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BLD2000-00453
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 #: BLD00-00453 Received Date 07/12/2000 SITE ADDRESS: 264 HADLOCK AVE Issue Date 07/28/2000 PORT HADLOCK, 98339 Expiration Date 07/28/2001 APPLICANT: PAUL ZEUSCHE PHONE: (360)379-2607 ANDREA ZEUSCHE PO BOX 1554 PORT TOWNSEND WA 98368-0052 SUBDIVISION: IRONDALE Block: 39 Lot: 1-5 PARCEL NUMBER: 961803901 Section: 02 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ROOM ADDITION REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] minq/Plumbing40 3,,t)Ar of7/C rd�/.57' [ ] Propane Tank/Lines: [ n sul • • i9/C /e'S'.'��G7 _ [ Sheetrock: O t,� wk. co'?N 1 ° -ot final/Occupancy Approva en/a- v22(6 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 a • t BUILDING PERMIT APPLICATION , Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00453 Received Date: 7/12/2000 SITE ADDRESS: 264 HADLOCK AVE PORT HADLOCK, 98339 APPLICANT: EL SeXEll AWL. ZAtnSCie PHONE: 38C :527 264 MA.RISEI..ST 00 i X t 5514 P R r��v" D4 QCK WA 98339 Q•T• 3 `I� •�°o7 �orc SUBDIVISION: IRONDALE Block: 39 Lot: 1-5 PARCEL NUMBER: 961803901 Section: 02 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 165 VALUATION 9,133.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Seismic Streams Prop: Prop: Flood Way Flood Plane Total: 2 Total: 2 F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 LMB 07/10/00 32155 A � �� • Plan Check $54.38 LMB 07/10/00 32155 VED State Building Code $4.50 LMB 07/10/00 32155 Total: $240.13 If U ,*C' 7ik -)L.A67- Jfff•rson County Planning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 e , Jefferson County Department of Comnwfty Doveiopmesit 4., ¢s� coca.. 621 Sheridan Street,Port Town; nd WA 88368[3601378-4450 .. = permo? q o 0,� 1:,..-0' u © © ad o Project Description: Building Type: Project Type: Frame Type: VSingle Family ❑ New Wood ❑ Garage Attached/Detached Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial Li Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: .2. Existing: /„to Choose ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: / a 4ZIndividual System ❑ Woodstove . ropane Total: Total: /�i of sewer,fill out the following: ❑ Heat Pump Ift onventional ❑ Alternative .may ❑ Other Permit# SEP 9t -3.5 d Water Supply: • Private well ❑ Two Party Well B' Public:Name of water system: Square Footage: For Office Use Only Main Floor ���. / , UBC OCCUPANCY GROUP e 2ND Floor r _ 6 S Base fee 3n Floor v\ Plan Check fee .. . Htd Basement State Surcharge fee Li, .. Unhtd Basement ` Subtotal /A b 1 ' Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL A 0 `/ S Industrial Receipt# /5 5 Other Cash/Check# /! 9/ Total Valuation: Initials fir-- A / Or Date % 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 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 enny to Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right of cony to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: s Date: .4. .//4/c::7° Jefferson County Department of Community Development 4e$°N cps 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 $ Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: ,040 / i9vd.TOX—) 9 Digit Parcel Identification Number (from your tax statement): �,l h;r:73 Pd/ Site Address 911#: 264G Road Name: "v Al/(2' Zip Code: ,P 33 Legal Description Subdivision Name: / 1 il Block: S Lot(s):Section: Township: Range: Parcel Size (acres or square footage): Property Owner:� Pho0 ne: Mailing Address: Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: �/� Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Z .1-"/ Contractor's State License Number: Expiration Date: Septic Designer: �/1• Phone: Mailing Address: Architect:/Engineer: 709 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 . O D WEST END OF ❑T 5 =:7.31' . -.Avr r 0 x m r o rinD-1 in CIvim 1 L. TI z V in A r in Om m C O r- f`'1 f�12 W .11 ITI "1 A � (A A Zr, n1 o Z Cf1 m cinz r"-y V l yZN y i Z r-ii rri m Z r--1 70 r O D,-N O - n '1Sym Z = -< �ZnO ,.Cl -1 El 1--�--� 01 ti 1 1 A Z?rn1 E Z y p - Z CND D D A ri Q Z A z ---I D d O �/ II - Ui A �T1 1 I lii! II ru I . 71 1-71 Y a Gad w �'OG I tiei Ul o /‘0 o73 � � rD O z M L n D (:?",/\ I, EAST END 0 LOT 1 =85.12' 3 -77 n 7 D Z C D " Haol1ock Ave ►!ie g o�;Q,`i•, =.",..•vir-t C 0 --RC C' 6U_3C S • -. BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00453 Received Date: 7/12/2000 SITE ADDRESS: 264 HADLOCK AVE PORT HADLOCK, 98339 APPLICANT: M N PAvt_ -- c MSC Nam` PHONE: 385-5527 264 M*RK-ET-ST f��• /3 O w / .5 s 7 PORT HADLOCK WA 98339 p 7- �.0 , SUBDIVISION: IRONDALE Block: 39 Lot: 1-5 PARCEL NUMBER: 961803901 Section: 02 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: a„, 7�ly GC -7 !J ARCHITECT/ Critical Area ENGINEER : e °wow 7 l'-f oc^.4-7 PROJECT DESCRIPTION: ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 165 VALUATION 9,133.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON R 5 WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO r� AREA Exist: 2 Exist: 2 Wetland Erosion Seismic Streams Prop: Prop: Flood Way Flood Plane Total: 2 Total: 2 F&W Landslid 1-- Routing Date: Shoreline Aquifer 0,c i r; —) ' ( Z Forest: Commercial Rural Proximity Plat Conditions V Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 LMB 07/10/00 32155 Plan Check $54.38 LMB 07/10/00 32155 State Building Code $4.50 LMB 07/10/00 32155 Total: $240.13 is\F_BLD_App_Bld.rpt 10/29/99 • Jefferson County Department of Community Development July 14, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: MICHAEL COXEN 264 MARKET ST PORT HADLOCK WA 98339 Critical Area Review Case Number: CAR00-00303 Project Description: room addition Parcel Number: 961803901 S-T-R: 02-30N-01 W Site Address: 264 HADLOCK AVE PORT HADLOCK WA, 98339 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Department of Community Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 ttlk 1 V Pt NOILRICIV ACtraLS 1$ -----„,,,,,,te /Al N-0074-ciwooas DATILSIX7 , on orthrum 4Cum p000muol ! Q. N 3 S 14 --# I 1 € € i I i i € I i ! 'a I 1 , 1 ,. I ` I 1 I 1 1 1 I I i i 1 1 i ' I € i I 1 a , 1 i 1 I I #= 1 i 1 i I1 i I 0 1 1 r-t r 1 1 1 0 1 I--- --J 1 t I (.1) 1 0 0 (/) 1 M # 0 Lli Ct 0 0 t•LJ . .__.) 0 (1) 1 Liz1 1 I II; ii CN I I ::3C I I N 1V 1 0 ,.........," , 0 itt 1 ; tt I I iiiiii •I I I i i )C I I I ; I 1 CN I I i I t ; r-) >..... .: , t 0 I 0 0 0 I t ES ri) Cr) I 0 vz, I,. 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