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Home My WebLink AboutBLD2001-00020 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00020 Received Date: 1/10/2001 SITE ADDRESS: 3770 OAK BAY RD PORT HADLOCK, 98339 APPLICANT: BOBBIE MORELAND PHONE: (360)437-7927 ROSETTA MORELAND 3770 OAK BAY RD PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 921194002 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 01/01/2001 ARCHITECT/ WALTENBAUGH ENGINEER : 355 LOFTUS PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: BEDROOM ADDITION TYPE OF WORK RES /U QUARE FOOTAGE: TYPE OF IMP ADD (t/ MAIN: 400 VALUATION 25,9 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 400 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 1 Total: 2 Flood Way Floodplain Routing Date: 110101 elo l ` F&W Landslide Shoreline Aquifer Forest: Commercial Rural r xlm I Type Amount Paid By: Date: Weceipjt: Appra oved/D•ateons Permit $401.35 MAM 01/10/01 35688 Plan Check $120.41 MAM 01/10/01 35688 State Building Code $4.50 MAM 01/10/01 35688 Total: $526.26 Jefferson County Department of Conmumity Development .w¢ °N �o�. 621 Sheridan Street,Port Townsend WA 88 368[360]378-4450 ;i i .,. mil. , a1 ',?, r1 O ,., .:;`.- { O O ,.. 0 n qS, .,______:,.,..,..:;:: . C E I A ce4,,,_ Project Description: co °''* 1 Pro\i ect Type: Frain c: VBasil g Type: �,,,�f, � `�' �0 j }'P Single Family f,,.f / 1' '2 New ood Garage Attached/Decaclfed e 47 ,4�a/ ddition E Steel Z��.r> Modular < <e_ 'J'•,4`" : Alteration/Remodel E Concrete Commercial .`"r,«-+;`,\.. _,/.`,-,) ,"'"-t.,). = Repair _ Masonry Multi-family/#of Units'; FFY,:,' = Demolition Other. = Industrial • a,: �s., •'��/ • -- Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of He : Choose one: i Existing: 1 Existing: I � S�ew r� :Community System ectricity = Oil Proposed: I Proposed: i� -_!/Individual System � Woodstove = Propane Total: 2 Total: � If sewer,fill out the following: Heat Pump Conventional Alternative Other Permit # SEP -73`004(4, -PeW,i t ` ") -.5eto k rTAch-e-4 W er Supply: Private well 2 Two PartysWell 2 Public:Name of water system: Square Footage: / I _u s For Office Use Only �J Main Floor 1- \ UBC OCCUPANCY GROUP 2 ° ., Floor �� )� Base fee � 7 ) MEW3rd Fic or Plan Check fee ....._--_ Htd Basement State Surcharge fee _ 2 (�-S • Llinhtd Basement Subtotal , 3 l- ii . It ,., Garage/Carport Pot Water Review feeLc. y��C)� " y • Decks _ 5C� r c p�0 911/RdApproachf i.`C-„'v� Commercial _ TOTAL //��j /3 ` l 3 0 l�/ '....--- Receipt # �/ Industrial �,\ '_____Al,..?.-L-- Other y!r 7 Cash/Check # 6 � � T.)cal Valuation: Initials 6 `—� -- Or / Date G - -6 Estimated Cost: a5 COO If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark /'A 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 m' A by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,intimnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way ac:-te 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 tnspeciens. Access and right of entry to the applican' rop shall be requested and shall occur during regular business hours. S i a azure: ate: / 0 C) i Jefferson Canty 1':.i artment of Community Development �,f1.4,N C0 621 Sheridan Street.Port Townsend WA 00368[3601373-4450 '.c i a on 0 �S � p �a�o 0 VG FtI� Project Description: Bull g Type: Project Type: Fr e: VSingle Family 1 ii New - Wood = Garage Attached/Detached ddition ❑ Steel Modular 2 Alteration/Remodel 2 Concrete 2 Commercial = Repair 2 Masonry Multi-family/#of Units 2 Demolition ❑ Other: 2. Industrial I Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of He : Choose one: Existing: 1 Existing. I El S sy...v.er I=Community System ectricity = Oil Proposed: l Proposed: D _:in dual System 2 Woodstove = Propane Total: 2 Total: —1-- If sewer,fill out the following: Heat Pump /Conventional = Alternative Other j Permit # SEP -73—ObLh' —1PeVA i-46341 -see 4 CT Acke( W er Supply: Private well = Two Party Well Public:Name of water system: Square Footage: ! For Office Use Only Main Floor D � , oZ t q2.? UBC OCCUPANCY GROUP 2ND Floor Base fee 7 01-e S 3°Ficor Plan Check fee 12 0. 4-II Htd Basement State Surcharge fee q, S 0 Unhtd Basement Subtotal S Z b, 2 (o Garage/Carport Pot Water Review fee — — Decks Li Do LI 000 911/Rd Approach fee / Commercial TOTAL Sz( . 2-- Industrial Receipt # 3S 66 O Other Cash/Check# I o� g 7Al , _ . T. tat Valuation: uo ( Initials 56.4 Or Sas? �2� Date (///° °I Estimated Cost: oZ.5 coo l If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark /1A ft. Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and coirem.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 applican' rop cure shall be requested and shall occur during regular business hours. Sia attire: \ Date: / d CD III Jefferson County Department of Community Development ) --a-- -- / cpG 621 Sheridan Street,Port Townsend WA 98368 , 60) 379-4450 J °_� li , r : . -------.71 " 1; ` �So$ Universal Plot Plan P kTN� JEl`F�t;S(l�f Ct�UNl� � "1. �FCOf+ff r tTY ��V�CUPk;�.++' Fill in the following blanks as completely as possible : Project Description: / x' 2# iako3"1- cad cti, —i r-. Digit Parcel Identification Number (from your tax statement): Q Site Address 911#: f C Road Name: r_ / i Zip Code: q —,3/o; Legal Description Subdivision Name: Block: Lot(s): t Section: 7 Csa. �9_ .L L/ �5 N. _ Range:A-C- )(q I Parcel Size (acres or square footage): Property Owner:- L r1' -y„, g ^' Phone:1mil 37 ` -7 9 aMailing Address: x J �-' ' __3-1 --) 0 ')e)JL i) 0/-4 . P--i-- ._1)Ei (ert z iLoi - Applicant/Occupant: Phone: (if different from owner)u3�''�_Q p,---,,, p . 0 ��"" Mailing Address: 'CC ' �� v �� ss: 7 L_, Authorized Rep: j Phone: 11 Mailing _ng Address: \�\ D C 7�� c3 `-- )S Vr,t - - —1" f G-L t ?n c1 Loh General Contractor: c l Or Manufactured Home staller: 1 ' Y Phone: 3 CK`� Mailing Address�r Th 1n. ) (p_ f Contractor's State License Number: C10 `o )a I CI ' / �` �\ �a I el l 'aAirAuon Date: I I O q Septic Designer: .) if) .‘J-U Phone: I Mailing Address: P ,._ n )(_ C 4)7-- ---ckokt(c)c1/ L.)JP Architect:/Engineer:' fri- cE2yrt _.__ coin.] Ph J �I c. Mailing Address: �• `. - `nn --- 1,)(13__ ,-,d i 0J-4- Loan Lender/General Phone: Contractor's Bond Holder: Vt_dua I L_ .- - 1 H I Lo Mailing Address: FOR OFFICE USE ONL Y Fire District: Planning Area: School District: Zone: 1/C0 H:\home\pincntr\forms\universal plot plan . . f ; . , . 1 Cs)-ri crii "Tt I 0-II rn C-1 i K m c:ci") fin (=mac) fil...e 0 Iffi o y•teil-- 1 rr. 7Z U.1-71-7--4 $ 1 6:4 id /$ P9° 1 1 1 • Z., 5A*1-trvi 1-6e.„4 ,\ rktnnew---- I 6A--rn , ADD1 n-10,1/4.) VAC Li. . ! 9.4 . . . .,;„, A /\ • ei,j D__ .., '11 II 4 IA 1110 1,t70 V yt%.. -ratsM . I .251 1 1 1 i A 1 n/( "" .-t-7 70 //t-l< B/ \i R CA 1) • . . :.% w « � , � .�� \ « w. . . .� .� � 116W �.oX ?�\ADU axl Ex ISTI NCT � ouS�E I ... i W/ 20 X 2-0 AD r /(J �xIST!NCr -> it N OUSE i NE W D tr-w- L E d I pEc.i< Lk 7A I L 1%2 4CA LC CRO55 S C C'r\ o w l 3/8'1= I Fr. 5CA LE 1� i u 3t nl;u 1 I' r� h i s. 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