HomeMy WebLinkAboutBLD1995-00696 A •
• JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0696 DATE RECEIVED. : 11/21/95
SITE ADDRESS: HIGHWAY 101
:BRINNON, WA 98320
APPLICANT. . . :WAYNE DONAHUE PHONE:206-813-3519
MAILING ADDR:P 0 BOX 193
:BRINNON WA 98320
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . : 502282025 ALT: CON :
LEGAL DESC. . :STR 28-25-02 WWM, TAX # BY : DATE:
LOT 2, BLOCK ,
WATER: DATE:
�� CAR DATE:
DESCRIPTION OF IMPROVEMENT: detached garage ��, ,
vny
BUILDING TYPE *GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •D 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. . : 1296 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. $: 12960 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 4166 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
Date: ' ' # '
PRMT $ 199 . 75 AK 11/21/95 113599
a PLCK $ 59 . 93 AK 11/21/95 113599
B.C. $ 4 . 50 AK 11/21/95 113599
Issued By:
Date: •�L/!_,`� ��,�
.` :rs.n, aunty Planning
e; Building O?partmc't $ 264 . 18 TOTAL
II Al
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0696 DATE ISSUED. : 12/11/95
SITE ADDRESS: 154 FOUR WHEEL DR
:BRINNON, WA 98320
APPLICANT. . . :WAYNE DONAHUE PHONE: 206-813-3519
MAILING ADDR:P 0 BOX 193
:BRINNON WA 98320
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
LOAN LENDER. :INTERWEST BANK
MAILING ADDR:P 0 BOX 1649
:OAK HARBOR WA 98277-1649
PARCEL NO. . . :502282025
LEGAL DESC. . : STR 28-25-02 WWM, TAX #
LOT 2 , BLOCK ,
DESCRIPTION OF IMPROVEMENT: detached garage
( Footing/Setbac s (Shoreline Setback) :
( Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheetrock:
( V) Final/Occupancy Approval: 744,:c_1( cr;,27- 9' eijlopeek
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.m.
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION:
BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
❑ SINGLE FAMILY 0 NEW El WOOD
❑ GARAGE ATTACHED/DETACHED ❑ ADDITION El STEEL
El MODULAR D ALTERATION/REMODEL ❑ CONCRETE
El COMMERCIAL 0 REPAIR El MASONRY
El MULTI FAMILY/# OF UNITS El DEMOLITION ❑ OTHER
❑ INDUSTRIAL
❑ OTHER
BEDROOMS: BATHROOMS: r TYPE OF SEWAGE DISPOSAL: .�j`
EXISTING EXISTING ❑ SEWER 0 COMMUNITY SYSTEM
PROPOSED PROPOSED ❑ INDIVIDUAL SYSTEM El Conventional
TOTAL TOTAL PERMIT # SEP ❑ Alternative
WATER SUPPLY: TYPE OF HEAT:
❑ PRIVATE WELL ❑ ELECTRICITY El OIL
El PUBLIC Name of water system: ❑ WOODSTOVE El PROPANE
El HEAT PUMP ❑ OTHER:
SQUARE FOOTAGE:
MAIN FLOOR
2ND FLOOR FOR OFFICE USE ONLY
3RD FLOOR UBC OCCUPANCY GROUP
HTD BASEMENT
UNHTD BASEMENT
CARPORT BASE FEE
GARAGE PLAN CHECK '
DECKS STATE SURCHARGE 4.50
COMMERCIAL
70TAL • 0 ►
INDUSTRIAL
OTHER
•
TOTAL VALUATION RECEIPT
Of (�/ CASH / CK #! (�
ESTIMATED COST 1 7_ {t'1D
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft
SIGNATURE �� "�®.c•( - C i 22'� DATE ///3-'f--�"`—
NAME (PLEASE PRINT) /�Ay/(2" H:\Home\PlncntrlFame161depp.Frm 6/95
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name /4/j,174
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 XN0
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 , 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)
o a 4 Q o 0 0
/ / / / / / /•
.a
it ',
///// /
////// / /
,
__
-
-O
fl (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 X NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES XNO
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 s',/�".�/ �''
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:
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