HomeMy WebLinkAboutBLD2001-00543 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 #: BLD01-00543 Received Date 09/27/2001
SITE ADDRESS: 80 5TH AVE Issue Date 10/1/2001
PORT HADLOCK, 98339 Expiration Date 10/1/2002
APPLICANT: LINDA L HUCKINS PHONE: (360)379-4698
PO BOX 342
CHIMACUM WA 983250342
SUBDIVISION: IRONDALE Block: 23 Lot: 21-24
PARCEL NUMBER: 961802310 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: PAUL GUTHRIE CONSTRUCTION PHONE: (360)385-7765
11 MAY ST
PORT HADLOCK WA 98339
Contractor's License: PAULGC*001OH Expires: 09/07/2003
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION NO MLA REQ'D -CHIMNEY REPLACEMENT
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ j Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: -.I` �r�t
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.
HOT LINE AVAILABLE 24 HOURS A DAY
is\F_BLD_Permit_Buildng.rpt 10/29/19
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00543 Received Date: 9/27/2001
SITE ADDRESS: 80 5TH AVE
PORT HADLOCK, 98339
OWNER: LINDA L HUCKINS PHONE: (360)379-4698
PO BOX 342
CHIMACUM WA 983250342
SUBDIVISION: IRONDALE Block: 23 Lot: 21-24
PARCEL NUMBER: 961802310 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: PAUL GUTHRIE CONSTRUCTION PHONE: (360)385-7765
11 MAY ST
PORT HADLOCK WA 98339
Contractor's License PAULGC*001OH Expires 09/07/2003
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - CHIMNEY REPLACEMENT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 2,200.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
F&W Landslide
Routing Date: j� 7/0/ Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: elate
Permit $83.25 MAM 09/27/01 30435 APROtJED
Plan Check $24.98 MAM 09/27/01 30435
State Building Code $4.50 MAM 09/27/01 30435 OCT O 1 2001
Total: $112.73
• • 't
DEPT.OF UN E rtQPMENT
SIGNATUR .
cO t
lifilk,,,N ��, JEFFERSON COUNTY � � � � � -�
►� DEPARTMENT OF COMMUNITY DEVELOPMENT D
�� r* 621 Sheridan Street • Port Townsend • Washington 98368 SEP 2 7 Za
SIN 360/379 4450 . 800/831-2678 • 360/379-4451 Fax
JEFFLI SUN COUNTY
BUILDING PERMIT APPLICATIQ! T. OF COMMUNITY DEVELOPMENT
Project Description:
Building Type: Project Type: Frame Type:
.: Single Family New Wood
Garage Attached/Detached Addition Steel
Modular Alteration/Remodel Concrete
Commercial Repair Masonry
Multi-family/#of Units Demolition _ Other:
Industrial
I Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: Sewer Community System I Electricity I Oil
Proposed: Proposed: Individual System I Woodstove Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
Conventional Alternative J Other
Permit# SEP
Water Supply:
Private well Two Party Well Public:Name of water system:
Square Footage: ' �4ea° 1 For Office Use Only
Main Floor /� UBC OCCUPANCY GROUP
2ND Floor £' 2 / Plc e f Base fee R. ,
3rd Floor Plan Check fee 9�5
Htd Basement State Surcharge fee41 ` S0
Unhtd Basement Subtotal / 13 • "7 3
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee ---- ' —
I
Commercial TOTAL / / c ' 73
Industrial Receipt# 3 4 3 5
Other Cash/Check# 3
Total Valuation: Initials ,��
Or Date 1 4 CT 01
v�dO
Estimated st:
If within 200 'ne,
Distance to Bank or Ordinary High 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 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 property or structure shall be requested and shall occur during regular business hours.
Signature . Lfc' Date: Y-r>2(o d/
FI:HOMfE\PL CN'I'R\INFOBLDG\FORMS\BLDpermitApplicationI/2000
Stormwater Calculations
IMPERVIOUS SURFACE
NE
/�
Structu s(all roof are sq/ft ►Structures (all roof area) 1 'O sq/ft
Driveway sq/ft Driveway `1 !h o sq/ft
Sidewalks sq/ft Sidewalks At a. sq/ft
Patios sq/ft Patios o sq/ft
Solid Decks sq/ft Solid Decks �)J O sq/ft
Other sq/ft Other 6V ® sq/ft
Total New" sq/ft Total Existing '2---' •j sq/ft
TOTAL NEW+TOTAL EXISTING* sq/ft
*This amount will be used to check total lot coverage
Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface, that will take
place: 7
,'
LAND DISTU"BING ACTWITY
Drainfield area cleared sq/ft W•1i, Structures, Utilities,etc. sq/ft
Driveway sq/ft •ther sq/ft
Total Land Disturbance sq/ft
3 rt:„ . , , .
SEP 2 7 2001 ..)
JErFtrs� N COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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