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HomeMy WebLinkAboutBLD2000-00674 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 #: BLD00-00674 Received Date 10/12/2000 SITE ADDRESS: 110 CHERRY AVE Issue Date 10/13/2000 CHIMACUM, 98325 Expiration Date 10/13/2001 APPLICANT: DANIEL C RASMUSSEN PHONE: 110 CHERRY CHIMACUM WA 98325 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 10 PARCEL NUMBER: 963000306 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE SERVICE PIT REQUIRED INSPECTIONS: [Li' Footings/Setbacks (Shoreline Setbacks): 22/< < /d,,2 3— o b undatio ©l< -`74,--4//e)/9— [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [t-]f It ccupancy Approval:69/C ` / e / 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 #: BLD00-00674 Received Date: 10/12/2000 SITE ADDRESS: 110 CHERRY AVE CHIMACUM, 98325 APPLICANT: DANIEL C RASMUSSEN PHONE: 110 CHERRY CHIMACUM WA 98325 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 10 PARCEL NUMBER: 963000306 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE SERVICE PIT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 1,500.00 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: PUBLIC 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: It/Zit C Shoreline Aquifer Forest: Commercial Rural —Pr ximlty - Nlat (. nndltlons Type Amount Paid By: Date: Receipt: / Permit $54.00 MAM 10/11/00 34662 t.- 1_:{b v Plan Check $16.20 MAM 10/11/00 34662 Lvi�ret� State Building Code $4.50 MAM 10/11/00 34662 0�� 1 32Jfl�l Total: $74.70 j ettasun County Planning &Building Department i:\F_BLD_App_Bld.rpt 10/29/99 t • 4 SON Jefferson County Department of Community Development be... � - 621 Sheridan Street,Port Townsend WA 8836813601378-4450 F Orm o A ppflk © Project Description: Building Type: Project Type: Frame Type: ii Single Family g New E Wood Garage Attached/Detached E, Addition ❑ Steel D Modular El Aheration/Remodel I Concrete I Commercial FE Repair 1 Masonry I Multi-family/#of Units E Demolition E Other: ❑ Industrial K Other: <5 _/C(J/Co- X'i 7 Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System I Electricity ❑ Oil 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 ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 0 zi 3rd Floor Plan Check fee 2 Htd Basement State Surcharge fee Unhtd Basement Subtotal `711 - 7 U Garage/Carport Pot Water Review fee ..-- -.)--- Decks 911/Rd Approach fee '-'. --- Commercial TOTAL —7 4 7 0 Industrial Receipt # 3 Li (.0(,,;.).. Other Cash/Check# ( "(x 1 Total Valuation: ° /.Seib/0 L) Initials Or Date i D I/r l0 Estimated Cost: 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 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: o ...y, ..:1 _-----._ Date: /0 •— /62 00 4 ¢gON co Affirm County Permit Cantor Department of Community Development 4 r, 621 Sheridan Street Port Townsend WA 98368[360]319-4450 Urnvrd011Ver,S7Cll Pllt pfro �ell de i diclid4 44 edoolet4 44 tea : Project Descrriip�jtion: G i r9rDigit Parcel Identification Number(from your tax statement): Site Address q� oaa 3�h 911#: //a I Road Name: CH L 2k V LegalAjJ I Zip Code: �2 3 5 Description I Subdivision Name: I-POtiDALL= 072C/i-412,6 T crj i Block: 3 Section:- ` Townshi : �` I Lot(s): J / 1 1 p oC /� ) Range: /l• / Cv Tyi Parcel Size (acres or square footage): L /� Property Owner: c �' /G`'L, c R45/n Gf 5.5 L-s/v Chry< J Phone: Mailing Address: / 3 U 7 <�6 C> //(� C 4j`6.-'e y /-/UL—� / l-1 I 7/24-c GGm / eb 4 / / ,__S'Applicant/Occupant: (if different from owner) I Phone: Mailing Address: Authorized Rep: I Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Mailing Address: Phone: Contractor's State License Number: I Expiration Date: Septic Designer: A757 1/( 6 .SG-"j° -/ e% / e//e/(J T i eic5L4-Z°ne: Mailing Address: Architect:/Engineer: J Phone: Ma iling Address: Loan Lender/General Contractor's Bond Holder: I Phone: Mailing Address: FOR OFFICE USE ONLY IFire District: I PlanningArea. 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