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BLD2000-00329
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 #: BLD00-00329 Received Date 05/26/2000 SITE ADDRESS: 415 MEADE RD Issue Date 06/27/2000 NORDLAND, 98358 Expiration Date 06/27/2001 APPLICANT: PAUL KOESTER PHONE: (360)379-1191 415 MEADE RD NORDLAND WA 98358 SUBDIVISION: RUE'S SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 977700069 Section: 04 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [\-1/ Foundation: A / or\-)p 0 IC —(G '7-2. 1 —(0cD [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ty Framing/Plumbing: c le />/ & v// [ j Propane Tank/Lines:n Via-- Insulation:` ) -w I IS I( 977S lot, ,7 E-i/ ;[ li D /C /0/37o 0 [ Final/Occupancy Approval: K lea : ct—t 2 j HEALTH DEPARTM NT 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 f BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00329 Received Date: 5/26/2000 SITE ADDRESS: 415 MEADE RD NORDLAND, 98358 APPLICANT: PAUL KOESTER PHONE: (360)379-1191 415 MEADE RD NORDLAND WA 98358 SUBDIVISION: RUE'S SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 977700069 Section: 04 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,500 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT 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 —1-'roximlty - flat Conditions Type Amount Paid By: Date: Receipt: Ap roved/Date Permit $251.25 MAM 05/26/00 31560 APPROVED Plan Check $75.38 MAM 05/26/00 31560 ' i State Building Code $4.50 MAM 05/26/00 31560 J U N 2 7 2000 Total: $331.13 Jefferson County Planning & Building Departlnet.t I:\F_BLD App_Bld.rpt 10/29/99 Jefferson County ►t:,tar-tined of Community Uovokipmellt p,14, � c°�, 621 Shoritian Street Port Town,,:rid WA 88368[3601378-4450 rz. y `?O A 0 pipLcaIeon 87�I Project Description: Building Type: Project Type: Frame Type: Single Family g New A Wood 1 Garage Attached/Detached ❑ Addition 0 Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete O Commercial ❑ Repair 0 Masonry ❑ Multi-family/#of Units ❑ Demolition 0 Other ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System 0 Electricity 0 Oil Proposed: Proposed: ❑ Individual System 0 Woodstove 0 Propane Total: Total: If not sewer,fill out the following: 0 Heat Pump ❑ Conventional XAltemative 0 Other Permit # SEP Water Supply: -7I"Private well 0 Two Party Well❑ Public:Name of water system: I Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee ' 5 1 -5 3r Floor Plan Check fee , S . 3 3 Htd Basement State Surcharge fee .I .. s-b Unhtd Basement Subtotal ' 3 I' . 1 3 Garage/Carport 15 00 Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 33 1 13 Industrial Receipt# 315 0 i Other Cash/Check# . 2 23 t Total.Va-..it. t: 1. 1OO V Initials Iy Or Date S e—t.0 /(O Estimated Cost: - 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 CO 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 top or st shall be requested and shall occur during regular business hours. Signature: Date: S 2 0'0 _„., ------. nk POO' — 0021 & r �"� BUILDING PERMIT APPLICATION a .,"'----- Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00329 Received Date: 5/26/2000 SITE ADDRESS: 415 MEADE RD NORDLAND, 98358 APPLICANT: PAUL KOESTER PHONE: (360)379-1191 415 MEADE RD NORDLAND WA 98358 SUBDIVISION: RUE'S SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 977700069 Section: 04 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: C�� OCCUPANCY: CONST TYPE: OTHER: SHORELINE: l 7/ �, CONST TYPE: DECKGE: 1,500 SETBACK: C,f►�� 1 '' ?NK HEIGHT: SEWAGE DISPOSAL: ALT LYL I: WATER SYSTEM: PWELL PARCEL TAGS: YES* NO6 BEDROOMS: BATHROOMS: STORMWATER: YES ••.... AREA i Exist: Exist: Wetland WD Erosion 1/7 Prop: Prop: Seismic ,VD Streams Iv O .J Total: Total: Flood Way /10 Flood Plane rIp F&W t✓ &I.. Landslide VO Routing Date: Shoreline NO Aquifer he N Forest: Commercial h/O Rural - v —Proximity I'Iat G drtrtions Type Amount Paid By: Date: Receipt: Approved/Dates Permit $251.25 MAM 05/26/00 31560 mad At' =y Plan Check $75.38 MAM 05/26/00 31560 i State Building Code $4.50 MAM 05/26/00 31560 ieW r/ I U Total: $331.13 ,kV I:\F_BLD_App_Bld.rpt 10/29/99 County Department of Community Development June 21, 2000 idan Street, Port Townsend, WA 98368 /9-4450 CRITICAL AREA STANDARD WAIVER Applicant: PAUL KOESTER 415 MEADE RD NORDLAND WA 98358 Critical Area Review Case Number: CAR00-00216 Project Description: Garage Parcel Number. 977700069 S-T-R: 04-29N-01 E Site Address: 415 MEADE RD NORDLAND WA, 98358 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. Department of Community Developme Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 Jefferson County Department of Community Development ,�� �o1v coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 •°"- L-7-; $ Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: GAS 6r 9 Digit Parcel Identification Number (from your tax statement): 77? 70e) o6? Site Address 911#: c//3 Road Name: /�A! Roo Zip Code: 7 Legal Description Subdivision Name: ��� S�✓orc; ‘4_o, Block: Lot(s): Z Section: Township: Range: Parcel Size (acres or square footage): Property Owner: p Phone: //gdL ___)crAA/OV/ 3 6 6-3 7S"-- //9/ Mailing Address: 4-7i c r c �� ®/ y/oR,O i2/ fry ?'8'3 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan / /, 4-C 4•� 4-0b 7i pizdnotr,Y �50U IJ ©A-iz `r' — 70� 5t!!:P"C- ME-ADE, tr)AT> t5I77E_ TI-AM so' �x��rltiG 'F\Vl---: AG1£ - 'PA-F-�. 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