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HomeMy WebLinkAbout BLD2000-00600 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD00-00600 (800) 831-2678 SITE ADDRESS: 29404 5 HWY 101 QUILCENE, 98376 Received Date 09/15/2000 APPLICANT: Issue Date 10/10/2000 CARL ACKERMAN Expiration Date 10/10/2001 PHONE: JEFF ACKERMAN (360)765-3137 PO BOX 353 QUILCENE WA 98376 SUBDIVISION: PARCEL NUMBER: 702132007 Section: 13 Townshi Block. Lot: CONTRACTOR: p� 27 N Range: 02 W QUAM CONSTRUCTION PHONE: PO BOX 215 QUILCENE WA 98376 (360)765-3393 Contractor's License: QUAMC**180LB Expires: 04/20/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SHOP REQUIRED INSPECTIONS: Footings/Setbacks (Shoreline Setbacks ] ati l Underground Plumbing/Underground Insulation: [ ] Shear Wall: �3- Aide] Framing/Plumbing: �3 i" ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: ] Final/Occupancy Approval: HEALTH DEPARTMENT APPROVAL RE UIRED PRIOR TO FINAL INSPECTI THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED . BUILDING INSPECTION HOT-LINE 379-4455. CALL HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:0:0 0 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 immonn w P BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00600 Received Date: 9/15/2000 SITE ADDRESS: 29404 5 HWY 101 QUILCENE, 98376 APPLICANT: CARL ACKERMAN PHONE: (360)765-3137 JEFF ACKERMAN PO BOX 353 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702132007 Section: 3 Township: 27 N Range: 2 CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License QUAMC**180LB Expires 04/20/2000 ARCHITECT/ MARTIN CADD DRAFTING SERVICES ENGINEER : 130 PLEASANT HARBOR RD BRINNON WA 98320 PROJECT DESCRIPTION: SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 16,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 1,680 CONST TYPE: SETBACK: DECK: 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: c::� CS- _ 0 r-:ei Shoreline Aquifer �.3 Forest: Commercial Rural —ProximityPlat Cditions Type Amount Paid By: Date: Receipt: Approved/pate Permit $279.25 MAM 09/15/00 34273 . Plan Check $83.78 MAM 09/15/00 34273 State Building Code $4.50 MAM 09/15/00 34273 o C mg t Total: $367.53 J effar,an Daum Planning /� &Building Department is\F_BLD_App_Bld.rpt 10/29/99 PillirM.MilMm. , Jefferson County Department of Conammity Development . 1' cot 821 Sheridan Street,Port Townsend WA 88368 1360]378-4450 4s . ...1.7.1r_,--(0. pprmo? Ap © © n S'-FrING`S Project Description: Building Type: Fr jest Type: Fr e Type: Single Family New Garage Attached/Detached 0 Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete O Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition 0 Other. ❑ Industrial • Other. e of Heat: Bedrooms: Bathrooms: ta A lsI Type of Sewage Disposal: /� Type b b/A l Choose one: Existing Existing: 0 Sewer 0 Community System ❑ Electricity ❑ Oil Proposed: „/ Proposed: ❑ Individual System 0 Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative 0 Other Permit# SEP Water Supply: aim. O Private well ❑ Two Party W ❑ Public Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP -~� 2ND Floor iv! Base fee + f Qt -0L' 3rd Floor rA Plan.Check fee State Sur fee Htd Basement � � I� e� Unhtd Basement �t/t V Subtotal ` Garage/ arport /6 8t \ _, Pot Water Review fee Decks h, 911/Rd Approach fee / C� Commercial M A ' TOTAL �O 7 -J y9. 7 3 Industrial Receipt # Other ',_ ••r sCash/Check# /G c Total Valuation: 4. a 0 0 — 4/- elk., ` Initials i _ \ Or Date C; -- / { 0 Estimated Cost: If within 200' of the Shoreline, ; ft. Distance to Bank or Ordinary High Water Mark ft.Bank Height By signing the application form,the applicant/owner attests that the information provided herein is true and correct toe the best of their knowledge. Any material .P.ood 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 Jelfferson 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 entryto efferson Countyand it's employees,representatives or agents for the purpose of application review and any required later inspections. gh J P Y�> Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business ho• �� J, Signature: \71-11 �C/. Date: ri- oJ1"/ efferson County Department of Community Development 7/ � C 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 .' ,,\` 3 \ ' , Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: Th-Fr AN-c 6- A F12-0 e v s 51401 CPS 2,0A-LA-t.. 9 Digit Parcel Identification Number (from your tax statement): 7C - /3z co 7. Site Address I kocs r o F K. 911#: Zq ��-� I Road Name: C � T Zip Code: 8 3 7 6. Legal Description Subdivision Name: M/A • Block: , Lot(s): Section: Township: Z 7 Range: z.." Parcel Size (acres or square footage): s `At'' r N 3 //,fz7 4L Property Owner: ®+&F F-- ,l e'l.1L NI Phone:3 G 6- 76'6'3`3 7 Mailing Address: •o 35�3 6 3 r Applicant/Occupant: Phone: (if different from owner) kt (A Mailing Address: Authorized Rep: N I Phone: fk , Mailing Address: General Contractor: Or Manufactured Home Installer: Q v k F2 Co rt3-MU c---Z/o, I Phone: ��S _ 3 3 9 3 Mailing Address: P-o• 33ox 2/3 6201 (--Gt,r_cs' tot\ - gf�3 76 Contractor's State License Number: Expiration Date: CQ t i i- Q. 4 x Igo 1 9— zoo/ Septic Designer: Phone: Mailing Address: r'L c A tt k �Pt-t4 c©�-_S t 36 0 _ 74, S r-- 3g a _ /a 8 o Li, .-45t1 t eta . Z() 0 i 1 C-& to N - 9 g 3 7( Architect:/Engineer: � lI Phone: !"LA� k rtt4 C )D &PDAMT1NG- s ufa-5 3Ce - 796 — � `S-- Mailing Address: /30 PLp6-iurt- 14- T3ovim. J b1 `Fi) ( tie, t6u CA , US Z.0 Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1;cd H:\home\pincntr\forms\universal plot plan ..6 PROPERTYLINE SW 1/4, NW1/4, SECT, .3, TWP, 27, RG 2 (27 Acre.) t1.1,2 allEEM 5,- .;14.t4 ; %.. ‘,5 1.../.\ z - Al -J 41 ‘11.N w ce _J Quitcene ..- a. w G., LOCATION PLAN 1=1 11.0. .., op C../..2..‘ 51..!.......,) UM a.o -I PROPOSED '1 0 RESIDENT 1. c:\___ ___Cr7.77-500'..25,ji _ OP OF SLOPE ri ..,,, zw 't-- - w to ez' ,IIAlla c ,,,... cc MIPN <io I el 0., DIGETAL PARCEL INDENTIFICATION No: 702-132-007 I .. :.- .., BOTTOM OF SLOPE • EL 5 500,00' PROPERTYLINE .WELL DRAINFEILD x .. OF PROPOSEDF SEPTIC LAONCBATION 1 DRAWN BY. RW CURRY PROJECT SHT. NO. DATE: 08/25/00 JEFF ACKERMAN PROPOSED SCALE : 1 ..200" RESIDENT QUILCENE, \WA APPROVED BY: CA11--uu ou IAA y r BUILDING PERMIT APPLICATION Department of Community Development 621 Sheridan Streett Jefferson County De Port Townsend, WA 98368 PERMIT #: BLD00-00600 Received Date: 9115I2000 SITE ADDRESS: 29404 5 HWY 101 QUILCENE, 98376 PHONE: (360)765-3137 APPLICANT: CARL ACKERMAN JEFF ACKERMAN PO BOX 353 QUILCENE WA 98376 Lot Block: SUBDIVISION: 702132007 Section: 3 Township: 27 N Range: 2 PARCEL NUMBER: PHONE: (360)765-3393 CONTRACTOR: QUAM CONSTRUCTION PO BOX 215 QUILCENE WA 98376 Expires 041201 000� Contractor s License QUAMC**180LB Mica' Area MARTIN HARBORRD 2 G/06) ARCHITECT/ CADD DRAFTING SERVICES 130 PLEASANTReview 7/4 ENGINEER : BRINNON WA 98320 PROJECT DESCRIPTION: SHOP SQUARE FOOTAGE: TYPE OF WORK GAR NEW MAIN: HEAT TYPE: UH TYPE OF IMP 16,800.00 ADD'L: VALUATION 1997 HEAT TYPE: CODE EDITION: HEAT BASE: #OF STORIES: S )/- CONSTUNHEATED: Rator �G__OCCUPANCY: OTHER: SHO— INE.00CUPANCY: GARAGE: 1,680SETBACK: TYPE: DECK: BANK HEIGHT: CONST TYPE: SEWAGE DISPOSAL: CON PARCEL TAGS: YES__O AREAS_ PWELL WATER SYSTEM: STORMWATER: YES Erosion Exist:EDROOMS: BATHROOMS: Wetland Streams Exist: Seismic Flood Plane Prop: Prop: Flood Way Landslide Total: Total: F&W Routing Date: � Aquifer Shoreline Rural _ O Forest: Commercial a . ions �_ 1 r�xi Y eceip : 1 •pprove��a e Amount Paid By: Date: Type $279.25 MAM 09/15/00 34273 P $83.78 MAM 09/15/00 34273 Pllanan Check $4.50 MAM 09/15/00 34273 State Building Code Total: $367.53 •i— ili 1 o12srss i:\F_BLD_App_Bld.rpt 'Jefferson County Department of Community Development September 27, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: CARL ACKERMAN JEFF ACKERMAN PO BOX 353 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00416 Project Description: single family residence Parcel Number: 702132007 S-T-R: 13-27N-02W Site Address: 29404 5 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. Department of Community Development Staff c: File i:\F_CAR_Waiver_Standrd.rpt 12/13/99 It 2 3 i AREAS: 15T. FLOOR $ 5/F 2ND. FLOOR -0- " A.G. TOTAL � " GARAGE � 1680 " PORCH � " DECK — G ARAG E FLOOR PLAN SCALE: 1/4"= I'-O" DESCRIPTION DATE W < to Q tX Z 4— 4— Di — ml E 4EET TITLE z O < CL pi� SHEET DATA � DRAWN BY: t;i h CHECKED BY. MM SCALE, 1/4"=I'-O' DATE, O9/00 FILE. JAFPOQOO om SHEET NUMBER 1 / of