HomeMy WebLinkAboutBLD2000-00610 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 #: BLD00-00610 Received Date 09/20/2000
SITE ADDRESS: 113 CENTER VALLEY Issue Date 10/4/2000
CHIMACUM, 98325 Expiration Date 10/4/2001
APPLICANT: JOANNA G ENGLAND PHONE: (360)385-1789
1226 MILOW ST
PORT TOWNSEND WA 983684038
SUBDIVISION: CLARK'S 1ST TO CHIMACUM Block: 2 Lot: 1-4
PARCEL NUMBER: 943800203 Section: 14 Township: 29 N Range: 01 W
CONTRACTOR: WILSON CONSTRUCTION PHONE: (360)385-6517
240 MOA HILL RD
PORT TOWNSEND WA 98368
Contractor's License: WILSOC*032NQ Expires: 08/18/2001
LOAN LENDER/ INTERWEST BANK
BOND HOLDER: 2101 WASHINGTON ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW FOUNDATION UNDER EXISTING HOUSE
REQUIRED INSPECTIONS:
[ Footings/Setbacks (Shoreline Setbacks): 0/C J iyr )70 /cY"e
[-T Foundation: Gi< IC: I l ' Li
[ I Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
Final/Occupancy Approval: 4= ' — �' ;��
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
Jefferson County Department of Community Development . i
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00610 Received Date: 9/20/2000
SITE ADDRESS: 113 CENTER VALLEY
CHIMACUM, 98325
APPLICANT: JOANNA G ENGLAND PHONE: (360)385-1789
1226 MILOW ST
PORT TOWNSEND WA 983684038
SUBDIVISION: CLARK'S 1ST TO CHIMACUM Block: 2 Lot: 1-4
PARCEL NUMBER: 943800203 Section: 4 Township: 29 N Range: 1
CONTRACTOR: WILSON CONSTRUCTION PHONE:
240 MOA HILL RD
PORT TOWNSEND WA 98368
Contractor's License WILSOC*032NQ Expires 08/18/1999
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: NEW FOUNDATION UNDER EXISTING HOUSE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 4,200.00 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: OSS
WATER SYSTEM: CITY PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 2 Wetland Erosion
Prop: Prop: Seismic Streams
Total: 2 Total: 2 Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
`- `..CO Forest: Commercial Rural
Type Amount Paid By: Date: —I- r ximity - F'lat U artlons
Receipt: Approve��ate
Permit $111.25 MAM 09/20/00 34351 APPROVED
Plan Check $33.38 MAM 09/20/00 34351 A W.
State Building Code $4.50 MAM 09/20/00 34351 OCT Q =} 2000
Potable Water Application $30.00 MAM 09/20/00 34351
Total: $179.13 Jefferson County Planing
&Building Department
is\F_BLD_App_Bld.rpt 10/29/99
'0, ' Jefferson County Department of Ic CotiYlgQdty Development
� 45° c°c. , 621 Sheridan Street,Port Townsend WA 8 8[3601378-4.450
W `�,. o
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4.S Ap
Project Description:
Building Type: Project Type: Frame Type:
X Single Family LI New X Wood
Garage Attached/Detached ❑ Addition r Steel
LE Modular ❑ Alteration/Remodel LI Concrete
Commercial X. Repair 1 Masonry
❑ Multi-family/#of Units A Demolition G Other.
i Industrial
Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: a_ Existing: 1 ❑ Sewer 1 Community System Electricity ❑ Oil
Proposed: Proposed: X Individual System ❑ Woodstove li Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
li Conventional ❑ Alternative ❑ Other
Pemut # SEP
Water Supply:
ri Private well ❑ Two Party Well❑ Public:Name of water system: C.,1 W C1\- s-r.
Square Footage: For Office Use only
Main Floor UBC OCCUPANCY GROUP /
2�Floor Base fee f�/ ��
3rd Floor Plan Check fee 5 3 3
Htd Basement State Surcharge fee d S l
Unhtd Basement '44Subtotal ,� /a
Garage/Carport Pot Water Review fee 56 9 C C
Decks 911/Rd Approach fee —'T
Commercial TOTAL l 7 9
Industrial Receipt# _143-5
Other -----ThCash/Check#
Total V uation: Initials ja,,,,/Or ---' J� Date 41/2-C/db
Estimated Cost: 0200,+ '
7c\. x
If within 200' of the Shoreline, ;
Distance to Bank or Ordinary Nigh 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 pr.::, or e shall be requested and shall occur during regular business hours.
Signature: '1'.- 0""% Date: p--is C'
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