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HomeMy WebLinkAboutBLD2002-00472 410 ilfr BUILDING PERMIT Jefferson Cou Dmt mni 621 Sheridannty Streetepart, Porten of TownsendComu , Wty AD 98368Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD02-00472 Received Date 08/19/2002 SITE ADDRESS: 580 N BAY WAY Issue Date 08/20/2002 PORT LUDLOW, 98365 APPLICANT: WILLIAM E RICHARDSON PHONE: (360)928-3459 ELIZABETH RICHARDSON 536 OXENFORD RD PORT ANGELES WA 98363-8864 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 921292008 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION UNHEATED BASEMENT UNDER EXISTING HOUSE REQUIRED INSPECTIONS:[ ] SETBACK` / Footings: �,,.>1ld/� f�.S 9/142 [ ] Foundation: OK-- l0�z , [ ] Underground Plumbing/Underground Insulation: PA [ ] Shear Wall: AM [ ] Framing/Plumbing: FA M l fat [ ] Propane Tank/Lines: IPA [ ] Insulation: 1J [ ] Sheetrock: N -A [ ] Septic System Final Approval: [ ] Zoning Final Approval: [.] Final/Occupancy Approval: ni< zt,r Zfr64-5HEALTH DEPARTMENT APPROVALIRE FA 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 03UILDING PERMIT APPLICaON B RD p Review ye: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00472 Received Date: 8/19/2002 SITE ADDRESS: 580 N BAY WAY PORT LUDLOW, 98365 OWNER: WILLIAM E RICHARDSON PHONE: (360)928-3459 ELIZABETH RICHARDSON 536 OXENFORD RD PORT ANGELES WA 98363-8864 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 921292008 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr UNHEATED BASEMENT UNDER EXISTING HOUSE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 7,731.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 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 cc ., Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.25 MAM 08/19/02 49487 Plan Check $99.61 MAM 08/19/02 49487 State Building Code $4.50 MAM 08/19/02 49487 Total: $257.36 ¢�o1v co • Jef e=Comikepartment of Co mluudty Development �� 621 Sheridan Street,Port Townsend WA 883881380)378-4450 W o d ppG0© a Project Description: Building Type: Projecton Type: "Frame Type: Single Family New / Wood e ad Garage Attached/Detached diti `` � Steel Modular Alteration/Remodel Concrete Commercial r. ;,,;• _ Repair _ Masonry Multi-family/#of Uni3 1.9 LruI. Demolition 11 Other: ._: Industrial = Other: Bathrooms: Type of Sewage Disposal: JEFFt�v�iJ'nBedrooms:' Type of Heat: Choose one: Existing: Existing: - Sewer Community System I 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 1 Two Party Well I Public:Name of water system: Square Footage: For Office Use Only Main Floor Cinsistency Review —CJ 2ND Floor Blse fee 5 3 , 3rd Floor / Plan Check fee—65% 9 9 s 1p Htd Basement `' ())\ State Surcharge fee 9 , Unhtd Basement '7G Subtotal -7, 3 Garage/Carport Pot Water Review fee -- — Decks 911/Rd Approach fee �— '= Commercial � TOTAL �� � o � I +rD Industrial Receipt# 1/ 9 4 7 Other Cash/Check# �► �4/ 7 9 Total Valuation: Initials Or Date 5?-1 9 --0 -2— Estimated Cost: 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 applicant's property or structure shall be requestedand shall occur during regular business hours. 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