HomeMy WebLinkAboutBLD1995-00293 w > _
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.0, JEFFERSON COUNTY BUILDING PERMIT s
.
Jefferson County Permit Center T
Castle Hill Mall
621 Sheridan St. g'P
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0293 DATE ISSUED. :06/09/95
SITE ADDRESS: 154 WILDPLUM LN
:CHIMACUM, WA 98325
APPLICANT. . . :P. JAY STRICKLAND PHONE: 297-8319
MAILING ADDR:20738 DOUGLAS PL NE
:KINGSTON WA 98346
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
LOAN LENDER. :
MAILING ADDR:
•
PARCEL NO. . . :801042024
LEGAL DESC. . :STR 04-28-01 WWM, TAX #
LOT , BLOCK , STRICKLAND/SWANSON
DESCRIPTION OF IMPROVEMENT: Single family residence
( Footin /Setbac (Shoreline Setback) :
1' 4' —2 7-95 Z ,c,c
( ) Foundation A _ 4
( &Underground Plumbing/Underground Insula i'o .aV7r:II' ' ifffli (----
0fz 7 - , - ' j,, l u.„
( ) raming/Plumbing/Chimneys s)/ —2 - ' .-,i .4---
( ) Insulation: O/L Ji .ZZ - .- ,�`"� ; cc j,C,._-.,�.. tjp s v �a�..
( VSheetrock: i/ OMMINL..e—___ ,
( ) Final/Occupancy Approval: e7) -2___ 23 - 6, -c —/ t c ,.,
THIS PERMIT IS VALID FOR ONE YEAR.
24 Hour Recorder for Inspections
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS
Office Hours 9 a.m. to 4:30 p.m.
Inspector's Phone Hours 8 - 9 a.m.
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name Sf R i c k LA ).4LD
Building Application _ Land Use Application Shoreline Application
On-site Sewage Application _ Subdivision Application — Other:
1. Is there any standing or running water on the surface of the \/YES NO
property or on any nearby property at any time during the year?
If YES; please describe:
Nc:P,2 -n- P-R o39- c sF < 77 tG
W i-^I 1 . is ; VN/A-1E I
2. Has any portion of the property'or any nearby'property ever been '` YES
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present V.-YES NO
on your property or adjacent properties?
If YES, please describe:
A • mi./
\ '\;, `\
4. Are there any indications on any portion of the property or on any ` AYES NO
nearby property of rockslides, earthflows, mudflows, or landslides?
If YES, please describe:
5.• Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
I Q 4 Q o 4' P
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///////,/./UMW/i••• �''
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(Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? YES TNO
If YES, please describe:
•
7. Does the site contain high percentages of silt and/or very fine • YES ‘410
sand? ■
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES _NO
surface of the ground?
If YES, please describe: i ; Val o,/ 4 ;rN-12;
LS A 73 rr c:or .STA-7•+£ iNL WP T ,
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson
County based in whole or in part on this application may be reversed if it develops that any such statement
or other information contained herein is false.
� � � • 'v •
Signature Date
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) 0 Fish & Wildlife Area 1
IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2
❑ Erosion
❑ Landslide
Zone:
Parcel Size: Status: .
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0293 DATE RECEIVED. :05/31/95
SITE ADDRESS: 154 WILDPLUM LN
:CHIMACUM, WA 98325
APPLICANT. . . :P. JAY STRICKLAND PHONE:297-8319
MAILING ADDR:20738 DOUGLAS PL NE
:KINGSTON WA 98346
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. . . :801042024 ALT: ✓ CON :
LEGAL DESC. . :STR 04-28-01 WWM, TAX # BY: A-' DATE: /t(16-
LOT , BLOCK , STRICKLAND/SWANSON
WATER: OK DATE
CAR : NZ:— DATE: ��r�4 i
DESCRIPTION OF IMPROVEMENT: Single family residence
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1200 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0,� EXIST. : 0 ADD'L FL. . : 950 sf
GARAGE/CARPORT PROP. . : 3j PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER • 0 sf
TYPE OF CONST WATER SUPPLY. :PWELL CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES:2 HEAT TYPES. :GAS/WOD/ DECKS • 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 107285 SIZE: BANK HT. . . :O ft
PROJ GRP. . : 5283 SH SETBACK:0 ft
Owner/agent FEES
Signature: type amount by date recpt
"'�►�""` • PRMT $ 667. 50 AW 05/31/95 107412
Date: ' PLCK $ 200.25 AW 05/31/95 107412
B.C. $ 4.50 AW 05/31/95 107412
Issued By:
II
Date: f "Jeffer3gf Cg,int�,Haw•a�a
& Bu Iding De rt=Went
$ 872 . 25 TOTAL
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BLDg5- Dt9-°1 3
*JEFFERSON COUNTY BUILDING PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE
SINGLE FAMILY "( NEW BUILDING
❑ MOBILE ❑ ADDITION 500+1500-
C] MODULAR ❑ ALTERATION
❑ GARAGE ATTACHED/DETACHED ❑ REPAIR
❑ WOODSTOVE ❑ DEMOLITION
❑ MULTI-FAMILY/UNITS ❑ RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORM/UNITS
❑ OTHER UBC OCCUPANCY GROUP
DESCRIPTION OF IMPROVEMENT: .S F . es . C,, (4074-1/4-t--
7
SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL
MAIN FLOOR 1�2 OO 54 t-'1— `-� ❑ ELECTRICITY ❑ OIL
2ND FLOOR /SD .54'. FT J WOODSTOVE lgr GAS—FF-g-PX-N6-
3RD FLOOR '- ❑ HEAT PUMP ❑ OTHER-RAD1A14t 1 ±2. rllagT-
HTD BASEMENT
UNHTD BASEMENT
CARPORT - PRINCIPLE TYPE OF FRAME
GARAGE '-
DECKS ' WOOD-Lob E3 MASONRY
COMMERCIAL `0 MANUFACTURED ❑ OTHER
INDUSTRIAL ❑ STRUCTURAL STEEL
OTHER
TOTAL VALUATION `•�j� goo
or �/
ESTIMATED COST C ® ° S MAXIMUM HEIGHT Zo I "
❑ INSTALLED 19_
TYPE OF SEWAGE DISPOSAL: ❑ SEWER )(SEPTIC SYSTEM e�
SEPTIC PERMIT NUMBER SEA LS 0073
TYPE OF WATER SUPPLY: PRIVATE X DRILLED WELL OTHER
PUBLIC ❑ CITY OTHER: NAME
❑ PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS
NUMBER OF PROPOSED BEDROOMS 3 NUMBER OF PROPOSED BATHROOMS Z
TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS 2
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER
BANK HEIGHT SETBACK
FRONT SETBACK SIDE SETBACKS / REAR SETBACK
SIGNATURE i - / DATE cS�`�jl 7Sjr
APPLICANT NAM (P,/;{' PRINT) R :Mid IAM-Rte 4AANLO
FOR OFFICE USE ONLY
TYPE OF ACCESS RD
❑ Primary Arterial ❑ Secondary Arterial ❑ Collector ❑ Access
FOOTPRINT (incl decks over 30" from ground)
LOT COVERAGE (footprint divided by total
66:1 % sq ft of property)
BASE FEE �.� ,S d
PLAN CHECK v"zJ0• �Si RECEIPT # /0'7" 'Ii a
STATE SURCHARGE 4.50 DATE 51111 9
RADON KIT
TOTAL a, rj� CAS /CHECK # `4O
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