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HomeMy WebLinkAboutBLD2000-00001 - 01 PERMIT APPLICATION 1 ILDING PERMIT APPLICA N Jefferson County Department of Community Development . 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00001 Received Date: 12/30/1999 SITE ADDRESS: 1064 SOMERVILLE RD CHIMACUM, 98325 APPLICANT: RYAN TILLMAN PHONE: PO BOX 216 NORDLAND WA 98358 SUBDIVISION: SOMERVILLE Block: 18 Lot: PARCEL NUMBER: 996200014 Section: 03 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: New Single Family Residence. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,385 VALUATION 115,676.00 ADD'L: 239 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 384 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 3 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 560 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,083.35 MAM 01/03/00 23107 ROVE, Plan Check $325.01 MAM 01/03/00 23107 r" State Building Code $4.50 MAM 01/03/00 23107 Potable Water Application $27.00 MAM 01/03/00 23107 HAY 0 8 2000 Total: $1,439.86 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 L`-4 Rod- 0'0. AIMING PERMIT APPLICATA!" ?,., . Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00001 Received Date: 12/30/1999 SITE ADDRESS: 1064 SOMERVILLE RD CHIMACUM, 98325 APPLICANT: RYAN TILLMAN PHONE: PO BOX 216 NORDLAND WA 98358 lif C SUBDIVISION: SOMERVILLE Block: 18 Lot: PARCEL NUMBER: 996200014 Section: 03 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: , Critical Are kl- ARCHITECT/ ENGINEER : ReViBWJL & ? PROJECT DESCRIPTION: New Single Family Residence. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,385 VALUATION 115,676.00 ADD'L: 239 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 384 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 3 OCCUPANCY: OTHER: • CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 560 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM. t STORMWATE YES NO AR, A BEDROOMS: BATHROOMS: Wetland R a Erosion n/ 0 Exist: Exist: Seismic a Streams A/o Prop: 3 Prop: 3 Flooding / n Landslide Total: 3 Total: 3 F&W 1 0 Plat Conditions !IP-- Shoreline A! Aquifer 0D Routing Date: / !i Forest: Commercial j c.) Rural IT ( Ci L' Proximity ? 1 .7.- G Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,083.35 MAM 01/03/00 23107 Plan Check $325.01 MAM 01/03/00 23107 State Building Code $4.50 MAM 01/03/00 23107 QPotable Water Application $27.00 MAM 01/03/00 23107 Total: $1,439.86 C la t 1:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development January 4,00 621 Sheridan Street, Port Townsend, WA 98368 ry ' (360)379-4450 CRITICAL AREA STANDARD WAIVER Applicant: RYAN TILLMAN PO BOX 216 NORDLAND WA 98358 Critical Area Review Case Number: CAR00-00006 Project Description: Parcel Number. 996200014 S-T-R: 03-29N-01W Site Address: 1064 SOMERVILLE RD CHIMACUM WA, 98325 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Department of Community Development Staff c: File I:\F_CAR_Waiver Standrd.rpt 12/13/99 • • ¢50zv a Jefferson County Permit Center * Department of Community Development 4 6 621 Sheridan Street Port Townsend WA 88368(360]378-4450 y y K 0 U :vr .a p p � t(€ j4l/,4 9 &AN& 44 emoletelv ad idai(le: Project Description: 9 Digit Parcel Identification Number(from your tax statement): 26,z) off ( Site Address 911#: jG W-/ Road Name: 144-e4/V( (e I�-7� 4 Zip Code: c13 2c Legal Description Subdivision Name: P 'w -v vi f l_ Block: ( F Lot(s): Section: 3 Township: 2. Range: I IA/ Parcel Size (acres or square footage): I , Property Owner: i7 j t � Phone: 3 g s- 7 (0` Mailing Address: I�— 0Q. Ct 83S-8- Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: t-i/ (}- Mailing Address: Fol ore . . a . Fire District Planning tXrea School TJistrit Zone. ... 4/98 H:\home\pincntr\forms\universal plot plan • r v S S BLOCK 3 BLOCK 2 .a„ 1 ' r Q/'�? T VI LC 4- PD ..;; }.• / • lSL-7,/ / r \/ //9 ii/ SL 4/9 :..:‘.:41 ' /7 z)---- ::::7.1 7 i/7/ / % SL-� ': / i / // / ;/ . . /s � / r/ / /SL-1 // i,.. 4 / ... , 1 L -s -8./ 1. ,., , SL-.3m,/ / ...,.:.- j , SL!2 /.:::. .-. :::- C . HOME SITE;1\ .'r' :Ft �� FO i$SHEET I `/•., . /) n BLOCK 19 I I 1 .Far • 1 " .44,i,"- SURF' • WATER /I # (� . ■ / / /__-.--------\\ t /'_ ,� \ A WE 1 V. HO S£ $///2so•f/ , / - 6 d ( BLOCK 23 BLOCK 22 M Jefferson Comity Perndt Center * Ihmartnmet of Commw ity Deyfflopfimnt 44 c°, 621 Sheridan Street,Port Townsend WA '368[3601 378-4150 A, z 4, o,* prmt A-1.-„ JD ° o Is rarirr� Project Description: 0� 12..61 ... 1 .. Building Type:_ - Project Type: Frame Type:. X Single Family 'New X Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel X Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/# of Units 0 Demolition ❑ Other: ❑ Industrial ❑ Other Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System ❑'Electricity ❑ Oil Proposed: 3 Proposed: 3 A Individual System ❑ Woodstove g Propane Total: 3 Total 3 If not sewer,fill out the following: ❑ Heat Pump F Conventional ❑ Alternative ❑ Other Permit # SEP e' 4 i v Water Supply: Private well ❑ Two Party Well ❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 13 8 c -7 5 GI 2S. UBC OCCUPANCY GROUP 2ND Floor 2 31 ( 310 1 Base fee I O$3. 5 3rd Floor 38'1 2i 05D Plan Check fee 3 Z5- O I Htd Basement 1.4 State Surcharge fee Unhtd Basement Subtotal I141 2-?fo Garage/Carport Pot Water Review fee 2:7°' Decks 26$ -!" 2- ( = 'Cc 0 5 r 911/Rd Approach fee Commercial 5 0oD TOTAL 1`i 3G1- s ;, Industrial Receipt # 27)(0-7 Other Cash/Check # �sS�i�O Total Valuation: ( (S(0-1/co Initials \l��sti\ Or - Date -3'D° Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Signature: a^- Date: 127 3g' j e BUILDING PERMIT Jefferson County Department of Community WA 98368nt 621 Sheridan Street Port Townsend, (360)379-4450 FAX(360)379-4451 (800) 831-2678 Received Date 12/30/1999 PERMIT#: BLD00-00001 Issue Date 05/8/2000 SITE ADDRESS: CHI ALUM,SOMERVILLE 325 RD Expiration Date 05/8/2001 CHIMACUM, 98325 APPLICANT: PO BOX 216AN PHONE: NORDLAND WA 98358 SUBDIVISION: SOMERVILLE Block: 18 Lot: PARCEL NUMBER: 996200014 Section: 03 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION New Single Family Residence. REQUIRED INSPECTIONS: (n� [�] Footings/Setbacks(Shoreline Setbacks): ©"(- i [,.,]/ Foundation: 111M,C0° (JE_ [ ] Underground Plumbing/Underground Insulation: Grc "Fier/ol. Framin•,Plumb'$".nom, ©K �lEd�a i �iZ' r2Ati�N,. 01! 5/(G/e3dpl '� [ ] / gam' [ ] Propane Tank/Lines:e-'7cT 4-1"/C4-0--2�'?�<<` l� 7,/� �r [ ] Insulation:. - QT/�aL)SAfrelit ( ] Sheetrock: •OX /0D-3 f [ ] Final/Occupancy Approva. �♦ tt-10-4 HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION., THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-445. CALL s 924 HOURS 4 U IN ADVANCE TO SCHEDULE INSPECTIONS. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY -SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD00-00001 RYAN TILLMAN PHONE: APPLICANT: CANDACE TILLMAN PO BOX 251 PORT HADLOCK WA 98339-0251 SITE ADDRESS: 1064 SOMERVILLE RD Issue Date: 05/8/2000 CHIMACUM, 98325 Final Date: SUBDIVISION: SOMERVILLE Block: Lot: PARCEL NUMBER: 996200014 Section: 3 Township: 29 N Range: 01 W PROJECT DESCRIPTION: New Single Family Residence. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes • THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON \\tidemark\data\forms\F BLD_Occupancy.rpt 6/16/2014