HomeMy WebLinkAboutBLD2000-00018 DEMOLITION 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 #: BLD00-00018 Received Date 1/7/2000
SITE ADDRESS: 10565 RHODY DR Issue Date 1/11/2000
CHIMACUM, 98325 Expiration Date 1/11/2001
APPLICANT: TONY RICHARDSON PHONE: 301-0434
10565 RHODY DRIVE
PORT HADLOCK WA 98339
SUBDIVISION: OLSENS ADDITION TO IRONDALE Block: 1 Lot: 16-20
PARCEL NUMBER: 978300105 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER PHONE:
OWNER,
if different:
PROJECT DESCRIPTION DEMOLITION
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 01/11/2001.
REQUIRED INSPECTION:
LFi nalApproyal' ( /- . - C`-'/ C'114-.-`
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
1.) , An inventory of waskdiposed of shall be submitted with receipts of where waste was taken
prior to final approval. All wast to be disposed of at an approved facility.
I:\F_BLD_Perm it_Propane.rpt 10/29/99
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00018 Received Date: 1/7/2000
SITE ADDRESS: 10565 RHODY DR
CHIMACUM, 98325
APPLICANT: TONY RICHARDSON PHONE: 301-0434
10565 RHODY DRIVE
PORT HADLOCK WA 98339
SUBDIVISION: OLSENS ADDITION TO IRONDALE Block: 1 Lot: 16-20
PARCEL NUMBER: 978300105 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER PHONE:
el‘.5kk
ARCHITECT/ 0,‹ g J r
ENGINEER :
4) :)Yo\VI\)\ ce\d-
PROJECT DESCRIPTION: DEMOLITION
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP DEM MAIN: INDUSTRIAL:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: NUMBER OF EMPLOYEES:
WATER SYSTEM:
STORMWATER: YES NO AREA
BATHROOMS: Wetland Erosion
Exist: Seismic Streams
Prop: Flooding Landslide
Total: F&W Plat Conditions
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $46.00 MAM 01/07/00 23675 a-4\4Q4,,Lr ot, vo ca:.;t. A spk. (-
�
State Building Code $4.50 MAM 01/07/00 23675 c- k6 k10_, 0 N.\\-k4)6\. tn: r
Total: $50.50 cam.CQ.I pks CV III,. Vo*-2
�()No i-0 .. Al\ v C O e +c)
h-e A'C-vx,Q k_ ct afpro,i.Qc\
o,(-" t�� �� I -11 -60
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 #: BLD00-00018 Received Date: 1/7/2000
SITE ADDRESS: 10565 RHODY DR
CHIMACUM, 98325
APPLICANT: TONY RICHARDSON PHONE: 301-0434
10565 RHODY DRIVE
PORT HADLOCK WA 98339
SUBDIVISION: OLSENS ADDITION TO IRONDALE Block: 1 Lot: 16-20
PARCEL NUMBER: 978300105 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DEMOLITION
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP DEM MAIN: INDUSTRIAL:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: NUMBER OF EMPLOYEES:
WATER SYSTEM:
STORMWATER: YES NO AREA
BATHROOMS: Wetland Erosion
Exist: Seismic Streams
Prop: Flooding Landslide
Total: F&W Plat Conditions
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $46.00 MAM 01/07/00 23675 •
State BuildingCode PR �`
$4.50 MAM 01/07/00 23675 ��
Total: $50.50 ' /
100
Jefferson County Planning
& Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
DEMOLITION PERMIT APPLICATION
SITE ADDRESS: `
IwZkoct,
911#/ROAD NAME D -LAZIP Q 3 3 ,
9 DIGIT PARCEL ID NUMBER 9 -2 E- 3 n 0 /0 c,
Legal Description:
Subdivision Name (S/ 74-4
__TVC.AeJlett . Block / Lot(s) / — p2o
Section Township North, Range WM
Z \e1)14)1
APPLICANT C /Y /jC' ,/���,�t PHONE Jam` ‘,/ e/y 4
MAILING ADDRESS / 9X cc l� bLtp . 2y- Z Z v
/.�i N 7 " ..v ZIP 9 .37
PROPERTY OWNER ,(�( PHONE
MAILING ADDRESS
ZIP
CONTRACTOR v (.,t) ILL .4—r PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# EXP. DATE
FEDERAL I.D. #
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 attorney'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 applicant's property or structure shall be requested and shall occur during
regular business hours.
APPLICANT SIGNATURE DATE / / / / 4.249
FOR OFFICE USE ONLY
BASE FEE 9(.,g1, • 6° S
RECEIPT# " ,.
STATE SURCHARGE 4.50_ CASH/CK# " 4=7,16' 6
TOTAL t J 0 . Sid DATE / (/ O"`��`
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