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HomeMy WebLinkAboutBLD1995-00408 JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0408 DATE RECEIVED. : 07/19/95 SITE ADDRESS: 102 MYRTLE ST :PORT TOWNSEND, WA 98368 APPLICANT. . . :TIM THOMAS PHONE: 360-379-6926 MAILING ADDR:824 14TH ST :PORT TOWNSEND WA 98368 CONTRACTOR. . :BERNT ERICSEN EXCAVATING INC PHONE: 360-385-3602 MAILING ADDR: 2327 HASTINGS W :PORT TOWNSEND WA 98368-9639 CONTR. LIC #:BERNTEE107RC EXPIRATION DATE: 11/23/95 ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 97710011S ALT: CON LEGAL DESC. . : STR 24-30-02 WWM, TAX # 161 BY: =f DATE: LOTi" rBLOCK 1, OCEAN GROVE DIV 1 WATER: DATE: CAR : ■ V DATE: DESCRIPTION OF IMPROVEMENT: Single family residence BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 832 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 , ,, EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT • PROP. . : 3( , PROP. . : 2 HTED BSMT. : 832 sf WOODSTOVE • TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER 0 sf TYPE OF CONST • WATER SUPPLY. :PUD CRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 1 HEAT TYPES . :EEE/PRO/ DECKS • 256 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 85594 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 4053 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 799 . 75 MM 07/19/95 109024 Date: PLCK $ 239 . 93 MM 07/19/95 109024 1�/�fi I B.C. $ 4 . 50 MM 07/19/95 109024 Issued By: � � • Date: $ 1044 . 18 TOTAL • • r • 4 JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD95-0408 DATE ISSUED. : 08/03/95 SITE ADDRESS: 102 MYRTLE ST :PORT TOWNSEND, WA 98368 APPLICANT. . . :TIM THOMAS PHONE: 360-379-6926 MAILING ADDR: 824 14TH ST :PORT TOWNSEND WA 98368 CONTRACTOR. . :BERNT ERICSEN EXCAVATING INC PHONE: 360-385-3602 MAILING ADDR: 2327 HASTINGS W :PORT TOWNSEND WA 98368-9639 CONTR. LIC #:BERNTEE107RC EXPIRATION DATE: 11/23/95 LOAN LENDER. : FIRST FEDERAL S/L MAILING ADDR: 1321 SIMS WAY :PORT TOWNSEND WA 98368 PARCEL NO. . . : 977100115 LEGAL DESC. . : STR 24-30-02 WWM, TAX # LOT 15-16, BLOCK 1, OCEAN GROVE ESTATES DESCRIPTION OF IMPROVEMENT: Single family residence ( •oot ' _.:�liga !l) (Shoreline Setback) : gf``s- 1 ( Foundation: p g- g.G,s a o---r ( . , .e *round Plumb '., U.:erground Insulation. w _l©gam r.c (t„.17; Chimney: - Ya mwert ( k(Insulation: ©C- -/7 .■.•• pccG �-�-- ( \4Sheetrock: g7 .7i'M %1/wiim11 ( u01-Final/Occupancy Approval: Fw694 DK 6- 26 - 9, l„�..r -� 0 THIS PERMIT IS VALID FOR ONE YEARS U U 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, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION . PROJECT DESCRIPTION: ,Si pike_ (r a tYl. L_ I •e 40_�e4c2 /a ,x_. fl? ,,Kf-1 e . BUILDING TYPE: PROJECT TYPE: FRAME TYPE: 04 SINGLE FAMILY 71 NEW WOOD ❑ GARAGE ATTACHED/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 ,. PROPOSED INDIVIDUAL SYSTEM gi Conventional TOTAL TOTAL .2_ PERMIT # SEPg1 – 3 39 ❑ Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL ELECTRICITY ❑ OIL PUBLIC Name of water system:?,U,D ❑ WOODSTOVE lin PROPANE ❑ HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: MAIN FLOOR f 3.,2 'T I S-7(,, X o 2ND FLOOR FOR OFFICE USE ONLY 3RD FLOOR — _ `/ / .5A.. &O UBC OCCUPANCY GROUP HTD BASEMENT S-.3. UNHTD BASEMENT _ 5?D , BASE FEE --)141 i� CARPORT GARAGE ---�� PLAN CHECK .2 36i 93 DECKS _ 6-6, STATE SURCHARGE 4.50 COMMERCIAL TOTAL< /614- 1 r INDUSTRIAL t � 7,5` aza OTHER . �..,� �- '"' TOTAL VALUATION RECEIPT # � ' ° Or s-"5 DATE 7/ t ESTIMATED COST 55 0-0D 'CAS ECK' i} IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft SIGNATURE 4 Eit,C, (4,- DATE 7-4 – 7 S" NAME (PLEASE PRINT) Z ei--Jtif Er-la St,./3 h: 1OME1PtNCNTR\FOAMSTh4dapp.km 8/95 Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name TI/34 4. .1a,/.4,)n Then s ,) 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 Xi 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 )c NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES yi NO on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any YES x1 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) P a Q o o c I I 1 / / / /' , , , / / / / 1 1 / / 1 / / 1 1 1 / / / / ,(] r , // / / /' I 1 , / / / / / �I I / / / / / ;/ /.v 11 / / / / / / ,' r 1 1 , 1 1 1 / . V �.^,7 11 , / / / / / .' , , , / / / / . / iiii 111 / 1 / / / .' .fl 1 l / / / / / ��, �V �.- 1, 11 / / / . i -� 11,1// / . . 11111// /�. �. Illid 1,11/// /. . 1/1/11/,4'.'x.-' 11,11//-=------------------ uaai 5 'acs -� • (Questionnaire Continues on Back) • Y t 6. Does the site have steep slopes with little to no vegetation? YES ___NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES 4NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES YNO 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 60/401- C21 /74,P Date 7 _6 - S FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) Cl 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: • . co r . m • 3 � hC 1 m 0 7 pp 10 C� e ii 1. c°G GA.. 4;:. a 'Po d� /50' 70 q)x F NI o ai�o yfC 'n nbw> z y� b m --0o m 9` \if , - 0. /1,.. tv L 010 A r C m m t v Y Y x o v r m o A X> -0 -I r z o a y O O d Z T D d a b 1 6 ? .. SETBACKS >----z-----____ \ m z . m A • Y E o E D K O E c E D E 71 E D II m m c m co CA CO -0 TI a N„ Eli d m ° d m o °- d O ° II 0 Qm o C 3 �� O CD �. 0 m �. II m o �t> CO. o z .S• co 1 CO m r Co o) CO CO co CO DC 7 .p 30 O. : .. ,-. 1 m > 3 > .n. m > C) > 0 > cm > < D w II N p N co a0i ° obi 0 ; _ s a o o a 0 . 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