HomeMy WebLinkAboutBLD2000-00218 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 #: BLD00-00218 Received Date 04/5/2000
SITE ADDRESS: 629 MC MINN RD Issue Date 04/12/2000
PORT TOWNSEND, 98368 Expiration Date 04/12/2001
APPLICANT: EVAN MILLMAN PHONE: (360)379-6649
MARCIA MILLMAN
629 MCMINN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002121001 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ADDITION TO RESIDENCE
REQUIRED INSPECTIONS:
[\] 1`ootin s/Setback$ (Shorelin Setbacks)) ( t T 2w� c ;psi 2 7--oc)
[ Foul n: :(�5�`/00,,.�7 l �`
[ ] Underground Plumbing/Underground Insulation:
[ ] ,�8hear Wall:
[ ,]' (Framing/Plumbing) 0K -i«a 0y / - ._s`--0
[ ] Propane Tank/Lines:
I
[ ] Insulation: G� is ,/l.!O(-,{,r),c. / _,,-0
[,y Sheetrock:bL 2/-14=v6/ && 0
[e( Final/Occupancy Approval: c1< ' ?"_- .5-,.. /
_../ l
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 #: BLD00-00218 Received Date: 4/5/2000
SITE ADDRESS: MC MINN RD
PORT TOWNSEND, 98368
APPLICANT: EVAN MILLMAN PHONE: (360)379-6649
MARCIA MILLMAN
629 MCMINN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002121001 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/ RICK ERICKSON
ENGINEER :
PROJECT DESCRIPTION: ADDITION TO RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 448
VALUATION 47,474.00 ADD'L: 418 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: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON 41- S
WATER SYSTEM: PWELL STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland .1 O Erosion tin
Exist: Exist: 1 Seismic Streams MO
Prop: 2 Prop: 1 Flooding `v U Landslide ti i
Total: 2 Total: 2 F&W iq p Plat Cond. 'ons
Routing Date: Shoreline IU 0 Aquifer
� Forest: Commercial AJ( Rural /V
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $623.55 MAM 04/05/00 27135 Pri 'jcal Area
Plan Check $187.07 MAM 04/05/00 27135
State Building Code $4.50 MAM 04/05/00 27135 keglea
/ ( Vl(VA)
////7( 444!
Total: $815.12 �
\1/4
StommwateraMP'
I:1F_BLD_App_Bld.rpt 10/29/99
4 '
Jefferson County Department of Community Development April 11, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: EVAN MILLMAN
MARCIA MILLMAN
629 MCMINN RD
PORT TOWNSEND WA 98368
Critical Area Review Case Number: CAR00-00135
Project Description:
Parcel Number: 002121001 S-T-R: 12-30N-02W
Site Address: MC MINN 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.
Dep� /l' �.0 Jet/
artment of Communi evelo ment Staff
c: File
I:\F_CAR_WaiverStandrd.rpt 12/13/99
APPLICATION FOR EXEMPTION FOR PHYSICAL IMPROVEMENT
TO A SINGLE FAMILY DWELLING
RCW 8436.400
(See reverse side for rules)
Property Owner: Mau-re,,, c ,c.c/ f 41y,, Application No.:
Address: 0'1 Mc-/4A4 - 41- Date: /I j!it,,
Fart" TD IiL✓! p(, Wig
Parcel No.: do Z - I Z/-bC)
Legal Description: 512. Tao iv kz,ov TAx
Property Address: (, 2 Ill c-MA.4,4,: 1-0.4„,gc„,4/ k/A-
Describe Improvement: ArliC % s i - ri)cr oA,� dam,t�,�„ c,,,cL &z , ( l�A�,, ,,,,,,
a. A- /'hreronn she..-r d- I-vwd sd vvi✓ , Tw•, .Silir,,r ed.
s r a a.„ I5r- e/ttUti Ykld L , c.. p`Yr4^..
Estimated Cost Of Improvement: ItOi0o-o
Construction To Begin OnO ? �
Building Permit Issued By: G wu �✓j
Number: &b 0O-O02.4g` Date: IIIz/2 o (5SK
I hereby certify that the foregoing information is true and complete to the best of my lmowledge and that this exemption
has not been allowed on this property for the past five years.
Owner: Date: APeN71
Agent:
ASSESSOR S USE 0Nt-* n
Value Subsequent To Construction: Date:
Value Prior To Construction: Date:
Increase In Value: Percent:
Amount Of Exemption(Not To Exceed
30% Of Value Prior To Construction):
Taxable Value Of Dwelling:
Assessment Year Exemption To Begin: Assessment Year To Be Removed
Assessor or Deputy:
REV 64 0009-I (7-03-97)
z - BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00218 Received Date: 4/5/2000
SITE ADDRESS: MC MINN RD
PORT TOWNSEND, 98368
APPLICANT: EVAN MILLMAN PHONE: (360)379-6649
MARCIA MILLMAN
629 MCMINN RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002121001 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/ RICK ERICKSON
ENGINEER :
PROJECT DESCRIPTION: ADDITION TO RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 448
VALUATION 47,474.00 ADD'L: 418 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: 1 Seismic Streams
Prop: 2 Prop: 1 Flooding Landslide
Total: 2 Total: 2 F&W Plat Conditions
Shoreline Aquifer
Routing Date: -) - 00 Forest: Commercial Rural
Proximity _
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $623.55 MAM 04/05/00 27135 AP P " ®V
Plan Check $187.07 MAM 04/05/00 27135
ED
State Building Code $4.50 MAM 04/05/00 27135 1 PR 1 2 200.q
Total: $815.12 G
J;, ars,n 'ounty Pl
& t tiding Department
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Cevelopment
w 621 Sheridan Street,Port Townsend WA 08368[3601370-4450
(„;---e.soN---&-
Oes,., ,`� �� o
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- �~` '`� Per U U0 Ab
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Project Description:
Building Type: Project Type: Frame Type:
Single Family ❑ New ,Wood
• Garage Attached/Detached ‹Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other
❑ Industrial
❑ Other.
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 0 Existing: r ❑ Sewer LI Community System ❑ Electricity ❑ Oil
Proposed: 02- Proposed: PS_ gIndividual System ❑ Woodstove X Propane
Total: 02 Total: _ If not sewer,fill out the following: ❑ Heat Pump
VConventional 0 Alternative ❑ Other
Permit# SEP CAS'` 0..'-c S----
W er Supply:
X Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor ` 3..1 n 7 � �` UBC OCCUPANCY GROUP
2� �/!�Floor "2s71,P1 1 Base fee
3r Floor Plan Check fee # 6
Htd Basement State Surcharge fee ` •4'' 'S
Unhtd Basement Subtotal tie 1 ' ,
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL ', .
Industrial Receipt # /- 3
Other — C.ash/Check# ` ,i
Total Valuation _ Initials
Or Date 0"1 , 00
°In,
Estimated Cost: ��
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark N1� 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 of entry to the 'can's pro or hall be requested and shall occur during regular business hours.
Signature: -----1 kt---i i. -14��Lz Date: 7/t/1
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