ST #C522
SEATTLE WA 98133-3868 9907 - PORT LUDLOW NO 3
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990700080 Section: 8 Township: 28 N Range: 1E
CONTRACTOR: RAY CANTERBURY PHONE: 360-301-0022
1761 LINGER LONGER RD
QUILCENE WA 98368
PROJECT DESCRIPTION: REPAIR WATER DAMAGE ON THE WESTSIDE OF THE HOUSE. TO
REPLACE DOOR ON UPPER FLOOR. ALL REPAIRS WILL MATCH EXISTING
DESIGN.
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT
VALUATION 10,000.00 MAIN:
CODE EDITION: 2012 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit S157.00 SRE 04/23/15 154350
Exist: Exist: Plan Check S102.05 SRE 04/23/15 154350
Prop: Prop: State Building Code $4.50 SRE 04/23/15 154350
Total: Total:
Total: $263.55
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS 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.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am - 4:30 pm MONDAY- THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
•
Jefferson County Building Division Permit Number: BLD15-00140
Applicant: TEVIS TRUSTEE
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Framing j-/f3//5
Insulation:Walls 5!q)is
Wallboard Nailing 7 � 3'
Miscellaneous
7N/5- 51---"" deck attached
A final inspection will not be scheduled until the following are completed and signed off by the applicable Department:
• Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing
• Land Use Conditions met and signed off • Public Works Permit Final(where applicable)
FINAL INSPECTION °77$5"
FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR