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HomeMy WebLinkAboutBLD2000-00552 l 4 t 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 #: BLD00-00552 Received Date 08/23/2000 SITE ADDRESS: 1030 BECKETT POINT RD Issue Date 09/7/2000 PORT TOWNSEND, 98368 Expiration Date 09/7/2001 APPLICANT: SUSAN BUMGARNER PHONE: (360)385-5405 JIM BUMGARNER 2123 RAVEN RD PLEASANT CA 94566 SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot: 34 PARCEL NUMBER: 931970006 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: COLD MOUNTAIN CO PHONE: 1442 30TH ST PORT TOWNSEND WA 98368 Contractor's License: COLDMC*052L3 Expires: 08/23/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION DECK REPAIR REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: id [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: Final/Occupancy Approval: Ory 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 r a1 ,( • M • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00552 Received Date: 8/23/2000 SITE ADDRESS: 1030 BECKETT POINT RD PORT TOWNSEND, 98368 APPLICANT: SUSAN BUMGARNER PHONE: (360)385-5405 JIM BUMGARNER 2123 RAVEN RD PLEASANT CA 94566 SUBDIVISION: BECKETT POINT SOUTH BEACH AN Block: Lot: 34 PARCEL NUMBER: 931970006 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: COLD MOUNTAIN CO PHONE: Contractor's License COLDMC*052L3 Expires 06/19/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DECK REPAIR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 3,610.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 361 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON 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: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: �rReceilpt: Appro ed/uateons Permit $97.25 MAM 08/23/00 34112 Plan Check $29.18 MAM 08/23/00 34112 A#_.� . '� State Building Code $4.50 MAM 08/23/00 34112 Total: $130.93 2000 Jeffews0n County Planning & Building Department is\F_BLD_App_Bld.rpt 10/29/99 r ,; j �fforsmi Quay Departlnot of l niNliil DeviIo wont (---esozi c° . 621 Shu ldan Street Pert Tow�end WA 883�[360131A-4450 v5,` O P©rmo? App ., � ,NG Project Description: .... Building Type: Project Type: Frame Type: ❑ Single Family ❑ New ❑ Wood ❑ Addition ❑ Steel ❑ Garage Attached/Detached ❑ Modular ❑ teration/Remodel ❑ Concrete ❑ Commercial .Repair ❑ Masonry ❑ Multi fam;ly/#of Units ❑ Demolition Other. \)❑ Industrial jLc�S: a t' Other T 1, � edroorns: Bathrooms: Type of wage Disposal: Type of Heat: Choose one:Se Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System El Woodstove ❑ Propane Total: Total: If not sewer, e following: ❑ Heat Pump ❑ Conventionalfill out❑th Alternative ❑ Other Pernut# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP (' Z 2ND Floor Base fee '"'1 3r Floor Plan.Check fee r',_ w l Htd Basement State Surchar a fee Li�� Unhrd Basement Subtotal 1 �1 Garage/Carport Pot Water Review fee Decks `� � 911/Rd Approach fee Commercial TOTALitzir ' i 3 Industrial Receipt# /��C Other (2) Cash/Check# Total Valuation: Initials Or Date 3 —00 Estimated Cost: If within 200' of the Shoreline;' Distance to Bank or Ordinary Water Mark ft.Bank Height ft. By sipping 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 nP by the applicant/ownerwitlt 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 a tomey 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 Courti' ployees,represutatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicanproperty/or structure ed and shall occur during regular business hours. /Sinature: ✓ ),:i5/-7 © ) G�' ae% ate: J , . , ... .11Plime..... '...- . 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Subdivision Name: v L p Block: Lot(s): 3� 3 e" Section: Township: Range: (s) .- Parcel Size (acres or square footage): (.;� C D Property Owner: ,�___ Phone: Mailing Address: )2-3 1/4,1 (A 9q57‘ � c Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: g %e� Phone: C?I(V Mailing Address: 1?-57—/ '—g'r-<-YT-e))e---t-LJ (7 )6 Contractor's State License Number: Expiration Date: //1 �}'� Septic Designer: Phone: ff// Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan