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HomeMy WebLinkAboutBLD2003-00186 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00186 Received Date 03/24/2003 SITE ADDRESS: 220 CHIMACUM CREEK DR Issue Date 03/26/2003 PORT HADLOCK, 98339 APPLICANT: CAROL L KENEALY PHONE: (360)385-7619 PATRICK KENEALY 100 S MAPLE ST#2 PORT HADLOCK WA 98339-8503 SUBDIVISION: CHIMACUM CREEK ESTATES DIV 2 Block: Lot: 1 PARCEL NUMBER: 943700002 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: REMODEL REQUIRED INSPECTIONS: [ ] SFTBACK5= /Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: _ [ ] Shear Wall: [ ] Framing/Plumbing: irRQMIu4 4/3/33" [ 1 Propane Tank/Lines: [ ] Insulation: '4 0/03 gi [ 1 Sheetrock: d K 4/4/03 y [ 1 Septic System Final Approval: [ ] Zoning Final Approval: [(` Final/Occupancy Approval: 0/c e —83 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 • BUILDING PERMIT APPLI•TION BLDOe 00wp186 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00186 Received Date: 3/24/2003 SITE ADDRESS: 220 CHIMACUM CREEK DR PORT HADLOCK, 98339 OWNER: CAROL L KENEALY PHONE: (360)385-7619 PATRICK KENEALY 100 S MAPLE ST#2 PORT HADLOCK WA 98339-8503 SUBDIVISION: CHIMACUM CREEK ESTATES DIV 2 Block: Lot: 1 PARCEL NUMBER: 943700002 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION CHA T WINDOWS r orL itiv A I -e'v fK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,500.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD 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: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: 3.4z,s03 F&W Landslide Shoreline A uifer gj-r2"-- Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 MAM 03/24/03 55920 /� ��� Plan Check $63.21 MAM 03/24/03 55920 /`t ®�E State Building Code $4.50 MAM 03/24/03 55920 MAR 16 Total: $164.96 2003 Jefferson Cour/0nty Piano! -& Building pe a Jeffersont ��ON eo ��lartnlell of Community DBYekmln811t 621 Nolan Street,Port Townsimd WA 88368(360)370-4450 1-3 permit pp, .. accito0ora ° hrlN Project Description: Building Type: Project Type: Frame Type: oe Single Family ❑ New c 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: _a Choose one: Existing: Existing. J ❑ Sewer ❑ Community System , Electricity ❑ Oil Proposed: Proposed: Individual System Woodstove ❑ Propane Total: Total: ^� If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative 0 Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well/ Public:Name of water system: 7/ I.( l. Square Footage: For Office Use Only deco Main Floor 7PV447Consistency Review • 2ND Floor Base fee -5 .35 9/. 6 S 1105. 10 3rd Floor Plan Check fee—65%332b• 3 • tL f 2(,3.3 2- Htd Basement — State Surcharge fee e-7 _ __ Unhtd Basement — Subtotal 16 L q t, •I L Garage/Carport 4" Pot Water Review fee q"it'2'. Decks ,' L✓ d 911/Rd Approach fee Commercial TOTAL ) 6 Industrial Receipt# r" 0 Other Cash/Check# Total Valuation: Initials Or ;i t VJi117� Date 0Estimated Cost If within 200' ofkie 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 struc sh be requested n sh occur dunn gular business hours. Signature: t/4 d t ' Date: --/V OVER_ H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 �" • _ , '� 0,., ,,t, ^ 4�� 1c � Y v� i� ivy's iit I�J vev1 s,,4,-J-aa'cE' +i uv+ 0-C-C a,-,:: a CmfC v, . 3) 1 ►ecl oi,ca._;vt Vi es Al) riri -.1 ,,ns t ,-., , ,Jec) be ,,,,„ ,„cLui ?iea ,e call w�e;,.. \rea.aiy £00Z t Z UVPI . , . , yERMII BLD 0 3 - 0 186 REF FEBSON COUMY 13C1 a tki —Si:11 1 . -, J� /°' .- �.., ,I,a tine E 4L , [ 1 ,...\\\ 1 .44.---'- 4 1 l2-------7' o `ac ® e, ! (04 \ \ i i nt '' 3 iii i II pmgN 7 M. 0 _w-r Er•1 t AAI-g s +A 6HNN(re- 00 r 0Pb1QZ--- 5!>'!Or<C- i�r xI E x i 57 e n1, 4.- .-, o �n cr +io 4d --l—A WTWt' P�ED�ovM 3 I A A O 1� � =p � i�paoaM�l +I 1 I fN +1 tio- ¢II I (s 1 11 tl -A �°+ E . WAU- 1.Ee-*)rq e 14 WAUA7 wwmm 5C- tzemovrSD 1-'LD CHI► WIUM C4z-Er--Y- QWF , Ta1z[ N�%pc.ac*- Wh�bM. C1- 1 fL aaF--- FLRN- LPN #94*.2=700-002 }'-106l 5Q.(W1Tq Gt4' -� Oontact the Building Depadmelt gt WO-44W prior to making CW90 W mvww 10 the approved pW* r JEFFERSON COUNTY DCD BUILDING PLAN REVIEW ❑ APPROVED AS SUBMITTED p/APPROVED AS NOTED ❑ REJECTED Data l Reviewer ALL GLASS AND GLAZING SHALL COMPLY WITH CHAPTER 24, 1997 UBC AS AMENDED BY WASHINGTON STATE BUILDING CODE COUNCIL NOTICE' plans are approved excepting or omisions Allany orafon inaconto apP all rmancerw with at en pass l licable codes and regulations.