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HomeMy WebLinkAboutBLD2003-00419 IP/B UILDING PERMIT APPLICIION SREPO3 OOp 26 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00419 Received Date: 7/7/2003 SITE ADDRESS: 3161 S DISCOVERY RD PORT TOWNSEND, 98368 OWNER: TIM MCQUIRE PHONE: (360) 379-6681 KIM 152 DOUGLAS WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001293003 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 2,100.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 484 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL 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: �/ n F&W Landslide f d f)4003 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $83.25 MJA 07/07/03 58106 P P E(�";, State Building Code $4.50 MJA 07/07/03 58106 L.� Plan Check $54.11 MJA 07/07/03 58106 JUL 2 2 2003 Total: $141.86 Jefferson County Planning & :uildin Department Scafer (if% WA BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00419 Received Date 07/7/2003 SITE ADDRESS: 3161 S DISCOVERY RD Issue Date 07/22/2003 PORT TOWNSEND, 98368 APPLICANT: TIM MCQUIRE PHONE: (360)379-6681 KIM 152 DOUGLAS WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001293003 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: REPLACE DECK REQUIRED INSPECTIONS: [ ] SETBACK: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: f 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: f 1 Sheetrock: [ ] Septic Sytem Final Approval: ( 1 Z• - final Approval: Mupancy Approval: HEALTH DEP TM APP OVAL 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 . , ,. - 11i7---4 air: 4 0 -c 0 , / _ . 1 1 7-----1 ' 1 72 I TYp 1 T 0 eX/ '--7-1i26 0 .576- A 7r/4 clo Et) s. 9E-67 , .. Fog sr-fifi A -of-Ato/24, I -'-.,6/)--,---0 4/ . /AiFe7 ' k \t) 1 , 1 , 1 'N __ 4-741(zs 7e 11 -- :70. 71:-. --------------- :-' _-. ‘7,a/V6-i464 y-7 __---r- L-OW g o � Jefferson Coon �':partment of Community Development rg, w r °� 621 Sheridan Street,Port Townsend WA 88368[3601378-4450 penmo �s 1u �a ,, Pp5c ?5© u Arn JEFFERSON COUN► ' DCD Project Description: Building Type: Project Type: Fra a Type: ❑ Single Family ❑ New Q ood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial IA/Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ 94dustrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System Q Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP .fr) 7-0 /97d W er Supply: lir 1 Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review e- 2ND Floor Base fee 3, a°-S 3rd Floor Plan Check fee—65% 51 , it Htd Basement State Surcharge fee 1- 50 Unhtd Basement Subtotal M/.8‘ Garage/Carport Pot Water Review fee Decks O '/S'f ttlC( I S Lk S... c=. - 911/Rd Approach fee Commercial J TOTAL M I-g�' Industrial Receipt# 5g 10 Other Cash/Check# i 00 9 Total Valuation: Initials Or Date 7 a 7/ o C73 Estimated Cost: I 00 If within 200' o e ine, 111 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 agree to provide access an. ght 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.,...cant's property or struc shall be requested and shall occur during regular business hours. -7 Signature: __ Date:__________________ OVER ". 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