HomeMy WebLinkAboutBLD2000-00090 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 #: BLD00-00090 Received Date 02/4/2000
SITE ADDRESS: 133 10TH AVE Issue Date 02/9/2000
PORT HADLOCK, 98339 Expiration Date 02/9/2001
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
461 SCHWARTZ RD
NORDLAND WA 98358
Contractor's License: NORTHSB024KJ Expires: 04/28/2000
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ROUGH IN PLUMBING/ ( 0 •\30(t- cry-‘
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
kJ— anal% ) upancy Approval: ' - �A-7:A/ ,...V
fie
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
SPECIAL CONDITIONS FOR CASE BLD00-00090
1.) Final inspection will not be conducted until Jefferson County Environmental Health has
approved a sewage disposal system and adequate potable water for the property. In the
event that the owner does not receive Health Department approval, the piping in the slab
to be filled with concrete.
I:\F_BLD_Perm it_Bu ildng.rpt 10/29/99
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00090 Received Date: 2/4/2000
SITE ADDRESS: 133 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
461 SCHWARTZ RD
NORDLAND WA 98358
Contractor's License NORTHSBO24KJ Expires 04/28/2000
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: ROUGH IN PLUMBING
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
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:
WATER SYSTEM: 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 02/04/00 24165 A no +a
State Building Code $4.50 MAM 02/04/00 24165
Total: $50.50
F E B 2000
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
INSTALLATION PERMIT APPLICA N
WOODSTOVE PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS: �ry d
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Poe- t{ADLoGk 64)4 ZIP 9,33 3
9 DIGIT PARCEL ID NUMBER 9 / O D 9 id/
Legal Description: i y / /
Subdivision Name _ g Block 9 / Lot(s) L " !p
Section / Township"----10 North, Range l /� WM
APPLICANT SD J4N SA K/Z IS o 1i PHONE 3 bO 3 7 y a 73 Cj
MAILING ADDRESS /d.f ��„ ��(1,1�i En £ s t,
p0/�i C N cJ w4 ZIP g E. 3 3
PROPERTY OWNER S jNfl E PHONE
MAILING ADDRESS
ZIP
CONTRACTOR t ES (S✓ e keo 4 8II/4i. PHONE 3 "�j -v 3
MAILING ADDRESS VC; ( SC-4_14) c
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STATE LICENSE# y iC �� 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.
PPLICANT SIGNATURE DATE Z, / 10(/*/ 0
FOR OFFICE USE ONLY ,
BASE FEE • C) 0 RECEIPT# ' ,7 j,.
CASH/CK#
TOTAL O DATE d / `
H:\HOME\PLNCNTR\FORMS\INSTALL.D0C 10/99