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HomeMy WebLinkAboutBLD2000-00575 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 #: BLD00-00575 Received Date 09/5/2000 SITE ADDRESS: 295313 HWY 101 Issue Date 09/18/2000 QUILCENE, 98376 Expiration Date 09/18/2001 APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 702231007 Section: 3 Township: 27 N Range: 2W CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License: QUAMC**18OLB Expires: 04/20/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION 2 CAR GARAGE W/PAINTING ROOM REQUIRED INSPECTIONS: [V}� ings/Setbaclt3(Shoreline Setbacks):d// /CV/WOO -41 [L} o 3 - )n/© S �.7 O/< /€/z' ��� [ ] Underground Plumbing/Underground Insulation: • [ ] Shear Wall: [ ]/-"'cE�minC��lumbing: J/q/cGf 4,en [ ] Propane Tank/Lines: & g 4 Cs „e5/C 2/C c-3 [ jl' Sheetrock:({)&- Wrze � _[ ] Final/Occupancy Approval: B-k y-$-D/ . Lkj-Q4k_ HEALTH DEPA TMENT 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 v Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00575 Received Date: 9/5/2000 SITE ADDRESS: 20651 HWY 101 QUILCENE, 98376 APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 702231007 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License QUAMC**18OLB Expires 04/20/2000 ARCHITECT/ DUTCH QUAM ENGINEER : PO BOX 215 QUILCENE WA 98376 1 PROJECT DESCRIPTION: 2 CAR GARAGE W/ PAINTING ROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 47,822.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 864 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL 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: CI — --()C-) Shoreline Aquifer , Forest: Commercial Rural —Proximity - Flat C d tions Type Amount Paid By: Date: Receipt: Approve��ate Permit $623.55 MAM 09/05/00 34207 Plan Check $187.07 MAM 09/05/00 34207 State Building Code $4.50 MAM 09/05/00 34207 Total: $815.12 Jefferson County Maiming &Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of I iuIty Development 411 co� 821 Sheridan Street.Port Tow1 d WA 88388[350]378-4450 w y. r3 0 � . '>` $ Perml]?) Ppcfl© 0 .S �� � t3TN Project Description: Building Type: Project Type: Frame Type: O Single Family ,New ` Wood Garage Attached/Detached 0 Addition 0 Steel ❑ Modular 0 Alteration/Remodel 0 Concrete O Commercial 0 Repair 0 Masonry ❑ Multi-family/#of Units ❑ Demolition 0 Other. O Industrial O Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 0 Sewer ❑Community System !Electricity G Oil Proposed: Proposed: l Individual System 0 Woodstove ❑ Propane Total: C'= Total: r., If not sewer,fill out the following: ❑ Heat Pump '.Conventional 0 Alternative 0 Other Permit# SEP Water Supply: " Private well 0 Two Party Well 0 Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base feet 3 rd Floor Plan Check feegg & 6 Htd Basement State Surcharge fee Unhtd Basement Subtotal (: 1 > 1 Garage/Carport 06, Y Pot Water Review fee Decks /i' 911/Rd Approach fee Commercial TOTAL 6 ) l Industrial Receipt # Other /� Cash/Check# Total Valuation: Initials ' Or \ Date oi h lOC Estimated Cost: If within 200' of the Shorelin-, Distance to Bank or Ordinary High I: er M. 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 artomey'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 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' ro or structure shall be requested and shall occur during regular business hours. Signature: % .% Date: 1 Jefferson County Department of Community Development ---;ON c0, 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 �So$ Universal Plot Plan NTNG Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): 70.,E ! 3/o0 7 Site Address 911#: ,2 c=15-3 / Road Name: /4i,,t,,f ),; 1 5 6, , Zip Code: 9 ? 71 t, Legal Description Subdivision Name: Block: Lot(s): Section: 3 Township: 2 7 Range: O W c� m Parcel Size (acres or square footage): Property Owner: Phone: /"%, �/ �e-t--r�tscry, 6a— 7CP.c .30 9 Mailing Address: G O. 0 c -/-: 7 48 C3?u i./ e`a..., 4r— f P 3 7 C. Applicant/Occupant: Phone: (if different from owner) u -f-- 4u 76:, s 3 3 9 3 Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Ga.(67,,, Co-,7 s Phone: 7£ S 3 3 9 3 Mailing Address: — /• D• Igo $ .fit S' Q�,'1c-�.-e_ YePzr 7L Contractor's State License Number: Expiration Date: QV,401C4.-4 / 80.L tr2 r/-- in Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: F..Sa 1--c-C1 Qu cam.. 74. . * 3 - if ? 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 .A 64kG0 _60/103 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00575 Received Date: 9/5/2000 SITE ADDRESS:--,,;- -. O83"1"9'9W'Y 101 2- c, . QUILCENE, 98376 w (\, APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 I PARCEL NUMBER: 702231007 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: QUAM CONSTRUCTION PHONE: ni (360)765-3393 PO BOX 215 Stormwatet Litfil''; O QUILCENE WA 98376Regarad c7/I �//6907�r Vi Contractor's License QUAMC**180LB Expires 04/20/2000 '� ARCHITECT/ DUTCH QUAM Critical Area ENGINEER : PO X 215 QUIBCOENE WA 98376 �-' Review � 1 y D w PROJECT DESCRIPTION: 2 CAR GARAGE W/ PAINTING ROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 47,822.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: /^i' " OCCUPANCY: OTHER: CONST TYPE: GARAGE: 864 SHORELINE: CONST TYPE: SETBACK: efil-)'` ‘ DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON .e-r /,'. WATER SYSTEM: PWELL PARCEL TAGS: YES BEDROOMS: BATHROOMS: STORMWATER: YES AREA Exist: Exist: Wetland A<so'= ii c o°'€rosion /1/0 Prop: Prop: Seismic ,5 Streams At) Total: Total: Flood Way Flood Plane Vt F&W /110174.1>1ir✓Pl/C,/(andslide Au Routing Date: �, ---0O Shoreline Ce),V5 .nriAquifer 1.KL Forest: Commercial i✓ Rural ,/ _ Type Amount Paid By: Date: �rReceipt: ApproveafDateons Permit $623.55 MAM 09/05/00 34207 Plan Check $187.07 MAM 09/05/00 34207 State Building Code $4.50 MAM 09/05/00 34207 Total: $815.12 ' , .. i:\F_BLD_App_Bld.rpt 10/29/99 • Jefferson County Department of Community Development September 12, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PHILIP R JEFFERSON PO BOX 748 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00403 Project Description: 2 car garage w/painting room Parcel Number: 702231007 S-T-R: 23-27N-02W Site Address: 295313 HWY 101 QUILCENE WA, 98376 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. -kIL- Department of Community Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 1 VGK 1 IJ SEP 1 3 2CCC JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Aoe e-tzp w- a 4. PIto Q-o 4.4 Sate-N 7fl o` .►- LX� �1 r,, Na+A s 1 C.[:5�/x' bled;n Y� •I.£i SyEcTA,Y l� I`) •pp J �St 9S3(3 /+u/a 101 So, 7 i4 o eS- 4- f/w /d l SD Qu 1 ) ��// l��rn nQ'yt