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HomeMy WebLinkAboutBLD1996-00216 4 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0216 DATE RECEIVED. :04/08/96 SITE ADDRESS: WELLINGTON CT � fi / APPLICANT. . . :TRAVIS LOPEMAN PHON �60-385-0292 MAILING ADDR:10213 RHODY DR :CHIMACUM WA 98325 CONTRACTOR. . :STAPF CONSTRUCTION PHONE:385-3199 MAILING ADDR:2727 HASTINGS AVE :PORT TOWNSEND WA 98368 CONTR. LIC #:STAPFC*149J8 EXPIRATION DATE: 04/1•/96 ARCHITECT/ . . : PHONE: DESIGNER • j� MAILING ADDR: PARCEL NO. . . :965000073 ALT: . DATE: _ LEGAL DESC. . :STR 27-30-01 WWM, TAX # BY p b •q '94, LOT 76, BLOCK , KALA POINT DIV. 4 WATER: 0f- DATE: CAR : DATE: h•-��E, 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. . : 0 sf GARAGE/CARPORT •A PROP. . : 2 PROP. . : 3 HTED BSMT. : 330 sf WOODSTOVE • TOTAL. : 2 TOTAL. : 3 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER • 0 sf TYPE OF CONST • WATER SUPPLY. :KALA PT CRPT/GAR. . : 870 sf UNITS. : 0 STORIES: 0 HEAT TYPES. :OIL/ / DECKS • 200 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 87047 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 6338 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 812 .25 EMH 04/08/96 1118736 Date: � J . PLCK $ 243 . 60 EMH 04/08/96 1118736 B.C. $ 4.50 EMH 04/08/96 1118736 Issued By: & 9 Date: dIV JeIterson County Planning & Building Department $ 1060.35 TOTAL _ 1 JEFFERSON COUNTY tlurLDING PERMIT ,. _ _.3 Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0216 DATE ISSUED. : 04/16/96 SITE ADDRESS: 37 WELLINGTON CT :PORT TOWNSEND, WA 98368 APPLICANT. . . :TRAVIS LOPEMAN PHONE: 360-385-0292 MAILING ADDR: 10213 RHODY DR :CHIMACUM WA 98325 CONTRACTOR. . :STAPF CONSTRUCTION PHONE: 385-3199 MAILING ADDR:2727 HASTINGS AVE :PORT TOWNSEND WA 98368 CONTR. LIC #:STAPFC*149J8 EXPIRATION DATE: 04/19/96 LOAN LENDER. :INTERWEST SAVINGS BANK MAILING ADDR: PARCEL NO. . . :965000073 LEGAL DESC. . :STR 27-30-01 WWM, TAX # LOT 76, BLOCK , KALA POINT DIV. 4 DESCRIPTION OF IMPROVEMENT: single family residence ( i'c7Footing/Setbacks (Shoreline Setback) :0(e4—/-5-- 26 (Foundation '. . e ' -2.12--fib ( I •er•roun_ 'luu •ingJUnderground„nsulati _ fi �_ ( ra ng/ 'lumbin• ,Chimney: �►�►�” ( nsulation: ...fq w ,- -7 ,73 AINVAIMJ '.—'- " ( ySheetrock: ©iK 1r-7 -444 q46: 0-0.-A-d---1 - ( ) Final/0 cup c 4 c �r Appi //oalh ( ) Small Parce lc- Erosion Control Plan PR6r/M6 Li Ives THIS PERMIT IS VALID FOR ONE YEAR. MOVSt" e- Pe rcN ©K $^z y -R6 qweeley.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. 3 co v ° .. 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M N 0 a 4 • o M J a) . a) as a) a) as a) m as c c c c c 0 0 00 U aa.. 0_ 0_ a- t 0- d a N rn a g Q N as '' O CC t O U O aI LL A O 0 ~ Z O 141 I 0 N .t Q O fn O ,0 M s a a i s CI 1 N uyi s u p ■' • W ro x U - m ; \ ■ ' % C . o to E C E 1 ♦, Q 111 `l c d V i JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: N fleas c A w 0 G'a.e a 5 t BUILDING TYPE: PROJECT TYPE: FRAME TYPE: If SINGLE FAMILY NEW le WOOD CEr GARAGEa-TTACHE)DETACHED ❑ ADDITION ❑ STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING EXISTING ❑ SEWER ❑ COMMUNITY SYSTEM PROPOSED 2 PROPOSED 3 ❑ INDIVIDUAL SYSTEM OConventional TOTAL 2-- TOTAL 3 PERMIT # SEP y4'-O6'78 ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL ❑ ELECTRICITY 4 OIL C;3/PUBLIC Name of water system: •„/,4 P6„,/ ❑ WOODSTOVE ❑ PROPANE ❑ HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: MAIN FLOOR /Z o a ��54:37--- :; FOR OFFICE #o* ONLX 2ND FLOOR ... 3RD FLOOR tTBC CCCt�PANCY GC3Ui� HTD BASEMENT 3 3 a /4 // ,„ EASE xEE � UNHTD BASEMENT / CARPORT PIAN CHECK ( GARAGE — 55>s 4 ” 870 U� ?,0� STATE.. SURCHAPGE SE3 DECKS Zoo �i �Oe TN}`I'AL COMMERCIAL • INDUSTRIAL RECEIPT # . / . . OTHER CS1.ifC f # TOTAL VALUATION or ESTIMATED COST 85- aoo e.. V?Ig9 IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH '. - ■ ft BANK HEIGHT ft SIGNATURE /(3A J 9 DATE NAME (PLEASE PRINT) H:.Home Pinc.c,Fo ms siaaay.00c s;ss f ' Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name e S 71AP cc714 p � °'v5 ` A' 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: 2. Has any portion of the property or any nearby property ever been YES X NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES NO on your property or adjacent properties? If YES, please describe: of the property or on any YES NO 4. Are there any indications on any portion o p p y y 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) g o 4 4 o a I / / ,o r / / / / / / , i i i i / / i �/� ��L iiiii i i' ,' '� .� rri / / i , ' //iiiii ///////,/,/ (Questionnaire Continues on Back) \41.c 6. • . Does the site have steep slopes with little to no vegetation? i YES Y NO iIf YES, please describe: I \ _ '_/-/7. Does the site contain high percentages of silt and/or very fine YES y NO � i-I 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: 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. Signature ,e / .% �. .J Date g-- 9°` f� FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑Aquifer Recharge Area (zone ) ❑ 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: