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HomeMy WebLinkAboutBLD2000-00393 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 #: BLD00-00393 Received Date 06/15/2000 SITE ADDRESS: 1623 OIL CITY RD Issue Date 06/15/2000 FORKS, 98331 Expiration Date 06/15/2001 APPLICANT: CAROL YOUNG PHONE: 1623 OIL CITY ROAD FORKS WA 98331 SUBDIVISION: PARCEL NUMBER: 612051004 Section: 05 Block: Lot: Township: 26 N Range: 12 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION single family residence REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: ) S C C oT bi t'r e:o‘ 14 o C-F [ ] Underground Plumbing/Underground Insulation: <4 [ ) Shear Wall: / /� [ ] raming/Plumbn 8 ���<`-} �� ?�"�'" � T Z [ ) Propane Tank/Lines: [ Insulation: 0 IC) I Z. - II--0 'I [sit// Sheetrock: t� �_ t i k _o t [' Final/Occupancy Approval:% Q_ doic 3/ w/© 4, ox-fir 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 - SFE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00393 SITE ADDRESS: 1623 OIL CITY RD Issue Date: 06/15/2000 FORKS, 98331 Final Date: 10/4/2000 APPLICANT: CAROL YOUNG PHONE: 1623 OIL CITY ROAD FORKS WA 98331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 612051004 Section: 5 Township: 26 N Range: 12 W PROJECT DESCRIPTION: single family residence THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/4/2000 eCkjas"rl oc¢ .._- jC CIO �f /1///4/4 Building Official Signature , Date I:\F_BLD_Occupancy.rpt 10/29/19 • t ' BUILDING PERMIT APPLICATION ' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00393 Received Date: 6/15/2000 SITE ADDRESS: 1623 OIL CITY RD FORKS, 98331 APPLICANT: CAROL YOUNG PHONE: 1623 OIL CITY ROAD FORKS WA 98331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 612051004 Section: 05 Township: 26 N Range: 12 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: single family residence TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 2,444 CODE EDITION: 1997 ADD'L: 1,841 HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: 0 Wetland Erosion Prop: 3 Prop: 4 Seismic Streams Total: 3 Total: 4 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: pov d/ t Permit $644.30 LMB 06/15/00 31638 6A H ` , Plan Check $193.28 LMB 06/15/00 31638 Dt-i,-4t b'-11)41L- State Building Code $4.50 LMB 06/15/00 31639 .iO S 5 20B0 Total: $842.08 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 =45ON co ,�effersen County !i:1 artment of Community Development �w , t of 621 Sheridan Street,Port Town,,:nd WA 88368(360]378-t450 W ••`=� r3 0 perm , 1D o. ,.0 ,, �� �o 0 cl) 0,--- adi u Project Description: Building Type: Project Type: Frame Type: X Single Family ' New '1 Wood Garage Attached/Detached E Addition Steel Modular E Alteration/Remodel 2 Concrete Commercial E Repair ❑ Masonry E Multi-family/#of Units 2 Demolition E Other: Industrial 2 Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing: E Sewer ❑Community System ❑ Electricity E Oil Proposed: $ Proposed: '1 Individual System E Woodstove V,Propane Total: 3 Total: ti If not sewer,fill out the following: ❑ Heat Pump El Conventional ❑ Alternative Other Permit# SEP Water Supply: X Private well ❑ Two Party Well r- Public:Name of water system: Square Footage: For Office Use Only Main Floor Z41 L\Lk t 3So17 5- UBC OCCUPANCY GROUP 2ND Floor 15 Li 1 I O1%' Base'fee tQ 4 y, 3 3rd Floor ----- Plan.Check fee l G13• Z� Hid Basement State Surcharge fee Unhtd Basement Subtotal -7. Garage/Carport Pot Water Review fee Decks 911/Rd Approach tee Commercial — TOTAL 3-7,5� Industrial - Receipt # 3{(p 3 3i )3 1 f jr ,�.- Cashier t. :. Yl P3(7 14 — . ..-._. Date to, I S 00 l0• I- Estimated Cost: If within 200' of the o 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 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: t� C Date: Cn -1 5 'CM Jefferson County Permit Center 621 Sheridan St Port Townsend WA 98368 UNIVERSAL PLOT PLAN Fill in the following information as completely as possible. Project Description: ----V-366.- (- 4_,AAA-1,'L-N 9 Digit Parcel Identification Number (from your tax statement) G \2. 0 S Lj Site A/Roadddress: 91 1# Name (7)*( Ct--/Val7NOCk Zip Code qe:33:51 Legal Description: Subdivision Name: Block Lot(s) Section Township North Range ‘2(-kJ WM Parcel Size (square footage or acres) Applicant/Occupant 6.ArO\ -T-out\16 eft 10146-;cody‘ ) Phone S14- '/C-A Mailing Address i(172-2 vif . k31 Property Owner (if different) Phone Mailing Address Authorized Rep Phone Mailing Address Septic Designer re;,77.4tir JP; /-71A-71-27/0 Pg.,- Phone 340. -3 27 2. cie Mailing Address 7 A.,Y-4.1 J4ey ,g e 441.4 963/ General Contractor PexcyLc Seav, etirt.ctr-N.ZNO-re Phone 3(o0-314-(.00S Mailing Address 9,n, gc" ( Flicrs. \Nir A ci ) State License Number PFV,ALSQ.,c ISG3 G. Expiration Date Architect e-11-0, c:\, 3C .1-NVI Phone Mailing Address '26 e-tr- LA.:11-•c 'A 6,17.0 Cifer) Loan Lender/Loan Holder Phone 4/6- 7 Mailing Address FOR OFFICE USE ONLY Planning Area Fire Dist School Dist Zone PIncntr1lcomepknptn3 f O /. n ^ ea - iiii, 4,1 ‘.1 tti V '1 � J k. r \ \ ° �� `� 1., V\ v) 1 \ I A. \\\13`,. >< , h ,. 111 o vv y tll � it Z u. \ \.4 ---t -. i .....:::: .2/I__ ., ' ) CSJ \. Ntl'i.s4 ------ kl tsi_t:: ...__14..,........- ----- .1 .-------1. n.i ,,____________________Al) J k. NI la \ ().... '.14...., Ct . \ 1..Y.1 i L \ r "c cry H Oi V ?y1 Zi'It r -es W l' ill at 43 � \, h O ?\ ` N ) _L., f' ° •0 1,:3:ct C•7 f'J1�j - `$ `fir 44 Q 75 tr....:::: -,!y .ti.; r'{i ,�1',;— `� °+ :1 ,.° a Q' 1,...i ,,,,,_.-)..1,:• 1. \\,.........4,,,,e- v) U G 2O Zj ° : a) +' CO a) O a) ' a> C O C c +, a) co co O. 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