The URL can be used to link to this page

Home My WebLink AboutBLD2000-00147 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 #: BLD00-00147 Received Date 03/3/2000 SITE ADDRESS: 162 SLATER LN Issue Date 03/30/2000 PORT TOWNSEND, 98368 Expiration Date 03/30/2001 APPLICANT: FRANK D POOLE PHONE: 36012 HOOD CANAL DRIVE NE HANSVILLE WA 98340 SUBDIVISION: DEER RIDGE Block: Lot: 10 PARCEL NUMBER: 001205011 Section: 20 Township: 30 N Range: 01 W CONTRACTOR: M & M TRUCKING PHONE: (360)385-9478 104 FORTUNA DRIVE PORT TOWNSEND WA 98368 Contractor's License: MMTRU**011RH Expires: 11/12/2000 LOAN LENDER/ WESTERN NATIONAL INSURANCE BOND HOLDER: PROJECT DESCRIPTION FIREWALL IN GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sh frock: /6(e 1 ® / 4770 0 — [ Occupancy Approval: &/'Z L//07ODD 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 #: BLD00-00147 Received Date: 3/3/2000 SITE ADDRESS: 162 SLATER LN PORT TOWNSEND, 98368 APPLICANT: FRANK D POOLE PHONE: 36012 HOOD CANAL DRIVE NE HANSVILLE WA 98340 SUBDIVISION: DEER RIDGE Block: Lot: 10 PARCEL NUMBER: 001205011 Section: 20 Township: 30 N Range: 01 W CONTRACTOR: M & M TRUCKING PHONE: (360)385-9478 104 FORTUNA DRIVE PORT TOWNSEND WA 98368 Contractor's License MMTRU*`011RH Expires 11/12/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: FIREWALL IN GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 600.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: E-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: 2- Seismic Streams Prop: 3 Prop: X-d Flooding Landslide Total: 3 Total: 2 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commerci. I Rural Proximity Type Amount Paid By: Date: Receipt: Approrl "° "' Permit $48.00 MAM 03/03/00 25296 State Building Code $4.50 MAM 03/03/00 25296 a2( Total: $52.50 ti a Qun d'n9 Oepa "nnra� ��x. III' I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County 1 : I artment of Community Developmmsit 4so44 co621 Sheridan Street,Port Town,,:nd WA 88368[3601379-4450 - = Corm - , „.__, - (,. , . o , jg, _ L cacll, on - .4,./iNc,, c) 1 t . i Project Description: / C\C - - r' (z (,'v <G 1 -L., (l Cl ,-- tC .V( Building Type: Project Type:• Frame Type: "` Single Family Is New *Wood Li Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ` Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition Si Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System 'lCFlectricity ❑ Oil Proposed: Proposed: `Individual System ` Woodstove ❑ Propane Total: '' Total: If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: yPrivate well ❑ Two Party Well❑ Public:Name of water system: 7 Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee y I. 3rd Floor Plan Check fee — Htd Basement State Surcharge fee .`' ' Unhtd Basement Subtotal 5Z. . s C.) Garage/Carport Pot Water Review fee __ Decks 911/Rd Approach fee, Commercial TOTAL c • z7 Industrial Receipt # _`-,,2�1 Other // O G Cash/Check# (J S 2> i Total Valuation: (, 0 0Initials ,,\ -sZ Or " - t h' Date ' --j — I 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 any required later inspections. Access and right of nrr:uo the applicant's property or structure shall be requested and shall occur during regular business hours. q gn \ 2 - Signature: _1 n--..., Date: �J - Jefferson County Department of Community Development w� 9°N coG� 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 W •,` 4-�so$ Universal Plot Plan $INe Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your t statement): Site Address A 1 4-42 L-7 p c9 3 911#: 1 (v Roa 'a ,me: - Zip Code: Legal Description }} . Subdivision Name: ID � �- , V c e. L 1 b Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): 5 A-c te S Property Owner: Iv -r_ L. S 1 4_ a'e- Phone: U" e 5 _ Y ?// Mailing Address: /9 s 1 A,C Applicant/Occupant: Phone: (if different from owner) S{i vv) E Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: P'l it Pi '' Y is t K crv5 Phone:3 , (,a— 3,9 6r- ?4'7(3 Mailing Address: i Contractor's State License Number: , , * !Z Li M Y O i l r 34 Expiration Date: 1 I_ 1,2_,—a cot Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: ,i\J(10 'I11 ) ► )c/\'�`t)Y\c \V\\U(a nc('� Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan 03/13/00 15:00 FAX 360 902 5229 LRI PLAN REVIEW Z003 Mar • 13 . 2000 12 : 35PM C B FORREST ALDRICH . No . 0754 P . 2 t f . ,, ! ... ......: , it, 'cu c�c�;. {. .I III„ i A • a-'. d1J—)r, 4 d --t 4co 4013 A 1 N.A li, 11,..._ 4i ;.") Z ‹, „8;9z 2'as. .. kil 4 [II?' I/ 71 I 7 1 -I i -42 ; I\ C)- a 1 - cc, ts I. 1 ,...4 § rn •11 ♦ w• or..• . r:11 `� 4 o • .., 4. 1 s .- -- , „ ,-- p nm e "v7 Q__ , - 1 -.I- § 3 3 9 t?.. 4, c .. (.....) "g"" C' . .. .--.. 9:-'- ....-....... ...- ,I t , ,--" I. l ""‘• - '' -i ' ---- --, ''-; - ; ,-.5.- ,;_-- • .-) ,- .: - , s-.0:7'.f, , -.",r.. f -I I/ ---4•-• -,21,,• s Department of Labor&Industries-. ' r"-o)N,..,-)FA--.... ALTERATION PERMIT 1 Factoray ASsembled Structures Section 11—f t'.r ?. Do not complete shaded areas-., ,ti,...-4,t •::, INSTRUCTIONS: ,,,,,,,,,e, '''-7,_72::-,1-7--; /permit# _ -\ 1. Complete all spaces,including the signature box(marked with an X). -:7--:1'-'-- 13 415 0 , _ . , _ Invoice# 2. Draw a map on reverse side of WHITE copy only. , ; i ' . 3. Forwaratiiiiipleted-permitand fees to the nearest L&I office. See list on reverse. 4. Contag and schedule theAnspcction with the.same L&I office within 15 days. Insignia# t_ )-1 Ft(--i- t-''ts-IL''-t)lk'1 - C.-f4 lc-(--•L ,-.-,t-_-- . ) Owner last name first name Day time phone Date t.-A 1E--ra • ,- . -_-",, ;'--7--; ti) ,)LiA - 3. Address City -r * State ZIP - —------ - (_t_i-i-i-r-2-1z L. ',E f•--,r'. , L i , ( 1.,._:;,"! Installer/Contractor/Dealer Phone Contractor's registration number 1 f,.i 1-..„7--(---; 11 .,1 ( -2t.i•-) •--4-7 61, - 11,x:, •- -.4.,. , ' -L., 4 Address City ,.1 State ZIP+4 -71.‘, (k. .•1 t( Check the appropriate boxes in section A and section B. FEES A jCommercial Coach B [, Alteration Inspection(check appropriate boxes below) $ 5 tr, 2 Serial No. Air Conditioning/Heat Pump Electrical Electrical Appliances Mobile Home e....14 i,-, '-\---;,' A I ...) Fire Safety Serial No. ,ri, itt...yrit).Ti 7,.., Gas Furnace il...,T__if ,,...,, \j‘ c...,,,...)._,I 1,r11_,c li 2....,z... .,..,,2_ ,, i Idi Gas Piping Ft!. -- 1 f 's--• ' •-• • HUD No. Plumbing ----------------- Structural Stove - - D Recreational Vehicle or D Park Trailer Serial No. Wood/Pellet Serial No. Plan Review $ RV Inspection Model No.or Plan Approval No. Original Permit Reinspection No. $ Technical Inspection $ , - Note: This- ermit expir ear d r e of purchase. (Non-refundable) , 1-Signature ocupp‘yeant or autpo zel, e ntativ - "..• ''. ---."--, \ Make check payable to: Dept.of Labor&Industries A./- --r7- ' ' '" /- i ) ( ). , .1 i', I / FEES DUE $ Dsfpartment use oulT'' ,....._ ' j .1!., ' t approved'or 1-:1 Request data because of specific violations of Washington rules and regulations. Violations must be spe-re\tt spection requested within 10 days for recreational vehicles and 20 days for mobile homes and commercial coaches of the notice o violation date. (This does not apply to technical inspections). It is unlawful to offer for sale, rent, or lease any non-complying mobile home,commercial coach or recreational vehicle. . ....._ . .._ .. . ..,...... ..._, _. ... ... ._. . . ... ._ ..... . . . .. . . . . .. .. . . ..._ . . . . . . . . ......... ._, .. .. . ,_. . _ . _. . . . . .. . . _ . -'-': --- - -------- - --- -- ' -- • - - ---- -- - ---- - -- -- STATE OF-WASHING-TON.---— .. . . . . . . . . . . .. . .. .. . . . . • - -'"-- DEPT. OF LABOR & INDUSTRIES .. . . _ . . . . . . . ...... .. ...... . . . .. .. . . . ... . .... ... . ... . _. ._. . . .. . .. .. .,._. .. . . . ... . . . .. . . _ .... . . . .... ... . . . __ '' CONSTRUCTION COMPLIANCE SECTION FACTORY--13-UILT-HOMES-&COMMERCIAL.ST-RUCTIIRES- . - -- -- - ----... -- - . --. - - --'''--- --- -' ''--:----- - - '- '• • • • --'- PLANS-ACCEPTED-NO.- -qC/I't-A4-00.0t9t2C)-74/ , .._ - -------- - -------------- - - -- -- '- - ---- ----- - SIIRJECT-TO-FIELD INSPECTION'OVERSIGHT*'- --- .- - ' • ' *' • - "''-• '- ' - •- . ... . . .'.' ' - - -''- • --- -- -- - - - • - - - - - - --- -- - OR-VIOLAT-ION -OF- CW-IS-NOT- INCLUDED- -- - -.-- - --_- . - - -- - . - -- - -. _ -• - " - -- - - - ' -'''' • ' -t•-- • ''..-- ..- 'BY:- • • . • - • • • - 'DATE: - 3 .'' ii-l 'O'- • - •• - • - • - •• • ' -•-• - • • • EXPIRATION DATE: . 3''-,21----e.,/ . .. Included are forms required which must be completed and fees submitted before reinspectiati. - (Date Area office Inspector Total pages--.\ F622-012-000 alteration permit 8-99 White-Olympia Canary-Inspector Green-Contractor Pink-Purchaser Goldenrod-Purchaser