HomeMy WebLinkAboutBLD2008-00332 DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD08-00332 Received Date 7/24/2008
SITE ADDRESS: 5696 BEAVER VALLEY RD Issue Date 9/26/2008
CHIMACUM, 98325
APPLICANT: JOHN F TODD PHONE: (360) 732-4717
PO BOX 901
CHIMACUM WA 98325-0901
D+
SUBDIVISION: VIEW RIDGE LARGE LOT SUBDIVISI Block: Lot:
PARCEL NUMBER: 901365002 Section: 36 Township: 29N Range: 01W
CONTRACTOR: ALL PURPOSE STRUCTURES PHONE: 800-678-7761
P 0 BOX 367
SUMNER WA 98390
Contractor's License ALLPUS1110NH Expires 8/5/2010
OWNER, JOHN F TODD PHONE: (360) 732-4717
if different: PO BOX 901
CHIMACUM WA 98325-0901
PROJECT DESCRIPTION: DEMO EXISTING 384 SQ FT GARAGE
Directions GO TO CHIMACUM, TAKE LEFT @ 4 WAY STOP,TAKE RIGHT ONTO BEAVER VALLEY RD,GO TO
To Site: 5696
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 9/26/2009.
REQUIRED INSPECTION:
FinalApproval: O -}or- Nrtd1 10/(7/be 11,/
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_Propane.rpt 10/29/19
•UILDING PERMIT APPLICAAN ML vT
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00332 Received Date: 7/24/2008
SITE ADDRESS: 5696 BEAVER VALLEY RD
CHIMACUM, 98325
OWNER: JOHN F TODD PHONE: (360) 732-4717
PO BOX 901
CHIMACUM WA 98325-0901
VIEW RIDGE LARGE LOT SUBDIVISI
SUBDIVISION: Block: Lot: D+
PARCEL NUMBER: 901365002 Section: 36 Township: 29 N Range: 01 W
CONTRACTOR: ALL PURPOSE STRUCTURES PHONE: 800-678-7761
P 0 BOX 367
SUMNER WA 98390
Contractor's License ALLPUS1110NH Expires 8/5/2010
REPRESENTATIVE: GRETCHEN REYNOLDS PHONE: (253) 862-1255A
3058 S 200TH (253) 862-1443
SEATAC WA 98198
PROJECT DESCRIPTION DEMO EXISTING 384 SQ FT GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: ' lds /v
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $52.00 KAS 07/24/08 100582 APPROVED
State Building Code $4.50 KAS 07/24/08 100582
Total: $56.50 SEP of ' 2008
Jefferson County Planning
&Building Department
��¢goN c��, JEFFERSON UNTY IV, ._,a-,'-7`i' 7 7'�-' ��
'C' i go A DEPARTMENT OF COMMUNITY DEVELOPMENT
`' •N sft ''4 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax JUL 2 4 2008
qS,kINo ° www.co.jefferson.wa.us/commdevelopment
Master Permit Application M&E O6 :i1 ;
role :fctDecriPtionOncluatesheeecessar )
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Tax Parcel Number: D' 3c O Property Size: 5 14Cy'R_' , (acres/square
_ quare feet)
Site Address and/or Directions to Property: D(O"(' x!eZV r Vet I te:ti PcI 6c1) p ('ilitnAat-irtn
Property Owner(s)of Record: ` 3V' Yl Todd
Telephone: ��7J - Fax: email:
Mailing Address: LV4r Ogg 1 .(f,Lin
Applicant/Agent(if different from owner): (./1'1 ' �" notct ?
Telephone: ? &Z (7-5� Fax: 5g(0Z (4-9{j email: n perati f (fit if'9n
Mailing Address: Yjg S. za-0-t C('A 'k I q`‘
What kind of Permit?(Check each box that applies
uilding 0 Critical Areas Stewardship Plan
Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C] **
0 Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
0 Home Business 0 Cottage Industry 0 Binding Site Plan**
❑Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
0 Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
ESIGNATION OF AGENT
I hereby designate�D, � to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE cam- Date: (D I (Li I `l5
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees, representatives or agents for the sole purpose of application
review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application th h or sh want prior notice.
Signature: .... e }� (,Q Date: (P(i� 14
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf able res ility f ad in to and complying with the ESA. The Applicant has read this disclaim f 1 and fignnand dates it below.
Signature: Q. /' .t.C. W l
Date:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• BUILDER STATEMENT .
The signer of th" st to nt es her rtify that th y are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass g t es onsibi f the Gen ra tr ctor for the proposed project.
Signak: Date: 7/(-
I 4.2
GENERAL COTRACTOR OR MANUFACTU ED HOME IN�S�TALLcR:: p( ,/� PHONE: FAX:
M- AILING ADDRESS". •(-) / --7 ,Ui r104MAIL:
CONTRACTOR'S LICENSE 4j Lp) 4 i/0 0 WAINS `���
NUMBER: ��Y-�yl,.. Vt [ 1`� H NUMBER 1
ARCHITECT/ENGINEER: I Li1/L 0 PHONE ( ) FAX:( )
MAILING ADDRESS: p Q r �7 / curn u- _ _�A. EMAIL
Project Type: Frame Type: Bathrooms: �/� Shoreline: Type of Sewage Disposal:
Li New ❑ Wood Existing: ii Sewer
❑ Addition ❑ Steel Proposed: Bank i"' I 1 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height. .4'5I 'Jndividual System
❑ Repair ❑ Masonry SEP Permit#
Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: Private well I I Two Party
Type o : Proposed: Li Public
Total: Name of System:
-If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: _ c9' Proposed: 3 Number of ADA Parking Spaces:
Number of occupants m judes owners,tenants,employees,etc) Current �- Proposed .
IBC Occupancy: fS IBC Type of construction: ,1 Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: t1/4.)/
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
' ",a' ,. .t,
Square Footage Current Proposed ,For Office Use Only Amount Revision: ; h•
Main Floor Heated N , : EH Bld App Review:
2w Floor Heated > > r 4 M , ;r S Consistency Review:
Other Heated k'r Base fee:
.. 3:41-r‘0 5-D .ot
Mezzanine JUL 2 ' 88 Additional Section:
Heated Basement '' Plan Check fee:
Unheated Basement , !FLliSaN PIM 'i State Surcharge fee: ll'' 5 0
Other Unheated Pot Water Review fee:
Garage/Carport 394 /�60 SUBTOTAL
l 5(.So
Decks 911/Rd Approach fee:
Other TOTAL: $ 5(c,_SC)
Receipt Number: t 00 5 8
Cash/Check Number: l I I q
ESTIMATED COST(REQUIRED) Date: leg/a
.Fair market value of all labor and materials foundation to finish
Initials:
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