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HomeMy WebLinkAboutBLD2000-00166 t a . . t i 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 #: BLD00-00166 Received Date 03/10/2000 SITE ADDRESS: 321 LELAND VALLEY RD Issue Date 03/22/2000 QUILCENE, 98376 Expiration Date 03/22/2001 APPLICANT: LOREN DAVIS PHONE: (360)765-3112 SHONA DAVIS PO BOX 357 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 802243006 Section: 24 Township: 28 N Range: 02 W CONTRACTOR: DAVIS MASONRY PHONE: (360)765-3577 PO BOX 357 QUILCENE WA 98376 Contractor's License: DAVISM*101Q0 Expires: 11/08/2000 LOAN LENDER/ AMERICAN STATES BOND HOLDER: BANK OF FLORIDA PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): P4=1? ©/e d%S%©o yi f ;,9 t Jc� ji/�/�� [ ] Foundation: vv [ ] Underground Plumbin nder round Insulatio . / 1, 40,\74, [ ] Shear Wall: vRe - ±-‘}, ©id p 5- 004 [ mg/Plumbing: ,*.r • �,16,r 4 = ., [ ] Propane Tank/Lines;T�/ ,# 47/ems �� [1( Final/Occupancy Approval: © HEALTH DEPARTME T 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 I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00166 Received Date: 3/10/2000 SITE ADDRESS: 321 LELAND VALLEY RD QUILCENE, 98376 APPLICANT: LOREN DAVIS PHONE: (360)765-3112 SHONA DAVIS PO BOX 357 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 802243006 Section: 24 Township: 28 N Range: 02 W CONTRACTOR: OWNER PHONE: 10-u s dvn ter"- 1jp-vISrK+141c) /'' ',/' ,: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TONWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 250,689.00 MAIN: 1,874 CODE EDITION: 1997 ADD'L: 2,539 HEAT TYPE: WOD OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 653 SHORELINE: CONST TYPE: SETBACK: DECK: 224 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 4 Flooding Landslide Total: 2 Total: 4 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,671.35 MAM 03/10/00 25461 Plan Check $501.41 MAM 03/10/00 25461 State Building Code $4.50 MAM 03/10/00 25461 APPROVED Potable Water Application $30.00 MAM 03/10/00 25461 Total: $2,207.26 62 CVA.4.?1 rson County Mannino Uuildfn Uarpartment I:\F_BLD_App_Bld.rpt 10/29/99 gON c Jefferson County Permit Center Department of Community Development ° 42,1/4,).Far 1 N-cl:,;-.6 w ., ,y_ }-c 621 Sheridan Street,Port Townsend WA 00368 13601 370-4450 ,� � o perm7 Abldret-l?en Project Description: Bu'ding Type: P�t Type: Frame Type: Single FamilyNew ❑ Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair XvMasonry ❑ Multi-family/# of Units ❑ Demolition ❑ Other. ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: C.y Existing: J ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: 2 Proposed t indiid System vual Total: 7 Total: ; oodstove ✓j'ropane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional Clternative Other y 4,61-1" / ( Permit # SEP [7,Wa r Supply: Private well ❑ Two Party Well ❑ Public:Name of water system: Square Footage: For Office Use Only 1 / Main Floor rI j" v��3 L UBC OCCUPANCY GROUP Ni,Floor 2-Cj�q 1 3 11$ Base fee c")1d Floor Plan Check fee So i . 4 j Id Basement State Surcharge fee 1-{htd Basement -- Subtotal Ge/ arport (.05 Pot Water Review fee 0 °v ecks , + Z24 0 911/Rd Approach fee Commercial TOTAL — 7-2 Ci7. 14; Industrial _ Receipt # 2 `(co , Other Cash/Check # CA(0'1 S Total Valuation '-N SC Initials Or _.% Date '3'(0•CS6 Estimated Cost: If within 200' of the Sho reline, Distance to Bank or Ordinary High Water Mark ft. Bank Height Signature: L) Date: t CKCO -- OC,i05 ,Y y,. ., - BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00166 Received Date: 3/10/2000 SITE ADDRESS: 321 LE LAND VALLEY RD QUILCENE, 98376 APPLICANT: LOREN DAVIS PHONE: (360)765-3112 SHONA DAVIS PO BOX 357 QUILCENE WA 98376 r/� SUBDIVISION: �/ Block: Lot: q l 1 (6, L( PARCEL NUMBER: 802243006 Section: 24 Township: 28 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TONWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 250,689.00 MAIN: 1874 CODE EDITION: 1997 ADD'L: 2,539 HEAT TYPE: WOD OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 653 SHORELINE: CONST TYPE: SETBACK: _ DECK: s( 224 ^ 4 ANK HEIG SEWAGE DISPOSAL: ALT �' , J� ►� : ` WATER SYSTEM: PWELL STORMWATE : YES NO AREA BEDROOMS: BATHROOMS: \ Wetland Erosion � Exist: Exist: Seismic Streams r Prop: 2 Prop: 4 \ Flooding Landslide tIJC_,' Total: 2 Total: 4 .F&W Plat Conditions r�C.J Routing Date: Shoreli Aquifer \E3 �j " `-' Forest: Commercial �l2 Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,671.35 MAM 03/10/00 25461 ' StrAlMil*Recore‘"), Plan Check $501.41 MAM 03/10/00 25461 State Building Code $4.50 MAM 03/10/00 25461 Potable Water Application $30.00 MAM 03/10/00 25461 Total: $2,207.26 r 'Ca1 Area ......vieVpiekkay2LCP Jefferson County Department of Community Development March 22, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: LOREN DAVIS SHONA DAVIS PO BOX 357 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00105 Project Description: Parcel Number: 802243006 S-T-R: 24-28N-02W Site Address: 321 LELAND VALLEY RD QUILCENE WA, 98376 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. Departm o ommunity Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 Jefferson County Department of Community Development oN coo 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 'r y , 7-"L'-';'.0 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: �'(� Q (t nc\ i 9 Digit Pat'cel Identification NuMber (from your,tax.4atement : Site Address 911#: . 2_ 1 Road Name: \li,E1 \IQ 11w LO Zip Code: C' L, Legal Description Subdivision Name: Block: Lot(s): Section: .. Township: zS Range: ' . Parcel Size (acres or square footage): \ -2-i5 QC.V� Property Owner: Phone: Mailing Address: i P)Qx 3 al Applicant/Occupant: ; Phone: (if different from owner) Mailing Address: Authorized Rep: re_,„ ~�to 5 - ��1 l Z. ��o �\,.,uS�� Phone: Mailing Address: X General Contractor: .)A\ tS Or Manufactured Home Installer: VK`(V I m�.,E,e maso,„ Phone: Mailing Address: t Contractor's State License Number: Expiration Date: \ Septic Designer: Phone: 1\\v 4 EXIO,t ' -eP'd Mailing Address: Architect:/Engineer: Phone: ?Jr Mailing Address: 1 iN \--k; c1.1 <}, i --T7-1�Q5-1 e r-Nr-f 4 Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: /L,0,,,..,,„„ � ,c_oR - t____, ,..._ FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1 1/C0 H:\home\pincntr\forms\universal plot plan a / N Q_ \� > r -`�, / ,5�1J - BOO \, tom yj a,� ,Q-, „../1:c-" , ' ' ,?. . 4/ - -7 'VE. _.... \ 1 / sz, ,/ gc,„ ,'c ,,f , ,CK,,c,Krilrbeetll z z } /' j,i. _,, Ari, ,i' , _ _ - - '3 U`7., SS. v s1 / mp \ , \\ '; Ofic,irY) a x \ cf-ReSc n u \ 66..4 - \ \-' - c ttg kelt (510P C (ii \ lI/ Y4 1 b__, 1 1 1 /IV ,o 6t,5-c i ,1-?c,ix I)c,tiCe 11-4 1 ) k A.c.AS 4 iv4 OtC., \ ''' i \\ „I, ' ) (..)cA/--t A \--- 4 71, o 6 ofiwiD O , ,_..i \ . , ) ili i4 ( /GO' ___A , 1 ( `i, i ----__, a!; ,C oneN c.e I I-,, -20 ) Ala 79, 41c55. 0�i c c 765 ' 35 77 I I Col. '0i0I I I 4�-O 16' r7t ,PAI'0„ —'s4LVPL d- so it � •t Cx 0 SCALE: JOB NG� DATE: A3 r t.E ba q1