HomeMy WebLinkAboutBLD2000-00489 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 #: BLD00-00489 Received Date 05/3/2000
SITE ADDRESS: 315 BLACK POINT RD Issue Date 07/26/2000
BRINNON, 98320 Expiration Date 07/26/2001
APPLICANT: LOUIS DIDOMENICO PHONE:
& HAROLD HESTER
25108 234TH AVE SE
MAPLE VALLEY WA 98038
SUBDIVISION: PLEASANT HARBOR BEACH TR Block: Lot: 7
PARCEL NUMBER: 502155007 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)765-4787
94 SHADY LN
QUILCENE WA 98376
Contractor's License: NIEMACC018MZ Expires: 07/19/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION DETACHED GARAGE
REQUIRED INSPECTIONS:
[Footings/Setbacks (Shoreline Setbacks):
[Foundation: /"D, i Pbt' ik, 4''r /0- 44)
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall: /
[ 4Framing/PI robing: C)� V-7 (t, ov
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[I Final/Occupancy Approval a( $9' 3
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
BUILDING PERMIT APPLICATION ment
t of Community Develop
: tet
Jefferson County DepartmenPort Townsend, Received200PERMIT #: LD00-00489
SITE ADDRESS: 315 BLACK POINT RD
BRINNON, 98320 PHONE
APPLICANT: LOUIS DIDOMENICO
& HAROLD HESTER
25108 234TH AVE SE
MAPLE VALLEY WA 98038
Block: Lot: 7
SUBDIVISION: PLEASANT HARBOR BEACH TR 9
Ran e: 02 W
PARCEL NUMBER: 502155007 Section: 15 Township: 25 N
CONTRACTOR: NIEMAN CONSTRUCTION CO
PHONE: (360)765-4787
94 SHADY LN
QUILCENE WA 98376
Contractor's License NIEMACC018MZ Expires 07/19/2000
ARCHITECT/ MIKE MUNSON
ENGINEER : FIFE WA
PROJECT DESCRIPTION: DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: UH
7,200.00 ADD'L: HEAT TYPE:
VALUATION 1997 HEAT TYPE:
CODE EDITION: HEAT BASE #OF STORIES:
OCCUPANCY: UNHEATED:
OCCUPANCY: OTHER: SHO_ Rom_
CONST TYPE: GARAGE: 720 SETBACK: 35
CONST TYPE: DECK: BANK HEIGHT: 30
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO AREA
STORMWATER: YES ___ NO
Exist
S: Exist:BATHROOMS:S: Wetland______ Erosion
rprp Seismic Streams
Prop: Prop: Flood Way Flood Plane
Total: Total: F&W Landslide
Routing Date:
Shoreline Aquifer
Forest: Commercial Rural� ions
Q y Approved/uale
Amount Paid By: Date: rceceipt:
Tyre $0.00 MAM 07/26/00
Permit
Plan Check $0.00 MAM 07/26/00
State Building Code $0.00 MAM 07/26/00
Total: $0.00
10/29/99
i:\F_BLD_APp_Bld.rpt
` � Jefferson County Department of Caan!dty,Development
�4 ON �o� 0 0 621 S iiiStreet.Port Townsend WA 88388 CIE 373-4450
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Project Description:
Building Type: liti Project Type: Frame Type:
2 Single Family Wood
Garage A « J.ed/Detached 1 — C Steel
Modular tendon/Remodel 2. Concrete
Commercial ( pair � Masonry
Multi-family/#of Units _ emolition = Other
Industrial C>.°
Other.
Bedrooms: B ••.'. Type of Sewage Disposal: Type of Heat
Choose one:
Existing: ` Exi '• Sewer Community System ❑ Electricity i Oil
Proposed: c P - +sed: Individual System :' Woodstove Propane
Total: •�: If not sewer,fill out the following: Heat Pump
= Conventional Alternative 2 Other
Permit # SEP
Water Supply:
Private well 2 Two Party Well 2 Public:Name of water system:
Square Footage: . For Office Use Only
Main Floor UBC OCCUPANCY GROUP 25
2ND Floor Base fee k5, •
3r Floor Plan Check fee 14 5 •9 v
Htd Basement State Surcharge fee ill •so
Unhtd Basement 0 / Subtotal A.013 .13
4400 arport Z L1 Pot Water Review fee ..
De 911/Rd Approach fee
Commercial TOTAL 263 . 13
Industrial Receipt #
Other Cash/Check#
Total Valuation: l?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 rnarle 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 cosrs,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: Date:
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