HomeMy WebLinkAboutBLD1995-00591 1110
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0591 DATE RECEIVED. : 10/13/95
SITE ADDRESS: 1583 GRIFFITHS POINT RD
:NORDLAND, WA 98358
APPLICANT. . . :JOEL LEONARD PHONE: 360-379-9445
MAILING ADDR: 1583 GRIFFITHS PT RD
:NORDLAND WA 98358
CONTRACTOR. . : � MOU.i.77„x' PHONE:
MAILING ADDR. TE'FFeny Cn
317 Cmiea.• M �. LA g,, .r_. `18ra
CONTR. LIC #: 6.-ttegNM QssQ,q EXPIRATION DATE: g
DESHINECT/ . . : PHONE:
DESIGNER Ij
MAILING ADDR:
PARCEL NO. . . : 021321052 ALT e.. CON :
LEGAL DESC. . : STR BY: F}Urj_ DATE: 112115 -3- )6.--
LOT , BLOCK , WATER: OK DATE: `a /
CAR : � DATE: '� y gc-
DESCRIPTION OF IMPROVEMENT: Single family residence
BUILDING TYPE *RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1452 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 813 sf
GARAGE/CARPORT •A PROP. . : 1 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 1 TOTAL. : 2 UNHT BSMT. : 1101 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER • 0 sf
TYPE OF CONST • WATER SUPPLY. :PWELL CRPT/GAR. . : 806 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :PRO/ / DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 132094 SIZE: BANK HT. . . : 8 ft
PROJ GRP. . : 4339 SH SETBACK: 70 ft
Owner/agent A FEES
Signature: drippohtype amount by date recpt
10 p°� PRMT $ 1052 . 25 MM 10/13/95 112505
Date: ` L,J' PLCK $ 315. 68 MM 10/13/95 112505
1 * PLCK $ 315. 68 MM 10/13/95 112505
Issued By: �, -' flAuSon Cou' ,.45- B.C. $ 4 . 50 MM 10/13/95 112505
Date: J Bnty plaimia9
ild;ny QePartment
$ 1688 . 11 TOTAL
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CODEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Port Townsend,WA 98368
-( Tel:360.379.4450 I Fax:360.379.4451
1/1 Web:www.co.jefferson.wa.us/communitydevclopment
9Sf�r0 E-mail:dcd(rilco.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD95-00591
APPLICANT: JOEL LEONARD TRUSTEE PHONE: 360-379-9445
ROSE-ELLEN LEONARD TRUSTEE
1583 GRIFFTHS PT RD
NORDLAND WA 98358-9631
SITE ADDRESS: 1583 GRIFFITHS POINT RD Issue Date: 11/16/1995
NORDLAND, 98358 Final Date: 11/5/2015
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021321052 Section: 32 Township: 30 N Range: 1E
PROJECT DESCRIPTION: Single family residence
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/5/2015
Building Official,
\\tidemark\data\forms\F_B LD_Occupancy.rpt 11/6/2015
JEFFERSON COUNTY P•IT CENTER, 62? SHLirkDAN ST, POR.WNSEND WA 98368
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION: 5 n q I.Q. Jp ,'v> > 1 y ()WE III req
BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
jg1 SINGLE F )Ej NEW ,Z1, WOOD
JGARAGE TTA ETACHED ❑ ADDITION ❑ STEEL
❑ MODULAR 0 ALTERATION/REMODEL 0 CONCRETE
❑ COMMERCIAL 0 REPAIR 0 MASONRY
❑ MULTI FAMILY/# OF UNITS 0 DEMOLITION 0 OTHER
❑ INDUSTRIAL
O OTHER
BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL:
EXISTING a EXISTING 0 0 SEWER 0 COMMUNITY SYSTEM
PROPOSED / PROPOSED X INDIVIDUAL SYSTEM 0 Conventional
TOTAL j TOTAL 7/ 'PERMIT # SEP 90 -a5o to, Alternative
WATER SUPPLY: TYPE OF HEAT:
O, PRIVATE WELL 0 ELECTRICITY 0 OIL
O PUBLIC Name of water system: 0 WOODSTOVE A. PROPANE
0 HEAT PUMP 0 OTHER:
SQUARE FOOTAGE: . / $O
MAIN FLOOR /47152- 72 4,› ?a
2ND FLOOR (�--oF�/\ 813 46 5-10, FOR OFFICE USE ONLY
3RD FLOOR 'r UBC OCCUPANCY GROUP
HTD BASEMENT /10((.9
UNHTD BASEMENT O
CARPORT D U • �.j BASE FEE / O �
GARAGE ---,. V�0 PLAN CHECK co
��" •'+ .._._....--------------STATE SURCHARGE7/ 4.50
COMMERCIAL TOTAL i(o z+ • (
INDUSTRIAL
OTHER
TOTAL VALUATION 5.
RECEIPT # /�� �'�
or CASH / CK # t l
ESTIMATED COST ) -1) 14 irb`i k ! qS'
DATE'
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LLINE �7 Q ft BANK HEIGHT 8 ft
SIGNATURE / —C- th4-, 44 -0-7 -c,,�1 /0/ * i!DATE l 0 /3/, J
NAME (PLEASE PRINT) Joe I art cl koese - e ll Pr, LQOr-a v * 14\Home1PInenu\Forms\&Eepo.Fm 8195
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JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0591 DATE RECEIVED. : 10/13/95
SITE ADDRESS: 1583 GRIFFITHS POINT RD
:NORDLAND, WA 98358
APPLICANT. . . :JOEL LEONARD PHONE: 360-379-9445
MAILING ADDR: 1583 GRIFFITHS PT RD
•
:NORDLAND WA 98358
CONTRACTOR. . : PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. . . : 021321052 ALT: CON :
LEGAL DESC. . :STR EWM, TAX # 211 BY: DATE:
LOT , BLOCK ,
WATER: DATE:
CAR : DATE:
DESCRIPTION OF IMPROVEMENT: Single family residence
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1452 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 813 sf
GARAGE/CARPORT •A PROP. . : 1 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE TOTAL. : 1 TOTAL. : 2 UNHT BSMT. : 1101 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER 0 sf
TYPE OF CONST WATER SUPPLY. :PWELL CRPT/GAR. . :. 806 sf
UNITS. : 0 STORIES:2 HEAT TYPES. :PRO/ / DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 132094 SIZE: BANK HT. . . : 8 ft
PROJ GRP. . : 4339 SH SETBACK: 70 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 1052 . 25 MM 10/13/95 112505
Date: PLCK $ 315. 68 MM 10/13/95 112505
PLCK $ 315. 68 MM 10/13/95 112505
Issued By: B.C. $ 4 . 50 MM 10/13/95 112505
D t e:
rw 4
Cy.:Ljr_e, C C(9u-, P-- Ck - stt.::44,. .._,
$ 1688 . 11 TOTAL
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JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0591
SITE ADDRESS: 1583 GRIFFITHS POINT RD DATE ISSUED. : 11/16/95
:NORDLAND, WA 98358
APPLICANT. . . :JOEL LEONARD
MAILING ADDR: 1583 GRIFFITHS PT RD PHONE: 360-379-9445
:NORDLAND WA 98358
CONTRACTOR. . :GREEN MOUNTAIN HOMES
MAILING ADDR: 317 GREEN MTN LN PHONE:
:BRINNON WA 98320
CONTR. LIC #:GREENMH055QN EXPIRATION DATE: 08/23/96
LOAN LENDER. :
MAILING ADDR:
PARCEL NO. . . : 021321052
LEGAL DESC. . :STR 32-30-01 EWM, TAX #
LOT
DESCRIPTION OF IMPROVEMENT: Single family residence
( Nergooting/Setxiark� (Shoreline Setback) :
( oundation: PIO 44.4.
( ) Un rr round Plumbing/Underground Insulation:
( Framin / lum in Chimney:
( ) Insulation: v-
( V) Sheetrock . \ „ MI
Q v` `
( ) Final/Occupancy Approval:
epx`Tf edpre Gltve-r THIS PERMIT IS VALID FOR ON
E YEAR.
V- r#47N e /0/,Z(e)( e,
24 Iour Recorder
//07`Gr/N,� CALL 379-4455 24 HOURS IN ADVANCE oTOInspecti SCHEDULEnINSPECTIONS
9)�'L- //--/9.0�
Office Hours 9 a.m. to 4 : 30 p.m.
Inspector's Phone Hours 8 - 9 a.m.
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,-hiffer2coCounty Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name 'ter it ! k 5 — t 1 ; F;-\ i_�� �ci r—C►
`C 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 X YES NO
on your property or adjacent properties?
If YES, please describe: tA.,' k k t e(-:; 5 c d r 5
4. Are there any indications on any portion of the property or on any YES '( 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)
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r r i i i ♦ i '
rrii i i ♦ i . ' .�
rii ♦ . . .fl
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fl (Questionnaire Continues on Back)
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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 X NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES X 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 "c :; � y ,r.,;:`-,-L. Date 'G 75/�
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:
Jefferson County Permit Center
621 Sheridan St
Port Townsend WA 98368
UNIVERSAL PLOT PLAN
Fill in the following information as completely as possible.
Project Description: i r g le -f a m 1 ( `� re 5 f ci Q tl C C.
9 Digit Parcel Identification Number (from your tax statement) 0.2 1 - 3.; /
V 5 a
Site Address: 1 1
91 1#/Road Name (5 8 @ri f t T S 1 t. R.;_1 , Nord )a c1 Zip Code 9 8 3 3l3
Legal Description: -rd..4. 7
Subdivision Name: Block Lot(s) Tra c t 72
Section 30, Township 3O r( North Range J E WM
Parcel Size (square footage or acres) e '7 '7 q c r'
Applicant/Occupant TO F. I u n c F0 5 E — F_1/�h L e O r r d Phone 3 6 0 -- 3 9 , --- 4/5
Mailing Address I58 Ti.ff;"1"k5 Nl or to c' WR / C.'3 S
Property Owner (if different) 5 cr rn P Phone
Mailing Address
Authorized Rep Phone
Mailing Address
Septic Designer GTi t wain Phone 3 7
Mailing Address 14 1 Oak' bay kc1, I-/a d jc.c l\ WA-
General Contractor E -f Cc.), Phone 360 `"n6, —`?.''2 53
Mailing Address PO . 308 8 t i n r c n W A 3 6 3 .b
State License Number A 4;P 1( Ecl t o yr Expiration Date
Architect N 6 v1 Phone
Mailing Address
Loan Lender/Loan Holder None Phone
Mailing Address
FOR OFFICE USE ONLY
Planning Area Fire Dist School Dist Zone
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