The URL can be used to link to this page

Home My WebLink AboutBLD2000-00239 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 #: BLD00-00239 Received Date 04/12/2000 SITE ADDRESS: 657 CRUTCHER RD Issue Date 07/11/2000 PORT TOWNSEND, 98368 Expiration Date 07/11/2001 APPLICANT: BETH LORBER PHONE: (360)385-7800 653 CRUTCHER PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 13 PARCEL NUMBER: 001184014 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADU REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: r [ ] Framing/Plumbing: 7P,DSfi� 1Q� [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Final/Occupancy Approval: 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 #: BLD00-00239 Received Date: 4/12/2000 SITE ADDRESS: 657 CRUTCHER RD PORT TOWNSEND, 98368 APPLICANT: BETH LORBER PHONE: (360)385-7800 653 CRUTCHER PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001184014 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY STREET PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP llbi�- MAIN: 432 VALUATION 28,067.00 CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: 80 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 1 Prop: 1 Flooding Landslide Total: 1 Total: 1 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity_ Type Amount Paid By: Date: Approved/Date Permit $431.65 MAM 04/12/00 27173 Plan Check $129.50 MAM 04/12/00 27173 rt,t2_ State Building Code $4.50 MAM 04/12/00 27173Total: $565.65 U ' Jefferson County Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development i ,,, c 621 Sheridan Street,Port Townsend WA 88368[360]378-4450 • Perm :ft Apix-_][1 : calctren ,...., ec..0 Project Description: Building Type: Project Type: Frame Type: • Single Family i New g Wood Garage Attached/Detached ❑ Addition i Steel ❑ Modular g Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry Ei Multi-family/#of Units E Demolition ❑ Other ❑ Industrial ,,�J ,! Other: IQr +ic IVG�_' V MCI.' Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: I Existing: 0 Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: —1— X,Individual System ❑ Woodstove )(Propane Total: I Total: ---1----_ If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional Alternative ❑ Other Permit# SEP Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: �.{ For Office Use Only t Main Floor 4 32- "- °. d.2" UBC OCCUPANCY GROUP 2ND Floor Base fee _3,, 3r Floor Plan Check fee .Z •650 Htd Basement State Surcharge fee yz) Unhtd Basement Subtotal S b 5 Garage/Carport Pot Water Review fee 1 �00 Decks 911/Rd Approach fee 2°I• • OD 0 Commercial TOTAL` S(1 •b S I S. Industrial Receipt # D-1 I—)3 Aei S°tj Other g 143$5 Cash/Check# (e zoo s Total Valuation: 2%O(Q1D Initials W Or ?.0 Date 4'11... 0-0 Estimated Cost: '2.S6)4D If within 200' of the Shoreline, / Distance to Bank or Ordinary High Water Mark S/A 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 applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00239 Received Date: 4/12/2000 SITE ADDRESS: 657 CRUTCHER RD PORT TOWNSEND, 98368 APPLICANT: BETH LORBER 653 CRUTCHER PHONE: (360)385-7800 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001184014 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY STREET PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP pbuL MAIN: 432 VALUATION 28,067.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 80 CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALTcd4 C C n OO 7 WATER SYSTEM: PWELL STORMWATER: YES NO Wirt BEDROOMS: BATHROOMS: Wetland 0 CS Erosion 6 Exist: Exist: Seismic Streams 1J Prop: 1 Prop: 1 Flooding ��J U Landslide Total: 1 Total: 1 F&W ti C) Plat Conditions �t.� &i Routing Date: Shoreline rJ Aquifer� 1,{,tt.a Forest: Commercial /.3 O Rural fvJ Proximity Type Amount Paid By: Date: Receipt: r•t# Permit $431.65 MAM 04/12/00 27173 Crttic *` '=l • Plan Check $129.50 MAM 04/12/00 27173 Building Code $4.50 MAM 04/12/00 27173 ReVieW.424(6ainiac- State Total: $565.65 Reforky, I:\F_BLD_App Bld.rpt 10/29/99 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name ''' et'‘-k 60efe27Fe- '14 Building Application _ Land Use Application _ Shoreline Application On-site Sewage Application — Subdivision Application Other: 1 . Is there any standing or running water on the surface of the . Yes No property or on any nearby property at any time during the year? If YES, please describe: a.1.4,, , i,.., e 0 D l4 A • {�.,,` F4(4)'+'WO{ Nbtra4 • APPea K. Str"›.' 01 V-r2e)M t) Le9 Q M ,4' 2. Has any portion of the property or any nearby property ever been Yes X No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present Yes No on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any _ YES X No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) a g 4 Q ❑ ❑ ❑ , ,. / / / / / / / , , / / / / / / ,a / / / / / / , , ..- / / i / / / / , i / i i / ,� / ,ice ,,'� r iiii i .� ,' .' .❑ I / / l / ,. iiiii %,• ,. , P _ iiiii , , , . ;,. iiiii „ ,. .' '� ....... iiiii „ rIf//// . ' ,-- iiiii,. ,.' , ,, ,. ..... �iii,,,,'5'.-.' - _-fl iiiii,.%. . - _ uiaii,�/. _ -- __ _ _ -- El (Questionnaire Continues on Back) Page 1 of 2 • • 6. Does the site have steep slopes with little to no vegetation? _ YES Na If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the — YES NO surface of the ground? If YES, please describe: 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 attorney'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 re lar business hours. "" �.. , Date + '� -- yf Signature FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: E Frequently Flooded Area E Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide ❑Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 Jefferson County Department of COmmunity Development /z. ON 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan i-INc Fill in the following blanks as completely as possible : Project Description: A a - 9 Digit Parcel Identification Number (from your tax statement). • 00I. 24— IA- Site Address 911#: Road Name: (12 tr fr;(2 • Zip Code: 1C.".3-;••:16S Legal Description Subdivision Name: Block: Lot(s): Section: tt' Township: 3c, Range: I W Parcel Size (acres or square footage): Property Owner: er""rieik erzek Phone: 3Go Mailing Address: CP krin-Ver,;-% 44-D Fir3er -T5ein\r-ROf), o 9G%S. Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 0U3 Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: .30 41,4 Scarr tc-4 A ((AA. Phone: 3 cx,_4s2_650,z5 Mailing Address: 44, WA, (iS3C,2- Orchitec9Engineer: 144 24.. Phone:. "-* 38S""" 6 140 4—Mang Address: IV? 001 WY Pnr2.-T &ic JJA .3•C 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 10 • •vs got 'Jo fit, ' ZSg n.}. _y�• },5F I$vo p} v d ''. pgtt q s : t' oviL-j flatly ,07 x ,7/ :* r ________------._ ,. ,.„ ______ (17.21.1/11Va0 . ,..-1. p 7s4c,Giici E ,`` xfit '4s /l :ti �yS '''..: in / 3v 1 poi. dn?L , li aJA/o,4pl/007 %VI. \ \ • .-cam Ni D I OrielsSI a * a in a 1 l rent SAW). dwarf P $ /4401Y r,.ter,r,,v -4 0 0 (ampruis 6upp 3) ' • ---- PaAowai aQ of '—� / ainI3nils 6ui;sixa Jo uoi}iod ,/ - , 7hi i , oo/' I PSnof P9S 4 -/ / %---- Q2100.00(n9 / ,ago/ 1',RN9J4'7,or �, dk•tss r 0ear?' v3,NDlntP , - , , /11144.11,111 2. j;, ' -;', . t ' Virib ' al '',.. ,v V'' talisifi , . ..... ....,/ . ,- .,-, e',/' „ .. ,. , / • ' , , - , ,. .,,,. ..., '