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HomeMy WebLinkAboutBLD2000-00372 • 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 #: BLD00-00372 Received Date 06/7/2000 SITE ADDRESS: 2481 ANDERSON LAKE RD#606 Issue Date 07/10/2000 CHIMACUM, 98325 Expiration Date 07/10/2001 APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE: 2481 ANDERSON LAKE RD CHIMACUM WA 983258764 SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot: PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION TEMPORARY STORAGE UNIT REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [J, Final/Occupancy Approval: OK i C,c7 —�( . 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 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00372 Received Date: 6/7/2000 SITE ADDRESS: 2481 ANDEERSON LAKE RD#fL(. CHIMACUM, 98325 APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE: 2481 ANDERSON LAKE RD CHIMACUM WA 983258764 SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot: PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: TEMPORARY STORAGE UNIT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 675.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 67 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: 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 l-'r xlmltyv - I� Conditions ditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $38.75 MAM 06/07/00 31594 Cj[� E 2,47 Plan Check $11.63 MAM 06/07/00 31594 (� R State Building Code $4.50 MAM 06/07/00 31594 Total: $54.88 2000 Jefferson County Planning Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Coilnnlslity.Oeueiopmgnt �4 °� 621 Sheridan Street.Port Town:•:nd WA 88368[360)378-4450 2. -, r $ permil. �`° P pUcc © 0 . n Project Description: Building Type: Project Type: Frame Type: Single Family -. New ' Wood Garage Attached/Detached = Addition = Steel 2 Modular 2 Alteration/Remodel 2 Concrete Commercial = Repair = Masonry 1 Multi-family/#of Units = Demolition 2 Other: Industrial X Other: T- /.4 ro/LA-A'-! 57-di(M46 c}J,T Bedrooms: too,...)E Bathrooms: Np/,J dr Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: Sewer Community System ❑ Electricity = Oil Proposed: Proposed: 2 Individual System =1 Woodstove = Propane Total: Total: If not sewer,fill out the following: = Heat Pump Conventional = Alternative sOther it)OAic.:., Permit # SEP Water Supply: Private well = Two Party Well= Public:Name of water system: Square Footage: ' For Office Use Only Main Floor Co7.5 UBC OCCUPANCY GROUP 2ND Floor Base fee 3% .Th 3�Ficor Plan Check fee ' ( • (3 Htd Basement State Surr•harge fee Li St Unhtd Basement Subtotal `t • g Garage/Carport Pot Water Review fee . Decks 911/Rd Approach fee Commercial TOTAL 54 - g g Industrial Receipt # - 1Sc't.14. Other Cash/Check# '''j,r)) Thtal �`h,�%e Valuation: Initials Or Date (pf 1 l00 j Estimated Cost: 3 00,0 0 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 attomev'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. Signature: LQQ.�, ,Q Gp C, Date: G/7 G 2' Jefferson County Department of Community Development � ;'oN coU 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 w 0. Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: -i/ /may 576Y1-ft46 v,v/ r 9 Digit Parcel Identification Number (from your tax statement): Cl _ q Site Address 911#: Road Name: '„tl :: �; Zip Code: Legal Description + Subdivision Name: Block: Lot(s): Section: I Township: Range: Parcel Size (acres or square footage): Property Owner: Phone: `1Do,vPri-1 C . WE y&M 3‘o -344- ? 3 Mailing Address: E.V6'2 C o N o 2 E5 02 i- L v7— (a Co 2<4-81 "w DtYL c d .J <./f/<c= /Lo/f_D G/f/,y4 913 2-S Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Olk.pn it Phone: Mailing Address: Contractor's State License Number. Expiration Date: Septic Designer: Phone: Mailing Address: ,.Architect:/Engineer: 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 CAV-(u vu Z- - -t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00372 Received Date: 6/7/2000 SITE ADDRESS: 2481 ANDEERSON LAKE RD#1.Ob CHIMACUM, 98325 APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE: 2481 ANDERSON LAKE RD CHIMACUM WA 983258764 SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot: PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: TEMPORARY STORAGE UNIT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 675.00 ADM..: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 67 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO L AREA Exist: Exist: Wetland Erosion A✓tt Prop: Prop: Seismic Streams Pv 0\ Total: Total: Flood Way Flood Plane /Y0 F&W r✓C) Landslide A/o, Routing Date: Shoreline jl/ .) Aquifer fa/ Forest: Commercial /VV Rural NO Proximity - I-9at G d Ions Type Amount Paid By: Date: Receipt: - Approved/Da e Permit $38.75 MAM 06/07/00 31594 ' c1 Plan Check $11.63 MAM 06/07/00 31594 ,,f g 5 JP' State Building Code $4.50 MAM 06/07/00 31594yti teW l� Total: $54.88 atOP411UIE � W eq (NN �� IIJJ 1:1F_BLD_App Bld.rpt 10/29/99 Y Jefferson County Department of Community Development June 20, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: EVERGREEN COHO ESCAP RETREAT 2481 ANDERSON LAKE RD CHIMACUM WA 983258764 Critical Area Review Case Number: CAR00-00234 Project Description: Temporary Storage Unit Parcel Number. 901101039 S-T-R: 10-29N-01W Site Address: 2481 ANDERSON LAKE RD #606 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 ritical Areas Ordinance. T ' 'vv `� Department of Community Development Sta c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 20 LI,JE i IAHMS Y t °7-Z / / / / \ / / DI / D/ d�0.i< 9 /\Pt � � NO � 06/ / r, c of-I o v °- R-� so,2T' �% ��:5 5' O , l Rz.4- 4 he.d \ 5 0 e��o 1 • o ' . 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