HomeMy WebLinkAboutBLD2013-00271 *BUILDING PERMIT APPLIC ON BLD13-00271
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00271 Received Date: 9/3/2013
SITE ADDRESS: 293 PINECREST DR
PORT TOWNSEND, 98368
OWNER: BERNT P ERICSEN PHONE:
MARLENE J ERICSEN
293 PINECREST DR
PORT TOWNSEND WA 983689535 KALA POINT#6
SUBDIVISION: Block: Lot: 426
PARCEL NUMBER: 965000227 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION REPLACE EXISTING DECK, SAME FOOT PRINT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 3,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 312 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $80.00 MEB 08/29/13 142444 APPROVED
Check $52.00 MEB 08/29/13 142444 A OvE®
State Building Code $4.50 MEB 08/29/13 142444 SEP 1 2013
Total: $136.50
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_Bld.rpt 9/3/2013
,soK c (� '2 l
�� a� JEFFERSrOUNTY
'�" ' } DEPARTMENT OF COMMUNITY DEVELOPMENT
'' ` `4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
q ' 0 www.co.jefferson.wa.us/commdevelopment
`��IN�
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
'Re?1 ace- e_,i, i s-hift aec.
Tax Parcel Number: %c °o2-2 Property Size: at/. coo s6.-k.R (acres/square feet)
)
Site Address and/or Directions to Property:
cl..R 3 • i ALc,4't s-t,fi r• (S DVl, To\ )v\oee,CQ) Oa , eN.3 6 g
Property Owner(s)of Record: -Qxir - May-1 e-in e tc, ,ee)
Telephone: ,3e0` 301 ` 03.2 L( Fax: ?r email: i� • ' 1,X'`1
Mailing Address: c261 3 Pt vt:e-,�reM. "by. 'Dvt -coo j A A. ci v-3(,
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
A3uilding •— fte.plA.ces 6Qcit ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑ Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address 0 Road Approach_ ❑Short Plat**
❑Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑Propane ❑ Long Plat**
❑3iyn ❑ Plarinea 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)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
*'Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 apple=tion that h-,or e , ants prior notice.
Signature: j`.L .I. 'CN t Date: g—O� !q
—i 3
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 responsib.• or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: X A e4e4/ Date: g -1 —/3
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\boaster Permit Application 5-29-08.doc
BUILDER STATEMENT I
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass minng�th�e rr sspons' ility of the General Contractor for the proposed project.
Signature: �� U���`�` /(/iC4`Piln Date: e--.2 9_/3
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: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New k Wood Existing: ❑ Sewer
O Addition 0 Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System
Repair ❑ Masonry SEP Permit# _
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 0 Public
Total: Name of System: •
If this is a Commercial Proiect you must answer the following: J
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:
1 Underground Tank i Above ground Tank Size of Propane Tank:
1 H• eat Stove 1 Cook Stove i Woodstove 1 Fireplace Insert 1 Hot Water Tank i Pellet Stove 1 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 Foi'Office Use Only Amount Revision
Main Floor Heated EH BId App Review: w.._,._---
2- Floor Heated Consistency Review: 2g
Other Heated Base fee:
Mezzanine Additional Section: ,------.
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other N. TOTAL: $ '-2.0('t1 5V —
,`�J Receipt Number: 'il 2 Li g q
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fail;market value of all labor and materials foundation to finish %/2 qll 3
3 500, Initials: kilN—
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• •
•
x' .293
Ph,
-.sere
OSAVS
2 9 2013
pUG
4
�
p�
OEP1OF JECOMSUONN IN CUE`NTEOPMV
oce
C
O0
cv
■
^$
N�O
ti w
^a!
Existing 3 Bdrm
Home
Existing 2nd S ,ry Deck f� ■111111111111f
with stairs
(to be repl- -d )
4
SEP 92- 121
•
Reserve Area
0 30'
ME II=
woo
130.00'
• N 88°19'05°E /FILE NAME
BERNT ERICSEN.TRV
SCALE DATE DRAWN BY
30 Ft/In 8-28-2013 Bemt Ericsen
JOB REVISION SHEET
$JOB 1/1 1/1
This map drawn with TRAVERSE PC,Software
• •
CC CV
H •-
= O
C3 LL N O
Z LL �. O
H O O -3
.. •- 07 \ ¢ 4-
am - m - -3 w o
"O - LID J
O O C_ CD -0
M CC -0 4-1 Cn = C
U O = H LV
O 0 CA
4-1 "0 H O O 1 ••
O L -C L CD ti
Q O 0 U U W
Z O CC O
J CZ 0- X
-- �. U
I- I- O
O
� Lf7
m
CI) CD LC7
0 -0 rn
= 0 I
U CO
CC 'O CO
W C = 3 co 3
I- CO �. O CO O
co J U 0 O7 -CD
CC = C
X � H --
X ¢ X
}- *-- Z X
I- Nt- CD W Cr -0
CC O 0- W CO Z CA 0 C
W Cc) J W W U LLJ
0_ C� CO I- CO CC CA H I- 0
O N 1$ Z Q O U CC CO Z •
CC � CC X � 0 1-1 LLJ W LLJ CO
0_ O I- LLJ Q ¢ CC CC CO
O Z CO I- LLJ � U Z 0
J CY3 H UJ LLJ 3 X
CC O CO I- CL W Z O U
W "O 0- CV Z X LU Z H I-
CC U I- W I- CD J I- LLJ 0-
Q U3 O C1 Z J 1-
O J I- U CO CO = CC CC CO CC
CD Q O H 7 0- O W Q 07 O
C9 Y J CC +P `� U CO X N D-
UI C0 —
+0 O
ti O CCU
N in
CV O
O O
O
O U
Lf7 1-1
C0 CC CO
O7 W CO
O O7 O
O .- CO Lf)
O O -0 L ,-- ,- O
U CD .- O =
3# C O U CD
•• C_ 3 C_ H Y
C — CD O +, CD CC
N N = N -- = W L
N U C0 CD "0 > 00 U
C_ L 0- — O CO 0- C-
O 00 X +, U "0 X CO
CO Cl CO -- -- CO CD
I- I- X 4- I- U7
0 4-
X X I-
__.
1
1
4,
r I-- 1 H I 1 "
lit , II
1 i 11 0 Li . - r
Di
\ fil i 1
.,, Gt,a
,r
CDP.
i
i t - i
- 1
i
17-- 01'1112
e CZ
,.... ...7-' t° f• g r.........
CD
N w
;'• 1,--..,1-1 I i.st\4 1 i —.
;-
$ 0 C
1 t i 1 ct• -q Ca ov 0•.-
, , ,, _
1 1 -
1 , t: , - H
(\,,,,, t ..4 m C M
H 1
m .M
sc) = t :, = , - ! ,
!
, 0
• 1 i 1 i , I
'‘,....,- 11 $ C)
= ::... ! i - 1 -!
— 0
c- -i-N: i : i
W ,
P '
;---
:42:6
:-t
. . . . . ,
- -
......s___
A"-
-Xs
. .
. `,■).
,F=-
,
‘=-3
1
I .'=
c3 PO-
,_.,..--.
.1Th
, ,5 al 1 ,rt• —C -*. S
6 _Yr ;
,.• Do
Lk 17,--...
-. . R. : :'• -..- ,' :::;"6.P.: ,' ',,
)
(.)4 .„ .
• . . .
,tz
m c•-• .
, .
kr: /
;---r-t
4f.t)
rts
! ,
bQ
: ;;„:„,;;;;,;,..::-....:::.,,;-:,::::,,,,Am:',
I . 4:41
Att C,
.,..., ,
c•• :
°.--■,.
-. . .
CA •
: . ,
C, . , , _.,_
II I I.I.'"- )1e— , ••. ■-to.
0
r•••
, . -
- I I. AS, MI JIM
1 ...... 1 ' . I - I I . . ;21
T.= r -1---, - 1 . ; I
4 ,-- 1 -t--=-' ,d--= -,1 ,_
C) 0
t...,j ti...4 ! .1 L.4____. 1 -1 In
I . . - I .I (.. 24 c) rrl =
t•is
""i- ■Ti , , ' i 1 , .: r• 4'...
i it. - T-T-1
7Z1 ,
c.,)
N..); inn.
, : ! .: ..
_ .
1 , 1 1 - ,•. 3
(-)
1 i : =',..,./ ; .
H : i :: , :
.9 L°:• -:: i' : ,_- , ; ,' ,', !' -9
E..,..- ,K3f..' t , , ; -. ; , : ; ; 111..
. -- -----L-4-rt , ,
, , . , :
tI - -: iI IL 1 r.'
M EL:
cb ig
CI) .
-4
4 Fl. f4 *CZ
0 \-- ;
-P- -. ..4.:.
-s V 12
=,
(rt P,.. tis• 3 (z-, -
•
4-f
,........./
r40 C,4 .
..t....
e' .....4.
#
.......,
....., .
kr. 76,..., ....... 7,
- • i ')‘.
f....',,
ct' LN 7r#1 1
i 7.7:31
..c.■,-z-;- ft=. m 1
i
f4 ' i t 1 ,
(..1 :-. -^i. 1-1--
.
. i 15k
.., U
------r----_-_-. 1
rri
1 i
__. ...
, s. i I , •
CD -11,, ' G-) P ' 1 1 1 • ,
rri 1 '
1 '-
i
c,
..,.„ „...0 ,==, (6- "
,
,
c,
< . -r.)
P.
i -1
! . ,
c, =
2 z
P r---)
c=:,
c...) rz li 1
A, 04 , ffl -- .
..)
—1 ....." A 1
•■•••( ,..r , "÷- IMMI 1 1 1
I rti
.-
f3
. ,
Pk.*
._ . i S". 4--
(/ 1- Vs i t . 1 — ! 4t. —
ett, ■ri 4 t4-0 r ,
,
.4„
.,N.„ . ,....._
, 1 •
ri- 1 (),
i Lor•
. 1 il.
n ..c, o (.......
sz? . —
col .
.F...... I t
i 1
1,!I
0
14
I .
li.. ,
s!
. ! I -
i —
fzi ______ i 1
H
■ZIO
,.. 1 i i
ii_ ,
0(3 r■ - Cr' P (0 "d 6
...1-- ir, P,
'+1,,--'1'--'- , .......„7
a.71, 5■.. .'. - ; !
! 1
S *
. ..i.....,,.
% -
tr.
rd r.
r“ - ;4 iPp
'N c• th 6 . R 1 i
i 4---
1 ! +
,
a s s
1 s s . 1 i =
1 {
1,-Nti .
Z -At .7.-. 1 i I 1 5
g\ .
F, '•
, .
,....1 ;
• ; . ,
,I
——
—
7,.. ..0e... 1 , ,....
1 =.
i ..... ,
1 1;
'0 , 1 1 1 ••4
t t ti•ss.
_
.
k.)3. ‘p
- t
--t-
1 .
c... IR
"TO i
! ,
. ,
, .
s s
. t
kr . . ,
-
. . ,
.... f,
e,
---.1 G.- "f•-- 1 i# . , . •••71 1-- 1
1 k -1 1 Ni
i i 1
..........., Dp,
.C5
I „
II >.
. .C.
1,
i t ,
. .
, s
i -
I t
u —
ii........ t . /
4,..._
•
.-
; 0
"■,..,
k '
! ,
0 •
,f, c9.
Cb JEFFERSON COUNTY
2
D
v//
EPARTMENT OF COMMUNITY DEVELOPMENT
Date: q Time Received: q."( ( am/e) 62/ Tue. Wed. Thur Fri.
^ Date: q—q—(t,
BLD: l 2 Z-7 Contact Name:
Owner: '� ( _0 Z \-
Address: C 2 ,p/It- c 1( -t DA 206
Notes: r l ete--- --
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks Under-ground Framing Under ground Furance
Footing Rough In Air Seal Above ground Gas
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
r
• •
,0-sON Coe. JEFFERSON COUNTY
A DEPARTMENT OF COMMUNITY DEVELOPMENT
4 ?
Ny.HING-
Date: Time Received: am/pm Mon. Tue. . Wed. Thur. Fri.
Date: jfi9
BLD: 13- 2_1( Contact Name:
Owner: -6, krsc"PS Contact Number: 360
Address: }�;h.24-e.4-1- 206
Notes:
Foundation Plumbing Framin Propane Tank Mechanical
Setbacks Under-ground Framing Under ground Furance
Footing Rough In Air Seal Above ground Gas
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation.
Final Inspection
Setbacks Floor
Foundation Wall Address Posted
1 Block&Tile Ceiling
wg ON
IA JEFFERSON COU
PDEPARTMEN
OF COMMUNITY DEVELOP NT
SHN
Date: Time Received: Z:2.10 am/pm Mon. Tue. Wed. Fri.
Date: 2-- 9-0
BLD: t.' 01. l Contact Name:
Owner: ct (4. s.-e,..■ Contact Number: 360 'a‘„-- 0 3z4
Address: C3 L Ir Le e/Z,'�° 1)4, 206
Notes: J4-f1/
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks I Under-ground Framing Under ground Furance
Footing—V- Rough In Air Seal Above ground Gas
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
• Front Parcel Review •
Parcel 965000227
Printed: September 4, 2013
BERNT P ERICSEN Site Address:
MARLENE J ERICSEN 293 PINECREST DR
293 PINECREST DR
PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368
Parcel Number: 965000227 S-T-R: 27-30N-01 VV Total Acreage 1
Legal Description KALA POINT#6 LOT 426 Land Use: 1100
Flood District: Fire District: 1 Planning Area: 4
Flood Map(FIRM)Panel No: School District 50 Zoning: Pc
COMP PLAN n
DESIGNATION: ��{,/
COMMUNITY PLAN: UGA: UGA Trans
[ ] Plot plan states "property line"
[ ] Assessor's Map (Property lines on submitted plot plan must match the poperty lines as identified on theAssessor's 1/4 map)
[ ] Legal Access to Property YF - NO
[ ] Parcel Tags or Scanned Documents YES NO
[ ] ESA's: Special Reports Nearby YES NO
[ ] Designated Ag YES N
[ ] Shoreline Designation: YES N�
[ ] Shoreline Slope Stability: YES N.
,0C .0
Type:YES N
Fish& Wildlife:YES N,9,
Wetlands: YES NNE.
Rare Plants:YES Np-
Seismic: YES iv.-
Landslide: YES N%
Flood: YES N�
Erosion: YES NCy
Aquifer Recharge Area. ES NO `J' APA
SIPZ: nAt Risk High Risk Coastal
CMZ: n High Risk Moderate RiskDisconnected CMZ
Stormwater site plan submitted: Yes, '
[ ] Forest Lands: YES
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[ ] Mineral Lands: YES N9,
[ ] Agricultural Lands: YES
[ ] Archaeology: YES NO/
[ ] Stormwater:1110New Impervious Surface Land Disturbing Activity ESA's
Stormwater Req' n Re Min Req#1 thru#5 Min Req#1 thru#10 Engineering
[ ] Notice Provisions/Disclosure:Airport YES Ny MRL YES N� Forest Lands YEs N:J
[ ] Landscaping Required: Yes Ny
[ ] Parking Spaces Required NO (2 Other
1 1 Buildinn Height: UBC Standard
[ ] Impervious Surface coverageecentage:
Resource Lands&Public: 10% Rural Residential:C2 Rural Industriier UDC Sec 6.7
Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only
[ ] Total Building (s) Size: t,tiid
RVC:20,000 SF CC:5,000 S1.NC:7,500 SF GC: 10,000.SF All others:subject to se,ptic&water constraints/None specified
[ ] Setbacks: Front: 12A_ Left Side: C Right Side: `=' Rear:
Shoreline Setback: A.,
LSHA Setback: A,10,-
[ ] Road Classification:!} yi vc.4 c. 30
Road Approach: EXIS NOT REQ'D RAP
[ ] SEPA Required: YES ExEIVIP
[ ] Flood Certificate: yJ L-"
[ ] Existing Case(s)&Condition(s):
Violations: Yes
[ ] Recorded Date of Subdivision:.;' / ,24-1, /17WFN 2 57 30 a Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ ] Lots/Require Declaration of Restrictive Covenant YES Np(submitted: YES NO
[ ] UGA No Protest Agreement YES Nj1%submitted: YES NO
[ ] Site Visit conducted YES Np '
[ ] Require Final Zoning Approval YES N9V
[ ] ADMIN: Setbacks entered in Permit Plan case N/A YES
New Parcel Tags entered in Permit Plan N/A YES
Special Reports Scanned N/A YES
No parcel tags found for parcel
Cases Associated with APN 965000227
Cases Name Review Type Status Planner
BLD12-00104 ERICSEN F
Application Received: 3/29/2012 Permit Issued/Case closed: 3/29/2012 Case Finaled: 4/18/2012
A/G 120 GAL PROP TANK, LINE & FIREPLACE INSERT
BLD13-00271 ERICSEN P
Application Received: 9/3/2013 Permit Issued/Case closed: Case Finaled:
REPLACE EXISTING DECK, SAME FOOT PRINT
BLD92-00206 SCHWEIZER F
Application Received: 4/2/1992 Permit Issued/Case closed: 4/15/1992 Case Finaled:
single family residence
SEP92-00121 SCHWEIZER F
Application Received: 3/17/1992 Permit Issued/Case closed: 4/1/1992 Case Finaled: 4/15/1992
EES 4/10/08
SOM92-00121
ANDERSON TRSTEE RCR
Application Received: 4/15/1992 Permit Issued/Case closed: 11/30/2011 Case Finaled:
A./4-/`7 Gztley v,
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/4/2013 Page 2 of 2
DEVEL4111VIENT REVIEW TIME SIET
Date Time Comments , t
q- i-/- /3 c-;- h �` v - . 7)d 0/7� �ro tti O4
e4 i --el
9- i/-tI I h /`s_5-i/ po-ii-L-f
\\tidemark\data\forms\R_MLT_Case_CRMLA.rpt September 18,2012
AP-Pf'-' ' . • 1.•-..C1s3
■ , , ,g -......,
1.4.1 -1.••• >3
..t
i . .
. ! i
• ,
! f
Z '
,,,,C I MI=
: < 4-='■
. , 1 j 1
=11..
I , i ;
-- -
••
, . #-
1 1 7 ,
4 -
.43 i F i t
7.:1
.....) ! 1 1 i
1----: .+-
ci
H .
•,
....3 4 co.
vi — X
r ci .....
t -....1*
1 1 1 'i I' 1
i
i
' ' xt.
71' i,l
-,31 1
1 54.
C 1 i i I
1 :
II ,
:72ri =4'
, •
, 1-T vzt ‘....)
ja- Fl
-.. ,.. f
I I f
i — - --
• i /if .
it 5 Cr-
-`■•• I
t .
1 taj
0 - i
! t
,, „..„.., .
..., , ,
•-)
Ci (4:.
1 1 %-j) z.! -v)
-3 g
if) -ac I.• 5C
•-... 1 i 01 .
( 1
Vit 1
...-- ' ...... Cil.
W
; f
1 t
gl
i 1------
i 1 i i I
'L
.. ,
, ....1
ts
0 4t)
fn cli Q:›
t t t t
C....)
i 1 I t
I 1
t
1 1
t t
■.
Lt.'.
t 1
.
1 4 S .
, j
: .., _ . i i
1 i s
0 stC 61-
CD
1--'
kg ---------- a-
E:n
1 1 i
1 i
i t
1.4 r--- -----=
7-i
t f i i
.....) '1•J
1 j 1 an
, f • i
\... =
Pc
Sj)
jIMIIIIR*. — 1-4 _
• S
# ,zq
• PrnOCreSt0RVe
Le
(� ad 6 •
\) s°AUG 2 g 201 3
IEFFERSON cmlriE �Q�
DE(.Of COMMUNIZY DEVELOPMENT Je
cow
.(•O
G°
,
�$
h
rt. ,o• 41
o
0, k
N^�
Existing 3 Bdrm 2
Home 1
�' 2.. ; APPROVED
S ITS PLAN
Existing 2nd S ,ry Deck ,-----";-----\,
with stairs
(to berepl , • ) a.„,,,, SEP - 4 'ulJ
1
SEP 92-121 ' EVERSON CoUN 1
DFP' I_ DEv1i , v 1
SIC, ,: s ...
8
Reserve Area
0 30'
— MN
i i
130.00' •
• N 88°19'05°E (-FILE NAME 1
BERNT ERICSEN.TRV
SCALE DATE DRAWN BY
30 Ft/In 8-28-2013 Bemt Ericsen
JOB REVISION SHEET
• `$JOB 1/1 111
This map drawn with TRAVERSE PC,Software
REAL PROPERTY MASTER Mode: INQUIRY
Parcel # 000965000227 Nbhd Cd 5391 KALA PT - DIV 3(PART)
Legal Description KALA POINT #6
LOT 426
Sr Cit Name
* Taxpayer ERIC 0050 ERICSEN, BERNT P
MARLENE J ERICSEN
* Title Owner
* Contract Hldr
Inquiry Type DS Cmd 1: Next Parcel Cmd 7: End of Job
Cmd 2: Prior Parcel Cmd 9: Select Name
a c ..pl lr..'..
LP-Vol I. 1i59
,257364•
In
Q
•
KALA POINT DIVISION NO. •
•
A PORTION OF SEC. 27, T. 30 N., R. I W, W.M.
JEFFERSON COUNTY, WASHINGTON
DEDICATION STATE OP WASHINGTON )
( ea.
KNOW ALL MEN BY THESE PRESENTS THAT we, the undersigned owner s County of Pierce )
in fee simple of the land hereby platted, hereby declare this
plat and dedicate all easements, roadways, common areas, and On this AMC, day of 199, baler,me
walkways to the Kale Point Swam and Racquet Club, Inc., together personally appeared PACIFIC NATIONAL SANK OF WASHINGTON, Trustee, thru
with the non-exclusive use thereof for the residents and occupants A.i.Heidbreder, to me known to be the corporation described in and
therein, their guests and service to said residents not in a - who executed the foregoing instrument for itself and also as Attorney
tent with use common with other residents. The undersigned in fact for GEORGE W e and and acknowledged ac deed it signed and Sassed
9aad
owners, however reserve the right to the non-exclusive use of the the soma as its Tree and voluntasy set and deed for (teal[and also as
easement herein dedicated for themselves, their successors and its free and voluntary act and deed as Attorney men ie Fact stated said principal t
Inc., assigns, forever. The Bala Point Swim and Racquet Club, for r the uses me purposes therein
the mentioned, and is oath umened ahat the
Inc., shall have the right to make all necessary slopes for cuts Power of Attorney authorising the execution of this instrument has not
and fills upon the lots shown n this plat in the reasonable bee ... nd that the maid principal is now living and is not insane.
grading of all streets, drives avenues,and places shown hereon;
ag
also the right to drain all streets over and across any lot or Given under my hand and official seal the day and year last •
lots where water might take a natural course after the streets written above.
are originally graded. y�■P�///
SUBJECT TO restrictions and covenants filed under Auditor's 11et0,•/1y FY Gin.W [oC State of
Pile No. rsowzz Washington residing at �1sr i_/ •
IN WITNESS WHEREOF we have set our hands and seals. STATE OF WASHINGTON )
( no.
• Pacific National Bank of Washington, Trustee County of Jefferson I ,,y
��1. 0 (� I� This is to certify that on the f/ day of.ti 199, before
B "'AWN, By: ^�"w+^-^"�-.a.^ me, the uMar■igned, •Notary Public. personally appeared
T" i4eS Title TXwar 4WOAME,t and 1'^N (jitawl • Officers of the Sala Point Cowpony, aii ngton
corporation, tone known to be the individuals who eeatvted the within
dedication, and acknowledged tome that they signed and sealed the same
ICE C MBS 7: CO N
as their voluntary act and deed for the uses and purposes therein men-
tioned and on oath stated that they were esthorised to asacnte said
. By: For Hy: For
um
Pacific National Bank of Paei rc National Bank of instrent and the seal affixed is the corporate seal of said corporation.
Washington, Trustee-Her Washington, Trustee-His WITNESS my hand and Official seen Medal,and year first show,written.
Attorney in Fact Attorney in Fact 1 C
MLA POINT DEVELOPMENT CO., A Washington Limited Partnership, by Notary twin+a O[ a its s e[
BALA POINT COMPANY, General Partner Washington[ die/at
Ah/ Z n---- PRES. 62�J• COUNTY ENGINEER
Examined end approved this 4 day of 4,1 . 1979.
14ed4 ariet �(
Coealy<gleme[, 411esme County.
HEALTH OFFICER
Examined and generally approved for individual sewage eyeteme. each lot
is sublect to building site approval.
ACKNOWLEDGEMENTS
-----')
..a.
STATE or NASHIwGraN) Jefferson fearer masks Dranumes
( ■■.
County of Pierre )
4Edr 19 PLANNING DEPARTMENT
This is to certify that on theme v.
day of before
ma the undersigned, a Notary Public, personally appeared f ` Approved by the Planning Department of Jefferson only.
dwIrr and lam. -.l.is,.:. , Officers, of Pacii o National
bank of Washington, •Washington corporation, to me known to be the ery„y�6
individuals who executed the within dedication, and acknowledged to me b rem rI
that they signed and sealed the within dedication, and acknowledged to
me that they signed end sealed the same as their voluntary act and deed
for the uses and purpose. therein mentioned and on with stated that TREASURER'S CERTIFICATE
they were authorised to execute said instrument and the seal affixed
is the corporeted seal of the said corporation. I hereby certify that all State and Canty tames hertofore levied
WITNESS my hand and official .e.l the day and year first above written. against the property described heria, according to the books and
records of my office, have been fully paid and discharged including
1979
Notary c an a or State
of Washington residing at,Zw,oeo, at arson County
STATE OF WASHINGTON )
( se.
County of Pierce )
On this RBdp day of"Meow 1916% before no COUNTY COMMISSIONERS '`7'
personally appeared PACIFIC NATIONAL SANK OF WASHINGTON. Trustee, thru
Examined and a dame of ��/i1 1979.
S.C. Heidbreder, to me known to be the corporation described in and approved this
who executed the foregoing instrument for itself and also as Attorney ^ _/
1n fact fo SEWICE COMM and acknowledged that it signed and sealed q[4/ I _C/{Tlrjosi�//�f/Y/jJ
the sane as its free and voluntary ect and deed for itself and also ar 257304 r.an, o only i..ionare
its tree and voluntary act and deed as Attorney in Fact for said principal
for the uses and purpose■ therein mentioned, and on oath stated that the
Power of Attorney authorising the execution of this instrument has not COUNTY AUDITOR
been revoked and that the said principal is now living and is not insane.
rile "ter'record at the request o[ i,4�,/��(i■ y da
Given under my hand and official seal the day and year last of Gl�daL /�79. >�at fp h utos past // AM/, a recorded
written above. in use of Plats en Sages_39.6/ . !,
�ja Records of the affer■on County Auditor.
Po ry cif • ar State dETIT J.AHDERSl•
of Washington residing at, iysvJ Auditor of Jo/foracn County u y nor o ,teen o.
TRIAD ASSOCIATES 75-00z SHEET.I OF 3
4 , •III 4..':r�i: nw 11%
• LP-Vol 4,p.3 o
F)
h
-.E
KALA POINT DIVISION NO. 6
A PORTION OF SEC. 27, T 30 N., R. I W., W.M.
JEFFERSON COUNTY, WASHINGTON
DESCRIPTIONS EASEMENT PROVISION
LOTS 287 THRU 299, 341 THRU 346,&TRACT"8° An easement is hereby ved for and granted to PUGET SOUND POWS31
That portion of the North half of Section 27, Township 30 North, Range 1 A LIGHT COMPANY and PACIFIC NORfSNiaT lOLL, and their weceswn and
west, N.M., Jefferson County, Washington, described as follows: assign., under and upon the exterior 7 feet, parallel with and adjoin-
ing the street frontage of all lots in which to install, lay construct,
BEGINNING at the most e-therly corner of Tract"H", Kale Point Division No. 5 renew. Operate and maintain underground conduit., cable., and wires with
e y recorded in Volue 6 of Plats.pages42 through46. records of said county; necessary facilities and other equipment for the purpose of serving this
thence generally southeasterly and northerly along the boundary of said plat subdivision and other property with electric end telephone service, to-
by the following courses and distances: 560'38'40"F 25.77 feet;561'54'34"E Nether with the right to enter upon the lots at all times for the purposes
375.30 feet; 554°19'32"E 235.26 feet; 504'15'42"W 79.29 feet;N77.32.24"E 211.12 stated.
feet; N38°02'16"E 60.81 feet;X47•30'00"E 240.59 feet;N20•24'25"W 23.47 feet; A1.0, all lots shall be subject to an.element S feet in width. parallel
X06'41'09"N 123.81 feet; NO2°11'30"W 25.13 feet; X00°09'29"E 161.93 feet; with and adjacent to all interior lot lines end II feet in.width, parallel
NI1'30'00"E 80.00 feet; thence leaving said plat boundary N74•37'41'w 255.00 with and adjacent to all rear lot lines for purpoees of utilities and
feet; thence 546'39'19"V 229.87 feet; thence N65•28'05"W 254.47 feet; thence drainage.
562.46.54"W 154.23 feet; thence 529°51'22"W 67.04 feet; thence 543'22'57"w
203.04 feet to the POINT OF BEGINNING.
LOTS 378 THRU 388, 420 THRU 434,8 TRACT"C"
That portion Of the North half of Section 27,Township 30 North,Range I West. RESTRICTIONS
V.N.,Jefferson County,Washington,described as follows:
Approval of this subdivision doe. not constitute-approval of each lot
BEGINNING at the southwest corner of Tract"C", Kale Point Division No. 5. for on-sits sewage disposal systems. Approval of each lot will be con-
s,recorded in VOIoe 6 of plats,pages 42 through 46 ,records of said c unty. ditionel on building plot plans. contour and soils on individual lot..
said southwest corner being a point on the east-west centerline of said Section
27; thence N88•19r05"W along said centerline 1260.88 feet to the east line of
the Southwest quarter of the Southwest quarter of the Northwest quarter of said
section; thence N01•25'18"E along said east line 330.27 feet; thence N14•26'33"E
141.52 feet; thence 053'42.00"E 73.83 feet; thence x21•44'59"E 205.22 feet to
the most westerly corner of Tract"0", Kale Point Division No..5; thence g ly
ly and southerly along the boundary of said plat by the following courses LAND SURVEYOR
and distance: 675'06'34"E 25.18 feet;561°54'34'1 325.56 feet;53735'42"E 132.78 I hereby certify that this plat of Sala Point, Division w.d is based
feet;575•48'55"E 83.83 feet; 588•19'05"E 646.94 feet;501'40.55"W 200.00 feet; on en actual survey and subdivision of Section. 26 and 27 in T3011., RIM
525'27'09"Y 65.56 feet; 501°40'55'w 175.00 feet to the POINT OF BEGINNING. N.M., in Jefferson County, Washington; that the courses and distances are
shown correctly [heron: that the monument.have been set and the lot and
COMMON AREA block corners staked correctly on the ground: and that I have fully complied
That portion of Section 27.
Township 30 North,Range I nest,W.11., in Jefferson with the provisions of the platting regulations.
County.Washington,described as follows:
B eginning at the most westerly corner of Lot 168, Kale Point Divlson No.3. \
according to plat recorded in Vnluee 6 of Plats. pages23 thru26 records of E.MUCC\' ., r/�
said county. thence northwesterly he along the northeasterly 547914 of Kale ., 1 E9n��
distance• Drive on+curve to the left the center which bears 547•24'15"V a _ tai"/5 �
distance of 600.00 feet thru a central angle of 3'49'21"an arc distance of f��, \QV., Glen E. Mu .S.
40.03 feet to the most southerly corner of lot 169 of said Plat;thence of �MIS�y °ice ' Certificate No. 12338
547'24'15"E 310.00 feet to the most easterly corner of Lot 170 of said k v,
plat; thence N46°30'00"W along the northeasterly line of Lots 170. 171. ',.�l 9Y2 e
and 172 of said Plat 300 feet; thence x47.24'15"E 290 feet more or less to the /0\\\ �,,.'SJR '
Mean Nigh Water line; thence southeasterly along said Mean High Water Line .4i LANG
to the most northerly corner of the Common Area of said Plat;thence S47'24.15'S47'24.15.51 650 feet more or less to the POINT OF BEGINNING.
PORI IpfASfXO BAY MAINTAINANCE OBLIGATION
.yf-wp The cost of maintaining all roads, not herein dedicated as public
y4, roads shall be the obligation of all of the owners of the lots in
y_ the plat and or of any additional plats that say be served by said
{As 4 streets, and the obligation to maintain shall be concurrently the
VP" obligation of any corporation in which title of said roads and streets
\\ <{t1 may be held.
\ 14
\
5'
"S, COVENANTS
/Z '•66 All lots within this plat are subject to the covenants recorded the 27 day of
• June 1978,under receiving number 250922 records of Jefferson County,
/ J 02,1710f07y NfW Wallington.
•
.. ✓L!6 ¢ \\,W;.,3-Z6
\`,. / \\.
!7J ■\
6 �.f
\y., ,pas, -/ I �
\ cl, \ I
\ V I rA
\ JCfttt••M• A
MOO.41100.411
G
7$12X NEE a Of i
1 . -
• L.P-Vol 4 ,p b/
h
KALA POINT DIVISION NO. 6
A PORTION OF. SEC. 27, T 30 N., R. I W, W.M.
•
JEFFERSON COUNTY, WASHINGTON
00 , '' i 191 ,
_ 0
-
•. 199 u e " * 193 V ,'a# t ,se e '♦ ;?GB
.Nnr/f4alwarrNr $ at 197 °p%'s, de 9-----
oNCaaawN'wOAINra'Wr4' d.. .l.-r' :'` 8 %ti �,� 'A 7v
6$46669 TWO Lad.
tl �' ..�f, 4 .yam%^• L" _ J "96 P yo: r ,�,�xm ,..,,
'% °. '}fib ,.t 194 c•n n ����
11h,40'0 Ri ( L'n4 a$ Ayr.NR r.
�; { 34/ 'ice t. o•-•,b •' 'et, 4'',.. $x NPM R "-
P 4 /Noel• S tt4,6i t, 4r•r �0 46. � ev --—
+¢:' ow/1w tE ..'4 . it 4,.' 0 8 nwuwn % ..
kt _ 4'4• �8 1119 %`7
l °,4n'*.. 4. 343 %Sii�'cp 4 •��:- !/ ----,
,. .ti,
it Irsz / -3 .s." t 166
1 / $
I I / / 4't 00$, 344 , lb. ',,,,4-41,„
v` / i / Pd'o - .$ - -ate 663• •g.
/ / +,4;4 1 10 *.• 167 e
�-� / / / o:�` 345 '3, *`'
/ i .rye ��.j `¢'> j Xit %•
/d'.' .W.../ / / \ / _ •r.c \ /
,/,g..12,.., / / / \ ---L-- ____ I //
I / / 'F6 / \
rwNCrwen ys / ? \ n7'? /1 it \ i's / I 1 i
14 te# 367 ,t 0„ ,, .';I I ' I '% \ �� \ \ ,,
M� •',•,1 91. .:e•9 I 1 \ ,
�M1' W � •q.. �'° 366 s I I I p \
•�' '""46$+46�' � "'try t t - .,r'm j I I I �1 \\ \\��/
A —a'` .-....� - {'r 9'' 363 - s.'e "' l warmm-w s s.4 I I ----> \
..44.1 4'v + 'e' a0.f/ Nb!! NUN • AIX AVM \
4X1 ;,,. .;1W g \ 1
Z, Niweoc. d^ is. 364 ' C W 11 11
za`s v ( .s :. o.0 a�, RI g A 361 $8 36/ .. 366 .. 379 Es 376 t' rh 1 t'—
4,,...w.. h ....ff. Y °
■
0090 'S!•fN ..., 41 ° 66'00' KN(3 /00 00 4464 Ai.90
y �. °964"..• 475 ro\^ '?urn Ph/I( 'A NM
h.;
477 I .4 s �t "'ft' a eaN 1600 • 4x.00 —'
$814 > ' ( h' -.n
l s ti I, % " `Nt 416 Z^ a' S
t.1pjpb 419 414 $P lFti "1 ya, 416 sp 479 gg 430 .: 43/ , 437 .. 433 hg 434 .&2i';;"
or fi t >Q sfi h S.: C
l z, c-,
X0. IWO /3000 /3000 0090 10090 /0000 4090
1144.1166-11 /WOO ------ v
D
n
if
rr NW-fa/3
•
L.P Vol (o P9
2.4315+
KALA POINT DIVISION NO . 3
A PORTION OF SECTION 27 IN T.30N., R.1W., W.M•
AND A REPLAT OF A PORTION OF OLYMPIC HEIGHTS
JEFFERSON COUNTY, WASHINGTON
DESCRIPTION ACKNOWLEDGEMENTS
This description embraces a portion of section 27, in Twp 30N,
R1W, N.M., and a replat of a portion of Olympic Heights, Jefferson County, STATE OF NASBINGTON 1
wash.
BEGINNING at the northeast corner of the Northwest Quarter of the ( s*.
Southeast Quarter of said of Section 27; thence N88.19'05"W along the County of Pierce )
eamt and west centerline of said section 1688.89 feet; thence N1.40'55"E This is to certify that on tM 1'(day of MA'Y 1977 before
175.00 feet; thence N6.26'36"E 60.24 feet; thence N0.58'04"E 160.00 Y I
feet; thence N9°37.21"W 63.46 feet; thence N47.56'00"E 215.00 feet; me the undersigned, Notary Public, personally appeared
thence S42°04'00"0 100.00 feet; thence N43°10'11"E 60.21 feet; thence 'Q�•Fie/0 Olaglnd .)•W•4xe�M Officers, of Pacific National
N47°56.00"E 142.46 feet; thence 540.25'00"E 87.85 feet; thence N84°13'17°8 Bank of Washington, a Washington corporation, to me known to be the
155.67 feet; thence N84.47'44•E 60.11 feet; thence N77°01'47"E 307.41 feet individuals who executed the within dedication, and acknowledged to me
to a point on a curve from which the center lies N49.35'00"E 380.00 feet that they signed and seated the within dedication, and acknowledged to
distant; thence southeasterly along said curve to the left through a me that they signed and sealed the same as their voluntary act and deed
central angle of 30.00'00• an arc distance of 196.97 feat to a point of for the u and purposes therein mentioned and on oath stated that '.
tangency; thence 570.25'00"E 278.23 feet; thence N52.19'20"E 71.33 feet; they were authorised to execute said instrument and the seal affixed
thence N19.35'00"E 200.00 feet; thence N49.33'10"E 115.44 feet; thence is the corporated seal of the said corporation.
N60.19'52"E 143.60 feet; thence S46•30'00"E 460.00 feet; thence 547°24'15"W WITNESS my hand and official seal the day and year first above written.
310.00 feet to a point on a curve from which the cetfter lies S43°34'54"W `
600.00 feet distant; thence southeasterly along said curve to the right jy I•t
through a central angle of 3.49'21", an arc distance of 40.03 feet; thence Noterj�iblt ands r t%State
a
N47°24'15"6 652 feet more or less to the Mean High Water Line, thence of Washington residing at iela.4.4._
southeasterly and following the Mean High Water Line to a point that bears
N47•16'59•E, 250 feet more or lessrnee the most northerly corner of Lot 56,
Kale Point Division No. 1, as corded in Volume 6 of Plats pages 10
through 12, records of Jefferson County, Washington; thence 547°16'59.W
250 feet more or less to the most northerly co of said Lot 56; which
point is common to the most northeasterly corner of Kale Point Division No.
2, as recorded in Volume 6 of Plats, pages 18 through 20, records of STATE OF WASHINGTON )
Jefferson County, Washington; thence along the northerly and westerly ( s
s
boundary of said Division 2 the following courses and distances: N42•43'01°W, County of Pierce )
228.38 feet; N47°52'16"W, 9.80 feet; 566°39.47"W 474.13 feet; S88°26'24"E,
250.00 feet; S1°33'36"W, 35.00 feet; N88°26'24"W, 175.00 feet; Sl°33'36"W On this 7-7 day of .$1•44, 1977 before m
270.00 feet; N88.26'247W 120.00 feet; South, 155.00 feet; S3°59'50"E, 89.66
feet; S27•33'30"W, 71.00 feet; S53°00'00"W. 205.00 feet; thence leaving personally appeared PACIFIC NATIONAL BANK OP WASHINGTON, Trustee, thru
the boundary of said Division 2, N37°00'00'W, 97.73 feet, to the beginning R.E. xeiab:east,.to em known to be the corporation described in and
of-a curve to the right from which the center lies N53°00'00"E, 530.00 who executed the foregoing instrument for itself and also as Attorney
feet distant; thence northerly along said curve to the right through a in fact fo BERNICE COMBS and acknowledged that it signed and sealed
central angle of 3.56'30"an arc distance of 36.46 feet; thence S56°56'30"W, the same as its free and voluntary act and deed for itself and also as
326.67 feet to intersect the west line of the E1/2 of the SE1/4 of Section its free and voluntary act and deed as Attorney in Fact for said principal
27; thence N1.33'36'f along said west line, 838.13 feet to the POINT OF for the uses and purposes therein mentioned, and on oath stated that the
Power of Attorne y authorizing instrument the execution of this instrument has not
BEGINNING. been revoked and that the said principal is now living and is not insane.
Given under my hand and official seal the day and year last
written above. notary(u)laoT and tte A lt
ate
of Washington residing at TAAIAKL
DEDICATION
KNOW ALL MEN BY THESE PRESENTS THAT we, the undersigned owners in fee STATE OF WASHINGTON )
simple of the land hereby platted, hereby declare this plat and dedicate ( se,
all easements and roadways to the Kale Point Swim and Racquet Club, Inc., County of Pierce )
together with the non-exclusive use thereof for the residents and o cup-
ante therein, their guests and service to said residents not inconsistent On this 7-7 day of 066 1977, before me
with use in common with other residents. The undersigned owners, however, personally appeared PACIFIC NATI NAL BANK OF WASBIMGTON, Trustee, shwa
reserve the right to the non-exclusive use of the easements herein dedicated R.E.Heidbreder, to me known to be the corporation described in and
* o
for themselves, their succes rs and their assigns, forever. The Kale Point who executed the foregoing instrument for itself and also as Attorney
Swim and Racquet Club, Inc., shall have the right to make all necessary in fact for GEORGE COTTON and acknowledged that it signed and sealed
slopes for cuts and fills upon the lots shorn on this plat in the reasonable the same as its free and voluntary act and deed for itself and also as
grading of all streets, d , avenues, and place a shown hereon; also the its free and voluntary act and deed Attorney in Fact for said principal
right to drain all streets over and across any lot or lots where water might for the uses and purposes therein mentioned, and on oath stated that the
take a natural course after the streets are originally graded. Power of Attorney authorising the execution of this instrument ha*not
been revoked and that the said principal is now living and is not i nsane.
SUBJECT to restrictions and covenants filed under Auditor's File No.0195tl{243113
Given under my hand and official seal the day and year last
IN WITNESS WHEREOF we have set our hands and seals. written above.
PACIFIC/,W/ANAL BANK OF NASN/N6721.1 TRNsTEE d,a�s,�..rt�,
BY •� SY Notary L fn( r� t State of
T/TLEA53T 4/.P T/TLE r � iF°c t<� Washington ding at �A,vyKaL .
BEANIC�,'C/g188 ,/ GEO .2 ON
By: ^`Y-,+«- � For By: For
Pacific National Bank of Washington, Pacific National Bak of Washington, STATE OF WASHINGTON )
True tee-Her Attorney in Fact Trustee-His Attorney in Fact ( as
County of Jefferson )
KALA POINT DEVELOPMENT CO., A Washington Limited Partnership, for;
KALA POINT COMPANY, General Partner. This is to certify that on the ) day of , 1977 before the undersigned, a Notary Public, per*oylly appeared f ..Al 4flf0•.0,
,,,(7A �% 7� ,/ and Officers of[he Kola point Campay, •Washhingem
r`O1�
PRES. ".Z,L%Ir//C v - VSECY. eozporat on, to known to be the individuals rho executed the within
dedication, and acknowledged to me that they signed and sealed the saes
as their voluntary act and deed for the uses and purposes therein men-
tioned and on oath stated that they were authorised to execute said
instrument and the seal affixed is the corporate seal of said corporation.
WITNESS my hand and official seal the day and year first above written.
e MJ
Washington residing at mOS,TaitIlelfA Q • •>
n
TRIAD ASSOCIATES SHEET 1 OF 4 SHEETS U
,*
7fdd'
Pfd.
•
L.-P.vc l &•
KALA POINT DIVISION NO . 3
A PORTION OF SECTION 27 IN T.30N., R.IW., W.M.
AND A REPLAT OF A PORTION OF OLYMPIC HEIGHTS
JEFFERSON COUNTY, WASHINGTON
MAINTAINANCE OBLIGATION
The cost of maintaining all roads, not herein dedicated as public
roads shall be the obligation of all of the owners of the lot. in
the plat and or of any additional plats that may be served by said
streets, and the obligation to maintain shall be concurrently the
obligation of any corporation in which title of said roads and streets
may be held;see mamemtaerrf wssMP AL✓i%ri F1/I A4.2CILf7(ii/Uay?)
EASEMENT PROVISION
An easement is hereby reserved for and granted to PUGET SOUND POWER
i LIGHT COMPANY and PACIFIC NORTHWEST HELL, and their successors and
assigns, under and upon the exterior 7 feet, parallel with and adjoin-
ing the street frontage of all lots in which to install, lay construct,
renew, operate and maintain underground conduits, cables, and wires with
necessary facilities and other equipment for the purpose of serving this
subdivision and other property with electric and telephone service, to-
gether with the right to enter upon the lots at all times for the purposes
Stated.
Also, all lots shall be subject to an easement 2.5 feet in width, parallel
with and adjacent to all interior lot lines and 5 feet in width, parallel
with and adjacent to all rear lot lines for purposes of utilities and
drainage.
COUNTY ENGINEER
Examined and approved this d7gday , 1977.
off/✓/uti,. (/
County Engine rson County
HEALTH OFFICER Ao4E:
Examined and generally approved for individual swage systems. Each lot &&tee oP nP/s trADW5/A1 DMOS
is subject to building site approval. /47 Go/Sr/Tore APP.N/AL OP EACK Ur
F,.AN ONLyre JGe%be ddFPKAL Jrd)EN'
•
�•S. A/P.Pe/L r.4 J/7a .ILL Arc ea✓tvnwe'AL
OO ympi�ietric�an tar atar a aPoN 81//LdM6 PLOY FLAN,GX/NIOL/P.AND
Jar OF CAW LOT
PLANNING DEPARTMENT
Approved by the Planning Department of ff County.
Director
TREASURER'S CERTIFICATE
I hereby certify that all State and County taxes hertofore levied
against the property described herin, according to the book, and
records of my office, have been fully paid and discharged including .
1977 taws..
a% sue Katie C�h, f D r ty
T,sourer a Jeferson Coud ty
243154
COUNTY AUDITOR
Piled or record at the request of v t G. this s'— day
of , 1977 at / tes past NJ 2.M.,recorded
in V of Plats Pages.5,9..2h .
Records of t• e ,rson County Auditor..
Auditor of Jefferson County a ty Aubatoz o eiier'Yon Co.
COUNTY COMMISSIONERS 0
Examined and approved this S^ day of 4 y,�y , 1977.
Zirman, of ou ti or asioners
LAND SURVEYOR
I hereby certify that this plat of Kale Point, Division No. 2, is based
on an actual survey and subdivision of Sections 26 and 27 in T30N., R1W �,6
W.M., in Jefferson County, that es
Washington; at the cours and distances are ' ^-
shown correctly theron; that the monuments have been set and the lot and
block corners staked correctly on the ground; and that I have fully complied
with the provision,of the platting regulation..
e
ProfessionalStand urveyor, Car. No. 7785
•
TRIAD ASSOCIATES SHEET 2 OF 4 SHEETS `,4*
PFO
I.
• •
■
L.P C. I&P32-5
POINT
KALA DIVISION NO . 3
A PORTION OF SECTION 27 IN T.30N., R.1 Woe W.M.
AND A REPLAY OF A PORTION OF OLYMPIC HEIGHTS
JEFFERSON COUNTY, WASHINGTON
N
NOTE
LOTS PSI,.1•4 ITS fJ/277
-Ord./4,W.440.142.
IY/!L erower DEEP
T?fHC�Y""DMA/NfjflDS me
0
..eND/✓/0841 SfN446E 4/$41141 _
SYSTEMS '-`'��'G-A"1 FED
SCALE: I"=100'
I1 6 ael On N�7..1 gv
1r1
ot. all
tl¢p Y troy` 260 �t rsi7 1 4 241 ,�,,.,,,f r
Oil dl ° �fL z ��a�MM { ? v �ArJ'srirs 1ri . y omits j
Sid 259 r. As F^1 NI ,,,.
le vc c`4 .x4 1 236,/
1��' \t.`-'-=-
e 240 zw ;I * /
----1.,'''''' 11 +,1'4 /
`_° s 277 v i s',,. t\a •� [' " P 237 ''''4'4'.
r :, .,,c a.. w,,,,. a e,. e'nvrr —, \, a:,,v, 235 �j t
1 ., K.- .. 2-. tt .Y.w •1s 1178 ^` /t
278 .0 '�c ez 239 av r v�«a l: 4x ewn�'«
O 4.e 9..151 Fj, cvra' s. .�'te.*ry d � fd Si it! /u" \ N
X17 71 p. eI110a 'ca` ti/�"'�Q• p. •
t p. I ... .eye .r.� • e� s;- � � �'(
-i , n,.r{ /4i. 5+�, �.,,aee 442 d 4., 2' 238 L•Ke1 . ∎4 a y rg �Y�n Lqyfor 4 9>.. c,`;' IyI'YiV•
T �,ft. _ bv. Nero' t/n, °':e .. e:, � �� 1v. 234 \�.
�$ [:rbfe •e' 1104"nr,-,, /'' +ta. $1 se-
,s,.... f_--------4 ,,,,,,....P c•>y>r,fr4Jl1 ZF ;i.. 11 iM
ii,Z .:4we to j/`aih d'.a : 441 d ., i "�.sw krse a's'i n
'+ LOW.L.lre L•.RI/ L`8`I. - 'A\\. /lS .e,‘„„,.;-.J AGIY/Jf%Y —1
e•rrrx e.lra:r- .o`Y.. esrj/ \h` .e, [ .re�'ae�--`7_
y 438 %,xi t •vlp•, trer ��
cn./7
'7 > d 6 OO/Valr It
ZY �8L .,Y r 443 $` 444 d 445 d\ ,It
A; e fye/41 439 '^ 440 F t r�t �\t� 446 2 447 i
gem ria.ee isles /lad- /Jllr /J/aif e?sf IXq I
1 [LA
a+N„ryH' "e,virli/r-w N P L.A T.1 E I)
itfid f#,(',i ' n�a
e'fi'0h0.7 `y Ndrliirw 4 q IN"
0. rr/K t4ARll N(.le o.
{/ eo
,\
-29-- `F --,v,A=/,-�-27 1444%k• /MU, o
M 11 7
ti� • ';•.,,,C .`N 4o, 1
1/044eJO"Il .,eela1 w 3\ 2. 626 19
1 S$Al id 44$444 H6Cil 55
f* FJre•
NOTE.'APP,POY4L OF TN/s S//BD///S/ON D14c
407 COS?/TOTE 4PPl.Y1L OF EA(W LOT
-33__--- ---3i V FDA AN ON-S'/ 84,4161-D/SPOSAL SV$7
7
e A. p0V4( OF A S/TE/Y/L(9E ebrzw-/ONAL
OPeW BO/(Dims PLOT Old e'd,Y).te.440
2 SO/L OFE4eW LOT
N�
Ci' X11 i•
i•-
Fi-
SECTION BREAKDOWN
a
TRIAD ASSOCIATES ..SHEET 3 OF 4 SHEETS RI
71-AV
VfO
�. 6
L.P -\bl&ig
KALA POINT DIVISION NO . 3
A PORTION ` OF SECTION 27 IN T.30N., R.1W., W.M.
AND A REPLAT OF A PORTION OF OLYMPIC HEIGHTS
JEFFERSON COUNTY, WASHINGTON
S o2.e ,
d°ar
r4 s l ;t
.11t .: ,
14 d��� �73'.� `''g -r;� ..NPL.A fTE.L,•d
DIAµ ;T. • 2'� ` `` `_;. PORT TOEND
? lu � `{ r s 172 Ns bra
i4 174 " .. C0• ' i' `0'. BAY
I
\, I■'NWr" r . t I:■
d' 175 ry Qtd -144...,„."Y ..4 ii► •f ►0 s,t► •
r � � /fit t ''',.'4.•.ry 170 �'s rit II@` _ 00440
/�
-- i4 *3-,,,y_ I \; �'q�tW '�fi" ��, 'I
?1* t 'Rw.;Y 169 i t�tys ►I��` ss
d 168 \\ 0' 4
1
A. -,.. "rwr-4` 4;t; ?e-,.� - 161'01 a Fq fr
$i. �`.f d 453'- '`� : o' �a 165`tc
- 233 % , '. 0 s a 1' 0 166 i c ►
►+���►�`>.�<4 d► t4 t►ffp ��\ +Y 167 v c:rtn + tt�5 I64, 1 r t ;�ar if . m * rravp''
.\\ 00 lit d c°i..6 452 -.;p9 ■ I 'wr. d-f r4 .'''� - i
// d l�.d ler�3 s :rid 2a° NN ax71 •- i� P' ` \mP+iop' 4s
► ►, W/ryJf(JTW v•;�+;,. f?r R. l:Y' .tF t 163 1,
r' 4,d . s �, rwr ° aver .t'� .ANY/n" ril �z
I' 4.` t .Ea 4is ev.;i 4>rv._ xt:AO �\
A` i' rx,i i Z
i. ►'µ {�"' -14 s 451 v x �0 d .,r _°_,..,•:i
��" e. ' ✓ ..
�` �' 162 n
h�1 e.rnvxr" AI /1r' At
2 �t 448 ►'G►►� 004 ..tom. 4 I a <riN i g' d i `xr N. t t
', $ t Z t t xN i sl E't '''' L�I�i
' d¢4414I 449 s 4 450 d di
, 159 ?> 160 - 161 are 00�.u,ExsC + A
h M AY" i It..1 132 NM x<<'�I ��r/ rf► �' vnrsrrrw pp��
-- /rAx/1 NN'/1'K"IY //N k� ; velar /NN Al /��t�%'D"�Fr t lfAYf7 n0,,,Atm
Afil'/YII:� NN'MNiY rYIXN stn �i
r-- -1 y" --.4'U"N— !Ol .n • _ —
I I .8 /NN _ .-f"------- aK�'
`. 131 d. I y. �6
8, a. 158 11 ^•;��,t''
1 130 a . &*I 157 4 v I �.
•NN'N'N"W �. •;iNFLi.TTk1: Alf nM 7r 2 I /xN ��° >2 I P n`/
i•L.YMIC i i HF.I5 ., 4t.: • i=$F
3 129 % I �u 137
YOL2 $ I /MN MN'.4"feW■NIN ...
t
1
i Lrir
128 % 155 154 tliY1 i •47 11
Nlrrr/rfe e% $ Z dt 't ►lr '
r' 'r t Erb SCALE: I"=100'
�i, °e ,4N 153 1 '
% 127 A t Fa° l'''''; • ..i fl—.- '
"v" 5_� x1>�ol * 152 ) 148
is
R L126 4- �' i d° ° O f
N •.' s s,0 151
s ± •1411244
r'25 -A1:,4 p. °' "I -% I `ICE
tr ► :1 D
6
7 1F 8
.[
TRIAD ASSOCIATES SHEET 4 OF 4 SHEETS
VF/ .
• a
•
CASE.INDING, CONDITIONS, PERMIS NS FOR
Parcel 965000227
Printed: September 4, 2013
Cases Name Review Type Status Planner
BLD12-00104 ERICSEN F
Application Received: 3/29/2012 Permit Issued/Case closed: 3/29/2012 Case Finaled: 4/18/2012
A/G 120 GAL PROP TANK, LINE &FIREPLACE INSERT
No findings, conditions, or permissions found.
BLD13-00271 ERICSEN P
Application Received: 9/3/2013 Permit Issued/Case closed: Case Finaled:
REPLACE EXISTING DECK, SAME FOOT PRINT
No findings, conditions, or permissions found.
BLD92-00206 SCHWEIZER F
Application Received: 4/2/1992 Permit Issued/Case closed: 4/15/1992 Case Finaled:
single family residence
No findings, conditions, or permissions found.
SEP92-00121 SCHWEIZER F
Application Received: 3/17/1992 Permit Issued/Case closed: 4/1/1992 Case Finaled: 4/15/1992
EES 4/10/08
No findings, conditions, or permissions found.
SOM92-00121 ANDERSON TRSTEE RCR
Application Received: 4/15/1992 Permit Issued/Case closed: 11/30/2011 Case Finaled:
No findings, conditions, or permissions found.
\\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 9/4/2013 Page 1 of 1
Map Output
11/ • Page 1 of 1
ArcIMS HTML Viewer Map
sit
.1111 NAP
•
Legend
Selected Features
C_Roads
Parcel s-H
„
County Zoning
MPR Si I,aos
/1.
-
pine ,rst Dr m PR
AP I 29
..e Mara LP,
MIAL I 20
UGA them 551 educe
uGA MDR
tIOR
AaD.A LOA
u GA vane,05,emea Common:.
aeon
,osPramelmleylalmmatCsunsrewitaStrmaaGti
412.1=n,...,•norfrc4 Ca,0
FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the
method and accuracy of its collection Wed Sep 04 08:43:11 2013
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.0... 9/4/2013
, ----
. .
• • Page 1 of 1
i
'965000220 1
965000,80
. , .....__.
..-.-.-,
assawn-----
- 96500022, .
.
. . ,
I /, -
'.
..........----„_
..- 9650002,6
.„, .„...
I .8" ..
` ...
• 465000215 .
965000213
. .
/i(i'
965000= '■ ,
, ( , ..... .....,e .
...„ ."-.
-,..
,.
1 ''. ....„..„. '
,
-.,
1 .
•
965000226 - _
999900119 i --- ...
-___
Pinectrot Dr—-
1
, ----I—
985000223 . '
111
-...........„--,
i .
. . ., 965000227 965000228
,
• 96560026
965000224
: 1 9650;02343 96500023,
1 II g69"229
II
i
I i
i
) l'
.__. .. ' /
, ..
,,..
...-
‘ ,
/ t i
-,
. — 990900110
---r
__-..- ....
999900,14 . 999900113 i 7
N /
..-..„. l' E---, 999900112 ( i 999900111 \,
I1 ''''',
\ i
.. i ) • \-,„
A .
., ...
/
\
,
,
,
Maps artroxleM tr,.....1erso,CArRy Gems%moms GIS , (0, 1 s4ft ,
,/ ,,
http://gisserver/output/Critical_Areas_gisserver51565763097jpg 9/4/2013
• • Page 1 of 1
•.,.�• 988000219 965000190
R
965000218
98weozre 9esooce,
4� 96500021/
968000216
?, - 966000216
964)90122
965000226 `---•,,.. -- 1—_—
999190114
96199073 1 _
CmC
965000226 96060622/ 965000228
%YYm24 965000229 965000230
•
•
999900114 909900119
999930117 999900111
ms ,
MQS 96.9103 ry.nNSn,Ca,W Cams 6evxm 045 0 222111
http://gisserver/output/Critical Areas gisserver515653203148 jpg 9/4/2013
• Page 1 of 1
9650MZF9 • z
965000191
965000218
9660002re ; 2
i°-
266000217
9M000218
966000215
965G[
CMIPM
rtMrirj
985000221. 965000227- 96500021$:
96900229 99Stl06229'
906000230 ,
,sx1'rcx, S �ro
999900113 9989005+2
n1..a.7R,a,�cr.etr,o�co.nr�..S**se•�cm G6
.Pk
http://gisserver/output/Critical Areas_gisserver51565763262.jpg 9/4/2013
Map Output
• • Page 1 of 1
ArcIMS HTML Viewer Map
z-
es 4,
(Y
Legend
Selected Features
JC_Roads
Pine:reE!E- Parcels-H
No Shooting Zones
Kola Point
rtnnon
L Urinnati lard Pomt
Stamm Otytrolc Canal Tracts
Eirmnon•Triton Cava
C h mar.um Cram
riKat"Ponil
Part Ludlow
"51. j Saul h Cope Pen m suia
TiaaW
Chnracurn
FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Sep 04
09:02:22 2013
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.0... 9/4/2013
Map Output • • Page 1 of 1
ArcIMS HTML Viewer Ma•
9650Ck246 9650X0373 ', 0. 9E h ti+ 965000"10
0 Oa 9650001/7 ,,_bore or.:
9E,SCiC�QSi y
965'280253 • s•�i:r•. !966009374 94150}-0"78 -
96.5 X23249 er
IMIIIIIII I`l
965000220- 9650001''1 (i
` • —�` s65✓}22 96500021%
^*
._._ 9650004.
04 96Y00±61
.„
_.._ f I'=)55. 32r6. SVA``
__..
}
I
915000220 4. .'
965000215 9650002!3 96+5002'1`
96.3300221 e' >-'— / w4'Lege nd
Selected Features
Fa
1 " l 9650:0226 - JC_Roads
� i Purepssfr 2011 Aerial Photos
9499('28119; .,.a._._I ., ,
K
965+x20715 "- a"
i• . -50017229. 9654X3023
f44, 9654xx23o 9b1V_:1J2'Z
• . I
>ir : f• L ■
,0010014 1
C:, „�w #
$ ak+ a p'
. >. t•
i ,rr�c 1.. 999900110
99990)4*4
2y
w
� �
~ �- J. ....aa_ 0. .8 4.
11.0 : i.&'j_ _,x.•;a n Cnrrr Ce r..•s s r,_c.s a r
FOR INFORMATIONAL PURPOSES ONLY-
efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Sep 04
19:03:29 2013
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 9/4/2013
Map Output • • Page 1 of 1
ArcIMS HTML Viewer Map
FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the me
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 9/4/2013
Map Optput •�����N�^ •���» Paee 1 of 1
Page
ArcIMS HTML Viewer Map
\4 \N.
11' ..,._,..j.--,.... _......\,,
V (.1
-..-------•—•.- .0.4,..t.1--.(ii-)
_. 1 ---...--\,. r_,,....4,._,,,. , ,..,..,,,,,, ‘. 14.\7-.--- ,1,111
/O.it . le\__,.. , ....,..- ..4r, \,... .........—,..„ \
\''',9...\ (..\. r'''' JP,'
.._.„..,, c ..
") '''..."-' '
\\\4 -''-‘-''''''' ifr /.,' ._‘.... \.,,,...e.*
FOR INFORMATIONAL PURPOSES ONLY-
Jeffemon County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Sep 04
09:05:32 2013
�_
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 9/4/2013
• A y REVEL f/IENT REVIEW TIME SI*ET
Date Time Comments
\\tidemark\data\forms\R_MLT_Case_CRMLA.rpt September 18,2012
IMILDING PERMIT APPLICATIS BRLD1e 002271
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00271 Received Date: 9/3/2013
SITE ADDRESS: 293 PINECREST DR
PORT TOWNSEND, 98368
OWNER: BERNT P ERICSEN PHONE:
MARLENE J ERICSEN
293 PINECREST DR
PORT TOWNSEND WA 983689535 KALA POINT#6
SUBDIVISION: Block: Lot: 426
PARCEL NUMBER: 965000227 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION REPLACE EXISTING DECK, SAME FOOT PRINT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 3,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 312
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $80.00 MEB 08/29/13 142444
Plan Check $52.00 MEB 08/29/13 142444
State Building Code $4.50 MEB 08/29/13 142444
Total: $136.50
\\tidemark\data\forms\F BLD A Bld.r t 9/3/2013
_ _ PP_ P
ON OQ JEFFERSON At NTY
' 1:41 DEPARTMENT OF COMMUNITY DEVELOPMENT _
40:- 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
S
qNp •o www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
e—p . t 54 um deck
Tax Parcel Number: %Is-eV 0 Property Size: all.)�p $ (acres/square feet)
Site Address and/or Directions to Property:
dR3 •?iluu.res-tTr• avt T\A)►\rs€k,c) tat . 34g•
Property Owner(s)of Record: 113-exv\$ May 1 v\e t�rtrJSC'r'1
Telephone: ,3 to 3` 30] " 0:5,2 14- Fax: ?r '" 1 email: .p r i C.S Eel }(91I , *v1
Mailing Address: ail ,3 (-Pt%tk.ti(e.Srb st• ?v-r-- T'ovJ'\Se.vid 1 )Q• Ci V-369
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
wilding -- if' plticJ2'c" &c t. • ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
G Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Moduli; ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address ❑Road Approach_ ❑ Short Plat**
O Home Business ❑Cottage Industry ❑Binding Site Plan**
❑Propane 0 Long Plat**
G 3iyn ❑ Plannea Rural Residential Development(PRRD)/Amendments**
G Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
G Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development**
G Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
O Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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. g p pp p
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 appf.=tion that h_ or e ants prior notice.
Signature: /A.A . ii. A'PA/1 _ Date: D "027
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 responsib' or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: e'redVI Date: g 13
C•\PN r(rnrPr\###FnRIVSlattA Mr)F(lRMc\C,,,rflRTl c_9o_nsx
Iis ,, „„,„ ..
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass ming the r spons ility of the General Contractor for the proposed project
Signature:Signature: /(1�C� b Date: c 9 1 /3
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: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
E New ; Wood Existing: D Sewer
D Addition E Steel Proposed: Bank D Community System
C Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
Repair 0 Masonry SEP Permit# _
rC Demolition D Other: Bedrooms: Water Supply:
Existing: Setback: D Private well D Two Party
Type of Heat: Proposed: D Public
Total: Name of System: '
If this is a Commercial Protect 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
lBC 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 1 Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove 1 Woodstove 1 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 UseOncy Amount Revision
Main Floor Heated
EH Bld App Review:
--e Floor Heated Consistency Review:
Other Heated 2 - — -
Base fee: 0
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: ,--
- �S
.-,.. -- ----—----- �
- _ —
Other Unheated — Pot Water Review fee: .,'
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:02
Other —
TOTAL: $ J1��.5
�� Receipt Number: 14 2 Li LI LI
Cash/Check Number: L'
ESTIMATED COST(REQUIRED) Date:
•Fail market value of all labor and materials foundation to finish t 1 2- l( S
ff 5 oo, Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Annlication 5-29-OR dr.-
Jefferson County Building Division Permit Number: BLD13-00271
Applicant: ERICSEN
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks 21y61r1 r I V
Framing 1)9111 /
FINAL INSPECTION 1-9'- 9.„
1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD13-00271
1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
2.) The site plan, as submitted with the building application on August 29, 2013, has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated September 4, 2013 shall be resubmitted for review
and approval by Jefferson County Department of Community Development.
3.) This parcel is within a no shooting area per JCC 8.50.
4.) dlf
\\tiripmark\riata\forme\F RI 11 Pprmit Rlrin rot 9/17/7M3
• •
BUILDING PERMIT
Jefferson County Department of Community bevelopment
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-445 ':
PERMIT#: BLD13-00271 Received bate: 9/3/2013
SITE ADDRESS: 293 PINECREST DR Issue Date 9/12/2013
PORT TOWNSEND, 98368 Expiration Date 9/12/2014
OWNER: BERNT P ERICSEN PHONE:
MARLENE J ERICSEN
293 PINECREST DR
PORT TOWNSEND WA 983689535 KALA POINT#6
SUBDIVISION: Block: Lot: 426
PARCEL NUMBER: 965000227 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REPLACE EXISTING DECK, SAME FOOT PRINT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK AN
VALUATION 3,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 312
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $80.00 MEB 08/29/13 142444
Exist: Exist: Plan Check $52.00 MEB 08/29/13 142444
Prop: Prop: State Building Code $4.50 MEB 08/29/13 142444
Total: Total: Total: $136.50
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS 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.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED