HomeMy WebLinkAboutBLD2000-00009 •
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD00-00009 Received Date 01/6/2000
SITE ADDRESS: 177 POTLACH WAY Issue Date 01/12/2000
PORT TOWNSEND, Expiration Date 01/12/2001
APPLICANT: GEORGE PICCINI PHONE: (360)379-8875
1019 WATER ST
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001084006 Section: 8 Township: 30 N Range: 01 W
CONTRACTOR: TUCKER CONSTRUCTION PHONE: (360)385-5842
332 J POPPER WAY
PORT TOWNSEND WA 98368
Contractor's License: TUCKEC*063N3 Expires: 08/23/2000
LOAN LENDER/ WASHINGTON MUTUAL
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS:
[it Footings/Setbacks (Shoreline Setbacks): di J-/-eo j, - f•-)ei'a, / Cr k
[ "]" Foundation: (1/C_ .2_ '7., C'5 -..
t
[ ] Underground Plumbing6nderground Insulation: 0 IC 2. eo 4--
[ Shear Wall:
["`-] Framing/Plumbing ndergound Insulation: K 7; 44QD �J),v4(r--
[ ] Propane Tank/Lines: IP,h) 0 ET Z.mo VA' i c (�-16--06
[ , Insulation: 1-2(0-00 Y C
({. t vtn o�
7[tJ Sheetrock: T; �? ' -�' ' , 'N
[`� Final/Occupancy Approval: C 1-77s4(;0 , /-- c./ K' 0/C:j )1 Cb
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 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
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
SPECIAL CONDITIONS FOR CASE
I:\F_BLD_Permit_Buildng.rpt 10/29/99
' BUILDING PERMITAPPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00009 Received Date: 1/6/2000
SITE ADDRESS: 177 POTLACH WAY
PORT TOWNSEND,
APPLICANT: GEORGE PICCINI PHONE: (360)379-8875
1019 WATER ST
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001084006 Section: 8 Township: 30 N Range: 01 W
CONTRACTOR: TUCKER CONSTRUCTION PHONE: (360)385-5842
332 J POPPER WAY
PORT TOWNSEND WA 98368
Contractor's License TUCKEC*063N3 Expires 8/23/00
ARCHITECT/ KIRK E BOIKE
ENGINEER : 789 QUINCY
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,382
VALUATION 156,459.00 ADD'L: 672 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: 728 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 395 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: 0 Seismic Streams
Prop: 3 Prop: 2 Flooding Landslide
Total: 3 Total: 2 F&W Plat Conditions
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,312.95 MAM 01/05/00 23668
Plan Check $393.89 MAM 01/05/00 23668 Ili r • VA. p_ ,_
State Building Code $4.50 MAM 01/05/00 23668
Potable Water Application $30.00 MAM 01/05/00 23668 VAN! A or'- -7/
Total: $1,741.34
7
Jefferson Countyn Planning
to Dat:410 Department
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Deueiommit
' 621 Sheridan Street,Port Townsend WA 08368[3601378-4450
W e r3 0
cT
�"` .`=o$..
�S G� rm
a O o 0
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Project Description:
Bu'ding Type: Proms ct Type: Fr e Type:
Single Family New Wood
E Garage Attached/Detached J Addition J Steel
u Modular ❑ Alteration/Remodel I Concrete
Commercial E Repair I Masonry
❑ Multi-family/#of Units I Demolition I Other:
C Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Exi g: I Sewer i Community System E Electricity I Oil
Proposed: 3 Proposed: X Individual System I Woodstove 'Propane
Total: 3 Total `CIf not sewer,fill out the following: ij Heat Pump
Conventional I Alternative ❑ Other
Permit# SEP 9'-1- , 3..
Water Supply:
Private well I Two?arty Well I Public:Name of water system:
Square Footage: 1, For Office Use Only
Main Floor 13 ko/. �`) / ,,6 UBC OCCUPANCY GROUP
2ND Floor 6, 7;� c/\, Base fee C S�
3rd Floor Plan Check fee v
Htd Basement 977, e .3q 0tC y"p\ State Surcharge fee 0
Unhtd Basement Subtotal - / / ' 3 y
Garage/Carport Pot Water Review fee 4kagb • 0
Decks 3 75 QS+O 911/Rd Approach fee ` ,a)
Commercial TOTAL / 7 L% / . 3 y
Industrial Receipt # 3 6 (p g
Other Cash/Check#
Total Valuation: IAJ Initials ��
Or `
J � ) Date /" s o
Estimated Cost: I J
If within 200' of the Shoreine, j
Distance to Bank or Ordinary High Water Mark `�/ ft.Bank Height ft.
By signing the application form,the applicant'owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicadt/owner with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue
against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: .-�P Date: / /- .2 i - 9 C'
. L cc" - CCC ( 3
r � -'' BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00009 Received Date: 1/6/2000
SITE ADDRESS: 177 POTLACH WAY
PORT TOWNSEND,
APPLICANT: GEORGE PICCINI PHONE: (360)379-8875
1019 WATER ST
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001084006 Section: 8 Township: 30 N Range: 01 W
CONTRACTOR: TUCKER CONSTRUCTION PHONE: (360)385-5842
332 J POPPER WAY
PORT TOWNSEND WA 98368 Crmca i Area
Contractor's License TUCKEC*063N3 Expires 8/23/00 ReviewL )o ±
ARCHITECT/ KIRK E BOIKE R i 10 oc,, j
ENGINEER : 789 QUINCY almmasterffirs
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,382
VALUATION 156,459.00 ADD'L: 672 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: 728 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 395 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
STORMWATER: YES NO ARE i
BEDROOMS: BATHROOMS: Wetland I,C.) Erosion \ it C
Exist: Exist: 0 Seismic (i 0 , Streams A.,%:)
Prop: 3 Prop: 2 Flooding i ' ' Landslide t,
Total: 3 Total: 2 F&W Plat Conditions IlJ
Shoreline , Aquifer
uifer .'csSs�,
- s�.: -3`ts k,1
Routing Date: I - 7 Forest: Commercial /� G Rural i� t
Proximity 5 R'S
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,312.95 MAM 01/05/00 23668
Plan Check $393.89 MAM 01/05/00 23668
State Building Code $4.50 MAM 01/05/00 23668
Potable Water Application $30.00 MAM 01/05/00 23668
Total: $1,741.34
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development• January 10, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: GEORGE PICCINI
1019 WATER ST
PORT TOWNSEND WA 98368
Critical Area Review Case Number: CAR00-00013
Project Description:
Parcel Number. 001084006 S-T-R: 8-30N-01W
Site Address: 177 POTLACH WAY
PORT TOWNSEND WA,
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 C munity Development Staff
C: File
I:\F_CAR_Waiver Standrd.rpt 12/13/99
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360 385-6140
STATE OF WASHINGTON
789 Quincy • Port Townsend,WA 98368
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