HomeMy WebLinkAboutBLD2000-00067 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 #: BLD00-00067 Received Date 01/16/2000
SITE ADDRESS: 111 SPRUCE DR Issue Date 02/1/2000
PORT TOWNSEND, 98368 Expiration Date 02/1/2001
APPLICANT: LORRAINE M PARSONS PHONE: (360)385-0831
111 SPRUCE DR
PORT TOWNSEND WA 98368-9442
SUBDIVISION: CAPE GEORGE VIL3 Block: Lot: 17
PARCEL NUMBER: 940500016 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: B & D CONSTRUCTION PHONE: (360)385-4451
4606 MAGNOLIA ST
PORT TOWNSEND WA 98368
Contractor's License: BDCON**035N8 Expires: 08/20/2000
LOAN LENDER/ CBIC
BOND HOLDER:
PROJECT DESCRIPTION GARAGE REMODEL
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[-r Sheetrock: 7e)Re le.,,e9 it OA 4- 4/ en 2�., 0,Q (�.�` .,F.�
[l- Final/Occupancy Approval: �_I 6 d . —tt -- ei E', L'
HEALTH DEPARTMENT 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.
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
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00067 Received Date: 1/16/2000
SITE ADDRESS: 111 SPRUCE DR
PORT TOWNSEND, 98368
APPLICANT: LORRAINE M PARSONS PHONE: (360)385-0831
111 SPRUCE DR
PORT TOWNSEND WA 98368-9442
SUBDIVISION: CAPE GEORGE VIL3 Block: Lot: 17
PARCEL NUMBER: 940500016 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: B & D CONSTRUCTION PHONE: (360)385-4451
4606 MAGNOLIA ST
PORT TOWNSEND WA 98368
Contractor's License BDCON**035N8 Expires 08/20/2000
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: GARAGE REMODEL
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 1,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 480 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: Prop: Flooding Landslide
Total: Total: F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $46.00 MAM 01/26/00 24060 IR O V F f
State Building Code $4.50 MAM 01/26/00 24060 I�
N
Total: $50.50 c FIQ ' I /
F C 1 2OJa
Jefferson County Planning
& Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
4�°N c° 621 Sheridan Street,Port Townsend WA 88368[3601378-4450
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Project Description: �1U•-v-6iC ( C(t r-port A I rA�,,- 0,' -
Building Type: Project Type: Frame Type:
Single Family 0 New Y Wood
r Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular X 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: ,' N Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: , Proposed: '' Xfndividual System ❑ Woodstove ❑ Propane
Total: Y Total: 7! If not sewer,fill out the following: ❑ Heat Pump
Conventional ❑ Alternative ❑ Other 4% />r
Permit# SEP
Water Supply:
• Private well ❑ Two Party Well�i ublic:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee L V_�
3rd Floor Plan Check fee
Htd Basement State Surcharge fee "t
Unhtd Basement Subtotal SC), 51)
Garage/Carport ,X ,7ei" L -0-- Pot Water Review fee "'_
Decks 911/Rd Approach fee
Commercial TOTAL BO.S
Industrial Receipt # -`i 06°
Other � Cash/Check # ) f 7,-S
Total Valuati n: 100 0 Initials \AS. �'�`
Or Date t . 2.6�. Z006
Estimated Cost:
If within 200' of the Shoreline,
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 anyrequired later inspections.
Access and right of entry to plicant's property or structure shall.- eq - ed and shall occur during regular business hours.
Signature: '— / ,..--fr.,,,� =---,e_/ Date: IA" 4'/Od
Michael D. Ajax JEFFERSON COUNTY PERMIT CENTER - BUILDING DIVISION
Building Official 621 Sheridan St., Port Townsend, WA 98368
360-379-4450 FAX 360-379-4451
,ON Co1-800-831-2678
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