HomeMy WebLinkAboutBLD2000-00072 f +
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 #: BLD00-00072 Received Date 01/31/2000
SITE ADDRESS: 5684 FLAGLER RD Issue Date 02/4/2000
NORDLAND, 98358 Expiration Date 02/4/2001
APPLICANT: ELIZABETH RAY PHONE: (360)379-9518
SCOTT RAY
PO BOX 176
NORDLAND WA 98358
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921043020 Section: 04 Township: 29 N Range: 01 E
CONTRACTOR: C & C AND SON CONSTRUCION PHONE: (360)732-4731
DAVID CLEVENGER
340 CHERRY STREET
CHIMACUM WA 98358
Contractor's License: CCSONCI077JB Expires: 03/23/2000
LOAN LENDER/ ALLIED MUTUAL INSURANCE
BOND HOLDER: SEARS &ASSOCIATES
BAINBRIDGE ISLAND WA
PROJECT DESCRIPTION DETACHED GARAGE/ BOAT STORAGE
79U4RED INSPECTIONS:
[ ] footings/Setback (Shoreline Setb ks):
[ ] °foundation: 00/ .716 6(9 4 �'Y
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: - ter � G , 4 0 IQ i .Me, d sC_ 64-e-r,;E,01),e-.,„0" to-Y-u
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
- 6 / ) tC- (.C%(' 5 E
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00072 Received Date: 1/31/2000
SITE ADDRESS: 5684 FLAGLER RD
NORDLAND, 98358
APPLICANT: ELIZABETH RAY PHONE: (360)379-9518 7.
SCOTT RAY fl'
PO BOX 176
NORDLAND WA 98358
i
SUBDIVISION: Block: Lot: r
r .
PARCEL NUMBER: 921043020 Section: 04 Township: 29 N Range: 01 E
CONTRACTOR: C & C AND SON CONSTRUCION PHONE: (360)732-4731
DAVID CLEVENGER
340 CHERRY STREET
CHIMACUM WA 98358 g�
Contractor's License CCSONCI077JB Expires 03/23/20s' � I Area
ARCHITECT/ �(�
ENGINEER : ',weview review4,376701J--
PROJECT DESCRIPTION: DETACHED GARAGE / BOAT STORAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: StanIageralPt
VALUATION 7,640.00 ADD'L: HEAT TYPE: Requked �� p0e7 /4'
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 764 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: STORMWATER: S NO AREA
BEDROOMS: BATHROOMS: Wetland✓ s 0 S Erosion N O
Exist: Exist: Seismic Streams
Prop: Prop: Flooding Landslide
Total: Total: F&W t.,Lit H ;L., Plat Cond' ions
Routing Date: Shoreline(. ,,, . �Aquifer
` . 1.Z� Forest: Commercial //1/0 Rural 0 RR, 5
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $153.25 MAM 01/31/00 24064
Plan Check $45.98 MAM 01/31/00 24064
State Building Code $4.50 MAM 01/31/00 24064
Total: $203.73
I:\F_BLD_App_Bld.rpt 10/29/99
- , -—- - I . .. - -,. .. . . .
Jefferson County Department of Community Development February 3, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: ELIZABETH RAY
SCOTT RAY
PO BOX 176
NORDLAND WA 98358
Critical Area Review Case Number: CAR00-00051
Project Description:
Parcel Number. 921043020 S-T-R: 04-29N-01 E
Site Address: 5684 FLAGLER RD
NORDLAND WA, 98358
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.
Depair4vient 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 #: BLD00-00072 Received Date: 1/31/2000
SITE ADDRESS: 5684 FLAGLER RD
NORDLAND, 98358
APPLICANT: ELIZABETH RAY PHONE: (360)379-9518
SCOTT RAY
PO BOX 176
NORDLAND WA 98358
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921043020 Section: 04 Township: 29 N Range: 01 E
CONTRACTOR: C & C AND SON CONSTRUCION PHONE: (360)732-4731
DAVID CLEVENGER
340 CHERRY STREET
CHIMACUM WA 98358
Contractor's License CCSONCI077JB Expires 03/23/2000
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DETACHED GARAGE / BOAT STORAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,640.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U 1 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 764
CONST TYPE: DECK: SETBACK:
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
Routing Date: Shoreline Aquifer
-2) l.Q() Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $153.25 MAM 01/31/00 24064
Plan Check $45.98 MAM 01/31/00 24064 APPROVED
State Building Code $4.50 MAM 01/31/00 24064
Total: $203.73 F E B 2000
Jeffe aunty Planning
& Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
�¢�O Jefferson County Department of Community Development
4,- ,ti 0 621 Sheridan Street,Port Town.1 nd WA 88368[3601378-4450
pe a o 0
s G pp, {1 - ,,,,i, O
____
Project Description:
Building Type: Pro' Type: Frat�e Type:
ogle Family _'New Wood
Garage Attached Detached i Addition I Steel
Modular E. Alteration/Remodel ❑ Concrete
I Commercial I Repair i Masonry
Multi-family/#of Units I Demolition E Other:
Industrial
E Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: I Sewer I Community System LE Electricity I Oil
Proposed: Proposed: i Individual System ❑ Woodstove E Propane
Total: Total: If not sewer,fill out the following: C' Heat Pump
ET Conventional ET Alternative 1 Other
Permit# SEP
Water Supply:
iT Private well El Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor - _ UBC OCCUPANCY GROUP
2`D Floor Base fee I S •'2.
3rd Floor Plan Check fee L{ S g'
Htd Basement State Surcharge fee 4
Unhtd Basement Subtotal 2_0 3 , 13
Garage/Carport 7C,4 5'Co Pr 7 VA 0�ot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL 2.0 3.—7 3
Industrial Receipt # 2 4 0(0 4
Other Cash/Check # (0 1
Total Valuation: Initials L
Or Date 1 • 31 • Z 08 6
Estimated Cost:
If within 200' of the Shoreline,
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 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 entry to thep applicant's prop or structure shall be requested and shall occur during regular business hours.
Signature: C ?Q 1 f Q C �%�- Date: '— .fo DO
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