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HomeMy WebLinkAboutBLD2000-00637 n 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 #: BLD00-00637 Received Date 10/2/2000 SITE ADDRESS: 1555 VAN TROJEN RD Issue Date 10/5/2000 CHIMACUM, 98325 Expiration Date 10/5/2001 APPLICANT: HEATHER M HARDING PHONE: (360)732-4638 P 0 BOX 12 CHIMACUM WA 981262919 SUBDIVISION: Block: Lot: TX 18 PARCEL NUMBER: 901223007 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): ©j-• .-J >ipt a®,,,�, //Q 7,©I [ ] Foundation: !7f<---1T J 62b'9ne. '/- T--o/ [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [47-7 ing/Plumbing: Q 3---7-‹)-� ["' P pane Tank/Lines: D1 Gm✓,E "'r L/Iv •.- 4/«C.. 10-13,-'e 'V- P ,t.� �er "'PA le,/r -7</l O 5` r S�lrr`l'_ �� [ Insulatior�: 7/c C/V L L ex C 'I'j ic 4.00Z Y'/ zil-G9> .,V-)./ [ ] Sheetrock: [°°] Final/Occupancy Approval:.0 K G.�/cdN,�; /o -2Z-o 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 #: BLD00-00637 Received Date: 10/2/2000 SITE ADDRESS: 1555 VAN TROJEN RD CHIMACUM, 98325 APPLICANT: HEATHER M HARDING PHONE: (360)732-4638 P 0 BOX 12 CHIMACUM WA 981262919 SUBDIVISION: Block: Lot: TX 18 PARCEL NUMBER: 901223007 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KEVIN MATTSON ENGINEER : PO BOX 358 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 710 VALUATION 41,259.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 196 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Flood Plane Routing Date: ! F&W Landslide '2-(00 Shoreline. Aquifer Forest: Commercial Rural 1-,r ximlty - Hat C ditions Type Amount Paid By: Date: Receipt: Approve��a e Permit $562.95 MAM 10/02/00 34601 �"µp ` "� Plan Check $168.89 MAM 10/02/00 34601 �� l -- drsAa State Building Code $4.50 MAM 10/02/00 34601 OCT Q r. 2000 Potable Water Application $30.00 MAM 10/02/00 34601 Total: $766.34 Jai'tarsun County Planning &Building Department i:\F_BLD_App_Bld.rpt 10/29/99 4 r Jefferson County Departmes1 of Community Develoimmnt ��,sON cow 621 Sheridan Street,Port Town::nd WA 88368[3601378-4450 a •" o , ..sperm : Api:-.3 ,rjccili,,,on Project Description: Building Type: Project Type: Frame Type: Single Family ❑ New X Wood Li Garage Attached/Detached )( Addition Steel ❑ Modular )4' Alteration/Remodel ❑i Concrete ❑ Commercial ❑ Repair ❑ Masonry Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: n Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: I Proposed: I %Individual System ❑ Woodstove VPropane Total: _if____ Total: —1- If not sewer,fill out the following: Heat Pump ❑ Conventional %Alternative El Other Per mit# SEP f > - O C, , Water Supply: "Private well ❑C❑. Two Party Well❑ Public:Name of water system: Square Footage: L � For Office Use Only Main Floor � E'� �.�D UBC OCCUPANCY GROUP 2ND Floor ,3 Base fee -----Gj 3rd Floor Plan Check fee Htd Basement State Surcharge fee ,�Unhtd Basement Subtotal 7 32/. • 3 Garage/Carport � Pot Water Review fee \ Zg...0 0 Decks I 9 � 1-1.� \alli ..\,, 911/Rd Approach fee Commercial TOTAL 6 6 ., tiJ Industrial Receipt# \ T6O Other Cash/Check# $0 / Total Valuation: p� 'tials Or C')'L ` Date / 6`6 Estimated Cost: (�' 1 If within 200' of the Shoreline, i Distance to Bank or Ordinary High Water M. k ft. Bank Height ft. By signing the application form,the applicant/owner attests th 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 rest-ct to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson .unty 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? ting of this permit. I further agree to provide access and right of entry to Jefferson Co tyrand it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the ap licant's structure sh• b requested and shall occur during regular business hours. Signature: tit, V Date: nCt - 1 7 C C Q Jefferson County Department of Community Development /-4oN co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 ;L r G� ." Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: R .vti, iNt\ J `X^f S f cA-;ACI c. Cd 0 el CL(\ cfc f4 L S fk3l 4 I L7f ( c 9 Digit Parcel Identification Number (from your tax statement): Site Address Ti-- 911#: 1155 j Road Name: \,c1 )1,1 C=-�� )' . Zip Code: ci Legal Description Subdivision Name: ii Block: Lot(s): Section: Township: „lei A)L;r �. Range: / LA}-4-9 S t.,0,,,/v1 Parcel Size (acres or square footage): 5,1Ts S Property Owner: Phone: Mailing Address: Pc) Applicant/Occupant: Phone: (if different from owner) til Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: ()W►'1 'der Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phpne: I lt+ cam e? �J ��• (3&o) 37 r - 1cc! Mailing Address: PO Px,i( !31 5 P,c k-kG.d f oci<, (-31'4 9 Architect:/Engineer: Phone: lC e Ar\c�.-`-k so XN CSC::- 7 31 f,2 Mailing Address: est 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 ('Ai2-6 ) ,__,,,/ JBUILDI G • ERMIT APPLICATION "`' Jefferson Count be. :rtment of CommunityDevelopment opment 621 Sheridan -lee Port Townsend, WA 98368 PERMIT #: BLD00-00637 Received Date: 10/2/2000 SITE ADDRESS: 1555 VAN TROJ-b CHIMACUM, 98325 APPLICANT: HEATHER M HARDING PHONE: (360)732-4638 P 0 BOX 12 CHIMACUM WA 981262919 SUBDIVSION: Block: Lot: TX 18 PARCEL NUMBER: 901223007 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KEVIN MATTSON ENGINEER : PO BOX 358 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 41,259.00 MAIN: 710 CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: }I CONST TYPE: 5N OTHER: tJ GARAGE: SHORELINE: �� CONST TYPE: SETBACK: U' DECK: 196 SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PWELL PARCEL TAGS: YES NO I/, BEDROOMS: BATHROOMS: STORMWATER: YES NO V AREA Exist: Exist: Wetland ►M J Erosion W U Prop: 1 Prop: 1 Seismic r/b Streams ?y-e .: Total: 1 Total: 1 Flood Way t\to Flood Plane h7 Routing Date: ! 01 2- F&W t/ O Landslide du (n) Shoreline. nfb Aquifer i4O C\Forest: Commercial ki.kl Rural Type —Proximity F'latVe��d ionsea ; YP Amount Paid By: Date: Receipt: P a Permit $562.95 MAM 10/02/00 34601r-N' I Plan Check $168.89 MAM 10/02/00 34601 State BuildingCode ` ` $4.50 MAM 10/02/00 34601 Review*,Potable Water Application $30.00 MAM 10/02/00 34601 . �. Total: $766.34 n� StOrmwaterskri& 1141f 1 b '� np_Bld.rpt 10/29/99 A Jefferson County Department of Community Development October 4, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: HEATHER M HARDING PO BOX 12 CHIMACUM WA 981262919 Critical Area Review Case Number: CAR00-00436 Project Description: SFR Parcel Number: 901223007 S-T-R: 22-29N-01 W Site Address: 1555 VAN TROJEN 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. IVY,\. 4 AA-4Hk Department of Community Development Staff c: File I:\F_CAR_Waiver_Stand rd.rpt 12/13/99 . -o 51 So 'tint y ., ,t,,ti.�,., ; ti.,, -'.... pl 70 ,.,„ S 9 Z dos'R.11.---; L.--ii PP40 it. 4 n m � PRUNE I / '�et, 7Z.!19 de- 1 o c 1.t �� / W� �r �`'1� d S 1 1 00 � : . 0 `� 1 �8_ cit- i 14/ �z m i (EXISTING Alta in--I c.4 /� / • DRIVEWAY ® i /` I I / . ivdos°21,1/9„Wo� % % / o 20 ® M S f 4 <�� .D 4-iLrtF� , 1 EXISTING I Z l� • S�RUGTURE (� �'`-- N I2°-1-G r 3/ME 1 �® ® PROPOSEDCx` cn ePTiGRESIDENCE ry vti ®cn TM.1j O4#44`; �1aO �e �„,,cr. tib \EXISTING r rh. �� ° ' 3'8°pQ.�.�. �n CLEARING �+ Ncoc:8 I (IQ I Q L.'', al �W c� ti oo � U. I 00z c) Q a zoya '6'. 1 �N !1oI3'//"14/ or 0 o m CC I w 7... A .>i-z._..• Ai/0o 9'�"w - I �— Z 250' BUILDING SETBACK FROM 7.4 m COMMERCIAL FOREST TO WEST I I N o w o ate-- NO 6." 0 i '!l 5''E o^Xm �' - ) 2--- 340'± 410'f16 ">4,24k 4 i a FR=��xVv` Profess Q'srfll l'.Land c. ♦ i� 1 r4 •� t t :14 L1' SEPTIC SYSTEM FEASIBILITY «����I. ''� �1 r ' >s ftti.f. i, , .1 ENGINE c • "" NC. 5628 Kuhn Strep) f l Sr ;,f j, S; UDY FOR HEATHER HARDING SITE PLAN WIT Port Townsend,WA 94P613 -s r� t -�`•�.l:4 i,x' !.' ( )385 1225 �I PARCEL NO. 901-223-007 1 bD •---I w. _ U '.- 4 / i . v, u,.•n.r...1Ck . F GD-- 47- 2e-u-ze-korn qd,i ,ff ow wA 6:- J CL- z