HomeMy WebLinkAboutBLD2000-00394 •
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 #: BLD00-00394 Received Date 06/15/2000
SITE ADDRESS: 322 TOG RD Issue Date 06/28/2000
BRINNON, 98320 Expiration Date 06/28/2001
APPLICANT: DALE JOHNSON PHONE: (206)363-4961
12524 DENSMORE AVE N
SEATTLE WA 98123
SUBDIVISION: BRINNONWOLD Block: 2 Lot: 3
PARCEL NUMBER: 936000203 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: KENNEDY CONSTRUCTION PHONE: (360)796-3036
PO BOX 203
BRINNON WA 98320
Contractor's License: KENNEC*033KB Expires: 04/28/2001
LOAN LENDER/ R & R RALSTON
BOND HOLDER:
PORT ANGELES WA 98362
PROJECT DESCRIPTION 30 x 24 SHOP/STORAGE
REQUIRED INSPECTIONS:
[ ] `Footings/Setbacks (Shoreline Setbacks): .-9 ,, j,":/ t)!17 1
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] i. • 'lumbing:
[ ] -ropane Tank/Lines:
[ ] Insulation:
[ ] Sheetro
[ ] i I/Occup y Approval0 �� 6 0 C�VE
/
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 #: BLD00-00394 Received Date: 6/15/2000
SITE ADDRESS: 322 TOG RD
BRINNON, 98320
APPLICANT: DALE JOHNSON PHONE: (206)363-4961
12524 DENSMORE AVE N
SEATTLE WA 98123
SUBDIVISION: BRINNONWOLD Block: 2 Lot: 3
PARCEL NUMBER: 936000203 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: KENNEDY CONSTRUCTION PHONE: (360)796-3036
PO BOX 203
BRINNON WA 98320
Contractor's License KENNEC*033KB Expires 04/28/1999
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: 30 x 24 TWO STORY SHOP/STORAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,200.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 720 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
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
l !7 —a v Forest: Commercial Rural
1'r xlmlt - F'lat U d tions
Type Amount Paid By: Date: Receipt: Approved/ate
Permit $153.25 MAM 06/15/00 31637 A
Plan Check $45.98 MAM 06/15/00 31637 P P R
State Building Code $4.50 MAM 06/15/00 31637 ,4
Total: $203.73
J.fferson County Planning
& Building 0epertmert
I:\F_BLD_App Bld.rpt 10/29/99
Jefferson County Department of Community' Development
i., co c„,.. 621 Sheridan Street,Port Townsend WA 88368[360]370-4450
,.,,. D p ((mo� o
' A o 0
G
pp0 - cacTo .n
Project Description:
Building Type: Pr/oie ct Type: FrF___e Type:
1 Single Family �tr New O'Wood
Garage Attached/Detached ` Addition 0 Steel
• Modular Alteration/Remodel LE Concrete
O Commercial Repair E Masonry
Multi-family/#of Units Demolition ❑ Other:
2 Industrial
• Other. _
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: Sewer Community System Electricity Oil
Proposed: Proposed: dividual System Woodstove Propane
Total: 0 Total: = If not sewer,fill out the following: i Heat Pum _
Conventional J Alternative Othera/UN /E
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
2N-D Floor Base fee I' 3.Z.S
3rd Floor Plan Check fee y S-. '11 8
Htd Basement State Surcharge fee '1
Unhtd Basement Subtotal 20 3.7 3
Garage/Carport 7 1.2 G -7 20 0 Pot Water Review fee .
Decks 911/Rd Approach fee
Commercial TOTAL 20 3.7-3
Industrial Receipt # 31(0 3
Other _ Cash/Check # �I' tS1_ �_____ _
Zd :ials VA Zs� ___�_—
' ,-ra "al�:ation: 0 i
Or �i Date (0 'i c'a
0
Estimated Cost:
®O 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 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.
Signature: c Date: O A Vy 2-k
A-ov— 00 7_1-6
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00394 Received Date: 6/15/2000
SITE ADDRESS: 322 TOG RD •
BRINNON, 98320
APPLICANT: DALE JOHNSON PHONE: (206)363-4961
12524 DENSMORE AVE N
SEATTLE WA 98123
SUBDIVISION: BRINNONWOLD Block: 2 Lot: 3
PARCEL NUMBER: 936000203 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: KENNEDY CONSTRUCTION PHONE: (360)796-3036
PO BOX 203
BRINNON WA 98320
Contractor's License KENNEC*033KB Expires 04/28/1999
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: 30 x 24 TWO STORY SHOP/STORAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,200.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: DECRKAGE. 720 SETBACK:
B NK HEIGHT:
SEWAGE DISPOSAL: CON 4-/
WATER SYSTEM:
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland klo Erosion r/O
Prop: Prop: Seismic '"v0 Streams No
Total: Total: Flood Way /VO Flood Plane
F&W 1V-, Landslide ( , rr✓z 'Pave-FL�
Routing Date: /
(� _f/9 !O o Shoreline WO Aquifer FTA)
Forest: Commercial y✓e Rural 1i L
"1-1r4xlm►ty Neat c: d�tlons
Type Amount Paid By: Date: Receipt: . A ro a a
Permit $153.25 MAM 06/15/00 31637 CI-Mica / ,
Plan Check $45.98 MAM 06/15/00 31637 .., `\'r�a L!
State Building Code $4.50 MAM 06/15/00 31637 r(ej I eW �7
Total: $203.73v of
• % ic---- ()3
StoMP'_.
Requited
\.%-.)
I:1F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development June 27, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: DALE JOHNSON
12524 DENSMORE AVE N
SEATTLE WA 98123
Critical Area Review Case Number: CAR00-00248
Project Description: 2-story shop/storage
Parcel Number: 936000203 S-T-R: 23-26N-02W
Site Address: 322 TOG RD
BRINNON WA, 98320
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.
Depar ent of Commu ity velopment Staff
c: File
is\F_CAR_Waiver_Standrd.rpt 12/13/99
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