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Home My WebLink AboutBLD2000-00013 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00013 Received Date 01/6/2000 SITE ADDRESS: 133 10TH AVE Issue Date 01/20/2000 PORT HADLOCK, 98339 Expiration Date 01/20/2001 APPLICANT: JOHN SAKRISON PHONE: (360)379-2739 121 WEST EUGENE ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE#7 Block: 91 Lot: 1-6 PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: NORTHWEST SUPERIOR BUILDERS PHONE: (360)379-0396 170 BALDWIN RD NORDLAND WA 98358 Contractor's License: NORTHSBO24KJ Expires: 04/28/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE/SHOP REQUIRED INSPECTIONS: [ otings/Setbacis. itShoreline Setbacks):�j/t; [ F undatio • C h [ ] (Underground Plumbing/Underground Insulation: ', [ ] Shear Wall: /�I [ ] - i_•:u�lumbi g/ nder ou d Insulation: IVc..r . , • .� �S Li) Q�r 21Zs/OUJ/4J'/ [ ] Propane ank/ in s: [ ] Insulation: [ ] Sheetrock: [&] Fina�Occupancy Approval: [r'"<1 f HEALTH DEPARTMENT APPROVAL REQUIRE 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. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY . 05C - o BUILDING PERMIT APPLICATION -2 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00013 Received Date: 1/6/2000 SITE ADDRESS: 10TH AVE PORT HADLOCK, 98339 APPLICANT: JOHN SAKRISON PHONE: (360)379-2739 121 WEST EUGENE ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE #7 Block: 91 Lot: 1-6 PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: NORTHWEST SUPERIOR BUILDERS PHONE: (360)379-0396 170 BALDWIN RD NORDLAND WA 98358 Contractor's License NORTHSBO24KJ Expires 4/28/00 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE/SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 15,000.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: U_1 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 0 CONST TYPE: OTHER: GARAGE: 1,500 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Shoreline Aquifer Routing Date: I Forest: Commercial Rural I U -dO Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $265.25 MAM 01/06/00 23673 Plan Check $79.58 MAM 01/06/00 23673 �Q' G '\ /1 ' State Building Code $4.50 MAM 01/06/00 23673 i "0 ce" 0SS Total: $349.33 V \ VC:I)* I:\F_BLD_App_Bld.rpt 10/29/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00013 Received Date: 1/6/2000 SITE ADDRESS: 10TH AVE it PORT HADLOCK, 98339 APPLICANT: JOHN SAKRISON PHONE: (360)379-2739 121 WEST EUGENE ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE #7 Block: 91 Lot: 1-6 PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: NORTHWEST SUPERIOR BUILDERS PHONE: (360)379-0396 170 BALDWIN RD NORDLAND WA 98358 Contractor's License NORTHSBO24KJ Expires 4/28/00 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE/SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: 0 OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,500 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $265.25 MAM 01/06/00 23673 ®1 Pp Plan Check $79.58 MAM 01/06/00 23673 V State Building Code $4.50 MAM 01/06/00 23673 Total: $349.33 ?C,e \ : . ; k.-7,`"" Je arson Count Build,'U DEPart rent g I:\F_BLD_App_Bld.rpt 10/29/99 • SON Jefferson County Department of Community Development �-, , ; O 621 Sheridan Street,Port Townsend WA 8836813601378-4450 W .\`,, *� � 0 . .,,...s on Project Description: Building Type: Project Type: F e Type: li Single Family X New Wood X Garage Attach Detached I ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: —Type of Heat: Choose one: Existing' Existing: ❑ Sewer ❑Community Syst ❑ Electricity iV o il Proposed: Proposed: ❑ Individual System �1 Total: Total: y ❑ Woodstov� 'Pane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee Jam•,O 5 3rd Floor Plan Check fee 7 9. , Htd Basement State Surcharge fee y, Unhtd Basement Subtotal 4 C ' 8 Garage/Carport 1 5-00 I I S'�U Pot Water Review fee Decks 911/Rd Approach fee 9 t'0 Commercial TOTAL 3 9 v • 5 Industrial Receipt # 6-23 Other Cisi6sli # / XI; Total Valuation: Initials Or Date f d 0D Estimated Cost: 1 )S 0967 1 If within 200' of the Shoreline, ,� / J Distance to Bank or Ordinary High Water Mark /(//A" 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 Je rson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right of to the applicant's property o shall be requested and shall occur during regular business hours. Signature: —,/1 _ C1 0 Date: J ✓ 3- cO 'o WESt J1 `1 c 0 0 EU616NE St. 4- _• i UJ W tY Q u PRoP_LINE 74 o p +- O K w Ahem a W o kti . I j TN- tn . 3 3 jAr0° iv, 4; 1dJ Z I ;o M`N �o = a CO• !!J 1 � gsor,T �o Jefferson County Permit Center Department of Community Development A 621 Sheridan StreetPort t Townsend WA 88368(3601 378-4450 Az q ..,.....,* UMrlla )11 pot pkti �etl(a tic to tIoevot9 &go& as coogrkeelv a4 A : Project Description: I 6/1--,eli-G, e S /1 c), 9 9 Digit Parcel Identification Number(from your tax statement): Site Address 1_ _ 911#: t C (— . Road Name: 1 6 5'- Zip Code: C '3 3 7 Legal Description Subdivision Name: 1-\a 0 # - .N 4 ---) 1 Block: Lot(s): Section: Township P: I Range: Parcel Size (acres or square footage): Property Owner: ]] A c t Y\ tl� e s k_kg 1s,Z) cj Phone: p Mailing Address:( 2 c - (,)€54._ E„, ei,....„ t ST: Applicant/Occupant: (if different from owner) Phone: Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer:) l' 'kio eS+S 0 e41 f 0IZ `l I.Phone:3 -3 71-63/6 Mailing Address: 1,,,,),0 e j 1 i\s„1/43,1 it jr4c. 9 s,3s-5 Contractor's State License Number: oiz�� c 0 3 I Expiration Date: y_ Septic Designer: % �� C I Phone: Mailing Address: Architect:/Engineer: 9F ..)i e tk l3 ,( i J Phone:, - -?Z 3 c„ "Mailing Address: �' �. Loan Lender/General Phone: Contractor's Bond Holder: 7,, ij �r- d-. Mailing Address• FOKOPPICEETSEO L i Fire;District 'lanni Area, g ......:: 1 hdi District � ......lZbine: 4/98 H:\home\pincntr\forms\universal plot plan I