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HomeMy WebLinkAboutBLD2000-00185 • a . 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 #: BLD00-00185 Received Date 03/23/2000 SITE ADDRESS: 174 BECKER ST Issue Date 05/8/2000 PORT TOWNSEND, 98368 Expiration Date 05/8/2001 APPLICANT: JEANNINE KEMPEES PHONE: (360)385-6866 PO BOX 1435 PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 7 Lot: 16 PARCEL NUMBER: 977100722 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: COXEN DESIGN & CONSTRUCTION PHONE: (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Contractor's License: COXENDC044QN Expires: 11/15/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [1/44 Footings/Setbacks (Shoreline Setbacks): >tK 15-0; _iv,.(_o;&,•rr [f Foundation: �i 1:n__ c-r,,, ,..r, , s -;-, [ 1 Underground Plumbing/Underground Insulation: ["( �tr ShearSh Wall: OK J �. `--,_.. t '7.._.cl�;., C•7 ami Plumes e57 K�/in,F C� ` -/ [t.1/ Propane Tank/Lines:,¢r?oj pit J'C /0-/ -csa [t Insulation: Al11 ,y-!/- i 5-,:Alt. U*:-- J}w•1..01 - `4.- [ heetrock: 17'(%Lot�c STk�J�uf ' -r c s�� -1,� �;. / f [ ..- • .,nc Approv- Oic'.7i C'oy /O-//-oo li 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 ! . BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00185 Received Date: 3/23/2000 SITE ADDRESS: 174 BECKER ST PORT TOWNSEND, 98368 APPLICANT: JEANNINE KEMPEES PHONE: (360)385-6866 PO BOX 1435 PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES#2 Block: 7 Lot: 16 PARCEL NUMBER: 977100722 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: COXEN DESIGN & CONSTRUCTION PHONE (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Contractor's License COXENDC044QN Expires 11/15/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,171 VALUATION 95,407.00 ADD'L: 507 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 341 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 2 Flooding Landslide Total: 2 Total: 2 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: .. o d/ t � '••* ROVED Permit $965.75 MAM 03/23/00 25522 Plan Check $289.73 MAM 03/23/00 25522 State Building Code $4.50 MAM 03/23/00 25522 3 2000 Potable Water Application $30.00 MAM 03/23/00 25522 Total: $1,289.98 Jefferson County Planning & Building Department F_BLD_App_Bld.rpt 10/29/99 4SON Jefferson County Department of Community Development �� , l\co 621 Shaman Street,Port Townsend WA 883681360)378-4450 ti .. 0� pfl0© 5© 1 1 1 Project Description: Building Type: Project Type: Frame Type: Single Family 'Al),"New ,❑ Wood E Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition C Other: Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ltommunity System ❑ Electricity C Oil Proposed: �f' "' Proposed: ❑ Individual System ❑ Woodstove k-Pro ane Total: . Total: If not sewer,fill out the following: ❑ Heat Pump p ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: • Private well ❑ Two Party 1 ell Public:Name of water system: L up it.3 Square Footage: .- \QC For Office Use Only Main Floor 11-7 / ,2 \ ei 'ti' UBC OCCUPANCY GROUP l 2�Floor Z? / � \� Base fee 9 �� 3rd Floor Plan Check fee r 5?9 .'"7.3 Htd Basement State Surcharge fee _SO Unhtd Basementf� ` Subtotal , 9 R Garage/Carport �L,4 -q 3 c� Pot W--\ ater Review fee ' c3 C . Decks J �U 911/Rd Approach fee Commercial TOTAL ` -R e Industrial eceipt # 5 S c9 g Other h/Check# / 49 3 Total Valuation: �O 'dais ` Or / \ C ) Date ,_ - 6 o Estimated Cost: ,t) 1 \ ( t OOP,- If within 200' of the Shoreline, Distance to Bank or Ordinary High Water ft.Bank Height ft. By signing the application form,the applicant/owner att• 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 wi.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 to the applicant's property or shall be requested and shall occur during regular business hours. , Signature: 1;\.A,0,1(1PArr Date: 6/i 7/ IEE#z ST 70.oo IN • N S.o 20.0 6 rg ' o FuTutze - -----1AJ2CA. 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IN JE1=rE#ooN couN'r(, 1V1, 51--lI -k -la,N1 Abbtz.E..Ss: - I 4c�Iz sr., Pr.ToWN-sENt,, N . . 9 =IIIN / �I II w�pNpp� Jefferson Co»ntv D_e artment,of Community Development t 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 W # '; Universal Plot Plan o� Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): Site Address 911#: l ' Y' _i r' Road Name: \ ' ;- Zip Code: 4' ' Legal Description Subdivision Name: DC ( C OI !, Block: ` Lot(s): t Section: Township: Range: Parcel Size (acres or square footage): •7o 0,20 44.ou Property Owner: Phone: , Mailing Address: PC p 6/ , Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Co" r• �' C6 k 5+" "-�-l-toy-� Or Manufactured Home Installer: Phone: 37 Q— /5 8 3 Mailing Address: Contractor's State License Number CoXe h L ��Q Expiration Date: j /3 -/o o Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan NINIIIIIMMIIIIk f BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00185 Received Date: 3/23/2000 SITE ADDRESS: 174 BECKER ST PORT TOWNSEND, 98368 APPLICANT: JEANNINE KEMPEES PHONE: (360)385-6866 PO BOX 1435 PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES #2 Block: 7 Lot: 16 PARCEL NUMBER: 977100722 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: COXEN DESIGN & CONSTRUCTION PHONE: (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Contractor's License COXENDC044QN Expires 11/15/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,171 VALUATION 95,407.00 ADD'L: 507 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 34 BANK HEIGHT: n1 L (1� SEWAGE DISPOSAL: CMY l L n -no IKS , WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland 20 Erosion y) 0 0Exist: Exist: Seismic Streams pJr) Prop: 2 Prop: 2 Floodin it)— Landslide rkr) Total: 2 Total: 2 F&W Plat Conditions v7 Shoreline Aquifer 4J Routing Date: . Z7 Forest: Commercial Rural $0( Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $965.75 MAM 03/23/00 25522Critical �Revie ," ' ' .. Plan Check $289.73 MAM 03/23/00 25522 c•. , State Building Code $4.50 MAM 03/23/00 25522 Potable Water Application $30.00 MAM 03/23/00 25522 A Total: $1,289.98 kern;;,/:,w Raltirat 6-1 eC 0° I:\F_BLD_App_Bld.rpt 10/29/99 '` Jefferson County Department of Community Development • May 5, 2001 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JEANNINE KEMPEES PO BOX 1435 PORT TOWNSEND WA 98368 Critical Area Review Case Number: CAR00-00115 Project Description: Parcel Number: 977100722 S-T-R: 24-30N-02W Site Address: 174 BECKER ST 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. Departm of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99