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HomeMy WebLinkAboutBLD2002-00264 • • , 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 #: BLD02-00264 Received Date 05/7/2002 SITE ADDRESS: 790 GARDINER BEACH RD Issue Date 06/6/2002 SEQUIM, 98382 APPLICANT: JAMES G WARNER PHONE: (360)797-7415 790 GARDINER BEACH RD SEQUIM WA 98382-8709 SUBDIVISION: Block: Lot: T 11+ PARCEL NUMBER: 002273024 Section: 27 Township: 30 N Range: 02 W CONTRACTOR: R C MARTIN PHONE: (360)683-9423 21 W ROBERT PL SEQUIM WA 98382 Contractor's License: MARTIRC991PE Expires: 10/05/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION OVER EXISTING PORCH (NO CHANGE IN FTPRNT) REQUIRED INSPECTIONS: /] [ 4 SETBACKS / Footings: 0 7 - IZ -OZ. [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: ( ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] Zonin Final Approval: [ ] Fina upancy Approval: VrPRalf--HEALTH DEPARTMOVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 3794455. 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 APPLIG ION BLD02-00264 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00264 Received Date: 5/7/2002 SITE ADDRESS: 790 GARDINER BEACH RD SEQUIM, 98382 OWNER: JAMES G WARNER PHONE: (360)797-7415 790 GARDINER BEACH RD SEQUIM WA 98382-8709 SUBDIVISION: Block: Lot: T 11+ PARCEL NUMBER: 002273024 Section: 27 Township: 30 N Range: 02 W CONTRACTOR: R C MARTIN PHONE: (360)683-9423 21 W ROBERT PL SEQUIM WA 98382 Contractor's License MARTIRC991PE Expires 10/5/2003 REPRESENTATIVE(S): PROJECT DESCRIPTION COVER EXISTING PORCH (NO CHANGE IN FTPRNT) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 1,100.00 ADD'L: HEAT TYPE: CODE EDITION: 1976 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS 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 sl�� �ZFr243 Shoreline Aquifer 111 Forest: Commercial Rural .p Type Amount Paid B A v: Date: Receipt: ' •pre l� to ED Permit $41.80 MAM 05/07/02 47540 Plan Check $27.17 MAM 05/07/02 47540 JUN 0 6 2002 State Building Code $4.50 MAM 05/07/02 47540 Jefferson County Planning Total: $73.47 & Building Department C ,soN co ill Jotlerson C y Department of Community Development 4 6. 621 Sheridan Strut,Port Townsend WA 08368[3601378-4450 J4=4 "` �, ,, � 0 4 ram '$ prma?e , 0 Ppcfl© Project Description: ✓ 01 . 4-ioic,4 4-44,,,i— , C� /Adtzr.zj,- Building Type: Project Type: 7547 Fra Type: Z Single Family ❑ New ,� od ❑ 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: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ 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: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee 41 .20 3rd Floor Plan Check fee—65% °2'1 . 17 Htd Basement State Surcharge fee Zit,) Unhtd Basement Subtotal 1 7.4 7 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 13 - -7 Industrial pp `� �(� Receipt# 1-E1 SAC) Other T T" `7a C✓— Cash/Check# 64ks-s— . p/Q^'D t V J Total Valuation: itj I Q Initials Or —. Date Si i L62_ Estimated Cost: k /06 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 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 pplicant's property or structure shall be requested and shall occur during regular business hours. Signature: a.v►44 CAD / Date: P oZ o o A.. H:HOME\PLNCNTR\ NFOBLDG\FORMS\BLDpermitApplication 11-8-01 PERMIT # BLD. 0 2 - 0 2 6 4 . ,, ' c• JEFFERSON COUNTY DCD - , . i .....______ _,....._ 7 -- , ,2,601, iNted44.4._ .0. / i o , . IN% 1 i 4 8' "t .___J 4. . ._ \ L 1 A OM \ 1., , \ •1 "I) .1ini Warner 1, v' Ainf.t. 790 Gardiner Bch Rd Sequim, WA 98382 7- 74//s-" . . i — i . . APt\li '002.-z-13 ! i . i , • . t , •. . L.,. ..10.....,______::_i,,-..v- • i . _____ 1 1 .: ..k.. :: \rs rt i . . ! 1 1 ��� -- l IQI_Q ✓rq. frX�,OYI, 4' r I y pph I -� -- I41 "�GIC r%l�GKIN(� To MaTc� 7F�-4u1ie� towd_s�r4 j�/7CIZTYq. ah P�� MfGt 'SY.1:X 1H7ir7 ?&-jr tuM SCIBS TO 7JIE .`i1ELURh:D I (a" O . 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