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BLD2000-00240
• • 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 #: BLD00-00240 Received Date 04/13/2000 SITE ADDRESS: 133 CEDARVIEW DR Issue Date 04/21/2000 PORT TOWNSEND, 98368 Expiration Date 04/21/2001 APPLICANT: HAROLD D GLANTZ PHONE: 12050 HIERBA PL SAN DIEGO CA 92128 SUBDIVISION: KALA POINT#9 Block: Lot: 200 PARCEL NUMBER: 965000340 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: SIR CONSTRUCTION PHONE: 1-800-286-5658 11630 SLATER AVE NE STE 4 KIRKLAND WA 98034 Contractor's License: SIRCO**0660T Expires: 03/18/2001 LOAN LENDER/ HALL, CONWAY&JACKSON BOND HOLDER: 9709 3RD NE SEATTLE WA 98115 PROJECT DESCRIPTION RESIDENTIAL REPAIR(FIRE DAMAGE REPAIR) REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] _ ra (4 ' /Z/. � [�! "ro•ane T-�. a 7gr� Awe** [ Insulation: 0 K 4,45, `o1,2-d a [y etstro�►� �� — y - [ 'nal/Occupancy Approval �Z 0 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 j. BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00240 Received Date: 4/13/2000 SITE ADDRESS: 133 CEDARVIEW DR PORT TOWNSEND, 98368 APPLICANT: HAROLD D GLANTZ PHONE: 12050 HIERBA PL SAN DIEGO CA 92128 SUBDIVISION: KALA POINT#9 Block: Lot: 200 PARCEL NUMBER: 965000340 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: SIR CONSTRUCTION PHONE: 1-800-286-5658 11630 SLATER AVE NE STE 4 KIRKLAND WA 98034 Contractor's License SIRCO**0660T Expires 03/18/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL REPAIR (FIRE DAMAGE REPAIR) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 260,000.00 ADD'L: HEAT TYPE CODE EDITION. 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: KALA PT 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 / "3 d Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,895.35 MAM 04/13/00 27224 APPROVED Plan Check $568.61 MAM 04/13/00 27224 State Building Code $4.50 MAM 04/13/00 27224 APR 2 1 2000 Total: $2,468.46 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 ' Jefferson Canty Department or Community Development co 4 ir' 6213fa an Street,Port Townsend WA 08368[3601 378-4450 o Permoi Aplccil? on 4. „,......„,,„ 44,,_,..,_!..,0 \\,......„. 2 J i ci Project Description: JJfjJ VV ,/ B ilding Type: Project Type: Frani`e Typ 1►I Single Family ❑ New ■ Wood ❑\Garage Attached/Detached ❑ Addition ■ t ❑ Modular emodel ❑ 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 System ❑ Electricity ❑ 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: ❑ 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 / 9 c 3 3rd Floor Plan Check fee .7 (D ' ) // Htd Basement State Surcharge fee 7 f Unhtd Basement Subtotal z"f ' _,/,�� Garage/Carport Pot Water Review fee - ` Decks 911/Rd Approach fee Commercial TOTAL A 6 64 l Industrial Receipt # Sok Other Ca sh/Check# Total Valuation: 9 COP( J' O C) Initials Or Date 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 prin.consequence of the granting of this permit ac I further agree to provide access and light,of entry to Je rs County and it's employees,representatives or agents for the purpose of applic on revi „Arid any required later inspections. Access and right of entry to the appli t s ro2erry e shall be requested and shall occur during regular business hours. 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