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Home My WebLink AboutBLD2000-00473 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 #: BLD00-00473 Received Date 07/19/2000 SITE ADDRESS: 516 BLUE MOUNTAIN RD Issue Date 08/7/2000 CHIMACUM, 98325 Expiration Date 08/7/2001 APPLICANT: DAVID GALE PHONE: 1 h - V- ,, 516 BLUE MTN RD CHIMACUM WA 98325 SUBDIVISION: COUNTRY RIDGE Block: Lot: 26 PARCEL NUMBER: 801042026 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ NORTH AMERICAN MORTGAGE CO BOND HOLDER: PO BOX 52226 PHOENIX AZ 85072-2226 PROJECT DESCRIPTION ADDINNG 1 1/2 FLOORS TO EXISTING RESIDENCE REQUIRED INSPECTIONS: fdtUv ��`� '�t�� itt�` + L a ( (� c,p t%'ic._ "Goat (0,r tot c --wcn `d (ootr4 �1e t Irte) [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ l Shear Wall: ta0,4 e. (4 U'; c. 4 G Lek [ ] Framing robin : efiA0►c ow- ft-.�10 61A. wnT EVr'sTrttws 2-tS�d `�-- [ Propane Tank/Lines: [ 1 Insulation: DK —13-0*.— [ ] Sheetrock: 9 Ik- [ ] Final/Occupancy Approval: 6-fir 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 • 11/ BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00473 Received Date: 7/19/2000 SITE ADDRESS: 516 BLUE MOUNTAIN RD CHIMACUM, 98325 APPLICANT: DAVID GALE PHONE: - 516 BLUE MTN RD CHIMACUM WA 98325 SUBDIVISION: COUNTRY RIDGE Block: Lot: 26 PARCEL NUMBER: 801042026 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ JIM ROZANSKI ENGINEER : 1940 49TH ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: ADDINNG 1 1/2 FLOORS TO EXISTING RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,793 VALUATION 231,615.00 ADD'L: 608 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 1,742 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 230 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 4 Exist: 2 Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 5 Total: 4 Flood Way Flood Plane Routing Landslide outing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Proximity t - ApprFlao e dteons Receipt: pP ��a e Permit $1,732.95 MAM 07/19/00 32150 PR E D Plan Check $519.89 MAM 07/19/00 32150 �"� State Building Code $4.50 MAM 07/19/00 32150 Potable Water Application $30.00 MAM 07/19/00 32150 A 2000 Total: $2,287.34 Joffarson Coun;y P'artning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 i S S Jeffrsan County I,:partment of Community weiopment co 1;4' 6, 621 Shertlan Street,Port Town::nd WA 08368[360]378-4450 ,zr r \ r1,, o 4 � � o� 0 0 o0 0 ]0 n s o � , Project Description: 11 Building Type: Project Type: Frame Type: X Single Family ❑ New X Wood ❑ Garage Attached/Detached X 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: LI Existing: 2 ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: i Proposed: Xi Individual System ❑ Woodstove y' Propane Total: 5 Total: 7If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional 7 Alternative ❑ Other Permit# SEP i' Water Supply: ❑ Private well M Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor I i q 1 9 q? LH--)- . UBC OCCUPANCY Gj.OUP 2ND Floor ro 0 3 3 3 b5Z. Base fee t '2jLi i 113 2_ .9 S j.-Mt''i i -`i G 3rd Floor 0� Plan Check fee '310 3'7 5 19 t�` 1 'i 1, 2 Htd Basement I 1 ci K), Ot . 101 State Surcharge fee -^ j U J Unhtd Basement Subtotal L.2 . 'J�f Garage/Carport Pot Water Review fee 3 o �'t' to7 Decks 2 3 0 23O� 911/Rd Approach fee —��- re„'+4 Commercial TOTAL U Industrial Receipt # Other \j Cash/Check# Total Valuatio (6 ( Initials 1, ,ry i'. ' Or Date)41 1\ `'' i t Estimated Cost: 0, naa , 1 i-t7nf� Q,__. (-- "�'� uO'cr) /r,`J4c If within 200' of the Shoreline, �ii e- � � (p 24 I,II SI 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 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 enuy to the applicant's property or structure ture shall be requested and shall occur during regular business hours.s. Signature:Q Cc,- b Date: - I s.—= BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00473 Received Date: 7/19/2000 SITE ADDRESS: 516 BLUE MOUNTAIN RD CHIMACUM, 98325 APPLICANT: DAVID GALE PHONE: 1-3-2. - -1 2 5 516 BLUE MTN RD CHIMACUM WA 98325 SUBDIVISION: COUNTRY RIDGE Block: Lot: 26 PARCEL NUMBER: 801042026 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: Required 7/i / 6'6\7 — ARCHITECT/ JIM ROZANSKI Critical Are ENGINEER : PORT TOWNSEND WA 98368 Review7 1 . E -- ,v'.�L 11 PROJECT DESCRIPTION: ADDINNG_ 1,1/ FLOORS TO EXISTING RESIDENCE DUI r(. Ci(E.c f TYPE OF WORK RES �" i°�-) )SQUARE FOOTA E: : ,IN If 7 � IUeG� - `-1"l LA �001 TYPE OF IMP NEW rt VALUATION 231,615.00 MAIN: 1,793 CODE EDITION: 1997 ADD'L: 608 HEAT TYPE: PRO OCCUPANCY: HEAT BASE: 1,742 HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 230 SETBACK: BANK HEIGHT: � SEWAGE DISPOSAL: ALT 13 '_) it) WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO__ _/ AREA Exist: 4 Exist: 2 Wetland Erosion Prop: 1 Prop: 2 Seismic Streams ,/ e`7 Total: 5 Total: 4 Flood Way Flood Plane Routing Date: F&W Landslide / Shoreline Aquifer Forest: Commercial Rural ,�tteons Type Amount Paid By: Date: �rReceipt:ity App�ove��at Permit $1,732.95 MAM 07/19/00 32150 Plan Check $519.89 MAM 07/19/00 32150 State Building Code $4.50 MAM 07/19/00 32150 Potable Water Application $30.00 MAM 07/19/00 32150 Total: $2,287.34 is\F_BLD_App_Bld.rpt 10/29/99 • • Jefferson County Department of Community Development July 28, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: DAVID GALE 516 BLUE MTN RD CHIMACUM WA 98325 Critical Area Review Case Number: CAR00-00329 Project Description: adding 1 1/2 floors to existing residence Parcel Number: 801042026 S-T-R: 04-28N-01W Site Address: 516 BLUE MOUNTAIN RD CHIMACUM WA, 98325 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 i:\F_CAR_Waiver_Standrd.rpt 12/13/99 W SPECIAL CONDITIONS FOR CASE BLD00-00473 1.) This permit has been approved for a five (5) bedroom residence, per sewage disposal requirements. Any use in excess of that will be a violation of Jefferson County Health & Building Codes. • is\F_BLD_Permit_Bu ild ng.rpt 10/29/99 N b Co C) > a L...., • zo 1.4.... r/ 11\ t:„ • 1 NJ Re ser✓e �.�---� ;.; ve 2,7 1 ....1� urce :— \\*\i — -> w g-u _ "' ki -- � ' i --t- ");?.? 44.) 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