HomeMy WebLinkAboutBLD2000-00643 f
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DEMOLITION 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 #: BLD00-00643 Received Date 10/2/2000
SITE ADDRESS: 434 WAWA POINT RD Issue Date 11/3/2000
BRINNON, 98320 Expiration Date 11/3/2001
APPLICANT: ARTHUR ABE PHONE:
7765 37TH AVE S
SEATTLE WA 98118
T2
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 602242005 Section: 24 Township: 26N Range: 02W
CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License TERHUHI133J7 Expires 04/27/2001
OWNER,
if different:
PROJECT DESCRIPTION RESIDENTIAL DEMOLITION
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 11/03/2001.
REQUIRED INSPECTION:
[ --fii tApproval __C) l� 3!.2. l O /,,,,d...,...#75
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
is\F_BLD_Permit_Propane.rpt 10/29/99
BUILDING PERMIT,APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00643 Received Date: 10/2/2000
SITE ADDRESS: 434 WAWA POINT RD
BRINNON, 98320
APPLICANT: ARTHUR ABE PHONE:
7765 37TH AVE S
SEATTLE WA 98118
SUBDIVISION: Block: Lot: T 2
PARCEL NUMBER: 602242005 Section: 24 Township: 26 N Range: 02 W
CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License TERHUHI133J7 Expires 04/27/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: RESIDENTIAL DEMOLITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
Routing Landslide
outing Date:
/0
, 5' Shoreline Aquifer
Forest: Commercial Rural
HlatType Amount Paid By: Date: �r Appro Conditions
Receipt: pp ��a e
Permit $48.00 MAM 10/02/00 34514 AP P R O\/E D
Permit $2.00 MAM 10/02/00 34514 11 �/
Total: $50.00 NOV o 3 2000
Jefferson County Planning
&Building Department
is\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450
DEMOLITION PERMIT APPLICATION
SITE ADDRESS:
911#/ROAD NAME 45 VVCILOck. Pal r +13rtnnon, Loc. ZIP '9 2-O
9 DIGIT PARCEL ID NUMBER (QO Z 7-4 Z OO6
Legal Description:
Subdivision Name Block Lot(s)
Section vD- Township ( North, Range 0 Z W WM
APPLICANT rJ 1 6AJ► Ao- PHONE ( )12_ — i zz I
MAILING ADDRESS 1(05 5-1. n
et L Loa. ZIP 3 1 E?
PROPERTY OWNER �cTl PHONE
MAILING ADDRESS
ZIP
CONTRACTOR Q t U• � kfrV OE PHONE( (QO) iR---7O0 C
MAILING ADDRESS T `0. 13O 6
):- n TT
�l.Asb f - ZIP °10- ---)
STATE LICENSE# !Z-I� � EXP. DATE —1-/ d I
FEDERAL I.D. #
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 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 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.
110111)
111111!.. .
APPLICANT SIGNATU DATE / / 0 0
FOR OFFICE USE ONLY
BASE FEE t- ' RECEIPT#
STATE SURCHARGE i. -- CASH/CK# 3
TOTAL 14 <G DATE ID 2-1CC
H:\HOME\PLNCNTR\FORMS\DEM010/99
NOV-3-2000 11:33A FROM:TERHUNE HOMES 360 697 7500 TO:JEFFERSON CTi P:2'2
fr f�" ,� ---** /�r," 1 \{ —,,.r d Approved Permit#
i� } n 1 ,,: i r .x i ; Sp:civ; CO^iltia;is Noted
` i r '.. Slut Approved For ,
r , r..,,,,ft,
Reasons Noted
p 1.. Y P I c For Compliance With Reg. 1
AIR POLLUTION CONTROL AUTHORITY GAPCA
Notification of Demolition Perm r
it is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos-
containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or
demolition unless the owner or operator has obtained written approval from OAPCA. A written application for a demolition
shall include a certification that there is no known asbestos-containing material remaining in the area of th ucture.
ifSC'V\
Project Site Address: 143�`j Loci- � R t 1n �., County-_
l"
Citytr t 11 l'1 C l'1 -
State GU Cat - Zip 2 O
Approx. - �tC; act .5
___Starting Date: _I i'L t't • Completion Date: l.0�'1'V� +'t
_ _ _ o- ate: .__
pe t'L A--4- aff—e(a A.C.L.. --- - i'P1T:ct" C-Ce '1GC
Property Owner: At'tl'1u.( low' _ Telephoned 12..3 - 12O 1
Mailing Address: 5Ot.t.
City 5eo_-t-R..L. State tJ C. Zip (71 3 t tZ?
` 1 f_V'kt,(,U i
Demolition Contractor:: 4-61k.a. State License# —Fe.tr{ivijJ,- 13a3-7
Mailing Address: L. �x c't 71 `�g3� U
City e�-�Stot:=
Contact Person: 1 State �,�..)a . Zip
-C>_u.�'�.l��.
t ' a yr Telephone (.5tio6) n 1000
YES NO
><' Demolition by Wrecking or Dismantling? (S25 fee)
r 1 Training Fire Demolition? (If yes, attach fire department request for training fire)
1 Renovation, Alteration, Remodeling, Maintenance, or other Construction?
i Asbestos found or suspected*
*An OAPCA`'Notice of Intent to Remove OrEncapsulate Asbestos"form and appropriate fee must be submitted prior to an asbestos
removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to OAPCA Regulation I Article i 4 for additional
requirements that may apply.
Asbestos Survey Completed by 4'`
AHER4 Certified Inspector 1.-- I '
Certification # "2---
/ V .
', _ ��' ` ) fiCfl of the Asbestos
Enclose 5 urvey must accompany this
must be available at the form
job site ;t Processing Fee _
909 Skater Kinney Rd SE.Suite#1. ngton 98503
360-438-8768 * 800-422 5623 * fax 360-491-6308
homepage:www.oapca.org * email: info(Eoapca.org
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