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HomeMy WebLinkAboutBLD2000-00285 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 #: BLD00-00285 Received Date 05/8/2000 SITE ADDRESS: 50 AZALEA LN Issue Date 05/15/2000 BRINNON, 98320 Expiration Date 05/15/2001 APPLICANT: ROBERT L RASMUSSEN PHONE: (360)796-4894 50 AZALEA LN BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 3 PARCEL NUMBER: 988600003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION REPLACE DECK REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: ['-1 Final/Occupancy Approval: IG - 5~ �`d -� 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 #: BLD00-00285 Received Date: 5/8/2000 SITE ADDRESS: 50 AZALEA LN BRINNON, 98320 APPLICANT: ROBERT L RASMUSSEN PHONE: (360)796-4894 50 AZALEA LN BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 3 PARCEL NUMBER: 988600003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: REPLACE DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 4,200.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 420 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 1 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $111.25 MAM 05/08/00 30732 APPROVED Plan Check $33.38 MAM 05/08/00 30732 State Building Code $4.50 MAM 05/08/00 30732 `-N-A e p Total: $149.13 M1tY 1 5 2000 Jeffarson County Planning is 13Lil:fto azr,3artment I:\F_BLD_App_Bld.rpt 10/29/99 , �°N Jefferson County Department of Community Development ° � 621Sherklan Street,Port Town nd WA 88368(3601378-4450 .'-:� prm5t 0 0pB5c © Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ❑ New % Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel T( Modular x Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: / Existing: v' . ❑ Sewer 4Community System ,Q(Electricity ❑ Oil Proposed: Proposed: X Individual System ❑ Woodstove ❑ Propane Total: / Total: 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 Main Floor UBC OCCUPANCY.'GROUP 2ND Floor Base fee I 1'I, �" 3rd Floor Plan Check fee g3. 3 Htd Basement State Surcharge fee 4 r S ° Unhtd Basement Subtotal I`I' q . 13 Garage/Carport Pot Water Review fee — Decks /7 PPfL �`-�7 ' :'9•F • ZOO 911/Rd Approach fee w Commercial TOTAL r 1 Industrial Receipt # - - Other C'nsh/Check# (p S 0 Total Valuation: Initials "\V\ Or Date 1- S .0 p ,) Estimated Cost: L1 Q If within 200' of the Shoreline, Distance to Bank or Ordinary Nigh 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 prop or structure shall be requested and shall occur during regular business hours. Signature:_J.ZIN-W-eti-i 1L✓0'' - '-r Date: 0 b 6 or` Z 4 APPROVED 51J � �\cx � �./ ! D, ),....,4.6_Li......\ .4 ....„ , ,, cb Jefferson County Panning 3 E is 8; Building Department I _ - - —... t _.�, ,..a ._._ , / T z � _ c %1 X> ! 1 rsrli.,n • I � '`c z\ .IS, '" ---> , i P is t 7,' c si. s-.-cm L, i c‘ l0 rsPA^' ..i x 8' a if... i I f.P' _--._.." �_ jai ��' � I --- Voiliiilal air., ti© +.wig immo 1• Lid 1'4' %f S�QS , 11 tN. sr p-s CErne�7' C f a ci ..c tv a��1L�Z'N nS I BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00285 Received Date: 5/8/2000 SITE ADDRESS: 50 AZALEA LN BRINNON, 98320 APPLICANT: ROBERT L RASMUSSEN PHONE: (360)796-4894 50 AZALEA LN BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 3 PARCEL NUMBER: 988600003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: REPLACE DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 4,200.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 420 BANK HEIGHT: SEWAGE DISPOSAL: CMYle- . �— WATER SYSTEM: PARCEL TAGS: YES NO � BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland 1V° Erosion fv2 Pro 1 Pro 2 Seismic /j(') Streams PO p P Flood Way /116) Flood Plane/4/0 Total: 1 Total: 2 F&W /JQ Landslide /AO Routing Date: Shoreline /i/J Aquifer Forest: Commercial /j,1( Rural N Proximity Plat Conditions _ Type Amount Paid By: Date: Receipt: • A roved/Date Permit $111.25 MAM 05/08/00 30732 C Plan Check $33.38 MAM 05/08/00 30732 State Building Code $4.50 MAM 05/08/00 30732 Review_ LTotal: $149.13r�•l '�G 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 i,e)ktJ 'x Application Building PP �lication 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: 2. Has any portion of the property or any nearby property ever been Yes A 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: 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: a. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) rJ 4 11 ❑ ❑ i r r i i r r r i i i - „....{3 iirrrri ' - �❑ iirrrii / .' -- ' rir/rii ' ' - -❑- uaa�:5 (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 _ YES X NO sand? If YES, please describe: 3. Does the site contain ground water seepage or springs near the _ YES X NO surface of the ground? If YES, please describe: v signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their :nowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet -lay result in this permit being null and void. further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees nd expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. 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 nail occur during regular business hours. r Signature /daa / �1 eQ �;,� Date S---/ -2,4 ,(:) FOR OFFICE USE ONLY 0 Wetlands ❑ Seismic :RITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) 0 Fish & Wildlife Area 1 VIMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area 0 Fish & Wildlife Area 2 ❑ Erosion 0 Landslide ❑Seismic 0 Commercial Forest Section Township North Range 'arcel Number: Parcel Size: comprehensive Plan Land Use Designation: Reviewed by: '.ommunity Plan: Date: Page 2 of 2 `home\pincntr\forms\car.doc 1/00 \\ )") I 71f. 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