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HomeMy WebLinkAboutBLD2003-00028 BUILDING PERMIT 1 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00028 Received Date 01/14/2003 SITE ADDRESS: 192 W FREDERICKS ST Issue Date 02/4/2003 PORT TOWNSEND, 98368 APPLICANT: CHRISTOPHE M GRACE PHONE: (360)379-1052 507 TAFT PORT TOWNSEND WA 98368 SUBDIVISION: EISENBEIS BAY VIEW Block: 13 Lot: 1-12 PARCEL NUMBER: 948601301 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADD BATHROOM TO EXISTING WORKSHOP REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: /J/A [ ] Foundation: dl/A [ ] Underground Plumbing/Underground Insulation: 0/4 ZA3, [ ] Shear Wall: [ ] Framing/Plumbing: fi.6cM8i,4 44. /e0x/0 6 F i4pug* The De-f [ ] Propane Tank/Lines: [ ] Insulation: f9 J--- - ] Sheetrock: [ ] Septic System Final Approval: [ ] Zoning Final Approval: [ ] r�` Final/Qoeupancy Approval: "V/5/'� 'CP 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 BLD03-00028 •UILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00028 Received Date: 1/14/2003 SITE ADDRESS: 192 W FREDERICKS ST PORT TOWNSEND, 98368 OWNER: CHRISTOPHE M GRACE PHONE: (360)379-1052 507 TAFT PORT TOWNSEND WA 98368 SUBDIVISION: EISENBEIS BAY VIEW Block: 13 Lot: 1-12 PARCEL NUMBER: 948601301 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: KATHY GRACE PHONE: (360)379-1052 507 TAFT PORT TOWNSEND WA 98368 PROJECT DESCRIPTION ADD BATHROOM TO EXISTING WORKSHOP F-1 -' ' Ale-iGe5) TYPE OF WORK GAR SQUARE FOOTAGE: // TYPE OF IMP ADD MAIN: 144 VALUATION 9,400.00 ADD'L: HEAT TYPE: PRO 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: OSS WATER SYSTEM: CITY 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: F&W Landslide IS I 0 3 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 MAM 01/14/03 52834 APPROVED / Plan Check $117.81 MAM 01/14/03 52834 State Building Code $4.50 MAM 01/14/03 52834 FEB 0 4 2003 Potable Water Application $50.00 MAM 01/14/03 52834 Jefferson County Planning Total: $353.56 &Buildi g Department n JAM 14 210� - a , v - 4_. __J 1 CD PERMIT # OLD n rn 0 3 - 0 0 2 8 • 7\-� JEFFERSON COUNTY DCD '\-- .S) -17 o cos o \I U cols 0-5 cl ,- , CD c o i� �2;' a / 9 ibZ J • , , lbw!✓ad/a O a,0 a 00/a� / >9 o>J o e ui G n-1 / �.d°ia4 1 ,i rnrn • ____ ; , _____ ,, _ ; , ,, ,-__ / i ,,.:.. i _____ , --- ,__ ,, , < , -1&••.,, , : -- ' , / --- a r- n ...in;-....... . a- \� i ( 1 �l ,�� '; I o IG / _____..- 4 r0 71 --I 0 co Jefferson Countilhartment of Community Development 121 Sheridan Street,Port Townsend WA 88368[360]378-4450 0 ermot A _ OApcfl©o � Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ❑ New er Wood f] Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular J Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial Other: ate Ace k workshop Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: C Existing: () ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil X Proposed: I Proposed: 0 (,(Individual System ❑ Woodstove 'Propane Total: j Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional b Alternative ❑ Other Permit# SEP 09\ t t 1 Water Supply: ❑ Private well ❑ Two Party Wet X Public:N wa er ystem: C<-1/4, O t .bWA9.416 Square Footage: 'y or Office Use Only Main Floor 1�� '0 " �a k 12 q()° Consistency Review 2ND Floor ' Base fee I &'/• Zs 3rd Floor Plan Check fee—65% i/I -g Htd Basement State Surcharge fee - SD Unhtd Basement Subtotal . �D 3 - S Garage/Carport Pot Water Review fee Ft Decks 911/Rd Approach fee Commercial TOTAL 7 / Industrial Receipt# S ase3 Qy Other Cash/Check# , 1"7 Total Valuation: Initials Or Date / (iD3 Estimated Cost: S SpC0 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 a plicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: t— I g y O 3 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 APPROVED .. - F. SITE PLAN OCT 1 8 2002 JEFFERSON COUNTY [ (� �/ OCT - 8 2002 0 . . . Ji,r,. ,:,,,;i ;,i�iJ;ilY DEPT.OF CO jiY DE' 1-0 .$£� DEPT. OF COMMUNITY DEVELOPMENT j SIGNATURE: � • i . dill, , . , • , „ ,, , , //) ,. ,.. OG '8nt� l% • ni t :1 :.' . A : 9i 49 I WL0G o?�a l ))fr*4 .. .-5-' 1 4 4 / ) `.-. 0 ..4. � o /1 t.tr:. i � � y ti Ii I(/1(// / z (.. a I . Isl (51 .7\72 ' - . 41111C •- e;7)„,/,,../ L 1 .371 l Op Li., .1 /I:\ ' ) , .. ' 41,,x,„ , . , _ °' • 1 ./ ( % ' \.. r 1 \ \ .n \, " m j( 1' • p 1 I m. \\, 1 1 / `') • I )..11 a -z. z ' i // r I / ,I •./"N, // ... i • - ♦ . VoS•w 1 0 w '