HomeMy WebLinkAboutBLD2021-00653 - 01 Permit Application, Issued Permit, Certificate of OccupancyRECEIVED BY DCD 10/28/21
RECEIVED BY DCD 10/28/21
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street | Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
BUILDING PERMIT REVISION
Date
Regarding: Building Permit Number
Address
Parcel Number
Other Case Number/s
Submitted by: Phone:
Submittal Explanation (what’s being revised?):
Please complete the following, if applicable:
Permit Type & Square Footage
PERMIT TYPE: APPROVED SQ/FT: CHANGE TO SQ/FT: TOTAL SQFT:
Commercial
Residential
Garage/Shop
Accessory
Uncovered Porch
Covered Porch
Unfinished Basement
Other (Specify)
Estimated Fair Market value cost of changes:
No change to square footage
RECEIVED BY DCD 12/2/2021
12/2/2021
324 Cook Ave, Port Townsend WA 98368
999008201
Town & Country, A Division of Permabilt 425-743-1555
Revised site plan showing a 88sq ft picnic area. The building is also shifted over to the west
with a new setback of 108' to west property line. No other changes.
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Estimated Fair Market value cost of changes:
If the revision involves structural and/or floor plan changes, the following is required:
A narrative describing the changes and page number in set of plans where change occurs
Two copies of only the revised building plans - clearly marked by a border/bubble
Two copies of revised floor plan on no larger than 11x17
Minimum fees:
Plan Check - $102.00 DCD010
Land Use - $102.00 DCD018
Administrative - $102.00 DCD010
Environmental Health - $148.00 EH038
Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved
Technology Fee - 5% of total fees DCD003
If the revision involves changes to the site plan, the following is required:
A narrative describing the changes on the site plan- if they were requested by a department
please note who requested them
Two copies of the revised site plan on no larger than 11x17 – revisions clearly marked by a
border/bubble
Minimum fees:
Administrative - $103.00 DCD010
Land Use - $103.00 DCD018
Environmental Health - $148.00 EH038
Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved
Technology Fee - 5% of total fees DCD003
Fees shall be collected at the time of re-submittal. Revisions that go beyond the minimum revision time
during Plan Check, Land Use review, and Environmental Health review will be charged an additional
hour. Any additional fees that are accrued during the revision process must be paid prior to the approval
and issuance of the revised permit.
All revisions to structural components or plans that previously included structural engineering will need
to have the revision wet stamped and signed by a design professional (engineer, architect etc.) licensed
in WA state.
Please route copy to:
EH: Planning: PW: Building:
Office use only
Please Check with DCD for total fees
RECEIVED BY DCD 12/2/2021
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