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HomeMy WebLinkAboutBLD2000-00449 • 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 #: BLD00-00449 Received Date 07/11/2000 SITE ADDRESS: 489 RIPLEY CREEK RD Issue Date 07/17/2000 QUILCENE, 98376 Expiration Date 07/17/2001 APPLICANT: JOHN T STEER PHONE: (360)668-1983 23920 141ST DR SE SNOHOMISH WA 98296-5468 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 702022005 Section: 02 Township: 27 N Range: 02 W CONTRACTOR: INNOVATED FIRE SPRINKLERS SYS PHONE: (360)452-7583 VINCE BETTGER 81 NEW HAVEN LN PORT ANGELES WA 98362 Contractor's License: INNOVFS044DR Expires: 03/13/2001 LOAN LENDER/ FRYER &SON INSURANCE BOND HOLDER: PROJECT DESCRIPTION FIRE SPRINKLER SYSTEM REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: ) p [ rF %einal/Occupancy Approval: Q/ // 9 - U a 'tc-#Q 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 V BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00449 Received Date: 7/11/2000 SITE ADDRESS: 489 RIPLEY CREEK RD QUILCENE, 98376 APPLICANT: JOHN T STEER PHONE: (360)668-1983 23920 141ST DR SE SNOHOMISH WA 98296-5468 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 702022005 Section: 02 Township: 27 N Range: 02 W CONTRACTOR: INNOVATED FIRE SPRINKLERS SYS PHONE: (360)452-7583 VINCE BETTGER 81 NEW HAVEN LN PORT ANGELES WA 98362 Contractor's License INNOVFSO44DR Expires 03/13/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: FIRE SPRINKLER SYSTEM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 8,020.00 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: WATER SYSTEM: PWELL 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 Plat Conditions _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $167.25 LMB 07/03/00 32071 APPROVED Plan Check $50.18 LMB 07/03/00 32071 State Building Code $4.50 LMB 07/03/00 32071 rJ U L 1 7 2000 Total: $221.93 Jefferson County Planning &BuiIdlog Department is\F_BLD_App_Bld.apt 10/29/99 • Jefferson County Department of Community Development r�4'4$t,ly ©�2 621 Sheridan Street,Port Townsend WA 08368[3601378-4450 w ,' 1 perm : 7 A rrrr�, pp, rr, Project Description: Flo-estoeifixt,cF2- s y S -1-6-141 Building Type: Project Type: Frame Type: f'X Single Family . New `'Wood Garage Attached/Detached 0 Addition ❑ Steel Modular ❑ Alteration/Remodel ❑ Concrete Commercial 0 Repair ❑ Masonry Muki-family/#of Units E Demolition ❑ Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: C Sewer ❑Community System ❑ Electricity I Oil Proposed: Proposed: "I ❑ Individual System ❑ Woodstove i Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: XPrivate well i Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor E1 . est 8 UBC OCCUPANCY GROUP tvD 1 Q : -� 2 C 2 Floor / [ ���� Base fee t��. 3rd Floor -- Plan Check fee S( . I q Htd Basement State Surcharge fee Unhtd Basement Subtotal 2.,24 .G%3 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 2-2-1 • 3. Industrial Receipt# 32.0-1 1 Other Cash/Check# Z`Y iS Total Valuation: O v ZO .D� Initials Or Date 1 '3'O0 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 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 pr vide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right oSM4, , try to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: 4 , Date: '7/J-�/e:7 0 Jefferson County Department of'Community Development ti��,oN co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 G qso Universal Plot Plan mNe Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): 7 O Z aZ 2 0 0 �-- Site Address 911#: (1 9 Road Name: R ; J '7) Zip Code: Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): Property Owner: k Phone: 0 .�ka5, . 1(1 3 Mailing Address: irk 2 3�2_4b 1 L! i sr t3(L. c[a s✓i U ow!i s 9 i Z 9(4, Applicant/Occupant: Phone: (if different from owner) Jtv/t/r:'41/4 7- f S ARIA{Lr k v' Q - 1/.S%2 - 7S Mailing Address: /21.4 At I--Al I'c' �i d'iv G-r L . . J / <3 Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: S .- ILL' e r f Phone: .a 60 _ 39 6 E �119' Mailing Address: ipdx / Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General r Phone: Contractor's Bond Holder: Fr p,7 9 Sov (,1s v,cbt rve. Mailing Address: • FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan — -- ----------- - „ _.. _ .+y, `'4`•cYY -- .i: ✓: _J.- 4 . ,• .- --... __—. _— . -. na . _.. _,. .>Y... , •ASV s . .. ,•- . .... - -_ --- ,. _,. .:': -•`i._ "r. _ -- - --_ — _--- --_ _ - -- --_ - —= — -I - - J - -„ .- _. r -. 4 _,. ., • __ a.. .a. „r. •,.. ._ .. {.x-...-.. ,. .. _. r-' . •.r - • L - f -. ;, c : i I. I r . '. _ C i > . e M1_ - t y f f' ' - _ 4` l .. _ - '.: 1 « . - .. " -. .. - I. 1. .. w • • . •'i . - . t. 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