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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 h:\home\pincntr\forms\car.doc 1/00 NI Aa.eA, S . alb IZs` • Lv l--t S I Loa- t 4, I- Go 1- t 3 4 Lei-t z.. i/ I.z c 41 / 1 I I 1 'I I —.1I I / } I I �(ist►65 ,, e.,y%A I k 1 R& • 5/ I _i _ — 1 1 k ei t)*A'' _ *Pro bp-b it, --A4 to" �5 1 r 1 1 e 1 S 1 o V �� �► y i r �I I ,S 1)- I t t I _ in - t t 1 I -• dw�lli"9 ' IIJ S N 0 .4- I 3b ,} et) I 'i I . TECIEHE 71 FEB 8 2000 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT C,,,Ilktil\C -- ,,, .— , irj .h , f „a ,,„' „to , $ , A, --, . • '' '