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HomeMy WebLinkAboutBLD2000-00601 P � 11.1 ,� BOLDING LDING PERMIT 7(1/--------..... 11111111111. �� r �'� �/ I � �P Jefferson County Dg artme ty Developme 621 Sheridan Street Port Townsend, WA 98368nt PERMIT #: BLD00-00601 SITE ADDRESS: 29404 5 HY 101 Received Date: 9/15/2000 W QUILCENE, 98376 APPLICANT: CARL ACKERMAN JEFF ACKERMAN PHONE: (360)765-3137 PO BOX 353 QUILCENE WA 98376 SUBDIVISION: PARCEL NUMBER: 702132007 Block: Section: 3 Township: 27 N Lot: Range: 2 CONTRACTOR: QUAM CONSTRUCTION PO BOX 215 PHONE: (360)765-3393 QUILCENE WA 98376 Contractor's License QUAMC"180LB Expires 04/20/2000 ARCHITECT/ MARTIN CADD DRAFTING SERVICES ENGINEER : MICHAEL MARTIN Critical Area 130 PLEASANT HARBOR RD BRINNON WA 98320 Review 7 z . ©O f PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 117,086.00 MAIN: 1,601 ADD'L: 273 OCCUPANCY: HEAT BASE: HEAT TYPE: EEE CODE EDITION: 1997 OCCUPANCY: R 3 HEAT TYPE: UNHEATED: #OF STORIES:OTHER: CONST TYPE: 5N CONST TYPE: GARAGE: 576 SHORELINE: 8 PA3, DECK: 760 SETBACK: cn\y/o2. SEWAGE DISPOSAL: CON y� ) BA HEIGHT: S �6 WATER SYSTEM: PWELL �/� / BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO REA Exist: Exist: Wetland Prop: 2 Prop: 2 f- _ Erosion Total: 2 Toal: 2 Seismic : O Streams Flood Way n Flood Plane r, Routing Date: __ F&W �� _ � Shoreline Landslide Type A Forest: 'ommercl3`y , 4 1-Ural L. Amount Paid By: Date: roc p�11�— Permit Approve&/ eons $1,094.55 MAM 09/15/00 34273 Plan Check $328.37 MAM 09/15/00 34273 State Building Code $4.50 MAM 09/15/00 34273 Potable Water Application $30.00 MAM 09/15/00 34273 Total: $1,457.42 liihn \ t i:1F_BLD App_Bid.rpt 10/29/99 Jefferson County Department of Co•unity Development 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 p t September 2000 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-02 W Site Address: 29404 5 HWy 101 QUILCENE WA, 98376 FINDING: The development, as proposed and an identified critical area nor any associated buffers rtrayed on the Universal Plot Plan, does not encroach on CONCLUSION: The proposes development meets the waiver requirements established in Ordinance 05-0509-94. Jefferson fferson County The development shall be as additions or relocationa ofproposedproposed and the Jefferson ocat Criticl ns Ordinance. lopmnt actives will on the Universal Universal erPlotreview e require further Deviation, pursuant to Department of Community Development Staff c: File i:\F CAR_Waiver Standrd.rpt 12/13/99 t BUILIIG PERMIT AP Jefferson County Department of Community DION 621 Sheridan Street opment Port Townsend, WA 98368 PERMIT#: BLD00-00601 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: PARCEL NUMBER: 702132007 Section: 3 Block: Township: 27 N Lot: CONTRACTOR: Range: 2 QUAM CONSTRUCTION PO BOX 215 PHONE: (360)765-3393 QUILCENE WA 98376 Contractor's License QUAMC**180LB Ex it� ARCHITECT/ p 04/20/2000 64 ARGINTE : MARTIN CADD DRAFTING SERVICES p ,MICHAEL MARTIN 130 PLEASANT HARBOR RD BRINNON WA 98320 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES TYPE OF IMP SQUARE FOOTAGE: VALUATIONNEW 117,086.00 MAIN: 1,601 ADD'L: CODE EDITION: 1997 OCCUPANCY: R-3 HEAT BASE: 273 HEAT TYPE: EEE OCCUPANCY: UNHEATED: HEAT TYPE: CONST TYPE: 5N OTHER: #OF STORIES: CONSTGARAGE: 576 TYPE: SHORELINE: DECK: 760 SETBACK: SEWAGE DISPOSAL: CON WATER SYSTEM: BANK HEIGHT: DWELL PARCEL CEL TAGS: YES NO BATHROOMS: Exist: Exist: STORMWATER. YES Prop: 2 Prop: 2 SeismicWetland N n AR EA Total: 2 Erosion Total: 2Streams Routing Date: Flood Way Flood Plane�_� �. F&W Shoreline Landslide Forest: Commercial Aquifer Type Amount Paid Rural By: Date: rxtm t v Permit Receipt: Approvegfaafeons Plan Check $1,094.55 MAM 09/15/00 34273 State Building Code $328.37 MAM 09/15/00 34273 APP : • ED Potable Water Application $4.50 MAM 09/15/00 34273 09/15/00 $30.00 MAM ., 34273 0t- ' Total: $1,457.42 Jefferson Osunty Nam* &lidding Department i:T_BLD App_Bld.rpt 10/29/99 • Jefferson County _ - � i a a rt y DeYelopnent��SON Cowa 621 Sheridan Street.Port Townsend WA 88 [ � 45a� 'V; 0 KPrmo Aw o ° �SBING:(3 CE oor Project Descri'don: ---------- Building Type: ISingle Famrly Project ype: Garage Aaached/Detached : Addition `' New Frame Type: u ModularWood 0 Commercial 0 Alteration/Remodel Concrete Steel Muti family/#of Units "0 Repair ❑ Indusuial ❑ Demolition Masonry o Other - OtheI Bedrooms: Bathrootns: Type of Sewage Disposal: PExistinroposed: tV Existing �, Choose one: Type of Heat Pond N---r� 0 Sewer ❑ Total ProposedCommunity System vl"lectria r Total Individual System t3 Oil not sewer,fill out the following: Woodstovet ❑ Propane S'&t �L Ar- 5 p'Conventionai P G ' Perzrut# SEP Alternative Ocher Water Supply y S'—O"f Private well 0 Two Party o Square Footage: Public Name of water system: Main Floor r O l�� . k •3 For Office Use Only ZND Floor Z 73 1 �� UBC OCCUPANCY GROUP y 3rd Floor Ai A Base fee Htd Basement Plan Cliecl A ,-x Unhrd Basement Stare Surcharge fee A , garage/C rt ,1 ► Subtotal Decks 7�� aterReviewfee` f�C) 11 -oercial •: 911/RdPproa fee A A idustrial TOTAL >ther / Receipt# �tal Valuation `�// " — )Cash/Check# " _cWA" i0 r Initials Date timated Cost: K 1 /�---G U NEIL within 200'of the Shoreline, IIIPPr- Lance to Bank or Ordinary W. S LC%- t� erCr, 1�1%A ! YLRf. ping the application orm,the f t.Bank Height don of a applicant/owner., - fr. ma pli fact made —'• that the ortcut'on provided h by the applicant/own with respect to this applicaion packet earn e true and cos,ecr toe the best of their knewi e t Jeher agree ffersontee'indemnify and hold harmless J. ersoa �"result in this pia being null and void � ��"� �O°d or any J County as a result of or in charmle .of the County�all liabilities judgments,court costs,reasonable attomey's fees and expenses which granting of this permit, ter agree to provide access and right of entry �in any wry accrue an •d right of entry to the applicant'spropertytrY to Je erson County and it's employees,re • shall be requested and shall occur during or agents for the purpose of application review and an "aIIg regular'business hours. Y�9ured later inspections. 'tore: erCek,... Date: -01 ' • 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#: BLD00-00601 SITE ADDRESS: 29404 5 HWY 101 Received Date 09/15/2000 QUILCENE, 98376 Issue Date 10/25/2000 Expiration Date 10/25/2001 APPLICANT: CARL ACKERMAN JEFF ACKERMAN PHONE: (360)765-3137 PO BOX 353 QUILCENE WA 98376 SUBDIVISION: PARCEL NUMBER: 702132007 Block: Section: 13 Township: 27 N Range: 02 L1Not: ONTRACTOR: QUAM CONSTRUCTION PO BOX 215 PHONE: (360)765-3393 QUILCENE WA 98376 Contractor's License: QUAMC**180LB Expires: 04/20/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [L],/ Footings/Setbacks (Shoreline Setbacks): ) c^/ [ ] Foundation:6 _,? rp [ ) Underground Plumbing/Underground Insulation. ,7 /Ar'F-�47 y-vg [ ] Shear Wall: 0 - if l BZ [ ] Framing/Plumbing: Ok W ydet-o t q 63 al • &4C;ST Propane Tank/Lines: ® • �� ..r> 4• .��,�" a•1G' �tIJES [ ] or Insulation: 0Z8 /� [ l Sheetrock: /— --6, [ ] Final/Occupancy Approval: • HEALTH DEPARTMENT APPROVAL RE UIRED 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 INSP Office Hours 9:00 a.m. -4:30 p.m. ECTIONS. 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 i 5oly Jefferson County Department of Community Development /�/-:`� cow 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 .1sy Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: :re F h-c,tc-L-1Z`r-1 Fa i-s( ? o s t t) R izS i i)L-$1 `gut L D i N(,- s i-re, 9 Digit Parcel Identification Number(from your tax statement): I 702 - I3Z -oo 7, . 1 Site Address e s C, 1911#: i Road Name: c k,- -4„ii 1_0. Zip Code: gig 3 74, I Legal Description Subdivision Name: iV /is _ Block: Lot(s): Section: 13 Township: 2 I Range: Parcel Size (acres or square footage):(S,w y j j , �i /,./ ) 27 � . Property Owner: �,��r Phone: fit 6tr�.-m-tS N 6O 76- — .; f 37 Mailing Address: ?.0- 'ailk 3S 3 J 62OEL C. tNi L.'" , LA , 9 g .3 7e Applicant/Occupant: I Phone: (if different from owner) N /I. Mailing Address: Authorized Rep: Phone: nr IMailing Address: ' General Contractor: C, ,,co C cY--,-1. . Or Manufactured Home Installer: -- 7 (b S- 3 �' Phone: Mailing Address: U , r30 _ c � Q...t ;/c _,.._. q e 3 ,7 L., Tontractor's State License Number. Expiration Date: Q bt r41�r c 4 e- t .P© Z. a _ .z o c} )tic Designer: Phone: Designer:„ Phone:C L�a4-AN- S't • -760 76 s`- 3ET17'g Address: /2- 't) 1 E•-+=tt. u}ra.ef-t•-tt... 'U) , au i cc. --n..a_- I.:'!t. - 3 6 3 7 ct:/Engineer: "Ir-NA- - i-N-r -rir-! r Phone: /4 Alt-ri,4 tktD 'D RA-Fri r-4 6 .5e 4,1C:t . 3bc, 79t -- lit`/-S 'dress: /30 p�..L 'si-tsT-i 1-13V0 'i 71'24/.114tm y Eai 11.- 96'eiul ler/General Phone: S Bond Holder: F ONLY Planning Area: School District: Zone: ,orms\universal plot plan ri PROPERTYIAPc S W 1/4, NW1/4, SECT, 13, TWP. 27, RG 2 (2", Acres) 1 ume......r. ta i/A1 LIL, /4. L IMP N Ldil , tyt4 il Quilcene u., v) LOCATION PLAN aa P75.6-' am ao PROPOSED . 0 \ +/- 500'...., RESIDE a .*---4---(------;ii---iii l r 6now TOP OF SLOPE 0 -0 • t'l , "...i. \5 1441:* w o ez tla V a. c, a F, m 2 a. c^ MIFN /.3..- L c'N .P 1,4)DIGETAL PARCEL INDENTIFICATION No: 702-132-007 ... ri-it L EL. 500 00' ----- WELL PROPERrYLINE PROPOSED LOCATION Ir171121A4INFEILD '$RAWN BY: RV CURRY PROJECT SHT. NO. YE: 08/25/00 JEFF ACKERMAN PROPOSED E 1 =200 RESIDENT QUILCENE, WA : ' VED BY: