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Home My WebLink AboutBLD1997-00053 THIS BUILDING IS NOT FINAL ED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF O Ordinance No. 12-1203-12. "Pursuant to this Ordinance, effective January 1, 2013, if your permit is less than five years old, additional renewals may be approved at the current annual renewal rate. If your permit is older than five years from the date of issuance, in order to be considered for an extension, you must submit a request in writing to the building official and must provide a justifiable cause for an extension. Payment of all accrued renewal fees is required prior to approval of an extension." R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180 days after its issuance. or if the work authorized by such permit is suspended or abandoned for a period of 180 days after the time the work is commenced. The building official is authorized to grant, in writing, one or more extensions of time. for periods not more than 180 days each. The extension shall be requested in writing and justifiable cause demonstrated. R105.6 Suspension or revocation. The building official is authorized to suspend or revoke a permit issued under the provisions of this code wherever the permit is issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any ordinance or regulation or any of the provisions of this code. , JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0053 DATE RECEIVED. : 01/29/97 SITE ADDRESS: 625 ARCADIA W :PORT TOWNSEND, WA 98368 APPLICANT. . . :WILLIAM PERKA PHONE: 385-2052 MAILING ADDR:PO BOX 1411 • :PORT HADLOCK WA 98339 CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. : 001171031 landslide plat cond __ wetland flooding LEGAL DESC: STR 17-30-01 W WM seismic streams erosion f & w LOT , BLOCK , TAX # __ __ __ __ DESCRIPTION OF IMPROVEMENT: GARAGE (�-(tee,.N \\' f S iLt,c\ s,,, BUILDING TYPE it- ILS BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:Mt-Wni- f -D EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT •A PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UI3C OCCUPANCY GROUP: SEWAGE DISP. . : OTHER • 0 sf TYPE OF CONST • WATER SUPPLY. : CRPT/GAR. . : 520 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 5000 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 1827 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt lelPp PRMT $ 112 . 25 AK 01/29/97 1137586 Date: PLCK $ 33 . 68 AK 01/29/97 1137586 Issued By: C aQ B.C. $ 4 . 50 AK 01/29/97 1137586 Date: / 6ff Pi, ''1.9,94,,:-P/7 $ 150. 43 TOTAL / 3' `yam_ Ila ra;>, JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA '98368. BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: 622.5 Av-exiA BUILDING TYPE: PROJECT TYPE: FRAME TYPE: ❑ SINGLE F 0 NEW A, WOOD GARAG TTACHED DETACHED 0 ADDITION 0 STEEL ❑ MODULAR 0 ALTERATION/REMODEL 0 CONCRETE ❑ COMMERCIAL 0 REPAIR 0 MASONRY ❑ MULTI FAMILY/# OF UNITS 0 DEMOLITION 0 OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING EXISTING 0 SEWER 0 COMMUNITY SYSTEM PROPOSED PROPOSED 0 INDIVIDUAL SYSTEM ❑Conventional TOTAL TOTAL PERMIT # SEP ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL 0 ELECTRICITY 0 OIL ❑ PUBLIC Name of water system: 0 WOODSTOVE 0 PROPANE 0 HEAT PUMP 0 OTHER: SQUARE FOOTAGE: FOR OFFICE USE.ONLY MAIN FLOOR UBC OCCUPANCY GROUP 2ND FLOOR BASE FEE • 3RD FLOOR • • HTD BASEMENT PLAN CHECK,. UNHTD BASEMENT STATE SURCHARGE .. 4.50 CARPORT SUBTOTAL r.. GARAGE Ziz, POTABLE WATER DECKS 9]I/ROAD APPROACH..;: COMMERCIAL GRAND TOTAL INDUSTRIAL OTHER RECEIPT;;# i TOTAL VALUATION CASH• or 44,— INITIALS ESTIMATED COST DATE IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft SIGNATURE " DATE JIzo/c7 NAME (PLEASE PRINT) W‘t,\% tyti H:\Home\PIncntr\Forms\Bldapp.DOC 4/96 JEFFERSON COUNTY BUILDPeNG PErmit RMnTer Castle Jeffersn County ill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 DATE ISSUED. : 03/04/98 PERMIT #• • • • :BLD97-0053 SITE ADDRESS: 625 ARCADIA WESWA 98368 --------------'- :PORT TOWNSEND, _____________________ 385-2052 ______ __ ____________ PHONE: APPLICANT. . :WILLIAM PERKA MAILING ADDR:PO BOX 1411 -_- :PORT TOWNSEND WA 98368----------------------------------------- ---------------------------------- PHONE: CONTRACTOR. . :OWNER MAILING ADDR: LIC # EXPIRATION DATE: _-�--�---------------------------- CONTR. LOAN LENDER. : MAILING ADDR: ------------------------------------------------------------------------------ PARCEL NO . . : 001171030 WWM, TAX # LEGAL DESC. . : STR 17-30-01 LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: — OVEMENT: green house/storage addition______________________ Ai - - noting/ Setbac (Shoreline Setback) :v dation: ✓ • '_ ` f 0 4, Underground Plumbing/Underground Insulation: ( ) Framing/Plumbing/Chimney: ( ) Insulation: ( ) Sheetrock: ( ) Final/Occupancy Approval: 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. Lf JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0053 DATE RECEIVED. : 01/29/97 SITE ADDRESS: 625 ARCADIA W :PORT TOWNSEND, WA 98368 APPLICANT. . . :WILLIAM PERKA PHONE: 385-2052 MAILING ADDR:PO BOX 1411 :PORT HADLOCK WA 98339 CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER • MAILING ADDR: PARCEL NO. : 001171031 landslide AD plat cond wetland TO flooding 66 LEGAL DESC:STR 17-30-01 W WM seismic KT streams yrs erosion /VD f & w LOT , BLOCK , TAX # DESCRIPTION OF IMPROVEMENT: GARAGE BUILDING TYPE *GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT •A PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER 0 sf TYPE OF CONST WATER SUPPLY. : CRPT/GAR. . : 520 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 5000 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 1827 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 112 . 25 AK 01/29/97 1137586 Date: PLCK $ 33 . 68 AK 01/29/97 1137586 B.C. $ 4 . 50 AK 01/29/97 1137586 Issued By: Date: pre ' l Area $ 150.43 TOTAL . /73 7.P.A VALL ®`, Me ,/� ///�F F Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # • CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name Wik(\wx )� 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 )( 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: 4. Are there any indications on any portion of the property or on any YES X\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) 90 4 Q o q ❑ , , Arit , „ iii , --- �_❑ r , , iii , „",� ,,,ii„ , 11 I (Questionnaire Continues on Back) 6. Does the site have steep slopes with little to no vegetation? YES X NO If YES, please describe: • 7. Does the site contain high percentages of silt and/or very fine YES \i( NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES K 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 Date 1 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: ` C1.A z V,bt ,t`4,. ..-,• 'No 'e_.,41c_s, SCABG - r TN • - - — .. . 'li,. 4 e r` t x + o �] �. XI _..i X sc.' S ip } r C` tc_, t%pIp4 i1 .�� 'd ,..,::.,,. .. : d k1-" ----).121E , ,,,g i 1 -s ' - r 1 • �� i Oa• &) s 1 x 5 y_3 1 C, " � 10 S I *ce_ \\k— sk X4., CI hod `V . k R.,g c..c._\ 1 t 14 --\Q,_NC..\\ +a 3\Qt3�s r'�"'� ts I1,4 'Zt p1\w Oar,C �\ \\\111 Q�cz_ ff ti V Nw V tp k-34. w�%olti-C\ 2 ,,„r, fV 00 J -- 3 0o oDo M a) C O a) aa) a) a) ) C a) C C C 0 CC N C O D aL+ Y C L 0 a) o y Y Z0 C U L3 a 0 4 L CT) 31- ikiU V . Y o 2 y o cC F- o J• 0 U I l 1 (0 a) n. v' a J vLic...) J • _ y W a _ m 3tr. 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