HomeMy WebLinkAboutBLD2002-00192 ! •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD02-00192 Received Date 04/9/2002
SITE ADDRESS: 180 BLANCHE AVE Issue Date 03/6/2003
PORT HADLOCK, 98339
APPLICANT: BROOKE TAYLOR PHONE:
PO BOX 664
PORT HADLOCK WA 98339
SUBDIVISION: Block: Lot: T 41
PARCEL NUMBER: 901024019 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ROOF REPAIR& add second floor unheated storage
REQUIRED INSPECTIONS:
[ ] SETBACKS / Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Septic System Final Approval:
[ ] Zoning Final Approval:
[ ] Final/Occupancy Approval:
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
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03UILDING PERMIT APPLICION B RD02-001eview p92
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00192 Received Date: 4/9/2002
SITE ADDRESS: 180 BLANCHE AVE
PORT HADLOCK, 98339
OWNER: BROOKE TAYLOR PHONE:
180 BLANCH AVE
PORT HADLOCK WA 98339-0664
SUBDIVISION: Block: Lot: T 41
PARCEL NUMBER: 901024019 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: C C & SON CONSTRUCTION PHONE: (360)732-4731
340 CHERRY STREET
CHIMACUM WA 98325
Contractor's License CCSONCI077JB Expires 3/23/2002
REPRESENTATIVE(S): DAV VANG
CC & SON STRUCTION ( \ A )\-\�y..'` , \
340 RRY S Vv
IMACUM WA 9832
PROJECT DESCRIPTION ROOF REPAIR & REMODEL
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 10,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 600 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
Routing Date: F&W Landslide
�,..`t ,0 D . � tr..—„ Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: (gyp ' I at /
Permit $181.25 MAM 04/09/02 46424 V
Plan Check $54.38 MAM 04/09/02 46424 MAR 6 Z003
State Building Code $4.50 MAM 04/09/02 46424 Jefferson County planning
Total: $240.13 & Building ®epartme t
sd
•
__Stormwater Calculations
IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) 4111 izsq/ft Structures(all roof area) C c3 ^Si sq/ft
Driveway 0 sq/ft Driveway Ahe sq/ft
Sidewalks sq/ft Sidewalks 0 sq/ft
Patios 0 sq/ft Patios sq/ft
Decks sq/ft Decks 0 sq/ft
Other
sq/ft Other sq/ft
Total New (�/ sq/ft Total Existing 62 F sq/ft
TOTAL NEW+6TAL EXISTING �4, 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:
LAND DISTURBING ACTIVITY
Drainfield area cleared , ) sq/ft Well, Structures, Utilities, etc. sq/ft
Driveway sq/ft Other , sq/ft
Total Land Disturbance 0 sq/ft
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�w ��, JEFFERSON CUNTY "
04 DEPARTMENT OF COMMUNITY DEVELOPMENT V r, 10 F
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Q• 621 Sheridan Street • Port Townsend • Washington 98368 �Q� '
'4` ds - ' 360/379-4450 • 800/831-2678 • 360/379-4451 Fax CJCS\\C
BUILDING PERMIT APPLICATION
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
Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: Sewer Community System : Electricity 1 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:
i
Private well Two PartyWell . Public:Name of water system:
Square Footage: For Office Use Only
Main Floor I c a 1 UBC OCCUPANCY GROUP
' i) Floor Base fee I ' *
-
3rd Floor 0 Plan Check fee `'S M. 3 $
Htd Basement State Surcharge fee ti.5....0
ut_yvL
Gnnhtd aseipent �'�( yu ('T• 61 2 -51,6let Subtotal g_ -l"�PsO „ 1 3
arage/Carport 600 Pot Water Review fee '
Decks 0 `fit- 91 I/Rd Approach fee l� �'
Commercial TOTAL 9.4 0 .
Industrial Receipt# 'I L 4 24
Other Cash 420
# I.Q '
Total Valuado 0 ' Initials
Or Date Isi" el "04 Z—
Estimated Cost.
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark te5 ft. Bank Height ft.
!iv signing;he application corm,the applicant/owner attests that the information pros ided herein is true and correct to the best of their knowledge. Any material falsehood.- :c.. -
t•nussion of a material fact made by the.irritcant/owner with respect to this application packet maa result in this permit being null and void.
I further agree to save,indemnify and hold:iarmless Jefferson County against.ill liabilities,iudggrnents,court costs,reasonable attorneys fees and expenses which may in ow way.accr.:..
,,-unst 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 fir;he purpose of application review and any required later inspec::..n>
\cress and right try to the plicant's,ro cry ors ture sh be requested and•hall occur during regular businessq/oq/od—
I hrs.
Signature: Date:L1 R)ME\PC CNIR\INFOBLIX;\ ' )RN[S',BI.I rmitApplicationl. 2000
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