HomeMy WebLinkAboutBLD2001-00161 •
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 #: BLD01-00161 Received Date 03/20/2001
SITE ADDRESS: 1761 IRONDALE RD Issue Date 04/9/2001
PORT HADLOCK, 98339 Expiration Date 04/9/2002
APPLICANT: HEIDI P STOHLER PHONE: (360)344-3788
% OSKARS PETERSONS
PO BOX 1143
PORT TOWNSEND WA 98368
SUBDIVISION: PORT HADLOCK Block: 5 Lot: 14
PARCEL NUMBER: 989400508 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION No MLA Req'd ---REPAIR ROOF
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: r.6
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
I:\F_BLD_Permit_Bu ildng.rpt 10/29/99
BUILDING PERMIT APPLICiON
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00161 Received Date: 3/20/2001
SITE ADDRESS: 1761 IRONDALE RD
PORT HADLOCK, 98339
APPLICANT: HEIDI P STOHLER PHONE: (360)344-3788
% OSKARS PETERSONS
PO BOX 1143
PORT TOWNSEND WA 98368
SUBDIVISION: DLOCK Block: 5 Lot: 14
PARCEL NUMBER: 98'9400508 ,; Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: REPAIR ROOF
TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL:
TYPE OF IMP REP MAIN: INDUSTRIAL:
VALUATION 500.00 ADD'L: HEAT TYPE: UH
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 NUMBER OF EMPLOYEES:
WATER SYSTEM: CITY PARCEL TAGS: YES NO
BATHROOMS: STORMWATER: YES NO AREA
Exist: Wetland Erosion
Prop: Seismic Streams
Total: Flood Way Floodplain
F&W Landslide
Routing Date: Shoreline Aquifer_
Forest: Comm r• 1
44 yy ��
Type Amount Paid By: Date: �rReceipt: ,7:J.:j t-�•.%- •
Permit $38.75 MAM 03/20/01 38395 A P R Q 9 2001
Plan Check $11.63 MAM 03/20/01 38395
State Building Code $4.50 MAM 03/20/01 38395 JEFFERSON COUNTY
Total: $54.88 DEPT, OF COMMUNITY plEVE, LQPME T
SIGNATURE: -.
• •
Jefferson county Department of Iui muolty Development
k�� oN O 621 Sheridan Street,Port Townsend WA 08366[350l 378-4450
per M(1 ID
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�S NG3. r - OicQ '00n
Project Description:
Building Type: Project Type: Frame Type:
❑ Single Family ❑ New )Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial X Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well Cl Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee ��'
3rd Floor Plan Check fee L l . ljc 3
Htd Basement State Surcharge fee Lk..
Unhtd Basement Subtotal t"I •
Garage/Carport Pot Water Review fee a-,--e--
Decks 911/Rd Approach fee
Commercial TOTA�G✓ <. -
Industrial Receipt 3
i / �+
Other J Check# C.. _
Total Val /�tion: 0O. 0 0 / sr
Or ate cti • ``
Estimated Cost: A
If within 200' of the Shoreline, -'=
Distance to Bank or Ordinary High Water Mark '-,/ ft Bank Height ft.
1
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 en 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 th can' pr.pe 4 o structure shall be requested and shall occur during regular business hours.
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.•**NiN.Signature: P +��r 1 0 4
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