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BLD2002-00188
• 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 #: BLD02-00188 Received Date 04/8/2002 SITE ADDRESS: 435 COLMAN DR Issue Date 04/18/2002 PORT TOWNSEND, 98368 APPLICANT: WALTER E BURROWS TRUSTE PHONE: (360)379-3365 LINDA M BURROWS TRUSTEE 435 COLMAN DR PORT TOWNSEND WA 98368-9476 SUBDIVISION: CAPE GEORGE COLONY DIV 7 Block: 14 Lot: 54 PARCEL NUMBER: 939601453 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION CONVERT PORTION OF GARAGE TO OFFICE W/ BATHROOM REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: / � [ ] Crming/Plumbin e '< J�C 49 / 6 2 = :Ji [ ] Propane Tank/Lines: [ ] Insulation: Q/c p�/e' Di ., ,S�.5/Q [ ] ee roc 7/c sy/2 ©2, e2(^ [ ] Septic System Final Approval: r'�a4-�COr `s/2-3 /9/ _ [ ] Zoning Final Approval: /1//4 [ "final O up na cy Approy , 6e l���t�/C 1 ., HEALTH DEPARTMENT A ROVAL R UIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR R 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 • BUILDING PERMIT APPLICI ION B RDOe 00188 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00188 Received Date: 4/8/2002 SITE ADDRESS: 435 COLMAN DR PORT TOWNSEND, 98368 OWNER: WALTER E BURROWS TRUSTE PHONE: (360)379-3365 LINDA M BURROWS TRUSTEE 435 COLMAN DR PORT TOWNSEND WA 98368-9476 SUBDIVISION: CAPE GEORGE COLONY DIV 7 Block: 14 Lot: 54 PARCEL NUMBER: 939601453 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTIOI` CONVERT PORTION OF GARAGE TO OFFICE W/ BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 21,608.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 331 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way Floodplain Routing Date: Landslide 9 (F.1F&W 0 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $349.25 MAM 04/08/02 46417 Plan Check $104.78 MAM 04/08/02 46417 'APPROVED State Building Code $4.50 MAM 04/08/02 46417 Total: $458.53 APR 1 8 2002 Jefferson County Planning r\& Buil=artrt • Jefferson i Departmmit of Community Development 4��SON c°G� 521 Simian Street. I Townsend WA 811158(3801378-4450 ra \ PermoTh App..,11 CaT 0 u - � � r;:zntflrF Project Description: Ar Building Type: ? inject Type: Frame Type: ✓ingle Family New c-Wood • Garage Attached/DetaiThe4 APR 8 2002 Addition 1i Steel • Modular L Alteration/Remodel = Concrete ▪ Commercial JEhlt.tlJvfY .t1UN1Y El Repair Masonry • Multi-family/#of Ur tlt YEPT OF COMMUNITY DEVE!OPMENI` Demolition Other: ▪ Industrial • Other. L 44/ " 4 / 14tI1I xrt t' o Type Pg Bathrooms: Bedrooms: T e of Sew e Dis al: TyP e of Heat: Choose one: Existing - Existing: -z- Ii Sewer Li Community System ! -"Electricity Oil Proposed: / Proposed: 0 Individual System Woodstove ❑ Propane Total: ' I Total: 7_^ If not sewer,fill out the following: I Heat Pump e-Conventional ❑ Alternative Other Permit# SEP Water Supply: Private well 1 Two Party Well 1. Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review - 2ND Floor Base fee 3rd Floor Plan Check fee i L C{ Htd Basement State Surcharge fee C) Unhtd Basement Subtotal _se• S E Garage/Carport Pot Water Review fee --rs Decks 911/Rd Approach fee //�/ _�- `� Commercial fie. IF TOTAL ��`�'c f r 5 3 Industrial S' kO 0 Receipt# L Other . 3 ,(,./ Cash/Check# ' Total Valuation: Initials �' Or Date • ���--- • Cx' Estimated Cost: 7, d�v, If within 200' of the Shoreline, 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 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 app nt's property or structure shall be requested and shall occur during regular business hours. Signature: Date: 1 02 OVER ► H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 44 23i_oil .rv11L - _ _.¢_�-od I c.E. q _t/� Is A T a 70 t>TSrD t --wtc-r lo.t4 JEFFERSON COUNTY DCD BUILDING PLAN REVIEW a O APPROVED AS SIIBMITTEV: W APPROVED AS NOTED O REJECTED Date JI,�[6102 Revi""r= PERMIT # BID 02-01�QP JEFFERSON COUNTY DCD ALL GLAS ND GLAZING SHALL, COMPLY TH CHAPTER 24, 1997 UBC AS A ED BY WASHINGT N STATE BUILDIN ODE COUNCIL. I I I I I L I ON _ 1' I I I ,