HomeMy WebLinkAboutSEP1974-00034Include the following items on your plot plan:
❑ Property boundaries
❑ Names of adjacent streets
❑ Driveways and parking spaces
❑ Surface water (ponds,creeks, etc)
❑ Buildings(residence, sheds, garages, etc)
li
PLOT PLAN -date prepared
❑ Wells
❑ Septic tank
❑ Drainfield (enter NN if unknown
❑ North Arrow
?,,- 5 L 'D 4�) NN
F-R��pl'lo�a_ �TaR ►, U _T�s P
CS TAhJ�:_ Lo zn 1 (O NS
r'* ✓_p
APs
40
r7�i VLH
2 Mu�1
Cr v p s
�,�rcY-stn TX N k
A �A
t. Uo"',
ENWROV "BECK, L.L.C.
1612 Hastings Ave. W.
Port Townsend, WA 98366
Piet pian submitter!
�P�ellit
br Parcel # -s� —3�} as a part of a Monitoring inspection
obo3 LfNot reviewed or approved by JCPH.
9 E. baraline OLYMPIC HEALTH• DISTRICT '31till ermi.t No. `
Port Angeles SEWAGE DISPOSAL:PERMIT APPLICATION
Submit in kuplicate Builder
Court House
Port To end a f
�7o--�
OwNER Vii' S ADDRESS r> ' s - - PHONE
DIRECTIONS FOR LOCATING SITE
APPLICATION IS HEREBY MADE T NSTALL N011 SYSTEM f R'PAIR EXISTING SYSTEM
YPE OF BUILDING. N0;{. BEDROOMS BASEMENT SITE '9fZ NAME OF INSTALLER
I .1 at
DRAINFIELD LEN !:JDEPTH ¢#LINES SEPTIC TANK SIZE
DRAW A DETAILED PLOT PLAN BELOI►. SEE INSTRUCTIONS. SOIL TYPE S
KK
/✓ M
C:.
1.
CHANGE IN BUIMING _OR SEI AGE DISPOSAL PLANS, LOCATION OR- SITES-- I ALIDATES T
PERMIT UNLESS PRIOR APPROVAL oBTAIATED FRONT THE .HEALTH DEPARTMENT.
DATE OF INSTALLATION SIGNATURE OF APPLICANT., :.�....
APPROVED � DATE 3 l (TY INSPECTED BYKI'o DATE $
SANITARTAN'S CO11MENTS :
I CERTIFY. THAT THIS - SYSTEM '::SAS 'DISTALLED IN THE MANNER APPROVED BY THE
HEALTH DEAPRT ET DATE
INSTALLERS NAEE
'� o
ws ..w>. '
a.o�+a�.a.nm�.�..an,
— w.�:,-�n..�..�-w.v.�,
_.�'' ��
.. -
II
w�.wa.—.•...
I
' ,
{
I
r
I
r
I
I
!
l
i
it 1
.�...
I
- I
it
it
. 11
,..
II
I
Y I'
-
I
fill
it
III
it
it
I�
�Iµ
l
it
it i
Ike 111
t
.9
�I jj
4.
liti=
I)
I
Iit
t
d
fI
I
it
vl
III
t
1'
FPO
��
IrypSI
f I'pp
j
t
f:
•- _.
_' ',
II,itIFI
ISI
_
it
II
I -
-
I
� j��'lr
I
..
x .t
_
I
I �
• §J IIII.
— �' I
I
-
It
,.«..r.t-
I
h{ II' 'lr
IY
z.ff
w-
r
ItµI
I
I
n b
II
it
t
t
it
�.
�._
J�11
I
II
IItIII
Is
I°� I
I;
I
it
IE,
i
Ij
I I'i
I
,'ll
I
II
III •
SII
IIP
I�
�
�;
II
N'Ij��II
!IIt"of
i I
I
I
I:._
`
_
—
I I �
it Jilt
I
I
II
f ri
I II
TFFF'F.,.1R.SC7N' GC�LTNT'Y. F3TCJ� 7�,�_T.. N
Jefferson County Planning and Building
Courthouse, 3rd Wryer
PO Bo
Port T . ..WA 98368
PERMIT #....:BLD90-0538 DATE RECETVFD.:07/31/90
ST.TF. ADDRESS : 4770 S DTSCOVERY RD
:PORT TOWNSEND, WA 98368$��°�'��
-------------------------------------------------------------------------------
OWNER:.......UNTTED PARCEL. SF.RVTCF PHONE: 621,-6233 j
MAT.LTNG ADDR:4455 7TH AVE, S
.SEATTLE WA 981.08
-- -
-------------------------------`---------------
CONTRACTOR NO CONTRACTORPHONE
MATLTNG ADDR:
CONTR. LTC #: EXP'TRATTON DATE:
---------------------------------------------------------------------
ARCHTTECT/..: PHONE:
DFSTGNER....:
MATT,TNG ADDR :
PARCEL NO ----001.324002 Aa 6
----------------------------HEALTH;--------------.---
LEGAL DESC..:STR 32-30-01
WWM, TAX #
BY: DATE:
LOT , BLOCK ,
SHORELINES.:
BY: DATE:
DESCR,TPTTON OF TMPROVEMENT:
---------------------------------------------------------------
manufactured
commercial hulldin.g
BUILDING TYPE ...... :COM
BEDROOMS---
BATHROOMS--
r ---------
MAIN FL...:
-
r0 sf,
TYPE OF TMPROVEMENT:NEW
EXIST.: 0
EXIST.: 0
2ND.FL..0..:
;0
6f. I
GARAGE/CARPORT.....:
PROP..: 0
PROP..: 2
3RD FL.. :
0
sf.'
WOODSTOVF.......... :
TOTAL.: 0
TOTAL.: 2
BASEMENT
:O
sf
UBC OCCUPANCY GROUP:
SEWAGE DTSP..:SFPTTC
CARPORT...:
O
sf;'
,TYPE OF CONST......:
WATER SUPPLY.:Pi1BLTC
GARAGE....!
!`O
Fs,f
i7NTTS.: 1 STORIES:1
HEAT TYPES.:EBB/
/
DECKS....::
0
s
DTMFNSTONS:1.2X43
-------MOBILE HOME------
COMMERCIAL:
0.4f
FRAME TYPF..:STFL
MAKE:
YR:
INDUSTRIAL:
p
sf.
EST COST.$: 26000
ST.7,F:
BANK`HT...:O
ft,
PROJ GRP..: 730
SH SETBACK:O
ft
-----------------------------------------------
Owner/agent
FEES -----------
-
-_
Signature:
type amount
by date
rec't:"
Date :
Tssued
Date:
PRMT $ 75.00 MKG 08/14/90 49879'.,
B.C. $ 4:50 MKG 08/14/90 49$79,:'
By
If -j-6 -10
C
-------------------------------
$ 79.50 TOTAL
i
C'.'c7)KTWrr'V' 1=z't7T T.n. T 7M.1TC: AP1='T.,2 C A.T.T. CS1V'
Jefferson County Planning and Building Department
Courthouse, 3rd Floor.
PO Rax 1.220
Part Townsend, WA'QR36R
206-385-9141.
PFRMTT #....:BLD90-05;39 DATE RFCETVEn.:07/31/90
STTR ADDRFSS:4770 S DTSCOVF.RY RD
:PORT TOWNSE,.ND, WA 98368
-----------------------------------------------------------------------------
OWNER.......:UNTTRD PARCEL SFRVTCF PHONE: 621.-6233
MATLTNG AnDR.:4455 7TH AVE S
:SEATTLE, WA 98108
CONTRACTOR..:NO CONTRACTOR PHONE:
MATLTNG ADDR:
CONTR. LTC #: F_.XPTRATTON DATE:
-------------------------------------------------------------------------------
ARCHT..TFCT/ .. ! PHONE:
nFSTGNFR.... :
MATLTNG ADDR.:
PARCFI, NO----00a.324003�07j
---------------------------HFAT,TH------------------
T,FGAL DESC..:STR 33-30-01
WWM, TAX #
BY: DATE:
LOT BLOCK
SHORELTNES:
BY- DATE:
DESCRTPTTON OF IMPROVEMENT:
manufactured
rommercial building
-------------------------------------------------------------------------------
RUTT,T)TNG TYPE:......: COM
BEDROOMS---
BATHROOMS--
MAIN FL.....
0
Sf
TYPE, OF TMPR.OVFMFNT:NEW
EXIST.: 0
E,XTST.: 0
2ND FT,.....:
0
sf
GARAGE/CARPORT.....:
PROP..: 0
PROP..: 2
3RD FL....:
0
af.,
WOODSTOVF.......... :
TOTAL.: 0
TOTAL.: 2
BASEMENT..!
0
Sf
URC OCCUPANCY GROUP:
SEWAGE DTSP..:SEPTTC
CARPORT...:
O
of
TYPE OF CONST......:
WATER SiJPPT,Y.:PTJRLTC
GARAGE....:
0
Sf.
UNTTS.: 1 STORT.FS:1
HEAT TYPES.:E...BR/
/
DECKS.....:
0
Sf
nTME,NSTONS:12X43
-------MORTLF
HOME------
COMMERC'TAL:
0
8f
FRAME TYPE..: STET_,
MAKE,:
YR:
TNDUSTRTAL:
0
Sf
EST COST.$: 96000
ST.ZF:
BANK HT ... :0
ft.
PR.OJ GRP..: 731
-------------------------------------------------------------------------------
SH SETBACK:O
ft
Owner/agent
----------------
FEES --------------
Signature:
type amount
by date
rer.pt
PRMT $ 75.00 MKG 08/14/90 49879
nate:Iry
B.C. $ 4.50 MKG 08/1.4/90 49879
s M
Tssued By: _ ,.n0,la
1 Q. ��� ®�Q� ------------------------------------
�pp(�TM vPf� ' X17 0,
40 $ 79.60 'DOTAL
2-4-170 4
6
I
0.
P5
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT I....:BLD94-0203
----------
® V
f
DATE RECEIVED.:04/07/94
SITE ADDRESS:4770 S DISCOVERY RD
FEES --------------
Signature:
:PORT TOWNSEND,
-------------------------------------------------------------------------------
WA 98368
amount
by date
OWNER.......:UNITED PARCEL
SERVICE .t
PHONE:621-6228
PRMT
$
MAILING ADDR:4455 7TH AVE S
DE 04/07/94
91273
Date:
:SEATTLE WA 98108
$
87.75
DE 04/07/94
91273
-------------------------------------------------------------------------------
CONTRACTOR..:
PHONE:
$
4.50
MAILING ADDR:
91273
Issued By:
CONTR. LIC #:
EXPIRATION DATE:
-------------------------------------------------------------------------------
ARCHITECT/..:
PHONE:
DESIGNER....:
Date:
MAILING ADDR:
-----------------------------------�
$
227.25
TOTAL
----
PARCEL NO ... :00 24003
ALT: CON: NA:
_
LEGAL DESC.. STR 33-30-0
WWM, TAX #
WATER DATE:
LOT , BLOCK ,
SHORELINES:
BY: DATE:
DESCRIPTION OF IMPROVEMENT:
install wash pad, catch basin, pump & holding
tank
(above ground) IZA94-0021
-------------------------------------------------------------------------------
BUILDING TYPE ...... :COM
BEDROOMS--- BATHROOMS--
MAIN FL...:
0
sf
TYPE OF IMPROVEMENT:NEW
EXIST.: 0 EXIST.: 0
ADD'L FL..:
0
sf
GARAGE/CARPORT.....:
PROP..: 0 PROP..: 0
HTED BSMT.:
0
sf
WOODSTOVE..........:
TOTAL.: 0 TOTAL.: 0
UNHT BSMT.:
0
sf
UBC OCCUPANCY GROUP:
SEWAGE DISP..:SEPTIC
CARPORT...:
0
sf
TYPE OF CONST......:
WATER SUPPLY.:PUBLIC
GARAGE....:
0
sf
UNITS.: 1 STORIES:1
HEAT TYPES.: / /
DECKS.....:
0
sf
DIMENSIONS:
-------MOBILE HOME------
COMMERCIAL:
0
sf
FRAME TYPE:
MAKE: YR:
INDUSTRIAL:
0
sf
EST COST.$: 12000
SIZE:
BANK HT... :0
ft
PROD GRP..: 731
SH SETBACK:O
ft
--------------------------------
Owner/agent
----------
® V
f
-----------------------------------
---------------
FEES --------------
Signature:
ype
amount
by date
recpt
PRMT
$
135.00
DE 04/07/94
91273
Date:
PLCK
$
87.75
DE 04/07/94
91273
B.C.
$
4.50
DE 04/07/94
91273
Issued By:
& Building Department
Date:
-----------------------------------�
$
227.25
TOTAL
D❑ .0❑013❑ O D❑D❑O
CA) ;oCoCov os cn;pW c n
c NDM'cW'm�mM0 W0z ZCD H
O n C O W v W 0 m � .. .+ N < 3 0 A
tfi d W N Ca Qd nO� y S r�d
m cr 0 m O
m m <
O i> -ti O
C N OC,w
W Am OAa ►
w
a0 W 0 O
-RL2 O. C
o.< -.° a0 N m f o a �m'00
w� �m n C.� 'o H� W 0 CL W. d a m
a20o.m�°'�d o" r►W �c�,
r► to
•*7C 4 �
N d. {D A
H N S O
p C O M
pC'c a� D.a�,a , H Cl.4 7
O W O -Ow m b 0 N m W
W !! 'p
O H C C
•w
In -
.r ...H __ 6 • _'i.. Wil. .. .. .�,.. '_. —F-•-- � ' T I ; t .I •i -
f
I !
Ilj I i
i
• .
I h
•
' I t
I
----- � - � � .gyp . � � ' � • -i � � I I
I
i •. N I I I � �- ! I -I I �
cuSE'i``l�c dIPA, 1
S ' '"
1
t !CXISTf#9 ' GoNvfItfR-
I I
I i
• �v I LDS 1v6
' I
, f
I
�► X11 �, I
t
1
r
e7
{
1 y M
� I
I _ _
' t
f t
I
o
N
r „� ..►
os rn �+
- � ••aa
Ma
W
v a
CL
,
0 p' m
O
•
:rWN
1 Cr
H
w
Q ?
d
CW
R.�5
O
d
_
�
�.
S
•o
a<»
W a
N
a
O
fm -.
o
C
ti
0 0m
W
�
Co
V
H
•
S
m
D❑ .0❑013❑ O D❑D❑O
CA) ;oCoCov os cn;pW c n
c NDM'cW'm�mM0 W0z ZCD H
O n C O W v W 0 m � .. .+ N < 3 0 A
tfi d W N Ca Qd nO� y S r�d
m cr 0 m O
m m <
O i> -ti O
C N OC,w
W Am OAa ►
w
a0 W 0 O
-RL2 O. C
o.< -.° a0 N m f o a �m'00
w� �m n C.� 'o H� W 0 CL W. d a m
a20o.m�°'�d o" r►W �c�,
r► to
•*7C 4 �
N d. {D A
H N S O
p C O M
pC'c a� D.a�,a , H Cl.4 7
O W O -Ow m b 0 N m W
W !! 'p
O H C C
•w
In -
.r ...H __ 6 • _'i.. Wil. .. .. .�,.. '_. —F-•-- � ' T I ; t .I •i -
f
I !
Ilj I i
i
• .
I h
•
' I t
I
----- � - � � .gyp . � � ' � • -i � � I I
I
i •. N I I I � �- ! I -I I �
cuSE'i``l�c dIPA, 1
S ' '"
1
t !CXISTf#9 ' GoNvfItfR-
I I
I i
• �v I LDS 1v6
' I
, f
I
�► X11 �, I
t
1
r
e7
{
1 y M
� I
I _ _
' t
f t
I
JEFFERSON COUNTY
CERT=F=C�iTE OF COMLPL=ANCE
® A3PP1:.2 CAT= ON
The Jefferson County Development Code, County Ordinance Number 3-89,
requires that development or use of land for industrial and commercial
activities, multi -family developments, home businesses, signs, temporary
activities or structures, expansion or alteration to existing structures, a
change in use and other activities obtain a Certificate of Compliance. To
qualify for a Certificate of Compliance, each development or' use must be
reviewed with criteria established by the Ordinance.
------------------------------------------------------------------------
APPLICANT: W;R A 0M M W—a
ADDRESS: _ EMT 77Y f so, c1'101my—A Ag 92/0
TELEPHONE: (home) (business) C20,10 "1 - 49Z46
AUTHORIZED REPRESENTATIVE: �9t/�' ` /t$C�q/1Flyy '
ADDRESS: cS'$Mr Ar i 016'r -
TELEPHONE: (home) (business) lzii(2 6s./ -- 6233
DIRECTIONS
Provide information as indicated below.
Answer all questions completely (Please print or type). Contact
the Jefferson County Planning and Building Department for aid
in, filling out this application and for.. instructions on further
administrative procedures required to complete its processing.
J 2. Attach a site plan depicting the description of the subject
property, its physical features and improvements as per the
attached site Alan checklist.
f) 3. Attach other supporting documentation (plans, analysis,
commitments, etc.) that may further describe the proposed
development, or as required by the Development Code Ordinance.
a
4. Complete and include an Environmental Checklist or analysis, if
required.
5. Variance Request completed and included (if applicable).
1! 6. Fee(s) as established by County Ordinance.
NOTE: Applications for Certificate of Compliance which upon initial
inspection appear to be insufficiently prepared to provide.a basis for
adequate review will be returned to the applicant.
PROPERTY DESCRIPTION
GENERAL LOCATION: 4177V S, AlT coveMy Rb -Pe97 n 4,-Ar^6
LEGAL: (from property tax statement)
dr!C7-fp1V ds T -3s �V R/ �✓Ed
9 -Digit Tax Parcel Number Oo/ t?s V Gs z.
oo/ u'i o 3
1. 1
DEVELOPMENT/USE DESCRIPTION
Type
(check applicable box)
0. Multi=family Commercial 11 Industrial
'Sign 0 Home Business
11 Expansion or Alteration
to Existing Structure
0 Recreational Facility 13 Change In Use 11 other
0 Temporary Activity 0 "Mixed'U66 (Comm6r6ial,
or Structure Industrial,- Residential)
Proposed . Development/Use Description (describe the proposed
ev
d ";;?, me'�`rit)j�sj ` -' include all elements that will give an accurate
e.Lop
understanding of Its scope and purpose): Ale /4/7e-446 -re *W It ##A?*AZF
faza 44 #W& bV& 4, M . - OWZ9 -14440* " 60^1.Ae71P O/W adMIC-0 9 .
A-CAIT 6640 AP Se"Vtfb�
ACKNOWLEDGEMENT
I hereby declare, to the best of my knowledge and belief, the foregoing
information and all attached information is true and correct. Further, I
acknowledge that development/use of the proposal may not occur until
approval has been granted by Jefferson County.
(applicant or �fthorized representative) (date)
- — — ---- ---------- — ---- — ------
FOR OFFICE USE
(Project Status Summary)
Basis. for 'approval or denial:' Application Reviewed By
Applicable plan and section
Applicable Ordinance reference
Approved: Date: By:
Approved with conditions: Date: By:
By:
I)at
Basis: Conditional Use Variance General_
Denied: . Date: By:
Appeal: Date: Basis: Conditional Denial
Decision -
Certificate of Compliance issued Date:
-n
0`
® C-
...
all
fj
z
2
O
0
07
•
b
V
v
e
A
�
� o
Sol
3
Do
r
V
PLOT PLAN
,56E 4rr-qe-14,6,f->
DIRECTIONS AND MAP TO SUBJECT PROPERTY
*ALL DOGS MUST BE CONFINED ON DATE OF SURVEY
/7
Mail Completed Report to: AN4 ��L/{�E%Z� 1114/97
COMMUNICABLE
DISEASE CONTROL
PUBLIC HEALTH
NURSING
r IV
VITAL
STATISTICS
' ENVIRONMENTAL HEALTH
HEALTH EDUCATION
To: Jerry Smith
Address: Jefferson County Planning Dept.
Jefferson County Courthouse
Port Townsend, WA 98368
)EPARTMENT
385-0722
k A r UA XUUR INFORMATION
( ) PLEASE RESPOND
( ) PER YOUR REQUEST
Date: November 21, 1990
From: Larry Fay
Director of Environmental Health/QV5
Subject: Certificates of Compliance
Message:
This office has reviewed the listed applications for certificates of
compliance. Each applicant has either obtained a permit for an on-site
sewage system or already has a system of adequate capacity for the
building or business. This office has no objection to approval of these
applications.
United Parcel Service
-4770 S. Discovery -Road
Parcel # 001 324 002 and 001 324 003
James Daubenberger/Eastview Storage
Lot 2 Eastview Industrial Plat
Parcel # 947 800 000
Henry Kimball
Lots 3. and 4, Block 16
Eisenbeis Bayview Addition
Parcel # 948 601 601
Alistar Scovil
Lots 4-12, Block 8
Eisenbeis Bayview Addition
Parcel # 948 600 802 and 948 600 803 and 948 600 804
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT #••••:BLD97-0227
DATE RECEIVED.:04/22/97
SITE ADDRESS:4640 S DISCOVERY
RD
:PORT TOWNSEND, WA 98368
-------------------------------------------------------------------------------
APPLICANT...:BRUCE SETON
PHONE:
MAILING ADDR:4640 S DISCOVERY
RD
:PORT TOWNSEND WA
98368
-------------------------------------------------------------------------------
CONTRACTOR..:
PHONE:
MAILING ADDR: '
CONTR. LIC #: EXPIRATION DATE:
-------------------------------------------------------------------------------
ARCHITECT/..:
PHONE:
DESIGNER....:
MAILING ADDR:
-------------------------------------------------------------------------------
PARCEL NO.:001324003
landslide
plat cond
wetland
LEGAL DESC:STR 32-30-01 W WM
_
seismic
streams
_ —flooding
erosion
_
f & w
LOT , BLOCK , TAX #
DESCRIPTION OF IMPROVEMENT:
BUILDING TYPE ...... :COM
TYPE OF IMPROVEMENT:ADD
GARAGE/CARPORT.....:
WOODSTOVE.......... :
UBC OCCUPANCY GROUP:
TYPE OF CONST......:
UNITS.: 0 STORIES:O
DIMENSIONS:
FRAME TYPE:
EST COST.$: 7000
PROD GRP..: 731
---------------------------
owner/agent
Signature:
Date:
Issued By:
Date:
metal roof for covered storage
BEDROOMS--- BATHROOMS-- MAIN FL...: 0 sf
EXIST.: 0 EXIST.: 0 ADDIL FL..: 0 sf
PROP..: 0 PROP..: 0 HTED BSMT.: 0 sf
TOTAL.: 0 TOTAL.: 0 UNHT BSMT.: 0 sf
SEWAGE DISP..: OTHER.....: 0 sf
WATER SUPPLY.: CRPT/GAR..: 0 sf
HEAT TYPES.: DECKS.....: 0 sf
COMMERCIAL: 1040 sf
INDUSTRIAL: 0 sf
BANK HT... : 0 ft
SH SETBACK: 0 ft
---------------------------------------------------
---------------- FEES --------------
type amount by date recpt
PRMT $ 124.75 AK 04/22/97 1127638
PLCK $ 81.09 AK 04/22/97 1127638
B.C. $ 4.50 AK 04/22/97 1127638
------------------------------------
$ 210.34 TOTAL
�, �
Y
y
r
®
W
c
o
Z
r
�
�
�
y
C
m
di
�
O
C