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HomeMy WebLinkAboutBLD2003-00453 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00453 Received Date 07/23/2003 SITE ADDRESS: 20 BAYCLIFF PL Issue Date 08/20/2003 PORT TOWNSEND, 98368 APPLICANT: JEFFREY B DAVIS PHONE: (360) 379-0206 SHERRY L DAVIS 20 BAYCLIFF PL PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#3 Block: Lot: 171 PARCEL NUMBER: 965000029 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: INTERIOR REMODEL KITCHEN & BATHROOM & LIVING ROOM REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: ti-iiCo 1-t (-e.Y1, 1 1 Plumbing: -it .-° . [ ] Propane TU k/ Lines: f`h-)X e /..Jrz,/N4.9.L 9 026-03 t ✓/K- c-l -.9""``rJ [ ] Insulation: Q'- /6,-oe� f 1 Sheetrocl1( [ ] Septic Sytem Final Approval: [ 1 i Zoning Final Approval: r,]/ Final/Occupancy Approval: /o?919y HEALTH®'EPARTMENT 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY o . .. ` ; Jefferson Coon t partmont of Community Development ,cgs °°� '"�" "` 1 Sheridan Street,Port Townsend WA 8836813601370-4450 x - K ° �. * rot APpcfl© JEFFERSON COUNTY DOD Project Description: Building Type: Project Type: Frame Type: V Single Family ❑ New lirWood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular [ Alteration/Remodel ❑ Concrete • ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: . Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 3 Existing: .2. ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: At/C. Proposed: /G C!Individual System ❑ Woodstove ❑ Propane Total: 3 Total: a If not sewer,fill out the following: re'Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: t L ' 1 ( 1 ❑ Private well ❑ Two Party Well❑ Public:Name of water system: i P o i C V'r 1 l 1 y Square Footage: For Office Use Only Main Floor Consistency Review - ;O" 2ND Floor $ Base fee 816. 75 3rd Floor `® Plan Check fee—65% 53a. t9 Htd Basement '®- State Surcharge fee ' '9 . 5 0 Unhtd Basement -d9' Subtotal l 3 5 5. 91 Garage/Carport -C -^� Pot Water Review fee 8 a . Decks 911/Rd Approach fee / Commercial TOTAL ! -.A 39. Industrial Receipt# 5 S / 14 Other Cash/Check# a 33 y Total Valuation: Initials Or Date 7//c 02,/0 _3 Estimated Cost: 75, DDT , c r If within 200' o t e ore , Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a 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 save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the pplicant's property or structure be requested and shall occur during regular business hours. Signature: ii,..7....-cy GtQ Date: o4e�, 2.Q.' OVER- 11* H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01