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!
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Jeffersont
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621 Nolan Street,Port Townsimd WA 88368(360)370-4450
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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_
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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.