HomeMy WebLinkAboutBLD2003-00329 • BUILDING PERMIT APPLIG 'PION BLD01-00111
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00329 Received Date: 11/5/2003
SITE ADDRESS: 260 WINDSHIP DR
PORT TOWNSEND. 98368
OWNER: ROBERT J STEWART PHONE: (360) 385-5123
260 WINDSHIP DR
PORT TOWNSEND WA 98368-2514
SUBDIVISION: KALA POINT#1 Block: Lot: 53
PARCEL NUMBER: 964700053 Section: 26 Township: 30 N Range: 01 W
CONTRACTOR: K-DESIGNERS PHONE: (800)528-9543
8647 S 212T ST
KENT WA 98031
Contractor's License KDESI**03305 Expires 9/1/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION WINDOW REPLACEMENT - NO MLA REQUIRED
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 7,907.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
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: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: 9?-4%sF&W Landslide
�� %T5 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $153.25 KAS 11/05/03 60353 APPROVED
Plan Check $99.61 KAS 11/05/03 60353
State Building Code $4.50 KAS 11/05/03 60353 JUN 1 8 2004
Total: $257.36 Jefferson County Planning
& Building Department
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6, 621 SlMalan Street,Pest Townsoni WA 88368 f3601370-4450
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Project Description: •
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Building Type: Project Type: Frame Type;;;,----GGUNTY
❑ Single Family 0 New II Wood
0 Garage Attached/Detached ❑ Addition Ta f,rY (� P F�r
❑ Steel
❑ Modular 1ii(Alteration/Remodel ❑ Concrete
❑ Commercial 0 Repair ❑ Masonry
❑ Multi-family/#of Units 0 Demolition ❑ Other:
❑ Industrial ,.� E
xOther: /fie:/" ate C-W ,A/A)Ct;:)
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing. ❑ Sewer 0 Community System 0 Electricity 0 Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: CI Heat Pump
❑ Conventional CI ❑ Other
Permit# SEP
Water Supply:
❑ Private well 0 Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor Consistency Review
2ND Floor Base fee I •2 S'
3rd Floor Plan Check fee—65% q9 ,(0 (
L`
Htd Basement State Surcharge fee c o
Unhtd Basement Subtotal as- 3b
Garage/Carport Pot Water Review fee et)
y
Decks 911/Rd Approach fee ^^ e0
Commercial TOTAL 57-36o
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Industrial Receipt# ( ,C353
Other Cash/Check# (4-t 3 rD PInn��Q Total Valuation: Initials
Or Date a( te,--,
/
Estimated Cost / ", I
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 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 • ht 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 a canes o erty structure sh be requested and shall occur during regular business hours.
Signature: Date: Mg/1-5 "C
/
OVER
H:HOME\PLN TR\INFOBLDG\FORMS BLDpernutApplication 11-8-01
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BUILDING PERMIT 41°
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD03-00329 Received Date 11/5/2003
SITE ADDRESS: 260 WINDSHIP DR Issue Date 06/18/2004
PORT TOWNSEND, 98368
APPLICANT: ROBERT J STEWART PHONE: (360) 385-5123
260 WINDSHIP DR
PORT TOWNSEND WA 98368-2514
SUBDIVISION: KALA POINT#1 Block: Lot: 53
PARCEL NUMBER: 964700053 Section: 26 Township: 30 N Range: 01 W
CONTRACTOR: K-DESIGNERS PHONE: (800)528-9543
8647 S 212T ST
KENT WA 98031
Contractor's License: KDESI**033OS Expires: 09/01/2004
PROJECT DESCRIPTION: WINDOW REPLACEMENT- NO MLA REQUIRED
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing:
f 1 Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
f 1 Sheetrock:
f 1 Septic Sytem Final Approval:
Road Approach Final Approval:
[ ] Zoning Final Approval:
f 1 Final/Occupancy Approval: dg, z�— a`• J-
HEALTH DEPARTMENT AND PUBLIC WORKS 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
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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