HomeMy WebLinkAboutBLD2020-00140 - 01 PERMIT APPLICATIONJ EFFERSON COUNTY
DEPARTMENT OF COMMUNIW DEVELOPMENT
621 Sheridan Street I Port Townsend, WA 98368
360-379-4450 | email: dcd@co,jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
BUILDING PERMIT REVISION
Date -74
Regarding: Building Permit Number
Add ress
Parcel Number O)J 33 \o/O
Other Case Number/s
Submitted by:pnone: J6a -3a/-
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Submittal Explanation (what's being revised?):
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Please complete the following, if applicable:
lllLy**"Permit uare F
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APPROVED SQ/FT:
Commercial
Residentia I
Garage/Shop
Accessory
Uncovered Porch
Covered Porch
Unfinished Basement
Other (Specify)
Estimated Fair Market value cost of changes:,{a*,
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PERMIT TYPE:CHANGE TO SQ/FT:TOTAT SQFT:
Estimated Fair Market value cost of changes:
lf 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
r Two copies of only the revised building plans - clearly marked by a border/bubble
r Two copies of revised floor plan on no larger than L1x17
Minimum fees:
Plan Check - 596.00
Land Use - $95.00
Administrative - S95.00
Environmental Health - S139.00
Environmental Health - $70.00 - Review of resubmission before Building permit is approved
Technology Fee - 5% of total fees
lf 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/bubbler Minimum fees:
Administrative - 596.00
Land Use - 595.00
Environmental Health -will be invoiced by EH, if needed, after review
Plan check fees may apply if a revision to the plans is needed
Technology Fee - 5% of total fees
Please Check with DCD for total fees
Fees shall be collected at the time of re-submittal. Revislons 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:Plannins:PW:Buildinq:
Ctffice use only