HomeMy WebLinkAboutBLD2000-0061111111111111
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 #: BLD00-00611 Received Date 09/20/2000
SITE ADDRESS: 4595 EAGLEMOUNT RD Issue Date 09/27/2000
CHIMACUM, 98325 Expiration Date 09/27/2001
APPLICANT: ANDREW L DRISCOLL PHONE: (360)732-4426
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801044002 Section: 4 Township: 28 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION STORAGE/UTILITY SHED
REQUIRED INSPECTIONS:
ac s(Shoreline Setbacks): 795T Mne—c-=5 O (O f�/C)8 �-
( ] Foundation: �/
[ ] Underground Plumbing/Underground Insulation:
[ ] Shea�Wall:
[L]--- (Framing/Plumbing: c> ✓ G / ?�' c1�
[ ] Propane Tank/Lines: /(/
[ ] Insulation:
[ ] Sheetrock:
Li
[ ] Final/Occupancy Approval:
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 #: BLD00-00611 Received Date: 9/20/2000
SITE ADDRESS: 4595 EAGLEMOUNT RD
CHIMACUM, 98325
APPLICANT: ANDREW L DRISCOLL PHONE: (360)732-4426
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801044002 Section: Township: 28 N Range: 1
CONTRACTOR: OWNER PHONE:
ARCHITECT/ CRAIG OWEN
ENGINEER : 220 E FIRST ST
PORT ANGELES WA 98362
PROJECT DESCRIPTION: STORAGE/UTILITY SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 3,840.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 384 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
Routing Date: F&W Landslide
•\ c,. (3� Shoreline Aquifer
� Forest: Commercial Rural
m.i I-sr xity Flat C d tions
Type Amount Paid By: Date: Receipt: o �
Permit $97.25 MAM 09/20/00 34298A or " �'
Plan Check $29.18 MAM 09/20/00 34298 Li-2- 6 J':
State Building Code $4.50 MAM 09/20/00 34298 SEP 2 ^ 2000
Total: $130.93
JeEtErson County Flaming
&Building Department
is\F_BLD_App_Bid.rpt 10/29/99
,
¢S°N r Jefferson County Department of Community Development
�,,4 f t ° 621 Sheridan Street,Port Town nd WA 88368[3601378-4450
Perm -.- 1 A ?If]ij0 c � on
Project Description:
Building Type: Project Type: Frame Type:
ill Single Family X New X Wood
i. Garage Attached/Detached E Addition ❑ Steel
Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
ill Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
X Other. Sin res.}lL di '):* S I.e 1
Bedrooms: athrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System I Woodstove Ill Propane
Total: Total: If not sewer,fill out the following: I Heat Pump
❑ Conventional ltemativ— I Other
Perniit# SEP y--7 S
Water Supply:
11 Private well ❑ Two Party ell❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
Z )
2ND Floor Base fee 1
3rd Floor Plan Check fee , /S
Htd Basement State Surcharge fee ' + )' )
Unhtd Basement Subtotal /30 9 3
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee .--- J
Commercial TOTAL / 3 0. 9
Industrial Receipt# 4/ .
IV
Other ' 8 Cash/Check#- eCI
Total Valuation: Initials
Or '
L5
Date —V
Estimated Cost:
If within 200' of the Shorelin-,
Distance to Bank or Ordinary High b ater Mark ft.Bank Height ft.
By signing the application form,the applicant/o• er 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/.• .er with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harml ss 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 copse.uence 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 anyrequired later inspections.
Access and right of en the ap licant's propI
structure shall be requested and during regular business hours.
Signature: Date: 9 /! ?/lc.(-) 0
Gpi'CU _c6LiI
,�� BUILDING PERMITAPPLICATION
�� Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00611 ,Received Date: 9/20/2000
SITE ADDRESS: 4595 EAGLEMOUNT RD
CHIMACUM, 98325
APPLICANT: ANDREW L DRISCOLL PHONE: (360)732-4426
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
. - SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801044002 Section: Township: 28 N Range: 1
CONTRACTOR: OWNER PHONE: StormNater8 Pi* I/
Required 7 Z' _e'7.-
ARCHITECT/ CRAIG OWEN
CtcatGw �Area� �� ,,e
ENGINEER : 220 E FIRST ST
PORT ANGELES WA 98362 y
PROJECT DESCRIPTION: STORAGE/UTILITY SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 3,840.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 384 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON V
WATER SYSTEM: PWELLPARCEL TAGS: YES NO V
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland i es Erosion
Prop: Prop: Seismic Streams 7
Total: Total: Flood Way Flood Plane
F&W Landslide i
Routing Date: Shoreline Aquifer - <—
1 N.C) — Ol , Forest: Commercial Rural L,-._
Type Amount Paid By: Date: —PrReceipt ty Approve dttlons
P : PP ��ae
Permit $97.25 MAM 09/20/00 34298
Plan Check $29.18 MAM 09/20/00 34298
State Building Code $4.50 MAM 09/20/00 34298
Total: $130.93
. Q..)
is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development September 26, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: ANDREW L DRISCOLL
KAREN DRISCOLL
4595 EAGLEMOUNT RD
CHIMACUM WA 98325
Critical Area Review Case Number: CAR00-00418
Project Description: storage/utility
Parcel Number: 801044002 S-T-R: 4-28N-01 W
Site Address: 4595 EAGLEMOUNT RD
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 Critical Areas Ordinance.
Department of ommunity Development Staff
c: File
is\F_CAR_Waiver_Standrd.rpt 12/13/99
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Jefferson County Department of Community Development
w oN C'3 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
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Universal Plot Plan
Fill in the following blanks as completely as possible:
Project Description:
Sao 0. 9- /tir; i t-, s � e_ci
9 Digit Parcel Identification Number (from your tax statement): l O 9 0 I
Site Address
911#: 1.5 9s Road Name: L J f f /<4. Zip Code: ?8.3 a 5--
Legal Description
Subdivision Name: Block: Lot(s):
Section: trc Township: 2 yJv Range: j W
Parcel Size (acres or square footage): 20 e s
Property Owner: Phone:
/�N.0 Z 1 + KA rZ iZ I s c�L� 3 to a 73 Z-
Mailing Address:
/e Rd. C e LA (A) +9 9 3 a,S-
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: /73k..., I crest- Phone:
Mailing Address:
Contractor's State License Number Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
�,. - e I N s r✓A
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
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