Loading...
HomeMy WebLinkAboutBLD2000-00214 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 #: BLD00-00214 Received Date 04/3/2000 SITE ADDRESS: 3052 SOUTH POINT RD Issue Date 04/14/2000 PORT LUDLOW, 98365 Expiration Date 04/14/2001 APPLICANT: WALLY PEDERSON PHONE: (360)765-3476 P 0 BOX 9 QUILCENE WA 98376 SUBDIVISION: TRAILS END 1ST ADDITION Block: 9 Lot: 9 PARCEL NUMBER: 950100916 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License: MDCON**08484 Expires: 08/01/2000 LOAN LENDER/ COCHRAN BOND HOLDER: PROJECT DESCRIPTION 24X30 DETACHED GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): O/c- l Q /�/ [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] SShear WAIL 4)1_ [ ] FarmmgjPlumbing: 6,4 / UO r 7 [ ] ne Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ . inal/Occupanc A.sr. (1-7/C916?-7-- 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 #: BLD00-00214 Received Date: 4/3/2000 SITE ADDRESS: 3052 SOUTH POINT RD PORT LUDLOW, 98365 APPLICANT: WALLY PEDERSON PHONE: (360)765-3476 P 0 BOX 9 QUILCENE WA 98376 SUBDIVISION: TRAILS END 1ST ADDITION Block: 9 Lot: 9 PARCEL NUMBER: 950100916 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License MDCON**084B4 Expires 08/01/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: 24X30 DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,640.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 864 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: BRIDGEHVN 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: At Permit $167.25 MAM 04/03/00 27158 . Plan Check $50.18 MAM 04/03/00 27158 7digate ` , State Building Code $4.50 MAM 04/03/00 27158 Total: $221.93 ,eff� � �� 3©''Parn/Pe/it g I:\F_BLD_App_Bld.rpt 10/29/99 4SON`c Jefferson County Department of Community Development tt, ' , A 621 Sheridan Street,Port Townsend WA 08368[360]378-4450 I-Do}y PErm , Inc aPpOkfi© o ��. 000S 1 Project Description: Building Type: Project Type: Frame Type: Single Family // ---t New +Wood Garage Attached@-etached I ❑ Addition ❑ Steel C Modular `` 0 Alteration/Remodel ❑ Concrete Commercial n Repair C Masonry • Multi-family/#of Units ❑ Demolition E Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 0" Existing: ❑ Sewer , Community System ❑ Electricity ❑ Oil Proposed: ^. --V-- Proposed: U Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump u Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ` ( J Private well ❑ Two Party Well xPublic:Name of water system: l%`t G��` a('v t (raytruitty� ?cr4 Square Footage: For Office Use Only `/ Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee (il • 3rd Floor Plan Check fee 5 0 , t'� Htd Basement State Surcharge fee 1 Unhtd Basement Subtotal 2 -2 i - I Garage/Carport '9 b I i 6 ' 0 Pot Water Review fee Decks 911/Rd Approach fee --- Commercial TOTAL 2-2.-‘ • 93 Industrial Receipt # a•*7 1 5- Other Cash/Check# 2-12 Total Valuation: Initials Or %(OH° Date • 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 o 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: L�.,l '/ Date: `.,. Jefferson County Department of Community Development orr 60 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: z'/ x 3G C`/-ewer yG'- 9 Digit Parcel Identification Number (from your tax statement): _ 5o1eb R!(D Site Address 1 911#: Road Name,,5:mr, 7 t Zip Code: '�' �' Legal Description Subdivision Name: Block: Lot(s): Section: Z 7 Township: / Range: 0 Parcel Size (acres or square footage): Property Owner: et, Phone: `2 > > t —7 Mailing Address: 1-0 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: `44 ,,.( ) (om;4, Phone: 385'— 's O� Mailing Address: }-� ,/ / j P C:1767>) 2 2 3 /"7: �/qc1/oc kice; ` k33 7 Contractor's State License Number: � �� Expiration Date: /� c gy L3 L/ 4"-- / zc�cc Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: L m ve pie, Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan car 0"_ l i SERV'CE GONNE�:TION ro PETERS ON / i n\. D.O.H. APPROVED COMMUNITY I I \\ SEPTIC SYSTEM I 20' SETBACK t I II j S SERVICE ,i I °.\�9 ��• WA R S' i / 1 . •\9� F 1� / ...7., i .. !N , N . N49 V I 0) 1 .� 'Jci h I j' y .0 i / Z / . t •\ / -Q f") 1 \ `'k,,,, -Ri,•OSED GARAGE / 1?.) I I co L/O �'\' ( 1 OJ \ PROPOSED f/ . / \\ RESIDENCE 5' SETBACK \ 1 1/ EXISTING\`"''` \ DECK 1/ - , SEPTIC TANK ,.\ I \ t Nam\ I� 'p • \ 1 1�� \ EXISTING WELL • �!\ 1 I' f \ • i� l \ li 4 \ ,% 1,1 EXISTING RESIDENCE 11,• �\ //S / �- -�-' , . ''. - / 1 ' ' 1 . \..3 . -v,... - N:3 -",•.v.Y - : ,.. .. ' ....., s,... 0--, • .... 1 ‹-- 1...., I ., ..... . .1 v, —1 ....i. . , •'7' )%3 I( \ . • 4. • i' .-i. t6 --....__ • ... I -i. t va i ..L_.....,_______„..,-• . --- I I i -1- 11,u I v., t 1 il I.'1 • I i f 0 ; i 1 1 '.- . / 3 .....-,.' ..... / ksrc 7:.5% 1,0,6 .._.... ,..t .--.'71 . .....,,,...` '•;;'",7 —\',"'' ....„: ?...:.,.N_ ,.. . Y41 BUILDING PERMIT APPLICATION ( ��' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00214 Received Date: 4/3/2000 SITE ADDRESS: 3052 SOUTH POINT RD PORT LUDLOW, 98365 APPLICANT: WALLY PEDERSON PHONE: (360)765-3476 P 0 BOX 9 QUILCENE WA 98376 SUBDIVISION: TRAILS END 1ST ADDITION Block: 9 Lot: 9 PARCEL NUMBER: 950100916 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License MDCON**084B4 Expires 08/01/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: 24X30 DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,640.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 864 CONST TYPE: DECK: SETBACK: BANK HEIGHT: OUIL'� �SEWAGE DISPOSAL: CMY � WATER SYSTEM: BRIDGEHVN STORMWAT R: YES NO , AREA BEDROOMS: BATHROOMS: Wetland Erosion N � Exist: Exist: Seismic ' Streams k.) Prop: Prop: Flooding Landslide d`,O Total: Total: F&W i ) Plat Cond. i ns __ , Routing Date: Shoreline ��/Y).Sekl,a/ngAquifer Forest: Commercial &:() Rural JJ Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $167.25 MAM 04/03/00 27158 riticat Plan Check $50.18 MAM 04/03/00 27158 State Building Code $4.50 MAM 04/03/00 27158 irteview t, 1 ' lF Total: $221.93 RequietLiL W I:\F_BLD_App_Bid.rpt 10/29/99 • Jefferson County Department of Community Development April 14, 2000 621 Sheridan Street, Port Townsend, WA 98368 • (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: WALLY PEDERSON P 0 BOX 9 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00150 Project Description: Parcel Number: 950100916 S-T-R: 16-27N-01 E Site Address: 3052 SOUTH POINT RD PORT LUDLOW WA, 98365 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 ormunity elopment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99