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BLD2003-00035
0 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00035 Received Date 01/17/2003 SITE ADDRESS: 10 PARKPLACE CT Issue Date 02/26/2003 PORT TOWNSEND, 98368 APPLICANT: ALAN H IVES TRUSTEE PHONE: NANNI M IVES TRUSTEE 10 PARK PLACE COURT PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#10 Block: Lot: 312 PARCEL NUMBER: 965000359 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NEW WINDOWS & SKYLIGHT REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] `.FramingiPlumbing:y tf/Z$/C [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] , Zoning Final Approval: [1 Final/Occupancy Approval: ®K C.yi 7 HEALTH DEPARTAPPROVAL 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 BLD03-00035 UILDING PERMIT APPLICAi"!JN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00035 Received Date: 1/17/2003 SITE ADDRESS: 10 PARKPLACE CT PORT TOWNSEND, 98368 OWNER: ALAN H IVES TRUSTEE PHONE: NANNI M IVES TRUSTEE 10 PARK PLACE COURT PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#10 Block: Lot: 312 PARCEL NUMBER: 965000359 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW WINDOWS & SKYLIGHT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,500.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: KALA PT PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide 5/ 1 03 n ;� / Shoreline Aquifer Forest: Commercial r Type Amount Paid By: Date: Receipt: AJJ3QVEDe Ypp Permit $97.25 MAM 01/17/03 52844 FEB 2 6 2003 Plan Check $63.21 MAM 01/17/03 52844 State Building Code $4.50 MAM 01/17/03 52844 Jefferson County Planning Total: $164.96 & Building Department • Jefferson C� artment of Community I velopment „e sozz °�� h' 621 Sheridan Street,Port Townsend WA 88368 13601 378-4450 prrnat _ o0 �IIN Project Description: Building Type: Project Type: Frame Type: Single Family ❑ New X.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: a2 Existing: .9 ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: a Proposed: ry X Individual System ❑ Woodstove ❑ Propane Total: ,:. Total: If not sewer,fill out the following: X Heat Pump iitt Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well* . Public:Name of water system:%</3 Liz ba,st/d 0 74./T/ Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee 9 7, ZS 3rd Floor Plan Check fee—65% • Z. Htd Basement State Surcharge fee 1 l - Unhtd Basement Subtotal I to`( 1 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL f Ip 9(J Industrial Receipt# S�e Other Cash/Check# V Total Valuation: Initials 574 el Date 2 Estimated Cost: (5.52)0 . Ifwithiri 00'--of-the�hurelir3e;'.__.------- 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 applicant's property or structure shall be requested and shall occur during regular business hours. Signature: £i2 )� �/ Date: �� /o,3 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 \ N \' a \ r \\ �� \ / \\,. ,N Cki o .• \ -----.71--------il \ \\ 7 N N. � \ 0 \ \ \\\ N \ \ \ a N \ \ \ sr- -:-.......-7.-..------"--",......-______ �p/NT DAP/ \ \ of \ - . . . Legend Contour Lines ------ Property Lines efaillil Roadway Drainage -----• - • o Water Tap - ✓ Phone Tap o Electrical Tap • 3/4" Iron Pipe SCALE /"=40' LOT 3'0 2 {ALA [Piro, ©OW° HO. 110 \ '-'- ' \ Nt-t \ ,. ' \ =- I \ . 4t. , \ :::,,A 6 ‘1 3 r\i \ . - cS \ ,:---iv , ® 09�s c N \ t Sh90C ! .4‘ 1 I \ 11.1 :'--4 6 1;3 i --1 1.- \ t r:or I _ 1 Q .4. . * I \ O it % s o w o 01 */ i111 • (S) ,„e''' I ill iZ :1 �o11/ 4Liv:*Pffoyor ,I,T 1----4 \ 01 ,,,,-1z$ 436\ ,z4:4( c9'. \ < ) 4-.R i tt 04 --, tV1— .st 1—-v1.-1 1 1p '4 4/4( -94 ' \ 0 i--\ .../ 1,r0 _ 11 Z. ' \ Ho-;z/ VIZ re 2 . . yi 1 0 4 . 1„ -- . 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