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HomeMy WebLinkAboutBLD2000-00272 t j 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 #: BLD00-00272 Received Date 5/4/2000 SITE ADDRESS: 403 CEDAR Issue Date 5/12/2000 PORT HADLOCK, 98339 Expiration Date 5/12/2001 APPLICANT: STAN SOUTHWORTH PHONE: (360)379-5209 MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 7-9 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: PARCEL NUMBER: 986401005 Section: 02 Township: 29N Range: 01W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 OWNER, STAN SOUTHWORTH PHONE: (360)379-5209 if different: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 PROJECT DESCRIPTION DEMO 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 05/12/2001. REQUIRED INSPECTION: [ FinalApproval:_ ),� 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 I:\F_BLD_Permit_Propane.rpt 10/29/99 • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00272 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: (360)379-5209 MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural itions Type Amount Paid By: Date: —F'rReceipt Approved/Date Ity p rot e dte Receipt: pp ��ate Permit $48.00 MAM 05/04/00 30773 AP*PROVPD State Building Code $4.50 MAM 05/04/00 30773 Total: $52.50 AAY 12 2000 ,'Ofurson County Planning Building Department I:\F_BLD_App_Bld.rpt 10/29/99 • JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 DEMOLITION PERMIT APPLICATION SITE ADDRESS: / 911#/ROAD NAME j�,7 Oi ed Al/e re Pori //a LocJ'� ZIP g6337 9 DIGIT PARCEL ID NUMBER 986 - 901 '005 Legal Description: /�/ �/ / / �+ Subdivision Name f 11;LLipi++i�idd tioh to II-crn ede Block / Lot(s) 7'g' Section oc. Township 429 North, Range / !JN WM APPLICANT S-tan ( Affy 5OLCd h 'ot-th PHONE3 o MAILING ADDRESS y© C — P3 en tote Fhtt iidedlac k it/4 ZIP gLa339 PROPERTY OWNER 5/1 E PHONE MAILING ADDRESS ae ZIP CONTRACTOR 5L CI Q eti PHONE 36G, 6'93- '75-22 MAILING ADDRESS _2 / Id h Ifivy I hi WA ZIP 0 3v2 STATE LICENSE NC 50 66 C Z EXP. DATE FEDERAL I.D. # By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE DATE 5-/ / ®c FOR OFFICE USE ONLY-- f 'r BASE FEE 70 RECEIPT # STATE SURCHARGE ) 4.50 CASH/CK# '/ !3 _) TOTAL 'y0 �' DATE <:'>--/ / H:\HOME\PLNCNTR\FORMS\DEM010/99 soA‘,. . 1it=. 1?•0 1 too" PL G'Ytat`er y$/ rafat To raid- SoL,V waste 32'Wel To Tent, ii .7 7 7 7 ! dte� /b • flQi vFa wr}J i - .'.'__ `'•' ;A(i� Vic. Suer t; (�X�s� k e I /%i Zo'/�� 5 idP wsck_ , ADD, t ,ExiSr y / - - r s 1, mo 1Le i a posed wo•rk A►171. �� � ,,o i 1 t i '�. \ \SZpd\foi\VC oN \i / 11 V J 1 _,___1. \ k J _ \ewe5e,2 ve \,. 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M i BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00272 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: (360)379-5209 MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: 1 CONST TYPE: DECK: SETBACK: jj CG t 7 BANK HEIGHT: e/t4)(1_,V SEWAGE DISPOSAL: OSS U, WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion /ti 2) Prop: Prop: Seismic --+ Streams NO., j Total: Total: Flood Way 1 O Flood Plane V C) F&W t Landslide j Routing Date: Shoreline h)U Aquifer (0) (;) Forest: Commercial t,� , Rural 00 Type Amount Paid By: Date: �rReceilpt: mat a dteons N� � pp ��a e Permit $48.00 MAM 05/04/00 30773 er �C _ Li ,1 sr�+ State Building Code $4.50 MAM 05/04/00 30773 Total: $52.50 . e r ie -me pr- -.ArrnvratelP:i? Antr------ I:1F_BLD_App_Bld.rpt 10/29/99