HomeMy WebLinkAboutBLD2000-00258 DEMOLITION 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 #: BLD00-00258 Received Date 4/28/2000
SITE ADDRESS: 180 E ARDEN ST Issue Date 5/3/2000
PORT HADLOCK, 98339 Expiration Date 5/3/2001
APPLICANT: COLLEEN WHITE PHONE:
10962 RHODY DR
PORT HADLOCK WA 98331
11-13
SUBDIVISION: IRONDALE Block: 16 Lot:
PARCEL NUMBER: 961801604 Section: 35 Township: 30N Range: 01W
CONTRACTOR: OWNER PHONE:
OWNER,
if different:
PROJECT DESCRIPTION DEMO
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 05/03/2001.
REQUIRED INSPECTION:
[ ] FinalApproval:
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:\F_BLD_Permit_Propane.rpt 10/29/99
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00258 Received Date: 4/28/2000
SITE ADDRESS: 180 E ARDEN ST
PORT HADLOCK, 98339
APPLICANT: COLLEEN WHITE PHONE:
10962 RHODY DR
PORT HADLOCK WA 98331
SUBDIVISION: IRONDALE Block: 16 Lot: 11-13
PARCEL NUMBER: 961801604 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DEMO
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY 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: r o / t
Permit $48.00 MAM 04/28/00 30705 e
State Building Code $4.50 MAM 04/28/00 30705
Total: $52.50 - ��
A'/ Q 3 2000
Jefferson County Punning
& Building 7apartnient
I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON,COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450
DEMOLITION PERMIT APPLICATION
SITE ADDRESS:
911#/ROAD NAME I 5'Q ^4 R LE A/
/ieb-A),,,t i` IA//�� ZIP 1 $ 3✓z G�
/
9 DIGIT PARCEL ID NUMBER " )(0 ( O (o09
Legal Description: -Pp19 V ?
Subdivision Name ��\\ �}�i,C ? Block Lot(s) ` 1J
Section 35 Township cJ d North, Range / (/ WM
APPLICANT d /2`13 010 d4S RJPHONE 3 d / - J eSSi
MAILING ADDRESS 040 W45 /A) °') 6 r
'OI Tow .tisrAidt) "t/ IP 136
PROPERTY OWNER C 0 �4.4--E.4.1 L(J/Li/ -k-- PHONE
MAILING ADDRESS fl0 9'6 Z-- X/-10v (Pi
/I14 / kd�"'I ud.04 i ZIP ff,34.3
CONTRACTOR V ‘AJ N c PHONE
MAILING ADDRESS
ZIP
STATE LICENSE# EXP. DATE
FEDERAL I.D. #
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
regular business hours.
APPLICANT SIGNATURE L% ti�/er` DATE /2 i 2000
FOR OFFICE USE ONLY
BASE FEE f-k(I)6v+ RECEIPT# r- -1 Q
STATE SURCHARGE 4. 0 CASH/CK# '�sty
TOTAL DATE 1 z
H:\HOME\PLNCNTR\FORMS\DEMO 10/99
I
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE 01
Applicant Name G 0 44 E E 4) l4/ / T t
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 Y /No
property or on any nearby property at any time during the year? ,\
If YES, please describe: ,k\` (.,.7 C
'kV- (----)
-8
..,A,,
2. Has any portion of the property or any nearby property ever been i).____CY&I)
‘,(o
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 \ 1 o
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)
I] Q E,3 ❑
i r r r i i„../..//...
/ r r r i
_ L1//I1/l/1/i,//.//..,/./,.,./-/o.'-.,/.—../1.../—../..—
r i m / i
I i r r / / i
1 / r / / / / i
i / r r i i i i' ,.❑
i / r r / i i
i .
ii / / / / i/ ' ,'
I / r / / / / /I �, '., ❑
irrri i ice/ �/
iiii//i ice.' __❑
iirriii ' .' --
Irrriii '.'.' ' --' _-❑
1/rr// 95--. --
(Questionnaire Continues on Back)
Page 1 of 2
•
6. Does the site have steep slopes with little to no vegetation? YES ✓ No
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES0
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES0
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 regular business hours.
Signature Date G� k- 2 7
encD
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) E Fish & Wildlife Area 1
IMMEDIATELY ADJACENT TO SITE: E Frequently Flooded Area ❑ 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
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TECIEHE 71
FEB 8 2000
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
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