HomeMy WebLinkAboutBLD2000-00442 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 #: BLD00-00442 Received Date 06/30/2000
SITE ADDRESS: 428 SKYWATER DR Issue Date 07/20/2000
PORT HADLOCK, 98339 Expiration Date 07/20/2001
APPLICANT: JUTTA GEBAUER PHONE: 437-0353
428 SKYWATER RD
PORT HADLOCK WA 98339
SUBDIVISION: SKYWATER LARGE LOT SUBDIVISION Block: Lot: 14
PARCEL NUMBER: 921195014 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License: PARADBD141 KW Expires: 03/29/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ADDITION
REQUIRED INSPECTIONS:
[ Footings/Setbacks (Shoreline Setbacks): i5 � /-- /- 0 % 1().�
[',1 Foundation: _, t_. '/(1' �72/c )eV '�v -i ,
[ ] Underground Plumbing/ nderjround Insulation:
[.°J Shear Wall: 'f", c/ 1// .‘
[ ] ram Plumbing: Q✓ K ?/- (00� /I /
[ /1/
] Propane T/ank/Lines�:i
[ ] sulation.( - ct '�- .3 s A+ti�°R ) (4, 9.skt .-.��• /Ria
[lyheetrock: / fr,-l e 6
[t,,J.---'" Final/Occupancy Approval f�` A97.. ^/ elm (.92yrtie
HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSP CTION.
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 #: BLD00-00442 Received Date: 6/30/2000
SITE ADDRESS: 428 SKYWATER DR
PORT HADLOCK, 98339
APPLICANT: JUTTA GEBAUER PHONE: 437-0353
428 SKYWATER RD
PORT HADLOCK WA 98339
SUBDIVISION: SKYWATER LARGE LOT SUBDIVISION Block: Lot: 14
PARCEL NUMBER: 921195014 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License PARADBD141KW Expires 03/29/2001
ARCHITECT/ OLYMPIC DESIGN GROUP
ENGINEER : 606 ROOSEVELT
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: ADDITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 302
VALUATION 4,060.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 104 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 2 Wetland Erosion
Prop: Prop: Seismic Streams
Total: 2 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: Approvecae
Permit $111.25 MAM 06/30/00 32122 APPROVED
Plan Check $33.38 MAM 06/30/00 32122 13/`.4-tk
State Building Code $4.50 MAM 06/30/00 32122 L g 2000
Total: $149.13
Jefferson County Planning
gat uuduinc; Department
is\F_BLD_App_Bld.rpt 10/29/99
,
gON Jefferson County Department of Con ww iadty Oei►elopm nt
3.�` coGZ 621 Sheridan Street,Port Townsend WA 08368[360]378-4450
AV 1 � . ,-1 0
a
cal, o sC;
Project Description:
Building Type: Project Type: Frame Type:
Single Family 2 New X. Wood
• Garage Atiached/Detached X Addition J Steel
2 Modular Alteration/Remodel 2 Concrete
Commercial 2 Repair 2 Masonry
Multi-family/#of Units LI Demolition E Other:
Industrial
• Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: !�'' Existing: 2- Sewer Community System Electricity Oil
Proposed: - d Proposed: 6 XIndividual System ❑ Woodstove 2 Propane
Tocal: - 7.., Tom: If not sewer,fill out the following: 2 Heat Pump
Conventional 2 Alternative 2 Other k Dig t.
Perrot# SEP
Water Supply:
• Private well E Two Party Well 2, Public:Name of water system:
Square Footage: For Office Use Only
Main Floor 4 L ";0 D UBC OCCUPANCY GROUP
2m)Floor Base fee j + I . '2 5
3rd Floor Plan Check fee 51 .-3
Htd Basement State Surcharge fee Li . SO
Unhtd Basement Subtotal }Li ct . 13
Garage/Carport Pot Water Review fee
Decks /0 II I off 0 911/Rd Approach fee it
Commercial TOTAL 1 1I"4 9 . 13
Industrial Receipt # 3-)122
()the,. --- Lr l '�neck r 5 _ -
.i.0,-.1 v lu: .:,-,- 4,0(0_0 _LU,',...L.',. .__ --)nIt____ __ 1
p Or Date (at 30 fOb
.
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 corcett 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.
C- I"-- -/
Signature: G' 4(� 3o 6' '
�t E/� Date: /t
�,A� . �
>P .x
6- , ; BUILDING PERMIT APPLICATION
'' -`Jefferson County Department of Community Development
, t 621 Sheridan Street Port Townsend, WA 98368
BLD00-00442 Received Date: 6/30/2000
428 SKYWATER DR
PORT HADLOCK, 98339
; rillMPEMT: JUTTA GEBAUER PHONE: 437-0353
428 SKYWATER RD
PORT HADLOCK WA 98339
SUBDIVISION: SKYWATER LARGE LOT SUBDIVISION Block: Lot: 14
PARCEL NUMBER: 921195014 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License PARADBD141KW Expires 03/29/2001
ARCHITECT/ OLYMPIC DESIGN GROUP
ENGINEER : 606 ROOSEVELT
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: ADDITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 302
VALUATION 4,060.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 104 SETBACK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM: PUD PARCEL TAGS: YES
BEDROOMS: BATHROOMS: STORMWATER: YES AREA
Exist: 2 Exist: 2 Wetland NO Ero- : - _
Prop: Prop: Seismic /4 0 Streams '
Total: 2 Total: 2 Flood Way 4(0 Flood Plane
F&W rip Landslide
Routing Date: Shoreline /j O A• -' er -
Forest: Commercial Rural i!r 1-L1
Type Amount Paid By: Date: —Proximity i :� Approve. i �' , . 7 -"
Permit $111.25 MAM 06/30/00 32122 'e Z —_
Plan Check $33.38 MAM 06/30/00 32122 II
j� ,
State Building Code $4.50 MAM 06/30/00 32122 �'
• . -
l - ...,,,
Total: $149.13 ie
,.
is\F_BLD_App Bld.rpt 10/29/99
Err 1
Jefferson County Department of Community Development July 18, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: JUTTA GEBAUER
428 SKYWATER RD
PORT HADLOCK WA 98339
Critical Area Review Case Number: CAR00-00287
Project Description: Addition to existing SFR
Parcel Number. 921195014 S-T-R: 19-29N-01E
Site Address: 428 SKYWATER DR
PORT HADLOCK WA, 98339
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 propo development activities will require further review pursuant to
the Jefferson County Critical Ar Ordinance.
\(),AAA.
Department of Community Development Staff
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
ter,
521
ALTERATION P RMIT
Department of Labor&Industries 'FactoryAsbled StrucSection Do not eomnlete• area
INSTRUCTIONS: y""Y ''.
1. complets all spa--'inrludin the si nature box marked with as X . ii, `''"` •'...",•:• ;..,•. 'iA/>,
i:'.•1r1�iimii, .i'#if:'4'k:v;•,}Ja:r. '`'r',: :•';S•`i.v..!ir,"i i�Iv,i.:
2. Draw a ma on reverse side of WHITE co onl :.;; .. . y <:.;.
PPY Y• ::•
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3+ Forward completedpermit and fees to the nearest L&I office. See Ilst on reverse. •.• ! '»>}! %!"> '>
4. Contact and schedule the inspection with the same L&Y office within 1S days. Y' • ..:,...,..y.,;•:,,:,;>„<>•:•.:•:
•ii:•:::.•..ii:ec:•i••:i%+:iiii:isi::>:y.;•.
Owner last name first name Day time phone ,:i.i ;}:; :::: :; Date :::::::>!:; .„..',Jr•.;.£:<:;is:?%
GEt3AUi=� 1UTTic1 c3(o0>437-l7110 3 �6f Op
Address 4.....
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Check the appropriate boxes in section A and section B. pggS
A ❑ Commercial Coach B teration Inspection(check appropriate boxes below) $
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Air Conditioning/Heat Pump
Electrical
Mobile Home'::: Electrical Appliances
Fire Safety
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TechnicalIpecdon • $
Note: his permit ex Tres one year after date of purchase. Non-refundable), r
/Sianaw of pli o authori resenutive Make check payable to: Dept.•of Labor&Industries
�X �� ( FEES DUE $
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Request approved:::or Request.denied bee use'of:&'ecific;vlglgtlgns o,(Wa bin ton rules and re uIat$opt+:;Violatbas tp} r/
be corrected and:reinspectlon requested within,10 days for recreational vehtCles and 20 da s for mobile hom eis andlouttuercial'coachei,
of the notice of'violation date " ""'(This toes.tot A•pply. .teci alcaX Inspecti'onS),.;;,Tt to wr wfitl to offer:foF sale,';ec�t, or`leasr!tn ';
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