HomeMy WebLinkAboutBLD2003-00096 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00096 Received Date 02/18/2003
SITE ADDRESS: 7715 FLAGLER RD Issue Date 03/21/2003
NORDLAND, 98358
APPLICANT: VINCENT P ZODIACO PHONE: (360)379-8594
JOYCE L ZODIACO
4289 MUIRWOOD CIR
RENO NV 89509-7007
SUBDIVISION: Block: Lot: T 9
PARCEL NUMBER: 021294017 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: CRAIG JOHNSON CONSTRUCTION INC PHONE: (360)379-8594
PO BOX 968
PORT TOWNSEND WA 98368
Contractor's License: CRAIGJC992N2 Expires: 08/22/2003
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: RENOVATION OF ENTRY & CHANGE OUT TOILET &SINK
REQUIRED INSPECTIONS:
[ ] SETBACK` /Footings: ot3U�T�6 E Poet,Ism 0 3/31A3,L e-okk a�loni
[ ] Foundation: ll
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[y'`y Framing/Plumbing: ,/.�4 13
J //
[ 1 Propane Tank/Lines:
[ Insulation: < ;'7/11_9
[ 1 Sheetrock: BBr(iJ,ut..--f e* &743 az 04/03IV
[ 1 Septic System Final Approval:
[ ] Zoning Final Approval: ,��1Cj
[ 1 Final/Occupancy Approval: G� _gm-- 4/ c-%i$%3
HEALTH DEPARTMENT AP ROVALREQUIRE P IOR 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
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BUILDING PERMIT APPLIC�ION B RDOe 0yp e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00096 Received Date: 2/18/2003
SITE ADDRESS: 7715 FLAGLER RD
NORDLAND, 98358
OWNER: VINCENT P ZODIACO PHONE: (360)379-8594
JOYCE L ZODIACO
4289 MUIRWOOD CIR
RENO NV 89509-7007
SUBDIVISION: Block: Lot: T 9
PARCEL NUMBER: 021294017 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: CRAIG JOHNSON CONSTRUCTION INC PHONE: (360)379-8594
PO BOX 968
PORT TOWNSEND WA 98368
Contractor's License CRAIGJC992N2 Expires 8/22/2003
REPRESENTATIVE: CRAIG JOHNSON PHONE: (360)379-8594
PO BOX 968
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOP RENOVATION OF ENTRY & CHANGE OUT TOILET & SINK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT 2p MAIN:
VALUATION 16,0,0(?:"00 �t ADD'L: HEAT TYPE: EEE
CODE EDITION: 1994
OCCUPANCY: ` HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
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
7i(I 9(03 �. Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A
A y; PROVED
Permit $265.25 MAM 02/18/03 52590
Plan Check $172.41 MAM 02/18/03 52590 MAR 2 1 2003
State Building Code $4.50 MAM 02/18/03 52590
Jefferson County Planning
Total: $442.16 & Building Depart ent
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621 Meriden Street,Port Townsend WA 8836813 h i]378-4450
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Project Description:CeNtitiATIO J ("� - paw emizq *C[ti l Si E 7t4
Building Type: Project Type: Frame Type:
❑ Single Family ❑ New Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular f�/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 0 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 I Base fee 293. 2S .ZS'- a''
3rd Floor Plan Check fee—655% .b( l !2.4-I /S.Z _
_._ �1'
Htd Basement State Surcharge fee /(/ �
Unhtd Basement Subtotal /,[4 Z. I Ls �O
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL 442. ( - & 2'O
Industrial Vf'l 3 Receipt# "` cS 9a5
2
Other Cash/Check# I A"J
Total Valuation: Z° Initials P ? p/t/12- l ,
may/
Or .rr1/1 Date 1(lL �' 3(a ti V�
Estimated Cost:
If within 200' i 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 o the applicant's property prs cture shall be requested and shall occur during regular business hours.
c Q Signature: . Dater
OVER
H:HOME\PLNCNTR\INFOBLDG'\FOkMS\BLDpermitApplication 11-8-01
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