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HomeMy WebLinkAboutBLD2000-00310 • 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 #: BLD00-00310 Received Date 05/18/2000 SITE ADDRESS: 133 10TH AVE Issue Date 06/12/2000 PORT HADLOCK, 98339 Expiration Date 06/12/2001 APPLICANT: JOHN SAKRISON PHONE: (360)379-2739 121 WEST EUGENE ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 91 Lot: 1-3 PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION CONVERTING PORTIN OF GARAGE TO SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: ] ' ramin4/Pluxr ng: OK -\3 -Gv [ ]] Propane Tank/Lines: [,11 Sheetrock: a U 1 T-C_C, Quo 1 11 sL U,?! -t [ ] Final/Occupancy Approval: t Z—I y.-�a - HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. l•� 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 r . BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00310 Received Date: 5/18/2000 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 Block: 91 Lot: 1-3 PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: CONVERTING PORTIN OF GARAGE TO SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 26,121.00 MAIN: 576 CODE EDITION: 1997 ADD'L: HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural —PrQxlmltv - Plat C••d tlons Type Amount Paid By: Date: Receipt: r •All a ..,, Permit 0 E D $162.61 MAM 05/18/00 31516 Permit $411.45 MAM 05/18/00 31516 Plan Check $123.44 MAM 05/18/00 31516 fir"77 State Building Code $4.50 MAM 05/18/00 31516 Potable Water Application $30.00 MAM 05/18/00 31516 Jefferson County Planning Total: $732.00 & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 �¢ °N Jefferson County Department of Community Development �� , t, ° � 621 Sheridan Street,Port Town,,,nd WA 88368 13601 378-4450 W `=a ,,...1 0 4:1 PpOkth© < „ ,...„ Project Description: Building Type: Project Type: Frame Type: Single Family A New )i Wood ❑ Garage Attached/Detached fl, Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair n Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial i, Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System X Electricity ❑ Oil Proposed: ONE Proposed: ON6 X Individual System ❑ Woodstove ❑ Propane Total: QAI C Total: CJ/116- If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply:❑ Private well ❑ Two Party Well❑ Public:Name of water system: C 1 f 4Y c 1 Slir4..). }1 1 C 4.4.,,I,.5 t'j'II) Square Footage: For Office Use Only Main Floor S J(C �-4 12-1 UBC OCCUPANCY GROUP '' `�'1 2ND Floor A°'/( Base fee `� ; "9 3rd Floor 6719 Plan Check fee 12" :�-f`$ Htd Basement N/ig State Surcharge fee L 5-6 Unhtd Basement Ali) Subtotal 3 C1 3�I Garage/Carport 4, 0-0 0 Pot Water Review fee Decks nya 911/Rd Approach fee — Commercial 4i//`I TOTAL ` 1 C Gj t Industrial 40/A Receipt if# 315 1(0 Other A' 4 Cash/Check # 15 U 3 Total Valuation: 2-CO 1 7—i Initials 5A Or - Date i = c� Estimated Cost: 5O0n c.c If within 200' of the Shoreline, - Distance to Bank or Ordinary High Water Mark /A ft. Bank Height ft. By signing the application form,the applicant/owner attests that the info 'on 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 entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: �!ii,,,,, Date: )s/5--C'Cr w ---t-- 1 ise--- ir_ 41 0 7 40 oa ..... ::,. " j:1=131 pxxYxxljxn x, /- -I- S. Hler_ z\-; _4 --->: k___ __ _ _______ ,0 14 pil,.__L if,099„5' -34-47/914D7 I m 7)aoo' a 7��r wi, T . F�G311s�6 1 � A I y b in �' , i u, R�r k. A -p -IN. d Q-1015 -I—. - \ -v b 7 X� \a Z i C C -.I.. 00 x k -I- tr/1 kn C., I03 n a N '< O -v 3- .- to b pP m a m rn z s 3 Is VI a c'''' i iz•3 E a _ Z A v. 15 s.*1 typ I.N.0. �{'L 21:0" ') n Si Li). PRICE st. ti ry ? as ti- kr,/ r � N o 0 O, zz-o• 4-, oz 4 0 4, (A). Eu GENE s1. f` t Jefferson County Department of Community Development coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 � ' $ Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: /1/Ei4v cost . jcfi PA) , fo cR&i E 5 7 6 c3 Dot) EX157U/AUGP /174, 4 6.6 9 Digit Parcel Identification Number (from your tax statement): 96/-809-/0/ Site Address 911#: /33 Road Name: /0 727 Zip Code: 9933 Legal Description Subdivision Name: X, 'C 4)LJ4t S Block: 9/ Lot(s): /-lv Section: 34 Township: 30 iv. Range: ) w Parcel Size (acres or square footage): /7 asIJ SQ p Property Owner:JbNN 8,,eE/vog (5,9K-1e, /) Phone: - - 0273 C� Mailing Address: AP/ w, 6Vbe-17 sf Po2f MDLOCic con. Applicant/Occupant: Phone: (if different from owner) C Mailing Address: Authorized Rep: Sig�C Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: 41// Contractor's State License Number: Expiration Date: Septic Designer: Phone: t/ Z/10/9ti 6./7(/4)6.64/A4 36 o 371- 9a4, Mailing Address: 0 /9X E9i'' ZQ/ And2t / ®LOCK ceM. 98325 Architect:/Engineer: ,� Phone: Nf/' Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: N�q Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/CO H:\home\pincntr\forms\universal plot plan ' O n O p{' to PJ A % p ,C � �� "ii I Tl O ' � I c� � '�3 c "loo• rn $ I 22N Oc0„ �Olo i��A 2 1 pt On j O O� wQO � 1 0 � I5 `"°°Doti, II I i rriI I 2 IO� I0� p I I� �po y �� 0��'� Qrti m 1-.1)r4) I I I� tv - 1n « I 4 L �,� (till s SB _ _ _ ® 1 I I O © rn ? 5' MIN. I I e (nP.) -I---I I ® I Z Iv II ' I l I' I I I I loI If ' MIN. I I I I II , vf— --f— 7 5 IlnP.) 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