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HomeMy WebLinkAboutBLD2000-00270 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 #: BLD00-00270 Received Date 05/4/2000 SITE ADDRESS: 2882 BEAVER VALLEY RD Issue Date 05/15/2000 PORT LUDLOW, 98365 Expiration Date 05/15/2001 APPLICANT: GLENN ELLSWORTH PHONE: (360)732-5011 PAT ELLSWORTH 2882 BEAVER VALLEY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821073003 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: AFFORDABLE CONTRACTING PHONE: (360)385-2450 1339 14TH ST PORT TOWNSEND WA 98368 Contractor's License: AFFORC*028L2 Expires: 06/08/2000 LOAN LENDER/ CBIC BOND HOLDER: PROJECT DESCRIPTION COVERED WALKWAY REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ J 7"Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] -"final/Occupancy Approval: • 7/i 7/ r' 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 #: BLD00-00270 Received Date: 5/4/2000 SITE ADDRESS: 2882 BEAVER VALLEY RD PORT LUDLOW, 98365 APPLICANT: GLENN ELLSWORTH PHONE: (360)732-5011 PAT ELLSWORTH 2882 BEAVER VALLEY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821073003 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: AFFORDABLE CONTRACTING PHONE: (360)385-2450 1339 14TH ST PORT TOWNSEND WA 98368 Contractor's License AFFORC*028L2 Expires 06/08/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: COVERED WALKWAY TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 1,080.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 108 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Ir4xlmlty - I'lat egad tlons Type Amount Paid By: Date: Receipt: Approved/Date Permit $41.80 MAM 05/04/00 30772 P '' Hr, -1 t. Plan Check $12.54 MAM 05/04/00 30772 State Building Code $4.50 MAM 05/04/00 30772 ✓ 1 5 2OO Total: $58.84 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 gpN Jefferson County Departs nt of Community Devido nt 4, °G 621 Sheridan Street Port Townsend WA 88368[3 i i l 378-4450 ti yam..,.• perM UA Q o 0pUc ©, o - ps o� Project Description: Building Type: Project Type: Frame Type: X'Single Family t.2 J t.Q, New X. Wood X Garage Attached/Detached w a- kwLii,-c . Addition C Steel Modular C Alteration/Remodel ❑ Concrete C Commercial C Repair ❑ Masonry Multi-family/#of Units ❑ Demolition ❑ Other: E Industrial Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: A A A- Choose one: iJ/A J Existing Existing: ✓ I ❑ Sewer C Community System ❑ Electricity N/CkOil Proposed Proposed: >Individual System ❑ Woodstove C Propane Total: _. Total: If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative C Other Permit# SEP i t i tY Water Supply: X Private well n Two Party Well C Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP f • x, 2ND Floor Base fee 1 s � 3rd Floor Plan Check fee I Htd Basement tate Surcharge fee >i ` ';.-` Unhtd Basement ""`\, `,ubtotal . ' Garage/Carport I b 2r s1 . -. e.a sr s of Water Review fee y Decks 911/Rd Approach fee Commercial V TOTAL ` 0 Industrial al Receipt # 2��-' 2 '7 Other Cash/Check# `) `Z Total Valuation: Initials Or Date .�/ Estimated Cost: 1= If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 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. 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Range: 2 E Parcel Size (acres or square footage): / Property Owner: pcciPhone: Mailing Address:`� „act Ja C Q1 ?tL t L1/4 vv • JA Applicant/Occupant: a lots -IT Phone: (if different from owner) )4�i ,,� �oa� `� ' 3 t,0 3 es---- - '! v Mailing Address: ) F k b( W A y 3 & Authorized Rep: Phone: 1-1( 3 5'5- 4-5--0 Mailing Address: General Contractor: Phone n f ( 6-0 3 Or Manufactured Home Installer: 11- 21 Q 101e T G , Mailing Address: 3 3 `/ Ta_ cJ, /O rL/ ^ .ir►; d end e{ 6'3 6 Contractor's State License Number: R.Io k es), L Z Expiration Date:7 p Septic Designer: J14 Phone: Mailing Address: Architect:/Engineer: 113_ ;/ /U Phone: � ; .0 E Mailing Address: Loan L.end¢f/General` e - Phone: Contractor's Bond Holder: ,.N ` - -� TuAddress: - FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan c -(2 0u --co ( c/5 ., .--'' - BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00270 Received Date: 5/4/2000 SITE ADDRESS: 2882 BEAVER VALLEY RD PORT LUDLOW, 98365 APPLICANT: GLENN ELLSWORTH PHONE: (360)732-5011 PAT ELLSWORTH 2882 BEAVER VALLEY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821073003 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: AFFORDABLE CONTRACTING PHONE: (360)385-2450 1339 14TH ST PORT TOWNSEND WA 98368 Contractor's License AFFORC*028L2 Expires 06/08/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: COVERED WALKWAY TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 1,080.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 108 CONST TYPE: DECK: SETBACK: 1 V BANK HEIGHT: Chi q-Lot SEWAGE DISPOSAL: CON V WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATE'R: YES NO AR A Exist: Exist: Wetland ) Erosion u Prop: Prop: Seismic -. Streams Total: Total: Flood W•�x Flood Plane �O F&W kJ Landslides ..bN s `(3 Routing Date: Shoreline 4,)0 Aquifer Forest: Commercial Pj Rural /U C) Type Amount Paid By: Date: —ProximityReceipt: A prt ea d eons Permit $41.80 MAM 05/04/00 30772 CrItica! Ar Plan Check $12.54 MAM 05/04/00 30772 State Building Code $4.50 MAM 05/04/00 30772 ReViek,th211-6-_ 19/'C Total: $58.84 Required I:W_BLD App_Bld.rpt 10/29/99 1 Jefferson County Department of Community Development May 12, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: GLENN ELLSWORTH PAT ELLSWORTH 2882 BEAVER VALLEY RD PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00195 Project Description: 108'covered walkway Parcel Number: 821073003 S-T-R: 07-28N-01E Site Address: 2882 BEAVER VALLEY RD PORT LUDLOW WA, 98365 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. Delia "n7 Comm nity iev- .. en laf c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99