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HomeMy WebLinkAboutBLD2000-00262 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 #: BLD00-00262 Received Date 5/1/2000 SITE ADDRESS: 20 FOSTER LN Issue Date 11/7/2000 PORT LUDLOW, 98365 Expiration Date 11/7/2001 APPLICANT: WILLIAM R D WILSON PHONE: ELIZABETH B WILSON 4343 ROOSEVELT WY NE#604 SEATTLE WA 981054781 57 SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: PARCEL NUMBER: 990600357 Section: 9 Township: 28N Range: 01 E CONTRACTOR: OWNER, WILLIAM R D WILSON PHONE: if different: ELIZABETH B WILSON 4343 ROOSEVELT WY NE#604 SEATTLE WA 981054781 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 11/07/2001. REQUIRED INSPECTION: � nalApprovaC'� /� 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 is\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 #: BLD00-00262 Received Date: 5/1/2000 SITE ADDRESS: 20 FOSTER LN PORT LUDLOW, 98365 APPLICANT: WILLIAM R D WILSON PHONE: ELIZABETH B WILSON 4343 ROOSEVELT WY NE#604 SEATTLE WA 981054781 SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 57 PARCEL NUMBER: 990600357 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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: Approved/Date Permit $48.00 MAM 05/01/00 30755 State Building Code $4.50 MAM 05/01/00 30755 Total: $52.50 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 ©i2 c,4Ipajt7- SITE ADDRESS: 911#/ROAD NAME 20 3 ((//GNG !U 5137 778E / pi4. r- LG>>z /-✓ ZIP 9 DIGIT PARCEL ID NUMBER . 90 60-0 3.5' 7 Legal Description: Subdivision Name LOT- 57j ,4,4 4 ,3, 1-19/ 7zzii2z(%d 62_ Block Lot(s) Section Township North, Range WM APPLICANT Il//LL /Aiy ,//•L LsceA/ PHONE MAILING ADDRESS 4343 /ICzo.c yL r- ,i/Ay /t/k 6o 4- 7-7L / // ZIP 7p a PROPERTY OWNER SfJ//% L' PHONE MAILING ADDRESS ZIP CONTRACTOR 7-e e,- Pz--7-4 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 DATE 1 / 2 Z—/ l O FOR OFFICE USE ONLY BASE FEE '4/ G V C RECEIPT# STATE SURCHARGE 4.50 CASHICK# -(2 TOTAL � V DATE c / 1 / o u H:\HOME\PLNCNTR\FORMS\DEM010/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00262 Received Date: 5/1/2000 SITE ADDRESS: 20 FOSTER LN PORT LUDLOW, 98365 APPLICANT: WILLIAM R D WILSON PHONE: ELIZABETH B WILSON 4343 ROOSEVELT WY NE#604 SEATTLE WA 981054781 SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 57 PARCEL NUMBER: 990600357 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: STORMWATER' YES NO 60 AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic k '� Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditi .s Routing Date: Shoreline 3 Aquifer NO S 3 Forest: Commercial `; ,' Rural MO Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $48.00 MAM 05/01/00 30755 OntiCa at 1 G `✓ State Building Code $4.50 MAM 05/01/00 30755 Total: $52.50 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 W f L L , 4 Al /Z . D . Gt/i 4 s OA) / 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 X No property or on any nearby property at any time during the year? If YES, please describe: 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 X Yes _ No on your property or adjacent properties? If YES, please describe: ,S'UNI E ,44-,0k/2 dAI A,ex..J4c-6w7 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) aag Q a a ❑ SOME ST�r'PX I / i / / / / / //ill /2 e7;3/4//it/6- / W 4 LLL..S r / �,� i/iiii i,' -' ��fl �, �„ „' -- iii ii'/ rriii/,,,,,,�.. -- -===----- —{o (Questionnaire Continues on Back) Page 1 of 2 6. Qoes the site have steep slopes with little to•no vegetation? _ YES X No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES X NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES 3( 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 regular business hours. Signature Date 2 Z- 0-0 FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) 0 Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area 0 Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide ❑Seismic 0 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 ,„ 5600���b SS 1,6 IP 0' > 00• DI. 1� `L% , 5 o ' fin) ,' N0 D ,, ti rIo D 'rsto i , , A°2 31'54" o L=7.73' , O O , , /,, ,,.cp \\\ �,AO 2s� �,16 9, N ti' ir,i;,,y-),e,A,' ,i; - ,',ii'.1C-'1'1" s Ti'�, A9 t ! Y t f N 'fir Rig VIt� �t�s � , ,, , 7 {( fL %.5544 :;. , , : t ,t ,c ,> 44'11,`4 k, to , 'ebar 0.54' 't� ri1 1 2'east of 6,�. rner. r} , fi k � 4holm) NA,' F ilisSlo r <,s, j __.__ ./ , ,,,,,„ e) 9 'R• C) .-----. ),. �� ���' Found 1/2" rebar 0.5 cb0. 0(1' south&2.37'east of ,�q calculated corner. O 6 k6, b • bq oti~�� Found 1/2" rebar& lot s �4') 1.45' south& 1.05'east o y calculated corner. ',INNER rosta , atsd ;;CLIENT DMACLEARNSB William Wilson Inc. iison Land surveyors ° Civil r�;�„� Engineers o Planners Foster Lane Prop. 159 Wyatt Wa Y Bainbridge Island, WA 98110 Bound phone: (206) 842_5514 facsimile: (206) 780-z408 DRAWN BY ary Survey , 4 CAH DATE � OCTOBER 7, 1999 r,` ,_ CHECKED BY BA M SCALE 1 �� ..,;... = 20'