HomeMy WebLinkAboutBLD2000-00065 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 #: BLD00-00065 Received Date 01/26/2000
SITE ADDRESS: 251 ADELMA BEACH RD Issue Date 01/31/2000
PORT TOWNSEND, 98368 Expiration Date 01/31/2001
APPLICANT: HAROLD L OLSEN PHONE: (360)385-3495
251 ADELMA BEACH
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001324065 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION GARAGE
REQUIRED INSPECTIONS:
[`] Footings/Setbacks (Shoreline Setbacks):
[L] Foundation: / -1 C") 41-j cis / Ce_s _
[ ] Underground Plumbing/Underground Insulation:
[ ] Si-- Wall:
[ ] Framing/Plumbing: (3`'-. 3—c _ 6
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] ock:
[ ] ' ! ccupancy Approval: Q, �,- tc- 4:3'43
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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00065 Received Date: 1/26/2000
SITE ADDRESS: 251 ADELMA BEACH RD ('
PORT TOWNSEND, 98368 `=
APPLICANT: HAROLD L OLSEN PHONE: (360)385-3495
251 ADELMA BEACH �.
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001324065 Section: 32 Township: 30 N Range: 01 W _
CONTRACTOR: OWNER PHONE:
a.Gn `cad Area
Ii,
RevieWi/Her
ARCHITECT/
ENGINEER :
Wader BUN L. i
PROJECT DESCRIPTION: GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,640.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 864
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: STORMWATER: YES NO AR
1 BEDROOMS: BATHROOMS: Wetland A ;5CC/.St- Erosion O
Exist: Exist: Seismic n;'"s Streams �: N
Prop: Prop: Flooding v Landslide 1:, ; ,f q� ''' A .
Total: Total: F&W /) D Plat Conditio /VV
Routing Date: _ ` Op
ib,.•r ic.,— Aquifer 113 5
Z� Forest: Commercial N V Rural
Proximity _ _
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $167.25 MAM 01/26/00 24059
Plan Check $50.18 MAM 01/26/00 24059
State Building Code $4.50 MAM 01/26/00 24059
Total: $221.93
I:\F_BLD_App_Bld.rpt 10/29/99
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' Jefferson County Department of Community Development January 27, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: HAROLD L OLSEN
251 ADELMA BEACH
PORT TOWNSEND WA 98368
Critical Area Review Case Number: CAR00-00047
Project Description:
Parcel Number: 001324065 S-T-R: 32-30N-01 W
Site Address: 251 ADELMA BEACH 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
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00065 Received Date: 1/26/2000
SITE ADDRESS: 251 ADELMA BEACH RD
PORT TOWNSEND, 98368
APPLICANT: HAROLD L OLSEN PHONE: (360)385-3495
251 ADELMA BEACH
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001324065 Section: 32 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,640.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 864 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: Prop: Flooding Landslide
Total: Total: F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $167.25 MAM 01/26/00 24059
Plan Check $50.18 MAM 01/26/00 24059 APPR S
State Building Code $4.50 MAM 01/26/00 24059
Total: $221.93 ` JI A,o°
Jefferson County Planning
& Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
t . e
Jefferson County Department of Community Development
(ccsori
c °��.. 621 SheridanStreet,PortTownsendWA88368[3601318-4450 1 ti 1a�`, r3 0
perm :
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Project Description: C"�G.
Building Type: Project Type: Frame Type:
Single Family iieNew VWood
it Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
Commercial ❑ Repair ❑ Masonry
Multi-family/#of Units ❑ Demolition ❑ Other:
Industrial
J Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑Co S ❑ Electricity ❑ Oil
Proposed: Proposed. ❑ Individual Syste ❑ Woodstove ❑ Propane
Total: \\.....1Total: 1 If not sewer,fill o f ll ng: ❑ Heat Pump
...k... ❑ Conventional Alt alive ❑ Other A�
tt �r
Pennit# SEP y 270 r Y
W Supply:
Private well �/i 17 Tw iEa i Putfc:Name of waters stem:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee I (04 • 2
3rd Floor Plan Check fee r7 b . 1 1
Htd Basement State Surcharge fee 4 • s—ts
Unhtd Basement [ L Subtotal 12..1 t q
G 7e Carport CIl/Q Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL 2 ( 1 3
Industrial Receipt # Z U1 O S cl
Other Cash/Check# CA S 4
Total Valuation: Initials LvSA
Or (
a / 0, Date \ `Z �LT, 'Z.003b
Estimated Cost: o �1_(J
If within 200' of the Natzeline, '
Distance to Bank or Ordinary High Water Mark ft.Bank Height 4 ki ft.
t
By signing the application form,the applicant/owner attests that the info 'on 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 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: H a (0 r 1 `L.. 0 1._- 3 eL.) Date: 7 2 G� C�B ` l