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HomeMy WebLinkAboutBLD2003-00080 41A3UILDING PERMIT APPLICON BLD03-00080 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00080 Received Date: 2/12/2003 SITE ADDRESS: 184 QUINAULT LOOP PORT TOWNSEND, 98368 OWNER: MARY L ROTHSCHILD PHONE: 517 E LODGE DR TEMPE AZ 85283-3739 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 11 Lot: 15 PARCEL NUMBER: 938701115 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: ISLAND WEST DEV& CONSTULTING PHONE: (206)842-2598 PO BOX 10880 BAINBRIDGE ISLAND WA 98110 Contractor's License ISLANWD005Q8 Expires 11/28/2002 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION EXISTING UNHEATED BASEMENT TO BE HEATED SPACE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 1,040 HEAT TYPE: PRO 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: 2 Exist: 2 Wetland Erosion Prop: 0 Prop: 1 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain Routing Date: F&W Landslide jod, . -0 ' Shoreline Aquifer Forest: Commercial I� 8 ED Type Amount Paid By: Date: Receipt: ®1 pprovedTDattee Permit $769.75 MAM 02/12/03 54969 FEB 2 4 2003 Plan Check $500.34 MAM 02/12/03 54969 State Building Code $4.50 MAM 02/12/03 54969 Jefferson County Planning & Building Department Total: $1,274.59 car A\ cactR tn ! BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD03-00080 Received Date 02/12/2003 SITE ADDRESS: 184 QUINAULT LOOP Issue Date 02/24/2003 PORT TOWNSEND, 98368 APPLICANT: MARY L ROTHSCHILD PHONE: 517 E LODGE DR TEMPE AZ 85283-3739 SUBDIVISION: CAPE GEORGE COLONY DIV 4 Block: 11 Lot: 15 PARCEL NUMBER: 938701115 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: ISLAND WEST DEV& CONSTULTING PHONE: (206)780-7850 PO BOX 10880 BAINBRIDGE ISLAND WA 98110 Contractor's License: ISLANWD005Q8 Expires: 01/02/2005 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION EXISTING UNHEATED BASEMENT converting to HEATED SPACE REQUIRED INSPECTIONS: / [ ] SETBACKS / Footings: N A- [ ] Foundation: N /A [ ] Underground Plumbing/Underground Insulation: WA' [ ] Shear Wall: NI/J- [ ] Framing/Plumbing: [ ] Propane Tank/Lines: Pt-- [ ] Insulation: ] eetrock: 0 O:' [ ] Septic System Final Approval: /� i .k_,[ i Qoci- yl [ ] Zoning Final Approval: N(i*• [ ] (Final/Occupancy Approval: ," CLTF 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. SPECIAL CONDITIONS APPLY -SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY �, SPECIAL CONDITIONS FOR CASE BLD03-00080 1.) THIS PERMIT TO TAKE THE UNHEATED BASEMENT TO HEATED HABITABLE SPACE WITH A FLOOR PLAN SHOWING THE FOLLOWING ROOM USES: FAMILY ROOM CRAFTS/SEWING ROOM FULL BATH WITH LAUNDRY FACILITY STORAGE ROOM The septic system is a TWO BEDROOM system and the manufactured home has TWO BEDROOMS. The number of bedrooms allowed in the basement is ZERO (0). is\F_BLD_Permit_Buildng.rpt 10/29/19 • Jefferson Conartllunt of Community Dos; i 'moot E °N °°� 621 Sheridan Street,Port Townsend WA 883681360]378-4450 ti c�y`1 0 l �. permilcilf, App8 © j© � iII1Y Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ❑ New }(Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular Alteration/Remodel Concrete • ❑ Commercial CIRepair V❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: -z Existing: CI Sewer CI Communi stem S Proposed: / Proposed: 0y Electricity ❑ Oil 'Individual System CI Woodstove 1/Prppane Total: 3 Total: If not sewer,fill out the following: CI Heat Pump ElConventional ❑ Alternative ❑ Other fib S�r ,af�tc Permit# SEP c,C . Lt1 ice:'£ Water Supply: ❑ Private well ❑ Two Party Well El Public:Name of water system: Square Footage: �-- For Office Use Only Main Floor f y C nsistency Review loci- 2ND Floor '' 'se fee —7 to_1- 1 - 3rd }� �'^jti ��341 Floor / :Pion Check fee—65% JLJ CHtd Basement `� /,0�a45. State Surcharge fee L{- V Unhtd Basement-nt # Subtotal , '...—1 4 •�~9 i Garage/Carport 14 Pot Water Review fee C..�_ Decks 911/Rd Approach fee -C/ / Commercial TOTAL ion 7't 7 -S—cl Industrial Receipt# 54/9 6 9 Other Cash/Check# 02 AA Total Valuation: Initials /v' Or Date c-J-- fS—0 3 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 gold 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 4)r in conseq6eilw of the granting of this permit. I further agree to provide access andht of entry to Jef rson 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 thelilic t''ss property or cture shall be requested and shall occur during regular business hours. Signature: `—gnatu e: � � , / _,, .c9_s----...._ Date: !,;z f-��d OVER ` H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 , . APPitovEu ir-1.44/4 RS:6MM ON BUILDING auT ..'''' WITH ,, C . , POSTED PERMIT SIGN OFF SH 7 C_ ) ,- -- • 9 Fl --- WQ.0' /4/ 1 1 I [ Igk (' Ve. _ - * 45/ 949(ir — A ° ° . ,__. ._..._ c3 , 40 0 C ii:1"- ,......c., Av .1. a " - s•G' . - ,y,-.4., 0 .-PAcP 11A-1 .- IN , .5 r .,.., 6' .I. -ri". oi 0 -- 2 ' A-Pc,,e0 Y. 0 ?P_o pose D 01 '?g0 0056 a' Jo X 30 No A.4.5..%.14 ---u-a-c K. /0/6t-iti.6f)e... Atee-JE N 2as \D N .--- 4 Z u.36.1.2-1 Auk STANT tiow,e 9 i k tr, nio4,104.14.4-, ‹k0 1 , o. , A ,), 4 4171 y(t a_.,„ vlit,2), j ' 64' 1 N *0-) *' i• te e ' / 26 / i____/ 1 i 7 liXv- . p -----7--\„,„-- t I, r . 1 • 1 6.--kAuel_7)i2 Ne- i I e....P.'' ---___-- ,_ . — -- - Q 4.)/,,./.4.0/..-r--" Loo? RE'VISED z S4! „iPlAN2__dated 2 o. 1 LAAJD 7/4-5 ci-i/4 D Thorrct-7- .zt./0‘<( Hasbbeeny JEFFEAPRsPItoONVEDcout4Ty-Z4ZA"'2-- DEPT.OF COM UNITY D: diiiiiii - LOT-45- 0000 At)z-r- Z.44D P C A d'96". G6-0 RG1 6. SIGNATURE: A f , r A 1.1,0,7W .. siormwaterBMP's y•70///5 Required i I, 41. ak 0 ,miiiimmimmini. w 11, Li111c:iii it!' i i,6it41:111,1 :!‘ 4 .. 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