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Home My WebLink AboutBLD2000-00011 BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00011 Received Date: 1/6/2000 SITE ADDRESS: 853 FAIRMOUNT RD PORT TOWNSEND, 98368 APPLICANT: B.E. DOUGLAS PHONE: (425)641-3487 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMOLITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: ,�'j ��.�'P rft3VED Permit $46.00 MAM 01/06/00 23109 d"� State Building Code $4.50 MAM 01/06/00 23109 Total: $50.50 JA • 1 2 Z0001 J erson frGty rlanm &Building Department g I:\F_BLD_App_Bld.rpt 10/29/99 i s r 8 DEMOLITION 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 #: BLD00-00011 Received Date 1/6/2000 SITE ADDRESS: 853 FAIRMOUNT RD Issue Date 1/12/2000 PORT TOWNSEND, 98368 Expiration Date 1/12/2001 APPLICANT: B.E. DOUGLAS PHONE: (425)641-3487 2038 W LAKE SAMMAMISH PARKWAY NE SUBDIVISION: REDMOND WA 98052 Block: Lot: PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: OWNER PHONE: OWNER, if different: PROJECT DESCRIPTION DEMOLITION THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 01/12/2001. REQUIRED INSPECTION: [ I FinalApproval: / /— /7—C-, 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 C- t-) I��c, - , .. BUILDING PERMIT APPLICATION --------' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00011 Received Date: 1/6/2000 SITE ADDRESS: 853 FAIRMOUNT RD PORT TOWNSEND, 98368 ram. APPLICANT: B.E. DOUGLAS PHONE: (425)641-3487 - . 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 n SUBDIVISION: Block: Lot: ,,, PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W (-- CONTRACTOR: OWNER PHONE: CrItc& Area Revi9WiLi0;J )— ARC HIT ECT/ ENGINEER : PROJECT DESCRIPTION: DEMOLITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO_,-i_AREA BEDROOMS: BATHROOMS: Wetland i'c //ass t c Erosion / r Seismic Yc. Streams ' „ Exist: Exist: 5 Prop: Prop: Flooding ib u Landslide F&W JU v Plat Conditi ns -1 } f Total: Total: Shoreline L-c- sr:-,' -- yyyAquifer i�_S—sL), �J-� _h' /`,- Routing Date: -- ?. 0 v Forest: Commercial /'i Rural �U ^ / 1 Proximity J1 R: S Type Amount Paid By: Date: Receipt: Approved/Date Permit $46.00 MAM 01/06/00 23109 State Building Code $4.50 MAM 01/06/00 23109 Total: $50.50 I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development January 11, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: B.E. DOUGLAS 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 Critical Area Review Case Number: CAR00-00010 Project Description: Parcel Number: 902241006 S-T-R: 24-29N-02W Site Address: 853 FAIRMOUNT RD PORT TOWNSEND WA, 98368 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 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 DEMOLITION PERMIT APPLICATION SITE ADDRESS: 911#/ROAD NAME ((.KS 3 �� ,� IA � T V'U1 i J0(,ti(4. ZIP ��C J 48- 9 DIGIT PARCEL ID NUMBER q .._-.7 `� I 6 C 67 (J Legal Description: CC Subdivision Name Block Lot(s) Section Township 2. ' North, Range Z - 14.' WM APPLICANT / !_, l'J G k.4 1 k 5 PHONE C1 ? j o / 3 ail- MAILING ADDRESS 7 0 3 5- ill_, 5 T (-c, 4-( P 7 4 IE.- 12 e d k, a,,z vvGt ZIP "l &U PROPERTY OWNER CI vvt PHONE MAILING ADDRESS ZIP CONTRACTOR ) C' A PHONE MAILING ADDRESS ZIP STATE LICENSE# EXP. DATE FEDERAL I.D. # 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 applicant/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 attorney'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. APPLICANT SIGNATURE _137 (y(�(�f - DATE c-7 / / U / Z CGl FOR OFFICE USE ONLY BASE FEE `"I von RECEIPT# s\d STATE SURCHARGE 4.50_ CASH/CK# TOTAL DATE ilk_ H:\HOME\PLNCNTR\FORMS\DEM010/99