HomeMy WebLinkAbout09028PopTTo�y� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
WAS1+"' CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU
WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION: Z2 —PERMITNUMBER:
SITE ADDRESS:
CONTACT PERSON:
TYPE OF INSPECTION: I— l AJ A (_
❑ APPROVED � [I APPROVED WITH
CORRECTIONS
_•----- Ok to proceed. Corrections will be
checked at next inspection
T / _�
Inspector ' C_(.4O x _o Date
Acknowledgement
Date
PHONE:
❑ NOT APPROVED
Call for re -inspection before
proceeding.
-7/z Z. k 9
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
�oF QopT ro�ym CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
AWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE INSPECTION. FOR MONDAY INSPECTION, AL
ALL BY 3:OOPM FRIDAY.
Q
DATE OF INSPECTION: l o9 PERMIT NUMBER: Lh O 0?—s
SITE ADDRESS: 203
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
_._._.J checked at next inspection proceeding.
Inspector --ti M Y L d Date
Acknowledgement
Date
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
o�QORTT°� CITY OF PORT TOWNSEND
-ycn
�o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU
WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
QQ
DATE OF INSPECTION: J PERMIT NUMBER:
SITE ADDRESS:
CONTACT PERSON:
TYPE OF INSPECTION: tToo_ 0— 7ib4w_/i,
PHONE:
�l (� /C)So Gif (16ki
v 00
❑ APPROVED ❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector ( Ic( `r Date
Acknowledgement
Date
❑ NOT APPROVED
Call for re -inspection before
procee ing.
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT # -B (--I>C,) q - 0 Z 9
SCOPE OF WORK:
DATE RECEIVED Z - Z `-f' O
DATE
ACTION
INITIALS
Z • Z -
ENTERED INTO CHET
ECKED OR COMPLETENESS
Zoning:
6& -re
V3-111- 6. S.
Setbacks OK?
/ G
Lot Size:
Building Size:
Lot Coverage:
FAR OK?
Height OK?
Parking OK?
--Tm elm 6t
o/) cefst j
Critical Area?.
"
Demo?
Historic Rev?
Notice to Title?
Lots of Record?
D k-
O�pOR7TO�y BUILDING PERMIT
City of Port Townsend
Development Services Department
�w
250 Madison Street, Suite 3, Port Toil nsend, WA 98368
(360)379-5095
Project Information Permit # BLD09-028
Permit Type Residential - Addition/Remodel Project Name Re -model garage into bedroom
Site Address 203 43RD ST Parcel # 950800004
Project Description
Re -model garage into bedroom
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Bellomy Jimmie
Owner Bellomy Jimmie
Contractor Owner Builder (360)379-6471 STATE exempt 12/31/2009
Fee Information Project Details
Project Valuation 58,566.20 Dwellinus — Remodel cL 50% 180 SQFT
Building Permit Fee 167.25 Units: Heat Type:
Plan Review Fee 108.71 Bedrooms: Construction Type:
State Building Code Council Fee 4.50 Bathrooms: Occupancy Type:
Technology Fee for Building Permit 5.00
Record Retention Fee for Building 8.50
Permit
Total Fees $ 293.96
Conditions
10. Property corner survey pins must be located at time of footing inspection to verify setbacks.
*** SEE ATTACHED CONDITIONS ***
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of the owner.
Print Name J/ 141,E��LL __ADate Issued:
Issued BN:
Signature Date Date Expires: 08/25/2009
�O�pORT*ro CONSTRUCTION PROGRESS RECORD
s2 CITY OF PORT TOWNSEND
0
WA Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
POST THIS CARD IN A SAFE, CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF
BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE.
PARCEL NO. 950800004 PERMIT NO. BLD09-028 ISSUED DATE EXPIRATION DATE 08/25/2009
ADDRESS 203 43RD ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER BELLOMY JIMMIE PROJECT DESCRIPTION Re -model garage into bedroom
CONTRACTOR OWNER BUILDER LENDER
INSPECTION INSP DATE COMMENTS
FLOOR FRAMING
P�T—
R^�
FRAMING
INSULATION
GWB
3
FINAL BUILDING
72
INSPECTION
�y -31 �lq
INSP DATE COMMENTS
TO REQUEST AN INSPECTION CALL (360) 385-2294.
INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION.
Development Services
Residential Building Permit Application
➢ Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000.
See Page 2 for details on plan submittal requirements.
Lender Information:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name:
Project Valuation:�—
Building Information (square feet):
1 s` floor % (yam Garage:
2nd floor Deck(s):
3rd floor Porch(es):
Basement: Is it finished? Yes No
Carport: Other:
Manufactured Home ❑ ADU ❑
New Addition ❑ Remodel/Reps
Total Lot Coverage (Building Footprint):*
Square feet: %
Impervious Surface:"
Square feet:&00 *Total existing & proposed proposed
'<3-c 0
What -year -was -the -structure built?_
If work includes-delmol lio I see Page 2.
LAny known wetlands on � the property? 1�' N17
AnyFstCep2s[open(>15�/%)�?' N
Property Owner/Applicant:
Name: •J ; , v -i .�, l c-' !C� c= C_ n ; • -x'
Address: _ZC?� y3,ep S T
City/St/Zip:���,.tisi)��'
Phon43&'
Email.- V6
Contact/Representative:
Name:
Address:
City/St/Zip:
Phone:
Email:
Contractor: me as Owner
Name:
Address:
City/St/Zip:
Phone:
Email:
State License #: Exp.-
City
xp:City Business License #:
I hereby certify that the information provided is correct, that I am either the-or-authorized-to!act ori behalf of the owner
and that all activities associated with this permit will be in accordant ce with State`Laws aridiftie[Port Townsend Municipal Code.
DSU I
Print Name: --J i, -'i
Signature:
Page- of 2 7/31/2008
Date:
2_2G
RESIDENTIAL BUILDING PERMIT APPLICATION
CHECKLIST
This checklist is for new dwellings, additions, remodels, and garages. The purpose is to show what you
intend to build, where it will be located on your lot, and how it will be constructed.
❑ Residential permit application.
❑ Washington State Energy & Ventilation Code forms
❑ Two (2) sets of plans with North arrow and scaled, no smaller than %<" = 1 foot:
❑ A site plan showing:
1. Legal description and parcel number (or tax number),
2. Property lines and dimensions
3. Setbacks from all sides of the proposed structure to the property lines in accordance with a
pinned boundary line survey
4. On-site parking and driveway with dimensions
5. If creating new impervious surfaces, indicate measures utilized to retain stormwater on-site
6. Street names and any easements or vacations
7. Location and diameter of existing trees
8. Utility lines
9. If applicable, existing or proposed septic system location
10. Delineated critical areas boundaries and buffers
❑ Foundation plan:
1. Footings and foundation walls
2. Post and beam sizes and spans
3. Floor joist size and layout
4. Holdowns
5. Foundation venting
❑ Floor plan:
1. Room use and dimensions
2. Braced wall panel locations
3. Smoke detector locations
4. Attic access
5. Plumbing and mechanical fixtures
6. Occupancy separation between dwelling and garage (if applicable)
7. Window, skylight, and door locations, including escape windows and safety glazing
❑ Wall section:
1. Footing size, reinforcement, depth below grade
2. Foundation wall, height, width, reinforcement, anchor bolts, and washers
3. Floor joist size and spacing
4. Wall stud size and spacing
5. Header size and spans
6. Wall sheathing, weather resistant barrier, and siding material
7. Sheet rock and insulation
8. Rafters, ceiling joists, trusses, with blocking and positive connections
9. Ceiling height
10. Roof sheathing, roofing material, roof pitch, attic ventilation
0 Exterior elevations (all four) with existing slope of the land in relation to all proposed structures
❑ If architecturally designed, one set of plans must have an original signature
❑ If engineered, one set of plans must have one original signature
❑ For new dwelling construction, Street & Utility or Minor Improvement application
If you are proposing partial or full demolition of a structure that is at least 50 years old, per
Ordinance 2969 Historic Preservation Committee (HPC) review is required. If within the National
Historic Landmark district: $58.00 for full committee review. If outside the National Historic
Landmark district and not on the Historic Register: $30.00 for HPC Administrative review.
Complete HPC Form. Partial demolition includes exterior demolition for additions and remodels.
Page 2 of 2 7/31/2008
c/ -/Y
DATE - !A&ki
PERMIT & - 4 ?-lb
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(BUILDING OFFICIAL)
CITY OF PORT TOWNSEND
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L5 '2723 Po't To -se -d 566,001 D'st';ct No SO Gat)hollc Ge^ete'y
PROPERTY DESCRIPTION ^"""^`
A PORTION OF TF4E SE1"3 OF &.r -TION 34 TOvNE44IF1 �I NORTH RNGE!
HZ5T H.M
Lot i, Forts; thlyd 5Veet Binding $'to Plrn as recorded vmder Avalto' s r'la
4Arbe, 523904. records of .Wffo-son Govnty, rvoshingto^.
SvbJect to: Eoaements vndor Audto,b File Numbers 148402 and 354013:
'194t of the pvbllc to mafce necessary. slopes os dodlcoted In said Plot;
A9 -ed -0,,t vnder Audito,'s File No. 213220,
Lot 2, Forty-thlyd 5Veet 5"ding Ste plan as-aco-ded -dc' a.vd'eor's
File N tar 523304. ,ecords of Jefferson County. Washington.
5ub)act to, EosaTe^ts -der Audlto,'s File Nun+be,s 1'8402 and 950013.
,Ight of the pvbllc to Take necessary slopes as dedicated In sold Plot:
ACj'e6T6^t vnd6r A ailtor's r-116 No. 273220.
I n,e vnit bovndorles a,e the Inta-Ior Wv 10(,.es o' th6 v^Rs os desc'l'oed '^
Artie to 5 of th6 Gor+do+''nlvT Declaration.
J. Lots 2 o'•d 5 cre <,v-rvn04 sarvad N G'ty. wa"e' sewe' and cs-o-og6, Eoc^
lot 's occvpled ray a 'eslde^t'ol dvplo�
3. Sewer and woto, moles are show^ bored o^ I^ro-motion P'ovid6d tl! the G'ty
of Po,t Tow^sa^d evbllc Works Deport -d -t TMC p-6c'S6 lOcodo^ of 011 vt'"t'es
's to be ve,lfied P -o, to any a■covatio^.
4. T1.1• 9WvC4 hos bean p,6pO,ad Vaing Or ei6GVo^'G l^%trV a^t '^eaaVl^g
onglas to 3 **Co -ds of aro or,d d'stcr.Ges rounded to hv^dr6dths of Beet *,,e
pv,pose of th's sway has bet- to 'oc.ota. -ark o^d desv'be bov^do-'es o•^d
eose•^0^ta In this property -d to locate vlebb '-^p,ove'^e^ts as show^
V ert�eol Dater^
Elovotio^s o'e -016,6-cod to city o• Po't ',a-.^ne^d co'trol poi^t -i-I - 26
0a spew ^'^ Volvm,, la 5 -V -c s. POcjds 66. the ,eo.,tod sovtheost co-ro' of
4
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-� -- 4 - 203 4yr1 =.t
NaLg: Refs, to Audltor's File N/Tbe,s 481415 and 4814'10. Lots ' o^d 3 sotto- 5 .
of the •Poppy Va11ay-Plo-yad LWt Devolop...ont.' as roco'ded in volv^,a b. Adt�av'ot'o^ 'EI o- E'ev" . Flavour �VEY MAP ANLD PL,'ANoj
o/ Pletf. Pogo 83. 060,ds of Jarfe,so� GOVnty. Wash"ton. ""' `'.
..apr.• ^v ..a..os=ar i . 'evlaw Ghp^$e1 11/3 v ...�
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L AND3 des�iptlo^ 6/8/Cm w2 lib. -RRY BROWNING
FORTY
THIRD STREET CONOOMINIQ
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and 4 T. w� W int.
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Oat»- 1 GaP LS 24555 (typical) "'31,01••"�•v.••^t
L5 '2723 Po't To -se -d 566,001 D'st';ct No SO Gat)hollc Ge^ete'y
PROPERTY DESCRIPTION ^"""^`
A PORTION OF TF4E SE1"3 OF &.r -TION 34 TOvNE44IF1 �I NORTH RNGE!
HZ5T H.M
Lot i, Forts; thlyd 5Veet Binding $'to Plrn as recorded vmder Avalto' s r'la
4Arbe, 523904. records of .Wffo-son Govnty, rvoshingto^.
SvbJect to: Eoaements vndor Audto,b File Numbers 148402 and 354013:
'194t of the pvbllc to mafce necessary. slopes os dodlcoted In said Plot;
A9 -ed -0,,t vnder Audito,'s File No. 213220,
Lot 2, Forty-thlyd 5Veet 5"ding Ste plan as-aco-ded -dc' a.vd'eor's
File N tar 523304. ,ecords of Jefferson County. Washington.
5ub)act to, EosaTe^ts -der Audlto,'s File Nun+be,s 1'8402 and 950013.
,Ight of the pvbllc to Take necessary slopes as dedicated In sold Plot:
ACj'e6T6^t vnd6r A ailtor's r-116 No. 273220.
I n,e vnit bovndorles a,e the Inta-Ior Wv 10(,.es o' th6 v^Rs os desc'l'oed '^
Artie to 5 of th6 Gor+do+''nlvT Declaration.
J. Lots 2 o'•d 5 cre <,v-rvn04 sarvad N G'ty. wa"e' sewe' and cs-o-og6, Eoc^
lot 's occvpled ray a 'eslde^t'ol dvplo�
3. Sewer and woto, moles are show^ bored o^ I^ro-motion P'ovid6d tl! the G'ty
of Po,t Tow^sa^d evbllc Works Deport -d -t TMC p-6c'S6 lOcodo^ of 011 vt'"t'es
's to be ve,lfied P -o, to any a■covatio^.
4. T1.1• 9WvC4 hos bean p,6pO,ad Vaing Or ei6GVo^'G l^%trV a^t '^eaaVl^g
onglas to 3 **Co -ds of aro or,d d'stcr.Ges rounded to hv^dr6dths of Beet *,,e
pv,pose of th's sway has bet- to 'oc.ota. -ark o^d desv'be bov^do-'es o•^d
eose•^0^ta In this property -d to locate vlebb '-^p,ove'^e^ts as show^
V ert�eol Dater^
Elovotio^s o'e -016,6-cod to city o• Po't ',a-.^ne^d co'trol poi^t -i-I - 26
0a spew ^'^ Volvm,, la 5 -V -c s. POcjds 66. the ,eo.,tod sovtheost co-ro' of
4
11Gh . JO '-t
A6dr05e TC7ble
I ' 2aa syd .,t
I
J ? 205 45,d 3r.
-� -- 4 - 203 4yr1 =.t
NaLg: Refs, to Audltor's File N/Tbe,s 481415 and 4814'10. Lots ' o^d 3 sotto- 5 .
of the •Poppy Va11ay-Plo-yad LWt Devolop...ont.' as roco'ded in volv^,a b. Adt�av'ot'o^ 'EI o- E'ev" . Flavour �VEY MAP ANLD PL,'ANoj
o/ Pletf. Pogo 83. 060,ds of Jarfe,so� GOVnty. Wash"ton. ""' `'.
..apr.• ^v ..a..os=ar i . 'evlaw Ghp^$e1 11/3 v ...�
OrlLf s .d W';e'29�o 7-'3.Y'ow charxiea 9/d/O� e.�
BRIO%ET
LA
Q\MJING
L AND3 des�iptlo^ 6/8/Cm w2 lib. -RRY BROWNING
FORTY
THIRD STREET CONOOMINIQ
2
PLS
and 4 T. w� W int.
.a6
le. T. am w'4 NCKII
6-250 s^<^'f -- - - SE 34 31M IM + oss,r+w -.+..-1+�'��
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s File
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L5 1Z223 Port TownsondG
Shool District No. 50 y
H88=5� 36=E
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1013.1400?
I. Tt,e ,,nit boundorles are the Interior gvrfoccs or the units os dascrlbcd In
Article, 5 of the Gpr%dpmlnium DOC"C"tior' aL
2.Lota2ord5oraGntlSprVOd by Gity +ata . sewe,r rnddralr+ac3c. Eac
lot is occupied o rcalda►+tiol dvplew.
3. Sewer and wator mains are shown bored or) In{ormption provided b-9 the Glty
OF Port Townsand PvbIIG Works DGpOrime,nt TSG pr CC 5G 'Or-ot1o^ of Oil Ltilltl
S to be Verlfiod prior t0 CVIt OUCrOVotiOn.
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Waste Water
Storm Water
1 inch = 50 feet
'lloa map i, p, id,d an nn "a, is," "aid, ull Cwln;
ba.is. '1 hr �;nc cf Ibr, 'i': .cnxl auu it, e.mplaern
di. n�� u,�trnne in anY —y;he n:cnur :,i rhe
n r.l in
'hi, "up ihrl,! vrrilii:eti•�n
.iftlene—um -fall m_p i.-m:ats—, d:c;,,Ic
ix,ptmsihilin.�i rhe u;c:. llsci nlciscr. ihr (�i� ci
I4m Yomns.:n,I and its rnnd..rer_y kom xny bednh,y
based rna users ;ur of—p uvom,anon.
1. Make sure yourcontractor is properly
mregistered
2. Be: wary of contractors who.ask.you to
.pick upAhe building permit::.
3. Plan your project carefully; including
detailed` plans;°.if necessary:
4. Try. to.get.4,least'three Written-.:bids on ..
each job:
5.Ask contractors` for-references.:
6. Ask what inconveniences: mig lit arise:
7. Obtain a writien contract:
8. Make, sure;you understand the terms.
before:.you sign anything.
9. Be cautious about paying for work not yet
completed
10. Put all change'6rders in writing.
11. Make frequent.inspections and consult:
your local building department.
12. Avoid making `fmal .payment until you
have received a Tien release from
suppliers "and. subcontractors.
When hiring an unlicensed contractor and acting
as your own contractor:
1. You are responsible for the medical and time
loss costs of employees injured while working
on your project.
2. You may be liable for all unpaid taxes.
3. Your homeowner's insurance may not cover
work done by an unlicensed contractor.
4. The law requires complete disclosure of all
work that has been done on your home, if you
resell. You may be required to do work over
again that has been done without permits, or
inspections. Non -disclosure can lead to civil
action being taken against you.
5. You may be placing yourself and your family in
a life-threatening situation, especially when hir-
ing unlicensed people to install plumbing, elec-
trical wiring, heating systems or wood stoves.
6. Suppliers can place a lien on your home for
non-payment of materials by your contractor.
7. Unpaid workers can place a lien on your
property.
8. When problems arise, your only recourse is a
lengthy and costly civil action — if there are
any assets of value to attach, and if you can
find the contractor.
Contractors are required to carry at least
$20,000 in property damage insurance coverage
and $100,000 in bodily injury or death insurance.
You are encouraged to verify the contractor's
insurance coverage with his or her agent, as the
department's records may not reflect current
coverage.
The Labor and Industries contractor registration
information line
1-800-647-0982
operates weekdays from 8 a.m. until noon and 1 to
5 p.m., excluding state holidays. The information
line allows you to check whether commercial and
resi-dential contractors are registered and properly
bonded.
Our staff can tell you if the contractor currently
is registered, if action against the bond is pending,
or if legal acton has been taken against the
contractor's bond in the past.
We also can tell you how long a contractor has
been registered.
Labor and Industries is an Equal Opportunity and Affirmative
Action employer. The department complies with all federal rules and
regulations and shall not discriminate on the basis of race, color,
national origin, sex, creed, marital status, sexual orientation, age,'
religion or disability as defined by applicable state and/or federal
regulations or statutes.
OWNER NATURE
Before'.hiring
a contractor
If you are a consumer interested in having work done by a contractor, this brochure can help
you by:
• Explaining how the Washington state contractor registration program works.
• Describing how the contractor registration law protects consumers.
• Outlining the requirements for contractors.
Washington state law requires all contractors
to be registered. General contractors must
maintain a $6,000 bond and specialty
contractors must maintain a $4,000 bond.
(Specialty contractors are those who participate
in no more than two trades and do not
subcontract work to other contractors.)
It is against state law for any contractor to
submit bids or perform any contracting work
without being registered with the Department
of Labor and Industries. It also is illegal for
contractors to advertise without including their
12 -character contractor registration number in
the advertisement.
The contractor registration law exists to
protect consumers from incompetent and/or
fraudulent contractors.
Requiring contractors to be bonded gives
consumers some financial protection against
unsatisfactory or incomplete work. Dissatisfied
consumers may take civil action to obtain
restitution by taking action against a contractor's
bond in Superior Court.
The law also requires contractors to carry
insurance for property damage and public
liability. It also ensures that contractors have a
current Unified Business Identifier (UBI)
Account Number and Federal Employer
Account Number.
Any correspondence you send to a contractor
should clearly state that bids will not be accepted'
unless the contractor provides a valid registration
number.
While the law does not guarantee perfect _ ..
performance, it improves the likelihood that
the contractor does competent work.
A maximum $3,000 fine and a misde-
meanor infraction can be levied against any con-
tractor who performs work or submits a bid with-
out being registered with Labor and Industries.
Parcel Details
Pagel of 2
Parcel Number: 950800004
Parcel Number: 950800004
Owner Mailing Address:
JIMMIE BELLOMY
CARRIE BELLOMY
203 43RD ST
PORT TOWNSEND WA983683335
Site Address:
203 43RD ST
PORT TOWNSEND 98368
Section: 34 School District: Port Townsend (50)
Qtr Section: SE1/4 FreDist: Port Townsend (8)
Township: 31N Tax Status: Taxable
Range: 1W Tax Code: 100
Planning area: Port Townsend (1)
Sub Division: FORTY THIRD ST CONDO
Assessor's Land Use Code: 1400 - CONDOMINIUMS
Property Description:
FORTY THIRD ST CONDO I UNIT 4 1 I I
Click on photo for larger image.
No x, No 2nd
Photo Photo
Available Available
Printer Friendly
No Permit
Data
Assessor Bldg Data
Tax, A/V, Sales Info
Map Parcel
Plats & Surveys
Available
1el�etsan�Coanty ���.€a� �� • •
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http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?PARCEL_N0=950800004 2/26/2009
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Receipt Number:
BLD09-028 950800004 Building Permit Fee
BLD09-028 950800004 Plan Review Fee
BLD09-028 950800004 State Building Code Council Fee
BLD09-028 950800004 Technology Fee for Building Permit
BLD09-028 950800004 Record Retention Fee for Building Per
$167.25 $167.25
$108.71 $58.71
$4.50 $4.50
$5.00 $5.00
$8.50 $8.50
Total: $243.96
$0.00
$0.00
$0.00
$0.00
$0.00
�PreviousPayment H►story�
Fee Descnphon �
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£Recerpt�# � �„Receipt Dated � � ,�
�;� AmountsPaid ;� Permit #
09-0118 02/26/2009 Plan Review Fee
$50.00 BLD09-028
aP..ayment C111
heck � payment
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NAethod Number ��Amount
CHECK 1004 $ 243.96
Total: $243.96
genpmtrreceipts Page 1 of 1
BLD09-028
CHECK
950800004
1002
Plan Review Fee
Total:
$ 50.00
$50.00
Receipt Number:
$50.00 $50.00
Total: $50.00
$0.00
genpmtrreceipts Page 1 of 1