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HomeMy WebLinkAboutBLD2000-00631f 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 #: BLD00-00631 Received Date 09/27/2000 SITE ADDRESS: 256 DISCOVERY RIDGE RD Issue Date 10/23/2000 PORT TOWNSEND, 98368 Expiration Date 10/23/2001 APPLICANT: JAMES MOORE PHONE: (206)440-9420 3016 NE 130TH ST SEATTLE WA 98125 SUBDIVISION: Block: Lot: T 36 PARCEL NUMBER: 001301005 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: PAUL KAASE CONSTRUCTION PHONE: (360)385-0221 2021 HILL ST PORT TOWNSEND WA 98368 Contractor's License: PAULKC*061C5 Expires: 02/14/2001 LOAN LENDER/ CBC BOND HOLDER: GENERAL INS PORT TOWNSEND WA 98368 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks):-'L YrL r: aK,:A76 ,nA.- _ ,2�c [-] Foundation: 0* ;..7A, : J/ ex h ..�z5 ; Y,-',J.��oh.,-r [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: ,( / /--t^z [V Framing/Plumbing: , /< �(, �„�7 [ q''- PrQ.pane Tank/Line . f1< _ [+" Insulation: Gti -z4,3 p / p/ [ ] Sheetrock: it ' f < -2— 7�_./ r [ ] Final/Occupancy Approval: (9 Pe -9----c v HEALTH DEPARTME 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 r , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00631 Received Date: 9/27/2000 SITE ADDRESS: 256 DISCOVERY RIDGE RD PORT TOWNSEND, 98368 APPLICANT: JAMES MOORE PHONE: (206)440-9420 3016 NE 130TH ST SEATTLE WA 98125 SUBDIVISION: Block: Lot: T 36 PARCEL NUMBER: 001301005 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: PAUL KAASE CONSTRUCTION PHONE: (360)385-0221 2021 HILL ST PORT TOWNSEND WA 98368 Contractor's License PAULKC*061C5 Expires 02/14/2001 ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,704 VALUATION 141,332.00 ADD'L: 788 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 340 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams Total: 2 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: laz-i 00 Shoreline Aquifer Forest: Commercial Rural —Proximity - Plat C d tions Type Amount Paid By: Date: Keceip : Approved/vote Permit $1,228.95 MAM 09/27/00 34379 APPROVED Plan Check $368.69 MAM 09/27/00 34379 State Building Code $4.50 MAM 09/27/00 34379 OCT 2 Q mon Potable Water Application $30.00 MAM 09/27/00 34379 Total: $1,632.14 Jefferson County Planning St Building Department is\F_BLD_App_Bld.rpt 10/29/99 Development �4, ON Cc Jefferson County of Community.� G, 621 Sheridan Street,Port Townsend WA 88383(3001378-4450 r .1S0$7'YG ... vti . „. •_„...,---.,-._-_---;- �PEFMS 7 A fi), cat. O Project Description: Building Type: 1 Project Type: ' Frame Type: X Single Family X' New % Wood = Garage Attached/Detached = Addition = Steel = Modular = Alteration/Remodel = Concrete = Commercial = Repair = Masonry Multi-family/#of Units = Demolition = Other: = Industrial = Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: = Sewer Community System ❑ Electricity = Oil Proposed: Z- Proposed: 2 — = Individual System = Woodstove A Propane Total Total: If not sewer,fill out the following = Heat Pump 1 = Conventional = Alternative = Other I Permit# SEP Water Supply: = Private well = Two Party Well= Public:Name of water system: Z 06 I',3 Square Footage: For Office Use Only Main Floor /7©/ 1 7,Q] 3/4• 90 UBC OCCUPANCY GROUP 2ND Floor 7"" `7� 3 4r S,dPP Base fee / 2 Z4i?".95 31-ci Floor Plan Check fee 3 g, 6 ? !I Htd Basement State Surcharge fee •q - Sa Unhtd Basement Subtotal / 60 c /`/ Garage/Carport Pot Water Review fee -3 b , 00 Decks 3 3 goo 911/Rd Approach fee Commercial i TOTAL /to 3 0: - l y Industrial Receipt # Other � Cash/Check# r t Total Valuation: `� /"1/, 332 Initials Or Date Estimated Cost: Z641 S" ).OD 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 mane 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 acc ss and right of en 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 t th applicant's pro erty r structure shall be requested and shall occur during regular business hours. Signature: ou_J c-,. G. Date: Q 2„6 . n 0 ---- Jefferson County Department of Cotnmunity Development �� °N CpG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 r k r : �L 04 c ,..,,,,_ ' ' Universal Plot Plan 1`S-ttTNG�� Fill in the following blanks as completely as possible: Project Description: nn AT/Oe/UC- 9 Digit Parcel Identification Number (from your tax statement): Oo/ . 'a / 00S"' Site Address n 911#: 2 S'"G D/seo 06:49 Mims" Road Name: O/�Cv-IJCf4G /C/4Gt Zip Code: 9f3G r Legal Description Subdivision Name: Block: Lot(s): Section: /9 ft yo Township: 0 At Range: / lij - -. Parcel Size (acres or square footage): /p 4e/26=S Property Owner: Phone: �-l/M AZe.3D24_" 20 C• 4/4/0• 9 4{aa Mailing Address: � 3o/4 ,U.E. /.CDT'/) cl2ZFA-TTLL, GJ/,... Applicant/Occupant: n Phone: (if different from owner) / V/ 41.44.yv' 3‘o • 3 fS - D ZZ / Mailing Address: 2o2.. I /1/41. ,PT, PDRr %dZJ4ltealOi 104. ,Fg42 Authorized Rep: /7 Phone: /Au G /2i1-A-s-- 36a • 3PS • 022-/ Mailing Address: / � 2 z/ 11/4t yri, /?r. 4, .. 9P�36? I it/ General Contractor: Or Manufactured Home Installer: Pjfv Z /1i4 s'c anjf.r. Phone: 3' o • 3gs"O z./ Mailing Address: Za z/ /laG 5'4 /2 i 4)4... 97 j' 8' Contractor's State License Number: /04U.//&, oG/c Expiration Date: z 1/y 0 i Septic Designer: Phone: /3�2�ur 67/2rG s.�.�/ 340 .3 Fr•3' o Mailing Address: 2 3 2 / Architect:/Engineer: /� Phone: /�/2/l 60/114F 34 0 . 3 PS - 41 1/4 Mailing Address: 7rq QU/,c,e Sd rr.. , PT. , 1c)4. .. 9r36 ? Loan Lender/General Phone: Contractor's Bond Holder: e/3 c_ 34o • 3 4192 tI Mailing Address: h / FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan , . - 1 ___ .. 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