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HomeMy WebLinkAboutBLD2000-00439 • • s • AA} 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 #: BLD00-00439 Received Date 06/30/2000 SITE ADDRESS: 780 TAISON LN Issue Date 07/24/2000 QUILCENE, 98376 Expiration Date 07/24/2001 APPLICANT: DAVID AMOS JR PHONE: 765-3027 780 TAISON LANE QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 28- PARCEL NUMBER: 801324014 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: COXEN DESIGN & CONSTRUCTION PHONE: (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Contractor's License: COXENDC044QN Expires: 11/15/2000 LOAN LENDER/ AMWEST SURETY INS CO BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE REQUIRED INSPECTIONS: cE000 i Sjea (Shoreline Setbacks): dig-fie-I e2!C / /7,,,7 [ ] Underground Plumbing/Underground Insulation: ear Wall: c/C //q f t U. ' Framing/Plumb r C� J ' -a,r1' ¢- Ex?" � - [�''. �r� � • .Ci _� AS ,��N� D'c� / !6 - a� �-�,.� e-� L/�(� Off .3 ., c?f su atiorL ''/` j ///6`/81 [ /C //2—V /' �.,`'r [ Final/Occupancy Approval: '/ O ( ® r jNat 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 3794455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. 2��0] Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE t e,AIL Iec-k Aus i' HOT LINE AVAILABLE 24 HOURS A DAY - tmYp I ' e t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00439 Received Date: 6/30/2000 SITE ADDRESS: 780 TAISON LN QUILCENE, 98376 APPLICANT: DAVID AMOS JR PHONE: 765-3027 780 TAISON LANE QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 28- PARCEL NUMBER: 801324014 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: COXEN DESIGN &CONSTRUCTION PHONE: (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Contractor's License COXENDC044QN Expires 11/15/2000 ARCHITECT/ CARL MARTIN ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,100 VALUATION 65,285.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 440 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: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural )'r xim.lty - Flat Conditions Type Amount Paid By: Date: Receipt: Approved/vote e Permit $755.75 MAM 06/30/00 32117 /� R Plan Check $226.73 MAM 06/30/00 32117 /� 11(K,E;__[_, State Building Code $4.50 MAM 06/30/00 32117 Total: $986.98 Iri U ,2 A 2000 Jefferson County Planning &Building Department i:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development ��SON ° 6213tian Street,Port Town nd WA 88368[3601 378-4450 ,, ? rm 0 ' p pic © :4212., Project Description: - Building Type: Project Type: Frame Type: Lingle F( New I�'CWUood Garage Attache 'Detached ❑ Addition ❑ Steel ❑ Modular ❑ 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: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: 31`- ❑-individual System ❑ Woodstove ❑ Propane Total: .)-- Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional 0-Alternative ❑ Other q Permit# SEP '/ "- 2.4.4 to Water Supply: 2--Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: i For Office Use Only Main Floor j f CC 561 F -- ' , UBC OCCUPANCY GROUP 2ND Floor Base fee s 5 r1.5 3rd Floor Plan Check fee' _ _'1-1 Htd Basement State Surcharge'fee - 5� Unhtd Basement Subtotal 9 £? (3 Yb Garage/Carport 14-4 0 `3 01 1'; L(q I Ot Pot Water Review fee ....._ Decks 911/Rd Approach fee I rr � c�+ Commercial TOTAL C I G' 9 Industrial Receipt # Other Cash/Check# "�' Total Valuatio 1--) /f2—8 5- Initials t Or Date Estimated Cost: tll C' <- 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 cor.ett 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 en to the applicant's property or structure shall be requested and shall occur during regular business hours. 4 Signature: C ' ' vj V ----.i Y Date: --I V vl-e- Jefferson County Department of Community Development /�•cZ-. CpG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: l l 0 e F r He _. W/ 477-4C H G41Q ( 4-40 562.P6 9 Digit Parcel Identification Number (from your tax statement): Bat 3a. Ot Site Address 911#: '{ Road Name: i/ `/ 5 f'I ' E Zip Code: ci P 3 (,4 Legal Description Subdivision Name: (PFR QC, VAL..L.€ 'fl4cT Block: Lot(s): ( f Section: 3 Township: 02,3 Range: C t Parcel Size (acres or square footage): 5 /l ` 5 Property Owner: O A V i o AN to 5 TR Phone:(3 0\) T 5 _3®12 Mailing Address: 60 Ti -t50/4 UkNE_ autLC L (Am- 9 6.3 3-(a Applicant/Occupant: I Phone: (if different from owner) 5/ M F Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: " C DESi6 T'CcJ sZLic ]Oi'b Or Manufactured Home Installer: Al ( C i-t /9-€ L CoyCoyEt4 Phone: 3 31- i 5 E Mailing Address: ( C 4P 1? CrEo NR,i T6wn1SE,Nb , w� Contractor's State License Number: co xE b c©,-L•f-a N. Expiration Date: // /t S/2 Septic Designer: J c,r e_LC frf _ SEPT-1 C SENSE Phone: _ L, 5 5 9 10 Mailing Address: P. --Roc if 201-I / PORT- it/A- Architect/Engineer: j C v',4 A Loc J Architect:/Engineer: MA.2 ri 4 � Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: A MvvE5•7" ,j Lt r`(r-Nsur@*n co•. Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan A I 5 as ,ifo 13 �, _-- '""' y y3--lip.' ---._ILIH'i' '\\ _ ..., A i r , i 'a.1 cB o \t7.- -t:'s)----. 1‘-::: , III + m US, I ....:„...........±......... '. 1111hp I • ,. k., '' GN "..I . \\ • W N e{ il' IA R) : ' f,r 41 \ j ,.., j. , • se - I z ,, 7 . .____ , Y ea. , — -el + II 1 i _L �. . a •: , � 1 P : j) fiN:. 0(,,, 5 , .'`` BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00439 Received Date: 6/30/2000 SITE ADDRESS: 780 TAISON LN QUILCENE, 98376 APPLICANT: DAVID AMOS JR PHONE: 765-3027 780 TAISON LANE QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 28- PARCEL NUMBER: 801324014 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: COXEN DESIGN & CONSTRUCTION PHONE: (360)379-1585 6401 CAPE GEORGE ROAD PORT TOWNSEND WA 98368 Stan w8 BMPr pr Contractor's License COXENDC044QN Expires 11/15/2000 /z--z) a)J ARCHITECT/ CARL MARTIN CrtIca Area ENGINEER : i ie 7�e IC 1 ._ PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,100 VALUATION 65,285.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 440 SETBACK: CK: BANK HEIC,N1: SEWAGE DISPOSAL: ALT \ << WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams It! Total: 2 Total: 2 Flood Way Flood Plane F&W ( x, , ' Landslide / Routing Date: . �.i Shoreline � Aquifer Forest: Commercial Rural rrtt Type Amount Paid By: Date: �rNeceipt: "v Approve��ateons Permit $755.75 MAM 06/30/00 32117 Plan Check $226.73 MAM 06/30/00 32117 State Building Code $4.50 MAM 06/30/00 32117 Total: $986.98 I i:\F_BLD App_Bld.rpt 10/29/99 / h ' Jefferson County Department of Community Development July 20, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: DAVID AMOS JR 780 TAISON LANE QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00289 Project Description: sfr w/attached garage Parcel Number: 801324014 S-T-R: 32-28N-01 W Site Address: 780 TAISON LN QUILCENE WA, 98376 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 Co‘' nity Development Staff c: File i:\F_CAR_Waiver_Standrd.rpt 12/13/99 a