HomeMy WebLinkAboutBLD2002-00182 • BUILDING PERMIT APPLIRTION MRLA02 0eview 0p1e70
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00182 Received Date: 4/4/2002
SITE ADDRESS: 266 ADELMA BEACH RD
PORT TOWNSEND, 98368
OWNER: A M O'MEARA PHONE: (360)385-3884
DOROTHY O'MEARA
524 ROOT ST
PORT TOWNSEND WA 98368-4204
SUBDIVISION: 00 i 30•Lf 0g2... Block: Lot: T G18
PARCEL NUMBER: -004324054 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: BRADY CONSTRUCTION PHONE: (360)379-9321
725 55TH ST
PORT TOWNSEND WA 98368
Contractor's License BRADYC*990BQ Expires 1/18/2003
REPRESENTATIVE(S):
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 728
VALUATION 100,000.00 ADD'L: 573 HEAT TYPE: OIL
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 308 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: J% F&W Landslide
7 / 8 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $993.75 MAM 04/04/02 46408
Plan Check $298.13 MAM 04/04/02 46408
State Building Code $4.50 MAM 04/04/02 46408
Potable Water Application $30.00 MAM 04/04/02 46408
Total: $1,326.38
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BUILDING PERMIT APPLICA . F co '"^LINITY DEVELOPMENT
Project Description:
Biuildin• .e: Pro'- pe: Fra - v.e:
Wood
_ Detached . .atron --
Modular Alteration/Remodel Concrete
Commercial 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: (71-. 1 Individual System Woodstove Propane
Total: Total: If . fill out the following: Heat Pump
Conventional Alternative Other
Perna -
Water Supply: �p�
-- Private well Two Party Well Public:Name of water system:AV //Yei-44yj,rd ez.k � f�P
Square Footage: For O� e UOse O,ni ✓ 3 9-
00
Main Floor ��� 1 S�3' T UBC O�C ANCCY�GROUP
2N1)Floor 73 3O ` Base fee , . 75
3rd Floor Plan Check fee 2 /E, /
Htd Basement State Surcharge fee 7 `/r
,
Unhtd Basement �f Subtotal / 35' 3 g-
Garage/Carport .a0 3 D V Pot Water Review fee - 3 t7. 0 0
Decks W 911/Rd Approach fee Commercial TOTAL ( )3 l i
D 5, Q
Industrial Receipt# `"I (e)4 0 g.
Other Cash/Check# / 3 3
Total Valuation: /r3� Initials 7!
Or Date CJ �P6/2----
Estima Cost. /Wedo/� `/
If wit in 20 of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
liy 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 prope ty or structure shall be requested and shall occur during regular business hours.
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Signature: Doti Date: d( ��/
1-f:lIOME\P . C I'R\IN ItOBLDG\FOR, IS B ,D crmit:A lication1 2000
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H JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street
Port Townsend, WA 98368
Al Scalf, Director
January 14, 2003
A. M. O'Meara
Dorothy O'Meara
524 Root St.
Port Townsend, WA 98368
RE: Cancellation of BLD02-00182
Address: 266 Adelma Beach Rd., Port Townsend, WA
Parcel: 001324082
Description: Single-Family Residence with Attached Garage
Dear Mr. O'Meara:
The building permit for a single-family residence with attached garage at the above
address has been cancelled.
If you want to do this project in the future you will need to apply for a building permit
under the rules and regulations in effect at that time.
For your records, I have returned both sets of plans.
Sincerely,
N
Zoe Niswonger
Building Permits/Inspections Development Review Division Long Range Planning
(360) 379-4450 FAX (360) 379-4451
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