HomeMy WebLinkAboutBLD2000-00495 4
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 #: BLD00-00495 Received Date 07/28/2000
SITE ADDRESS: 82 W MARKET ST Issue Date 08/21/2000
PORT HADLOCK, 98339 Expiration Date 08/21/2001
APPLICANT: DOUGLAS CATES PHONE: 360-379-1767
82 W MARKET ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 21 Lot: 28-31
PARCEL NUMBER: 961802129 Section: 02 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SHED
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
/ Sheetrock:
[ . Final/Occupancy Approval:(5)(
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
BUILDING PERMIT APPLICATION i
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00495 Received Date: 7/28/2000
SITE ADDRESS: 82 W MARKET ST
PORT HADLOCK, 98339
APPLICANT: DOUGLAS CATES PHONE: 360-379-1767
82 W MARKET ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 21 Lot: 28-31
PARCEL NUMBER: 961802129 Section: 02 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 400 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY 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
-- roxlmlty - Hat Co►lditions
Type Amount Paid By: Date: Receipt: Approved/sate
Permit $97.25 MAM 07/28/00 33328 # #
Plan Check $29.18 MAM 07/28/00 33328 F3 0 D
State Building Code $4.50 MAM 07/28/00 33328 ,
Total: $130.93 V U 12 1 200
Jefferson County Planning
& Building Department
is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County I':1 artment of Community Development
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„es c;tv °� 621 Sheridan Street,Port Townsend WA 08368 13601 370-4450
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p , ,j cccT 'en
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Project Description: She.
Building Type: Projectr Type: Frame Type:
C1V
Single Family ew Wood
▪ Garage Attached/Detached Addition 0J Steel
Modular ❑ Alteration/Remodel 11. Concrete
Commercial i Repair 0 Masonry
▪ Multi-family/#of Units I Demolition 7 Other:
Industrial
/Other: S . CA
Bedrooms: • ` Bathrooms: Type of Sewage Disposal: Type of Heat: A� Q
Al/A- /�/A Choose one: /4 �7
Existing: Existing: ❑ Sewer ❑Community System I Electricity ❑ Oil
Proposed: Proposed: i Individual System ❑ Woodstove i Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
▪ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP Z�-�
2�Floor Base fee "1
3rd Floor Plan Check fee Act . t g
Htd Basement State Surcharge fee Li S 0
Unhtd Basement Subtotal t 3 0. Q(3
Garage/Carport Pot Water Review fee S'—
Decks 911/Rd Approach fee -e—
Commercial ((�� TOTAL q t • 3
Industrial `\ ��1 Receipt # �3'S.2
Other S Q.c b 0 N� Cash/Check# FATotal Valuation: ` Initials • 4
Or Date '2 ` Q�Dp CO"
Estimated Cost:4 3.5. 00 , i7 0
If within 200' of the Shoreline, _��JJ
Distance to Bank or Ordinary High �7)"Water Mark ft.Bank Height ,f/i/ 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 entry to the applicant's propertype ora structure shall be requested and shall occur during regular business hours.
Signature 'L )CrtA yeti-1 (1 o Q 4. Date: 7 — cZ c g- 7
Y BUILDING PERMIT APPLICATION
��� Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00495 Received Date: 7/28/2000
SITE ADDRESS: 82 W MARKET ST
PORT HADLOCK, 98339
APPLICANT: DOUGLAS CATES PHONE: 360-379-1767
82 W MARKET ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 21 Lot: 28-31
PARCEL NUMBER: 961802129 Section: 02 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 400
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON / - /.. 5---
WATER SYSTEM: CITY PARCEL TAGS: YES 4Th►
BEDROOMS: BATHROOMS: STORMWATER: YES %', AREA
Exist: Exist: Wetland A/O Er• -`'
Prop: Prop: Seismic iVO Streams
Total: Total: Flood Way /✓0 Flood Plane
Routin Date: - F&W /✓v Landslide h/0
g f _ �c—CO Shoreline /�0 Aquifer ‘ii JiL
Forest: Commercial Al Rural
xi
Type Amount Paid By: Date: ra ecelmlp : r°mCa1p a - 'eIons
Permit $97.25 MAM 07/28/00 33328 ��LL
Plan Check $29.18 MAM 07/28/00 33328
41 -6view
G //
State Building Code $4.50 MAM 07/28/00 33328
w
Total: $130.93 � T ��t@r844 P,
,.; is BLD App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
vN Cb 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
( C';'/-
\ `A'i F4
��Sx' ° Universal Plot Plan
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Fill in the following blanks as completely as possible :
Project Description: 4
i
9 Digit Parcel Identification Number (from your tax statement): , , ,,!
Site Address g2 w • rKeT St
911#: Pc1-T 144..d 6cK-, w A. Road Name: J"10,i--g er 3 r Zip Code: ,:, ""=-?
Leal Description t::. •z1
Subdivision Name: c ``c 7`5 9.4, 70,:g"
r-U r, c� e Block: a .1 Lot(s): 2..aq_i t:,)
Section: �1 Township: c. Range:
Parcel Size (acres or squares footage): 7 x 6
Property Owner: Phone:
1Z Q w.eSta. 4- B Dar-. , 0-c�..Te G ?b G `l 97 76 ?
Mailing Address:
g - • Pi6-e-efar S Pc .T i-1a_e !ac ., LA)A q ' '
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
0Lc} f .er C- Z ck boo
Mailing Address:
General Contractor:
Or Manufactured Home Installer: /lIA Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: 49//4 Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: II/4'
Mailing Address:
,
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan
4
Jefferson County Department of Community Development August 1, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: DOUGLAS CATES
82 W MARKET ST
PORT HADLOCK WA 98339
Critical Area Review Case Number: CAR00-00341
Project Description: Shed
Parcel Number: 961802129 S-T-R: 02-30N-01W
Site Address: 82 W MARKET ST
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 tical Areas Ordinance.
D partment of ommunity Development taff
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
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