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HomeMy WebLinkAboutBLD2008-00357 • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00357 Received Date 8/7/2008 SITE ADDRESS: 121 COOK AVE Issue Date 9/18/2008 PORT TOWNSEND, 98368 APPLICANT: THE POINTE CORP PHONE: 360-301-0102 PO BOX 610 PORT TOWNSEND WA 983680610 1-10+ SUBDIVISION: TIBBALS LAKE PARK Block: 39 Lot: PARCEL NUMBER: 999003901 Section: 4 Township: 30N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, THE POINTE CORP PHONE: 360-301-0102 if different: PO BOX 610 PORT TOWNSEND WA 983680610 PROJECT DESCRIPTION: DEMOppp OFRS�FDR, GARGAGE, POLE BLDG AND OUTBUILDING Directions SEE MAP AND DII� C'FIUNi INP ) To Site: 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 9/18/2009. REQUIRED INSPECTION: FinalApprovd Cisrl( 0/ BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE#BLD08-00357: 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. 2.) NO PERMIT ON FILE AS TO SIZE, LOCATION OR ADEQUACY OF SEPTIC SYSTEM. UN-PERMITTED SEPTIC NOT VESTED FOR USE WITH REVIEW OF THIS BUILDING PERMIT. See letter dated 8/25/08. INJ ILDING PERMIT APPLICAT N ML 378 Rev iewiew T Tyype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00357 Received Date: 8/7/2008 SITE ADDRESS: 121 COOK AVE PORT TOWNSEND, 98368 OWNER: THE POINTE CORP PHONE: 360-301-0102 PO BOX 610 PORT TOWNSEND WA 983680610 TIBBALS LAKE PARK SUBDIVISION: Block: 39 Lot: 1-10+ PARCEL NUMBER: 999003901 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: NEIL CAVETTE PHONE: 360-301-0527 PO BOX 1953 360-379-1750 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP DEMO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: 1,021 CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 900 SHORELINE: CONST TYPE: GARAGE: 384 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 1 Prop: 0 Prop: 0 Total: 3 Total: 1 Routing Date: CL-<) -6 1-1 Js Type Amount Paid By: Date: Receipt: Approved/Date Permit $52.00 AMS 08/07/08 100766 APPROVEF State Building Code $4.50 AMS 08/07/08 100766 Total: $56.50 SEP 16 2008 Jefferson County Planning &Building Department i19 1 i-2nn8 n9:11 FAX 360 91 6 18 ()RCA 1 1io2 08,'21!20r�0 15:37 36041 7 ��\ EC EJIVIF'. • - '--R PAGF 01 08/18;20:08�5.�27� 60 491 8908 ORCAA ������y-� r�ooi/ooz 'AUL 14 SEF 17 2�D8 ApPAov a 1 -- k. CONDmowAl_LY APPROVED. _ �. .k Ate► t 1 gYNagginv;i `: .�: �, �IYmP� Re 1. . '- NOT AFPHovEp2940-B Limited Lane NW �RCflM�tIANCEWITh Ids ° Olympia, WA 98502 O�lcbA �G ,TION 1 ,jCli�C � (360) 586-1044 or 1-8Q0-422-562 • pM' .. rv► I i 4r„►., , .,,s0 Fax: (360)491-6308 www.ORCAA.org Notification of Dem oliti o It is unlawful for spy person to cause or allow the demolition renovation)of any structure unless an asbestos_ pxi or � Permitcontaining maten:lb have been removed from the area to be detnol)ieb,od. Work span not rommeoer on an nabestos prole_rt or detnofltlon unless the owner or operator bac obtained written approval from OJl;CAA. A written application fet a demolition Fhall taeluda q certification that there is no kn own a structure, ebestos-captaining material remaining is the area of the prajevt Sire Address: 1 Cary:- �� .� , _ Counr}�: __ Dade: _ 9' _Sxatc: �� z '� Cetionompl _ 9 :/09 Srartin *(There ls,a 10 working day advance nch'i-ir tion period from receipt of per ft application bad: -� � Telephone:63 - 3a/-f7Q2 _ka ; Mailing Addra59'�c�� City; . f - — j ______ Stare: tz.14 z;p:�a 136e Demobitican Contractor Mailing Address: State j.ieer e }: - 0 City: Contact Pirson: /I State: zip. 'g, e( YES NO � 't"elcphane: .Jt'>" d J�caC1 Fax. 90 paJ Demolition by Wrecking or Dismantling?(S25.00 fee) check# nonrefundable Training Fire Demolition'? (If yes,attach fire department-request for training fire) Renovation,Alteration,Remodeling,Maintenance,or other Construction? Asbestos found or suspected* -*Ao.CTRCAry, "Notice of Intent to Remove or$nnpauttits rhabestos" form and appropriate foe must be submitted prior to any asbestos removal work Asbestos removal protects involving demolition mtis be preffrrnee by a Ccrtif■ed Aabc potentially eci blc asbestos must be remaved before my demolition begins, Rafer la ORCAA R, As i la for ildiiddo CV aJ requirements Mai may ripply- Regulation I Artidc 14 Addizional Asbestos Survey Completed by AllE1A Certified Inspector e tZ '-' ,. Cerhfle trfoln# 0 Tktis appr9vod perrrti[mwst . be avar-Ta ie at the Job site Enclose S25 Cartifiration of the Asbestos Stu vey must Pro c Enclose Fee Iii_ a eompaoy this Porn F.tCOMMONWITmsl1sbearagpomar iLdoc � - - , - p-+ . 'y r v.1ar2 0z �Gb 141008 F. ,'e,.: oy .:• 4 DACK. NO,OW% �iE �, �� i. ,¢, ,ON r. • •✓\ £1-1 Alit/A IF r % JEFFERSON NTY o DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 AUG 0 7 2008 360/379-4450 • 360/379-4451 Fax c$ www.co.jefferson.wa.us/commdevelopment r s J1M L R5Liu ll1t - , ;- Master Permit Application MLA: d6 �� t Project Descripti i (include,separate sheets asecceta ),: //l/iTh Cn Si� Tax Parcel Number: CtGj Car) CV') ) Property Size: ,..,2 /(/Z ,4 C C rC S (acres/square feet) Site Address and/or Directions to Property: I 1l2 /-u-e . Property Owner(s)of Record: 0 ©:n/�P ,- Telephone: 30I- O( O L Fax: email: Mailing Address: (jOy (0 (0 pi,, `t a1GLry-,(Jk-AC'i) LQ_iA_ 4 83(p Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies LIBuing 0 Critical Areas Stewardship Plan 7Wiemolition 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 0 Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane ❑ Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑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 an other local,state or federal permits required for this proposal, if known: / DESIGNATION OF AGENT I hereby designate L i' ZTt to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE U P Pt" i'_ Date: h'— 2 ' c 4 By signing this application orm,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 V" review and any requir later insp tions. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicaf that he he wants prior notice. Signature: Date: r—7— D r The action or actio 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 c2 n file a lawsuit on behalf of an endangered species regarding your 1x"- action(s)even if you are in compli ce with the fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibi' for adheri to and complying with the ESA. The Applicant has read this disclaimer and sigjs and dates it below. Signature: 3 /.40,rttyY Vi" /f `ov Date: ?— 7 ` a a G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT •�/ The signer of this stat ent does her y certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that W they will be assumi 'the respons. y of the General Contractor for the proposed project. Signature: v As-►0-,--,u-,,P- Vie k C'", Date: � GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: F e Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New VWood Existing: I 11 Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: Ti Individual System ❑ Repair ❑ Masonry SEP Permit# /y,� Bedrooms: Water Supply: 4�Demolition ❑ Other: PP Y: Existing: — Setback: ❑ Private well Li Two arty Type of Heat: Proposed: ❑ Public Total: Name of System: N If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 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. Square Footage Current Proposed ;For Office Use Only ;< Amount Revision;.::; ,h.,, .<.;, Main Floor Heated 1 C a EH Bld App Review: �0tN 2"d Floor Heated #•'', Consistency Review: '5.7 bo o Other Heated _• Base fee: 5^ oi' Mezzanine Additional Section: Heated Basement Plan Check fee: ----.___________ Unheated Basement State Surcharge fee: Z / (5 o Other Unheated Pot Water Review fee: �/ Garage/Carport 33 8� SUBTOTAL D.,n2 50 Decks 911/Rd Approach fee: Other SY�Q� `� V i t1`'TOTAL: $a J 0 Receipt Number: 1 00-7 Cash/Check Number: ESTIMATED COST(REQUIRED) Date: I � •Fair market value of all labor and materials foundatio finish 1-1 �j/' Initials: 1 �'(/ r G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc REcE :T APPROVED • SITE PLAN c�c v pia , G. SEP 1 8 2008 `° °'• lEFEE SLIN uuufijy ++ ij{ , LCJ r-c RSON CO NTY DEPT. CO U ELOPME • SIGNATI i PREIMINARY SURVEY FOR: (BOUNDALRY LINE ADJUSTMENT) THE POI 1�TE CORP e • 32 33 IN SECTION 4, TONNSHIP 30 NORTH, RANGE 1 WEST, N. M. 5 14�'''—CALCULATED POSITION JEFFERSON COUNTY WASHINGTON PER VOL. 15 OF SURVEYS, PAGE 153. (NOT VISITED) Of K g�00K \E�ggPRS�5 KP POg 34 PROPOSED 30' WIDE 11:i ' OPP 1\g P\-P LOOK EASEMENT FOR INGRESS, • S P.\P\2 Of g EGRESS, AND UTILITIES cp 0 J01.• ACROSS THE NORTH 30' 2 OF PARCEL A. PROPOSEDce 41 ACCESS TO PARCEL E. I m LI L O COOK STREET (PLAT) o \\N 0 —e S88'27'49 E 304.90' g� to W • ! 143.02; — ,nW byS 3 I ;n I 50 25 0 50 30' \30'` PR POSED PARCEL A h I SCALE IN FEET PROPOSED I PARCEL E 8,054 SQ. h 2 s84 SQ. Fr 3 LEGEND: N d, to. \ 1 2 4 5 p N oe tl• \�\ "� Ta BUILDING TO BE -EMOVED v v 1 �SL4 0 DENOTES FOUND REBAR WITH PLASTIC L on S h S88'27' 9 E o SURVEY CAP STAMPED: "CLARK 12223" - \ OLD LINE i 161.90' to rn ( ') Ta �g ���� S0t f� ,"�� Z , DENOTES ROAD AND ALLEY VACATED BY Li \ JEFFERSON COUNTY SUPERIOR COURT p \`\ 16' WIPE �SLS gv.00 ALLEYPRO PROPOSED EB . Q� CAUSE NO. 07-2-00063-1. A0 �' • \ \ S8827 49 E 18 017 SQ. FT �� 0 DRIVEWAY\ 0 O u) DENOTES ROAD VACATED BY COUNTY exy o \\\ ^`\\\\,43 02'\ \`, \\ �N\\\, \\\\\\ ,`� w-r�\ I c O COMMISSIONERS' ORDER, DATED a v �' \ I I'Og901 POLE HOUSE V O Tr APRIL 4fh, 1932. 99S f�. BUILDING j qifi: ©SLX DENOTES SOIL LOG HOLES WITH 5�; 5 111 m k CORRESPONDING HOLE NUMBER FROM N \ PPR 1�1� 9 g SL 1O SN TRII I $ SOIL LOG REPORT DONE BY NATHAN o S� I G,\ 9 A A / Y SBB'48'04 E I WNW CLEAVER ON APRIL 7, 2006. \ 2 1 (�1 SL9 161.94' II N �0, DENOTES EXISTING POWER POLE. 2 k�v 10 b p 1 30' 1`0 30' 9 8 7 Ta Z DENOTES EXISTING FIRE. HYDRANT. \ PROPOSED PARCEL D I SL i 4;'!; \ r�\ 23,923 Q. FT O PROI'OSED PARCEL C 'Ai' DENOTES EXISTING WATER VALVE. 18,021 SQ. FT.I • O \ S\8 N 50' S0' —OHP— DENOTES EXISTING OVERHEAD POWER. \Siiih:\ \\ I ® DENOTES APPROX. LOCATION CF SEPTIC \\o\\ `\ \\\\\\\ \ \ \\ \ \\ \ \�\ a TANK I \ "')\\\\ \ 'SPRING STREET PLA \\\ \ \\\\ \b\\\\ 5 4._• 4 ^ S88'48'03E rl• \ �\ 143.03' \• \ `\ k 1\ , ,\ > \161.96'` \ \\ '` \ : V 269.71' ` \ S88'48'03'E 304.99' - PARCEL NO 001043005 (NOT A PART OF PLAT) \\_ PROPOSED 30' WIDE CALCULATED POSITION EASEMENT FOR INGRESS, PER VOL. 15 OF EGRESS AND UTILITIES SURVEYS, PAGE 153. ACROSS THE SOUTH 30 LEGAL DESCRIPTIONS; (NOT VISITED) FEET OF PARCEL C. PROPOSED ACCESS TO FOR LEGAL DESCRIPTIONS BEFORE AND AFTER PARCEL D. ADJUSTMENT SEE STATEMENT OF INTENT LOT AREAS BEFORE BOUNDARY LINE ADJUSTMENT RECORDED UNDER AUDITOR'S FILE NUMBER , RECORDS OF JEFFERSON, LOT 1 = 7122 SQ. FT. LOT 6 = 7122 SQ. FT. WASHINGTON. LOT 2 = 7113 SQ. FT. LOT 7 = 7114 SQ. FT. LOT 3 = 7104 SQ. FT. LOT 8 = 7105 SQ. FT. LOT 4 = 7095 SQ. FT. LOT 9 = 7096 SQ. FT ' LOT 5 = 7086 SQ. FT. LOT 10 = 7087 SQ. FT. NOTES: 1. THIS SURVEY WAS PERFORMED BY FIELD TRAVERSE METHODS USING A 3 SECOND AREA OF VACATED RIGHT OF WAY: 30,955 SQ. FT. TOPCON GTS-313 TOTAL STATION AND STEEL TAPE. LOT AREAS AFTER BOUNDARY LINE ADJUSTMENT 2. FOR BASIS OF BEARING AND SECTION SUBDIVISION DATA, SEE VOL. 28 OF PARCEL A = 18,054 SQ. FL SURVEYS, PAGE 167 AND VOL. 15 OF SURVEYS, PAGE 153, RECORDS OF JEFFERSON COUNT PARCEL B = 18,017 SQ. FT COUNTY, WASHINGTON. PARCEL C = 18,021 SQ. FT. 3. THIS SURVEY DOES NOT PURPORT TO SHOW THE EXISTENCE OF ALL EASEMENTS PARCEL D = 23,923 SQ. FT. PARCEL E = 23,984 SQ. FT AND/OR ENCUMBRANCES RECORDED OR UNRECORDED THAT MAY AFFECT THIS PROPERTY. APPROVALS; 4. THIS SURVEY WAS PERFORMED ACCORDING TO WAC 332-130-090 STANDARDS FOR LAND BOUNDARY SURVEYS. THIS SURVEY WAS NOT PERFORMED OR CERTIFIED TO MEET THE CURRENT "MINIMUM STANDARD REQUIREMENTS" OR 'ACCURACY ADMINISTRATOR, JEFFERSON COUNTY DATE: STANDARDS" FOR ALTA/ACSM LAND TITLE SURVEYS. DEPARTMENT OF COMMUNITY DEVELOPMENT. AUDITOR'S CERTIFICATE JEFFERSON COUNTY ASSESSOR DATE: FILED FOR RECORD THIS DAY OF , 2008, AT , .M., IN BOOK OF SURVEYS, ON PAGE AT THE SURVEY CERTIFICATE; REQUEST OF KENNETH A. CLARK. A. 1PAs•' T IS M/� E Y REPRESENTS A SURVEY MADE 1. �' OF x4'4 B E MA .JN ER MY DIRECTION IN CONFORMANCE ,`o •'..• 0 lffhh4ff`��'�{ �' W T E REQUIREMENTS OT THE SURVEY RECORDING AT THE REQUEST OF THE POINTS CORP. IN COUNTY AUDITOR AUDITOR'S FILE NUMBER ,I a JULY, 2008. ,y'..,.'� N.T.S. p.o. eox zlss C� 'NA 935 N Sty Ave. iita� X LAND SURVEYING segWm, wA 9s3sz MAPPING �e11.: (360) 681-2161 FINAL CHECK: KAC DEVELOPMENT CONSULTING ` FAX 683-5310 PLAT CHECK: JCA CONSTRUCTION MANAGEMENT , O 681-2161 DRAWN BY: BAH & JKB REVISED JULY 15, 2008 4(30N-1W) — SER#: 013004—P0000801-030507