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HomeMy WebLinkAboutBLD2000-00647 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 #: BLD00-00647 Received Date 10/4/2000 SITE ADDRESS: 3466 TEAL LAKE RD Issue Date 10/9/2000 PORT LUDLOW, 98365 Expiration Date 10/9/2001 APPLICANT: KENNETH HAGERMAN PHONE: (360)598-4343 DELORES 22340 MILLER BAY RD NE POULSBO WA 98370 SUBDIVISION: Block: Lot: T 34 PARCEL NUMBER: 821333016 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION METAL SHOP REQUIRED INSPECTIONS: [t,� oo ings a :FTa- (Shoreline Setbacks): f.V . ////l e/ /r [' --Pt fl if n: /iC iNte e%/ ' ij// [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ a &/Plumbing: /Se-Me al. OX /0-- dJ [ ] Propane Tank/Lines: [ ] Insulation: [ eetrock: Final/Occupancy Approval: 67 /6--,z--c)r HEALTH DEPART ENT 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 #: BLD00-00647 Received Date: 10/4/2000 SITE ADDRESS: 3466 TEAL LAKE RD PORT LUDLOW, 98365 APPLICANT: KENNETH HAGERMAN PHONE: (360)598-4343 DELORES 22340 MILLER BAY RD NE POULSBO WA 98370 SUBDIVISION: Block: Lot: T 34 PARCEL NUMBER: 821333016 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ CONSOLIDATED ENGINEERING ENGINEER : PO BOX 2321 BREMERTON WA 98310 PROJECT DESCRIPTION: METAL SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 600 VALUATION 6,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC 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. ` horeline Aquifer —CO' Forest: Commercial Rural —Proximity - Plat C d tlons Type Amount Paid By: Date: Receipt: papp 1�,to ,,,,, Permit $125.25 MAM 10/03/00 34517 d c s b, ' .: 1,$„ ./ Plan Check $37.58 MAM 10/03/00 34517 44i- A b---.6-12k, State Building Code $4.50 MAM 10/03/00 34517 OCT 0 C Total: $167.33 -efterson CounT-. :,ping &Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Commun4 Development r '°�. 621 Sheldon Street,Port Townsend WA 88368[3601378-4450 G, Yl. it. 3-r., __ .. . PErmiv 0 ,is,,,,,,,0 A Z; ii, , ,c,cll., 0-. ©rn 1 Project Description: Building Type: Project Type: Frame Type: Single Family New Sh`0P e3 ifik,Aikr6 J Wood " Garage Attached etache 6 f-tPP C Addition X Steel 11 Modular LI Alteration/Remodel Concrete Commercial l Repair LI Masonry `ll Multi-family/#of Units El Demolition Other: 17 Industrial li Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: _ Existing: Existing: .---- ❑ Sewer Community System LI Electricity C Oil Proposed: Proposed: Individual System Woodstove Propane Total: Total: If not sewer,fill out the following: i Heat Pump LI Conventional Alternative C'J Other Permit# SEP Water Supply: Private well ❑ Two Party Well Public:Name of water system: Square Footage: For Office Use Only Main Floor 600 "S fl UBC OCCUPANCY GROUP 2ND Floor Base fee I25 . ZS 3rd Floor Plan Check fee -7--' 5 ? Htd Basement State Surcharge fee 1 `4 5 Unhtd Basement Subtotal , tG . 33 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL I ' 3 3 Industrial Receipt # 3`t 5 \ Other Ca sh/Check# q 23 Total Valuation: Initials Mtic.__ Or (0' 0(J f, 0`f Date i 0 .) -CO Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 1 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 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 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's property or structure shall be requested and shall occur during regular business hours. Signature: /"' Date: /O/// l9 - M Jefferson County Department of Community Development October 4, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: KENNETH HAGERMAN DELORES 22340 MILLER BAY RD NE POULSBO WA 98370 Critical Area Review Case Number: CAR00-00441 Project Description: metal shop Parcel Number: 821333016 S-T-R: 33-28N-01 E Site Address: 3466 TEAL LAKE RD PORT LUDLOW WA, 98365 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. 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