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HomeMy WebLinkAboutBLD2003-00225 BUILDING PERMIT 0 Jefferson County pm of i 621 SheridanDe Streetart, Portent Townsend,Commun Wty AD 98368Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00225 Received Date 04/8/2003 SITE ADDRESS: 175 CHIMACUM RD Issue Date 04/16/2003 PORT HADLOCK, 98339 APPLICANT: CAROL L FLETCHER PHONE: (360)385-1585 211 CHIMACUM RD PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: T 70 PARCEL NUMBER: 901024046 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: CHANGE OUT WINDOWS & DOORS REQUIRED INSPECTIONS: [ ] SETBACKS /Footings: to L- T©le�c- y/zy 2 [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: 1 1 Propane Tank/Lines: [ ] Insulation: 1 1 Sheetrock: 1 1 Septic System Final Approval: _ [ ] Zoning Final Approval: / 1 Final/Occupancy Approval: ;^ <' ^ =,/'�7{Gy 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 APPLITION B RD03-00225 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00225 Received Date: 4/8/2003 SITE ADDRESS: 175 CHIMACUM RD PORT HADLOCK, 98339 OWNER: CAROL L FLETCHER PHONE: (360)385-1585 211 CHIMACUM RD PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: T 70 PARCEL NUMBER: 901024046 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: KEN OLSON PHONE: (360)301-0885 PROJECT DESCRIPTIOF CHANGE OUT WINDOWS & DOORS TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 2,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS NUMBER OF EMPLOYEES: WATER SYSTEM: PUD PARCEL TAGS: YES NO BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Wetland Erosion Prop: Seismic Streams Total: 1 Flood Way Floodplain Routing Date: LS F&W Landslide �9 0.3 Shoreline Aquifer eo/te_ Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $69.25 MAM 04/08/03 56004 D State Building Code $4.50 MAM 04/08/03 56004 /A P P R®\/c Plan Check $45.01 MAM 04/08/03 56004 V L. Total: $118.76 APR 1 6 2003 Jefferson County Planning 7 &/Building Department fda/923t---' i S • Jefferson Clay Department of Community Development oN ° 621 Sheridan Street,Pit Townsend WA 88368(3601 370-4450 W x� ti 0 4. .Pix UUU App ilicaToon Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ❑ New ❑ Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular Alteration/Remodel V Concrete C3 Lzs • Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 9 Existing: ❑ Sewer Community System ❑ Electricity ❑ Oil Proposed: Proposed: Individual System ❑ Woodstove .Propane Total: j Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP _/'1 .R;'15 ' Water Supply: ❑ Private well ❑ Two Party Well ri Public:Name of water system: P V D I Square Footage: For Office Use Only Main Floor p<4-60 Consistency Review 2ND Floor Base fee (p 9, 3r3 Floor Plan Check fee—65% l C,J r • 0 Htd Basement State Surcharge fee �(• SI// Unhtd Basement Subtotal l 1 >, '7( ' Garage/Carport Pot Water Review fee Decks r 911/Rd Approach fee '` Commercial 3 L--F�c \ \ c\ Q L b b TOTAL 6 j , �`F� Industrial Receipt# 5/ DO'`1 Other 11 !!,, Cash/Check# d-0(/ Total Valuation: �`\-0 V Initials may/ Or Date Estimated Cost: �,(�O, If within 200' reline, 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 agre i provide ac 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 rtghtTof en o the applicant's property or structure shalt e reque ed and all occur during regular business hours. — y`L�� Signature: -�Z�-` � � -(_ � � Date: � OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • , el JEFFERSON COUNTY g DEPARTMENT OF COMMUNITY DEVELOPMENT -5"*i.* 621 Sheridan Street• Port Townsend • Washington 98368 '`SIT 360/379-4450 • 360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopment/ us/commdevelopment/ Stormwater Calculation Sheet MLA# PROJECT/APPLICANT NAME: cit e o (_ L P_- This stormwater calculation sheet should accompany stand-alone stormwater management permit applications, building permit applications,and other land use approval applications that involve stormwater review. STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW // EXISTING Structures(all roof area) (� 'sq/ft Structures(all roof area) sq/ft Driveway sq/ft Driveway sq/ft Sidewalks ` sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks +` sq/ft Solid Decks sq/ft Other 4k sq/ft Other sq/ft Total New v e sq/ft Total Existing -/ E sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used to check total lot coverage Please also indicate the amount of land-disturbing activity, in addition to the creation of impervious surface, that will take place: LAND DISTURBING ACTIVITY Drainfield area cleared sq/ft Well,Structures, Utilities,etc. sq/ft Driveway sq/ft Other sq/ft Total Land Disturbance sq/ft APR - 8 2003 STORMWATER MGMT PERMIT DOC REV.12/23/2002 • • ,I II I • i rn _ Ill < 0I o p- • - z x r- p v - ill - -35 I Y . . / - O I - z 4 & ,=-- i (..../..,...„„---)1-0 . j :_._. ,- I I O ' • p } L -\ � -, --- c i rn 0- Ed is 1 r . f.: i ( ' pry N ,,yy - Y} .,3 day 4.8 0 i' •i —, 1.. .,u, :-, : 1 ).. f!m. 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