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HomeMy WebLinkAboutBLD2003-00431 • UILDING PERMIT APPLICAON B Type79: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00431 Received Date: 7/11/2003 SITE ADDRESS: 1070 EGG & I RD CHIMACUM, 98325 OWNER: MARJORIE A BOYD PHONE: (360)732-4008 1070 EGG & I CHIMACUM WA 98325-9722 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 801022003 Section: 2 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NO MLA REQ'D --REPLACE PIER & POST FOUNDATION UNDER EXISTING FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 944 VALUATION 24,544.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide 7//,/�003 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Adrt•m.;O\/ E D Permit $391.25 MJA 07/11/03 58123 V Plan Check $254.31 MJA 07/11/03 58123 JUL 2 2 2003 State Building Code $4.50 MJA 07/11/03 58123 Jefferson County Planning Total: $650.06 & Building Department _ i / �w�' le A / / I ,s6, ii sow Jefferson Countopartment of Community Development ,V c°ela, 621 Sheridan Street,Port Townsend WA 88368(3601378-4450 r` ermo u A .... 4. -pp, ., ,,..t,©rn S N °S nr)t! ;,' �t..i-i 6..,t t1ii ,,.;,.,. t Project Description: Building Type: Project Type: Frame Type: y Single Family "1t New f7Ui Yre( ❑ Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial k Repair DIZ,M Q.e ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ill Other: L} 4Jc 'f ❑ Industrial TXOther: A°o i{?nl i i t IGtk 0tex-e t- ✓-?,, Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: I Existing: 1 ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: stem Individual S 1,\,' 'y Total: Tom; y lbw PC� ❑ Woodstove 1�Propane If not sewer,fill out the following: X510-1' 4 Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: PJZk: V2eavvk Oc 4CC.- (Cho e S l .A 060 'y Private well ir ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 9z/'I 5.(:. t. i4 Al,' Consistency Review 00—• 2ND Floor , \-; Base fee W j, a 3rd Floor Plan Check fee—65% '61. 3 Htd Basement State Surcharge fee '9 ,Sev Unhtd Basement Subtotal `t 5 0.0,6 Garage/Carport Pot Water Review fee ,Deck _ _}r--tit,t _---2 1 f, j/' 911/Rd Approach fee tt _� Commercial TOTAL l0 5 . h* Industrial Receipt# S 1 R Other Cash/Check# al 5 Total Valuation: Initials Or oi Date 7 o Estimated Cost: 9Zk . (`fZoo,`"' f 3 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 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 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 structure shall be requested and shall occur during regular business hours. Signature: ` Date: 7-7 H:HOME\PLNCNTR\IN FOBLDG\FORMS\BLDpermitApplication 11-8-01 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00431 Received Date 07/11/2003 SITE ADDRESS: 1070 EGG & I RD Issue Date 07/22/2003 CHIMACUM, 98325 APPLICANT: MARJORIE A BOYD PHONE: (360)732-4008 1070 EGG & I CHIMACUM WA 98325-9722 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 801022003 Section: 2 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NO MLA REQ'D --REPLACE PIER& POST FOUNDATION UNDER EXISTING FOOTPRINT REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: ((// [ ] Underground Pllumbing:._,NTh Li,.4C3# [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: f 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: f 1 Sheetrock: [ ] Septic Sytem Final Approval: f 1 Zoning Final Approval: [ ] Final/Occupancy Approval: HEALTH DEPARTMENT A PI 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