Loading...
HomeMy WebLinkAboutBLD2000-00422 • 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 #: BLD00-00422 Received Date 6/23/2000 SITE ADDRESS: 265 CHIMACUM RD Issue Date 6/27/2000 PORT HADLOCK, 98339 Expiration Date 6/27/2001 APPLICANT: JOSEPH P SURACE JR PHONE: #A-48 15508 COUNTRY CLUB DR MILL CREEK WA 980121759 T85 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024060 Section: 02 Township: 29N Range: 01W CONTRACTOR: PACIFIC ENVIRONMENTAL SERVICES PHONE: (360)385-4221 PO BOX 2049 PORT TOWNSEND WA 98368 Contractor's License PACIFES 103BR Expires 09/17/2000 OWNER, JOSEPH P SURACE JR PHONE: if different: #A-48 15508 COUNTRY CLUB DR MILL CREEK WA 980121759 PROJECT DESCRIPTION UST REMOVAL 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 06/27/2001. REQUIRED INSPECTION: FinalApproval: �, �—,„2 9 O/ 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 is\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 #: BLD00-00422 Received Date: 6/23/2000 SITE ADDRESS: 265 CHIMACUM RD PORT HADLOCK, 98339 APPLICANT: JOSEPH P SURACE JR PHONE: #A-48 15508 COUNTRY CLUB DR MILL CREEK WA 980121759 SUBDIVISION: Block: Lot: T85 PARCEL NUMBER: 901024060 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: PACIFIC ENVIRONMENTAL SERVICES PHONE: (360)385-4221 PO BOX 2049 PORT TOWNSEND WA 98368 Contractor's License PACIFES 103BR Expires 09/17/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: UST REMOVAL TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: 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 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity Flat Conditions Type Amount Paid By: Date: Receipt: Approved/pate roved/pate Permit $48.00 MAM 06/23/00 32053 A F R O V,E D State Building Code $4.50 MAM 06/23/00 32053 Total: $52.50 UN 2 2000 DQC(---- _ 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) 379-4,450 r INSTALLATION PERMIT APPLICATION WOODSTOVE PROPANE TANK PELLET STOVE OTHER v J 1 i-t•`I/1 C.VCk...Q SITE ADDRESS: / G C%0 e ©'�` 911#/ROAD NAME ,Zh5 Ci,,,.,A(J,, R9 Poid.i• an,S.1e4 con . ZIP ,l"✓ 3Q 9 DIGIT PARCEL ID NUMBER 9010,2 y a 6 o Legal Description: Subdivision Name Block Lot(s) 1 Section Z Township 2 G1 North, Range I WM APPLICANT PHONE MAILING ADDRESS ZIP PROPERTY OWNER et' ,J LIepLc 1 i / / do' di MAILING ADDRESS /5.4 o f CZAVA..il .II C{„b 1 � -Y4) m:cI C+sak iAJA ZIP 9/6i2. CONTRACTOR PCX[- FAii r ' men L3( Si rill 41i CA PHONE 3 6 3,5% 94Z,) MAILING ADDRESS e„s/j* 14w0 x ,1 p gill �tuvIICIWY WA ZIP fr�.'�hg STATE LICENSE# rpp./4 j.i 41 3 ife EXP. DATE Yid/.a 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 1..1 MiAartmdtaZ DATE 1,,t3 /off FOR OFFICE USE ONLY ' .' OS 3 BASE FEE RECEIPT# LI CASH/CK# P TOTAL 1 DATE H:\HOME\PLN CNTR\FORMS\INSTALL.DOC 10/99 3 M CMS q A 0 Q o Cli d3 0 N r a O b '� q 0 G O. p 0 0 N d' ro . U b„A 00 ._0 0 W P. L-1 O M N /-/� � v x `0 F�1 'u V o Ca 4—) N Pa O ri y g, a c Q o 0 0 o V cn w � VI 6 o v rd cn '4a' p #:si OJ H �0 x 4 V Q � 0 4 4 ry A z ri $-, o 0 O �d ~ '6 o ON 0 OOA -9 P+ n. H z Y A o z v �`43 U o v eY ►4 •ob G o +' ' i o. o x'� ;ad on x cd v b0C7 {, td, Uo ' 7 �_ y cuE3 in H0 ( >z ' H o • 4 ON V) ••1 0 ti j "11 4.4 ' � Q a o Q v � N Cl ^ `� L01 4 -ii '' v ��4 .1 " H „ 'iy A d � c ; dvd°�a 1' a4 d aPi_i " Sn .. ' ° v on $ on I j n7. 3 a � p u • -, � o 0 • o Q d C V c aU5 0 col .... �, �LLi 0 o O •y • ~NrG! a. 41 V ril _---------_ 0 Q �_ SN3d613S H 9 't �.. > cc ti n a w PI u. Z q - o 7 N 4 Z 0 0 o --I 1 >- O I-- 3 F- o IX J it) p cc A. A a. r 3 '^ cE W -^^ V, J U. L o f L.11 Z W U. Li. Fes- W Z ��71t rizi N oliZ� Wy N J o ¢fa ao N. v F- PyO6, N . 7,�L • �°� Y / w0 1 Z �4 g 0 il•O a CL d Q O -0 d g a Co Co. Z a c O a M 13 I- U Q ov, all E O (/) J