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HomeMy WebLinkAboutBLD2003-00543 BLD94-00385 BUILDING PERMIT APPLITION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00543 Received Date: 8/28/2003 SITE ADDRESS: 31 8TH AVE PORT HADLOCK, 98339 OWNER: VANESSA BROWER PHONE: (360)732-7110 PO BOX 1367 PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 60 Lot: 9-13+ PARCEL NUMBER: 961806005 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)385-4265 PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC10908 Expires 8/19/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NO MLA REQ'D - STRUCTURAL REPAIR TO GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 1,090.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 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: F&W Landslide ?(Ca4 3 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A yhl8p L.d V E Permit $41.80 RAC 08/28/03 58464 /'1 ��JJ ��// Plan Check $27.17 RAC 08/28/03 58464 SEP - 4 2003 State Building Code $4.50 RAC 08/28/03 58464 Jefferson County Planning Total: $73.47 & Buil ing Department 0.1-1)11 a .1 soN • Jefferson Department of Community Development �� °°�,� 621 Sheridan Street,Port Townsend WA 98368[3601370-4450 0 . 4. A.----,---'-3›. o ApP: fl© n Project Description: s-(-Q_UC:i-(kfe) }i,e 4,, 4j,C4_, , , lk L. Building Type: Project Type: `, Frame Type: ❑ Single F. ❑ New A Wood Garage 0122,/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: h 1 j Bedrooms: Type of Sewage Disposal: Type of Heat: ] rt irk' � .k Choose one: l /U/.�' Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System Total: Total: y El Woodstove ❑ Propane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: N, //iCt* Ill Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee Li' • 3rd Floor Plan Check fee—65% o9-2• ( 1 Htd Basement State Surcharge fee 41- s-V --7 Unhtd Basement Subtotal - E • 4:7 Garage/Carport Pot Water Review fee Decks 911/Rd Approach feel Commercial TOTAL `73 • Lt 1 Industrial Receipt# 5--- Yr. V (a Other Cash/Check# /S-Q Total Valuation: Initials O / Or Date Y-= 2—E�-03 Estimat Cost: I i)SI.81 d" If wit ' 200' of the ine, Distance to Ban 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 t the applicant's property r Astructure shall be requested and shall occur during regular business hours. Signature: aiti2'e 4_ ,�')d �P/Z,, Date: �02 d /-3 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00543 Received Date 08/28/2003 SITE ADDRESS: 31 8TH AVE Issue Date 09/4/2003 PORT HADLOCK, 98339 APPLICANT: VANESSA BROWER PHONE: (360)732-7110 PO BOX 1367 PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 60 Lot: 9-13+ PARCEL NUMBER: 961806005 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)385-4265 PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License: BLUEHCC10908 Expires: 08/19/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NO MLA REQ'D -STRUCTURAL REPAIR TO GARAGE REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear W II : [ ] Framin q O j ( 1 Plumbi : [ ] Propane Tank/ Lines: [ ] Insulation: [ 1 Sheetrock: [ ] Septic Sytem Final Approval: [ 1 i Zoning Final Approval: [ Final/Occupancy Approval: C9 �- Y-9-o•7 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 I �erty boundaries d Septic tank 41 Prc . di Names of adjacent streets tI prainfieid (enter NN if unknown) �-i/ Driveways and parking spaces � d North Arrow c ei Surface water(ponds,creeks,etc) l [ / dtf Buildings(residence,sheds,garages,etc) -r+ E' L 10 o f ( PLAN • F , r pECK HavISE WcG /3' S' a Z /31 r A G 1.ls IP tIi w J 4Q 701 ,' do; 1 EPA1/Z- �f tr7 p'/� A ).1 r. it 1.1 4} t . juL 2 1 2003 t` r ` . 1 E ,.„ i._, �! `'� 1= 11, , ;I r __ 1 :1T AUG 2 $ 2003 =FrFL,S0N e i NiY ,a rT ., .EPT. OF CO„ ,I,UNITY �EVEi.CD .FN ALErc� *or Parcel* - sxr � Permit r ,� � r