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Home My WebLink AboutBLD2000-00641 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 #: BLD00-00641 Received Date 10/3/2000 SITE ADDRESS: 522 FREDERICK ST Issue Date 10/11/2000 PORT TOWNSEND, 98368 Expiration Date 10/11/2001 APPLICANT: WILLIAM PETERSON PHONE: PO BOX 221 TOKELAND WA 98590-0221 SUBDIVISION: COVE ADDITION Block: 19 Lot: 3,4 + PARCEL NUMBER: 945901903 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 PO BOX 212 PORT HADLOCK WA 98339 Contractor's License: STAPFC*249J8 Expires: 04/08/2001 LOAN LENDER/ STATE FARM BOND HOLDER: PROJECT DESCRIPTION 24 x 24 GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [--1 Final/Occupancy Approval: 7f 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 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00641 Received Date: 10/3/2000 SITE ADDRESS: FREDERICK ST PORT TOWNSEND, 98368 APPLICANT: WILLIAM PETERSON PHONE: PO BOX 221 TOKELAND WA 98590-0221 SUBDIVISION: COVE ADDITION Block: 19 Lot: 3,4 + PARCEL NUMBER: 945901903 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 PO BOX 212 PORT HADLOCK WA 98339 Contractor's License STAPFC*249J8 Expires 04/08/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: 24 x 24 GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,760.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 576 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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. \ 0 ' 3 ✓cD /\ Shoreline Aquifer (� Forest: Commercial Rural —Pr ximit - Nlat Conditions Type Amount Paid By: Date: Receipt: Ap rovedate r Permit $125.25 MAM 10/03/00 34390 e i ,; Plan Check $37.58 MAM 10/03/00 34390 g State Building Code $4.50 MAM 10/03/00 34390 OCT 1 7 2IiIII Total: $167.33 Atfer"st1t COW i,irig et Building Department is\F_BLD_App_Bld.rpt 10/29/99 45oN co Jefferson County Department of Conunuudty Development i.4 ,./. 621 Sheridan Street Port Townsend WA 88368[3801378-4450 4 `'=K.... ; o ` ::::$ Perm : u A pp, 0Ucd © Project Description: Building Type: Project Type: Frame Type: a Single Family )New $ Wood )(Garage Attach etached ) Addition = Steel Modular lE Alteration/Remodel 2 Concrete El Commercial ll Repair E. Masonry Multi-family/#of Units I Demolition E. Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: Sewer Community System Electricity I Oi1 Proposed: Proposed: Individual System Woodstove Propane Total: Total: If not sewer,fill out the following: = Heat Pump • Conventional i Alternative E Other Permit# SEP Water Supply: Private well El Two Party Well i Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee i zs't 5 3rd Floor Plan Check fee 7 S Htd Basement State Surcharge fee if '' 50 Unhtd Basement , e"-- Subtotal itBM arport a x--75/ ' S' 7 '. 5'7 51(o0 Pot Water Review fee Decks 911/Rd Approach fee ---C3 Commercial TOTAL / (p 1• 3 3 Industrial Receipt # 34 39'0 Other Cash/Check# / 0 / Total Valuation: Initials I ] I Or Date I0/3/(7, Estimated Cost: AD, ono If within 200' of the Shoreline, I 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 cor,ec,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 expences 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 propertyr structure shall be requested and shall occur during regular business hours. Signature: .�.,2,..„/ ,e,7 . Date: 1& - , - a 0 Jefferson County Department of Community Development /4 SON coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): I 95�sS`oig&3 Site Address 911#: Road Name: /� A . Zip Code: Legal Description Subdivision Name: Cfat A A p ,�, , Block: Lot(s): L. Section: j C, Township: �c> Range: d/ c✓ts Parcel Size (acres or square footage): / Property Owner: Phone: Mailing Address: Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: /' ,e 7R,./ A . S`i'.o c _rs99 Mailing Address: er B c Y /Z- c//re r k , 1-) 96+p ', General Contractor: Or Manufactured Home Installer: s,' c Ca , Phone: - Mailing Address: "es Bc 2/2- /-/.ac,S/0 r %C ( •z) ,, 700. ` 9 Contractor's State License Number: Expiration Date: Septic Designer: Phone: y%r./i ,4./( /c c ) p 9 a r y fs'G Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: ,5-7-4a , Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan i BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00641 Received Date: 10/3/2000 SITE ADDRESS: FREDERICK ST PORT TOWNSEND, 98368 APPLICANT: WILLIAM PETERSON PHONE: PO BOX 221 TOKELAND WA 98590-0221 SUBDIVISION: COVE ADDITION Block: 19 Lot: 3,4 + PARCEL NUMBER: 945901903 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 PO BOX 212 PORT HADLOCK WA 98339 Contractor's License STAPFC*249J8 Expires 04/08/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: 24 x 24 GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,760.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 576 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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: ,, U — -c.' a Shoreline Aquifer Forest: Commercial Rural r xlml I-'lat Uojadltions Type Amount Paid By: Date: Receipt: Approved/Date Permit $125.25 MAM 10/03/00 34390 Plan Check $37.58 MAM 10/03/00 34390 �� State Building Code $4.50 MAM 10/03/00 34390 J( , V/ , Total: $167.33 J`"' bU(� 4 u` i:\F_BLD App_Bld.rpt 10/29/99 , it /oY , i Q 4 I s' 4 s f a `,,,,. 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