HomeMy WebLinkAboutBLD2001-00246 BUILDING PERMIT APPLICATION ,
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00246 Received Date: 4/30/2001
SITE ADDRESS: 120 HANDLEY LN
BRINNON, 98320
APPLICANT: TIM STRATTON PHONE: (206)565-5839
BARB STRATTON
8926 PARKRIDGE DR
TACOMA WA 98467
SUBDIVISION: Block: Lot: T 25
PARCEL NUMBER: 502313020 Section: 31 Township: 25 N Range: 02 W
CONTRACTOR: CLASSIC WOODWORKS PHONE:
1031 DUCKABUSH RD
BRINNON WA 98320
Contractor's License CLASSW*012B0 Expires 09/20/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: GARAGE W/ GUEST ROOM
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 11,472.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 120
CONST TYPE: GARAGE: 483 SHORELINE:
CONST TYPE: SETBACK: 85
DECK: BANK HEIGHT: 5
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 1 Wetland Erosion
Prop: 1 Prop: 1 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
F&W Landslide
Routing Date: �/61Shoreline Aquifer
�./1/ Forest: Commercial Rural _
—Proximity l Iat U d bons
Type Amount Paid By: Date: Receipt:
Approve��a�e
Potable Water Application $0.00 MAM 05/01/01
Plan Check $62.78 MAM 04/30/01 40003
State Building Code $4.50 MAM 04/30/01 40003
Permit $118.25 MAM 04/30/01 40003
Permit $0.00 MAM 05/01/01
Total: $185.53
t
• Jefferson County Department of Comniludty Dovebpmont
4� oN co�� 621 Sheridan Street,Port Townsend WA 8 (3601378-4450
Az— _ = � prmt Appo l)sP
Project Description:
Building Type: Project Type: Frame Type:
Single Family ❑ New erWood
�/
L/ Garage /Detached 'Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
Eil' Other: ,SA•ct't(IC', ,,fi1veues' rIM a^#bdet
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
{ Choose one:
Existing: r 1 Existing: ❑ Sewer ❑ Community System ( Electricity ❑ Oil
Proposed: Proposed: tte! individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
6loAC. t�1 YIAt►.>•Y4 V1..RV. `fi'; ❑ Conventional Alternative ❑ Other
•'c; `b e e\'1L i`yy aft.me ) Permit# SEP
Water Supply: ,.
❑ Private well ❑ Two Party Went( Name of water system: . t
Square Footage: `\For Office Use Only
Main Floor ,,1BC OCCUPANCY GROUP `•�
2ND Floor t�-' / v Base fee L(J9• �c it
v t
,3rd Floor ` `" /\ Plan Check fee 0Z O
Htd Basement \ tate Surcharge fee n U '
Unhtd Basement Subtotal L - S3
Garage/Carport 1 $Z "1'g. 0 Pot Water Review fee -O
Decks 911/Rd Approach fee
Commercial TOTAL ' i�//-�0 .- 5-3`'f Industrial Receipt# V d Q,"
Other I - OA : ' Cash/Check# • S 1;-
Total Valuation: r Initials
9 4Or p Datei ltFP,______(
Estimated Cost: 0 9 130 1 D j
If within 200' of the Shoreline,
C.
Distance to Bank or Ordinary High Water Mark ft.Bank Height * ft.
L
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 attorney'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 p operty or structure shall be requested and shall occur during regular business hours.
/1-------'
Signatur / 7 l Date: — / ��'/ /
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