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HomeMy WebLinkAboutBLD2002-00253 BLD02-00253 BUILDING PERMIT APPLI410 TION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00253 Received Date: 5/2/2002 SITE ADDRESS: 35 MC DONALD COVE RD BRINNON, 98320 OWNER: RICHARD H BUMGARNER PHONE: (360)385-0832 PO BOX 1962 PORT TOWNSEND WA 98368-0068 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502282005 Section: 28 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTIOI BATHROOM REMODEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 2,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 50 BANK HEIGHT: 50 SEWAGE DISPOSAL: OSS WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide ' (2L6° -- 3,,Q_____.— Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $69.25 MAM 05/02/02 47604 Plan Check $45.01 MAM 05/02/02 47604 APPROVEL State Building Code $4.50 MAM 05/02/02 47604 Potable Water Application $50.00 MAM 05/02/02 47604 MAY 0 3 2002 Total: $168.76 Jefferson County Planning & Building Department r r- " 1 n II f 1 Jefferson Milky Departmentof Development I ff Community SON co� ''021 heridan Street,Port Townsend WA 08368 1360)378-4450 `ryc pe Absb rJE �.,i, . Jurt� s"Y"� � ('� ' , fia DEPT. OF COMMUNITY DEVELOPMENT � g5© -�h'IN Project Description: Building Type: Project Type: Frame Type: Single Family ❑ New .Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: I Existing: I ❑ Sewer ❑ Community System Electricity ❑ Oil Proposed: Proposed: 3(.Individual System .Woodstove ❑ Propane Total: I Total: / If not sewer,fill out the following: ❑ Heat Pump eConventional ❑ Alternative ❑ Other Permit# SEP 3 3 Li/ Water Supply: CJ Private well ❑ Two Party Well Public:Name of water system: niCi ravvl.te-t 1 ac,oC_, wei4 1) Sys I Square Footage: For Office Use Only "s. ..: Main Floor A- 7 C.D z Consistency Review _'•%-�.:- 2ND Floor 3 50 f ' Base fee (0 ' • 7 5 3rd Floor /t1d1 Plan Check fee `1 5-. 0 Htd Basement /l14 State Surcharge fee 7 " S 0 Unhtd Basement /(/A- Subtotal I I� ' ' 1. Garage/Carport ,(/J - } Pot Water Review fee 'RI r D'D Decks 2 q� - 911/Rd Approach fee �-" Q / Commercial gig- TOTAL t q - - 7 6 Industrial `/ / !V A Receipt# `17 (0 0 Other Pile 54. (,0 0 " t Cash/Check# / 03 9 Total Valuation: : I 2.-i) 3'7 C> Initials � Or ----- Date 5// 01/o — ( Estimated Cost: .$ Z- 6 0 If within 200'of the Shoreline; - Distance to Bank or Ordinary High Water Mark A- LSD ft. Bank Height `'1"- 5-0 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 the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: �' i cn-yr� Date: y—Z Lf— 6 ?_-_ 2J4ro,• d , die/ -7, to e- e_ oci hawk-- OVER ► H:HOME\PLNCNTR\INFOBLDG\FOl S\BLDpermitApplication 11-8-01 0 • 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 #: BLD02-00253 Received Date 05/2/2002 SITE ADDRESS: 35 MC DONALD COVE RD Issue Date 05/3/2002 BRINNON, 98320 APPLICANT: RICHARD H BUMGARNER PHONE: (360)385-0832 PO BOX 1962 PORT TOWNSEND WA 98368-0068 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502282005 Section: 28 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION BATHROOM REMODEL REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: AL/4 _ [ ] Zoning Final Approval: A/M [Li Final/Occupancy Approval: O/C 22-o-Z HEALTH DEP TMENT 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. 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