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Home My WebLink AboutBLD2000-00686 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 #: BLD00-00686 Received Date 10/17/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD Issue Date 02/5/2001 PORT HADLOCK, 98339 Expiration Date 12/19/2001 APPLICANT: RICHARD BROCKINGTON PHONE: (360)692-1456 % BRODERS, INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: HILL & SON CONSTRUCTION PHONE: (253)732-2855 5611 72ND AVE NW GIG HARBOR WA 98335 Contractor's License: HILLSC1150LK Expires: 09/23/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE- DO NOT FINAL UNTIL WE CHECK WITH KEVIN RUSSELLII��!!!!!!!!IIV REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [] Shear Wall a)< 3/Zo/"oi [L]-< Framing/Plumbing: E5)K ;(/2ya/ [ ] Propane Tank/Lines: l [ ] Insulation: [Cr" Sheetrock:�'�kC�✓AL,t-mac - 3r �� [sirFinal/Occupancy Approval: 0,4=--37,-..zF--0 -7-- 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. HOT LINE AVAILABLE 24 HOURS A DAY \F_BLD_Permit_Buildng.rpt 10/29/19 i 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 #: BLD00-00686 Received Date 10/17/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD Issue Date 12/19/2000 PORT HADLOCK, 98339 Expiration Date 12/19/2001 APPLICANT: RICHARD BROCKINGTON PHONE: (360)692-1456 % BRODERS, INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: HILL & SON CONSTRUCTION PHONE: (253)732-2855 5611 72ND AVE NW GIG HARBOR WA 98335 Contractor's License: HILLSC1150LK Expires: 09/23/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE REQUIRED INSPECTIONS: [F,}��Footirrgs�1S�tba—P1 (Shoreline Setbacks): rrY/C/C e n/ E4,‘ & &A� 22/ f z51-"Q [ Foundation ,I�Al� SG e)je (12/e� L-f�- [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Final/Occupancy Approval: 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 #: BLD00-00686 Received Date: 10/17/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: RICHARD BROCKINGTON PHONE: (360)692-1456 % BRODERS, INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: HILL & SON CONSTRUCTION PHONE: (253)732-2855 5611 72ND AVE NW GIG HARBOR WA 98335 Contractor's License HILLSC1150LK Expires 09/23/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 7,680.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 768 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: I° (18100 Shoreline Aquifer Forest: Commercial Rural 1-'roximlty - Hat c; ndltlons Type Amount Paid By: Date: Receipt: OP /� tPermit $153.25 MAM 10/17/00 34670 C5eV ED Plan Check $45.98 MAM 10/17/00 34670 ,SA. LI )c-Q State Building Code $4.50 MAM 10/17/00 34670 DEC 1 9 2000 Total: $203.73 Jefferson County Planning & Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County I I artment of Community Development �2S °6! , , ON ; • 02131mridan Street,Port Town :nd WA 88368[360]318-4450 4, .-°°r".:T!;' p, (2,r m : CT' A lip n 0 0 o pAcizt - on Project Description: Building Type: Project Type: Frame Type: • Single Family # New * Wood • Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel Concrete ❑ Commercial ❑ Repair E Masonry ❑ Multi-family/#of Units ❑ Demolition E Other: ❑ Industrial u Other: Bedrooms: A Bathrooms: +\Vy Type of Sewage Disposal: Type of Heat: pT 1 Choose one: * Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: # Individual System ❑. Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: i Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: li Private well ,r, Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor R UBC OCCUPANCY GROUP 21`'D Floor r Base fee /53, 3rd Floor Plan Check fee Li 5,. 9 Htd Basement State Surcharge fee l , so Unhtd Basement , Subtotal 20.3 • 73 Garage/Carport 1(og 0 7 (or Pot Water Review fee ' Decks . 911/Rd Approach fee `L-(. Commercial TOTAL Z- S • —2 3 Industrial Receipt # 3` 7 0_ Other Cash/Check # se.) `7 '•1 Total Valuation: Initials /i// Y(v `�O Or Date �I�] �V Estimated Cost: 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 light o . $ 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' prop- or structure shall be requested and shall occur during regular business hours. Signature: f Date: /U/AV v-' P I - Jefferson County Department of Community Development ,�tis°N c0G 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 r 12, ti ems.. 4+ ' ' Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: 9 Digit Parcel Identification Number (from your tax statement): cl g cl Spa o o f Site Address Pasli 9 d lacK 114s /c d. 911#: 112 Road Name: , Zip Code: ?3 3 3 7 Legal Description / Subdivision Name: Po r-�- /4 el- lock H?/;h7-5 I Block: Lot(s): I Section: II Township: 2 q N Range: ' __ Parcel Size (acres or square footage): 17 7 2) f.�2 Property Owner: B R o o c-R s, T N C Phone: 717-7 7 2 2 Mailing Address: 45 i✓1 sr d.o3 old Goy p, ?, Li/A - ciE3 d8 Applicant/Occupant: Phone: (if different from owner) G o a r.. ct. ,gr o c w i na.4-oh 3 Go - 6 q 2- I y$-6 Mailing Address: . a Authorized Rep: j Phone: g1 C.14rd_ ‘,67tD clef-5 '7 (1 7-772z Mailing Address: - )) M • / Q `Q -1 50.3 old GQ n d t l✓ R d. 10,4 7; �,.A s t.t l c,/1 Cj f O 3 E General Contractor: Or Manufactured Home Installer: 1 k1fl .4 Slori �‘,,S4Ck4 vi Phone: 2S3__ gsi- so Mailing Address: s l I -id)„al Ayr, ICJ 3. G10., t-12? E ct' 3 - Contractor's State License Num`--- HI Expiration Datc L�.Sc' 1�c�k ��/3 C1 _ Septic Designer: Ai .r. �. Phone: Mailing Address: • Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONL Y Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan • w labommen=qmomilIMIP RA 03 ' . I. t 1 0 irl tlb ( ( I 1 l k l t. 1 1 It 1 1 / / 11 ' 11 I ( I ( li / ( ( ( Ii ) 1 V N '1 . 3.p e S y E 0 Cr ft �•� G� (I 1 j_ ,^ 1C 1 qi -7A,.._( 4\ I W A (p. N''' .., Q i 4, 1� I Or) 1 .28' 0 �'., .-,- „'Abe o, a A / 0 1 r L1 Q� .. •1 I i w Ltr �" -- -- — / R i 41 �w '� $ �� / n / o So � LI G 0 p ws. / v is 1$ �•I o