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BLD2000-00657
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 #: BLD00-00657 Received Date 10/6/2000 SITE ADDRESS: 384 PORT HADLOCK HEIGHTS RD Issue Date 10/31/2000 PORT HADLOCK, 98339 Expiration Date 10/31/2001 APPLICANT: DON GROW PHONE: (360)385-1988 PO BOX 455 CHIMACUM WA 98325 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: CONSOLIDATED BUILDERS PHONE: (360)683-9522 251 OLD BLYN HWY SEQUIM WA 98382 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ATTACHED GARAGE REQUIRED INSPECTIONS: i, ings/Setbaci s (Shoreline Setbacks): / 013 [�.]� oundation.._/�/, ��- / G>�C' //�f�L� e f [ ] Underground Plumbing/Underground Insulation: [ ]] Shear Wall: [i rmi jiPlumbing: (":i - 1' ;1ty ) " . , �, = [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: EL. ina ccu App val: _-1 _ / _ HEALTH DEPARTMENT APPROVAL REQUIRE''PRI' - 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 #: BLD00-00657 Received Date: 10/6/2000 SITE ADDRESS: 384 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: CONSOLIDATED BUILDERS PHONE: (360)683-9522 251 OLD BLYN HWY SEQUIM WA 98382 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,760.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 576 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD 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: /0 — 9 - 00 Shoreline Aquifer < Forest: Commercial Rural I-'mximit - Flat U d dons Type Amount Paid By: Date: Receipt: •• .• .,�, Permit $125.25 MAM 10/06/00 34551l'‘,„ - ' L 6\./ 4.2asoi D Plan Check $37.58 MAM 10/06/00 34551 !�j,,, tL.. GJ c.„)2eK State Building Code $4.50 MAM 10/06/00 34551 OCT 1 : 2000 Total: $167.33 Jefferson County-; : ::.,:,:j &Bu ldin;Je :r ii,„.,, i:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development Zs/¢�0N c(-)G 621 Sheridan Street,Port Town :nd WA 88368[360)378-4450 W ' `-a 1*'3 0 i.0 Perm A --dr., pUcc ©on Project Description: Building Type: Project Type: Frame Type: ❑ Single Family New reVood , arageAttached/Detached ❑ Addition i Steel ❑ Modular ❑ Alteration/Remodel E Concrete ❑ Commercial ❑ Repair ❑ Masonry • Muhi-family/#of Units ❑ Demolition 0 Other: ❑ Industrial • Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: irk 1 114.. Existing: el i ❑ Sewer 4 ommunity System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove Propane Total: Total: y P e If not sewer,fill out the following: E Heat Pump ❑ Conventional ❑ Alternative ❑ Other i''? t<, Permit# SEP Water Supply: E Private well D. Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 3rd Floor Plan Check fee Htd Basement State Surcharge fee Unhtd Basement Subtotal Garage/Carport 5 Pot Water Review fee Decks ( 911/Rd Approach fee Commercial TOTAL Industrial Receipt # Other Cash/Check# Total Valuation: Initials Or Date Estimated Cost: . If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 6:' ft.Bank Height ft. I 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 attorney'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 Yo the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: I 0 - LE -b() . 1 Y a�,:���, •. , ,.. Uri .�/�tv, � :% :���N T' 7. _1 \ ;. . \ / . ; .. • T � r , d r \ o i / , , n E —. / . -:- \ It 0 n . ci . 2 / ri* kl,i . rs t 3 P c 1e Vf 1 Y i; N . . 1 • r r I § . zi-c. -i T 1 1 I -- ( I i i f BUILDING PERMIT APPLICATION . , , . CA --(9-0 — D 0 0 . .., 15 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 �f PERMIT #: BLD00-00657 Received Date: 10/6/2000 SITE ADDRESS: 384 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: CONSOLIDATED BUILDERS PHONE: (360)683-9522 251 OLD BLYN HWY SEQUIM WA 98382 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: / VALUATION 5,760.00 ADD'L: HEAT TYPE UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: e\OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: �}, CONST TYPE: GARAGE: 576 SHORELINE: / ` CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWAT : YES NO AREA r� Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams -�; Total: Total: Flood Way Flood Plane Routing Date: F&W Landslide /U — (" _ c U Shoreline Aquifer - J Forest: Commercial a Rural �, ',` "1'r ximlty l;ofG d�t ions Type Amount Paid By: Date: Receipt: �Q� Approve��ate r Permit $125.25 MAM 10/06/00 34551 ���•,� i,�� Plan Check 1��`"' $37.58 MAM 10/06/00 34551 A State Building Code $4.50 MAM 10/06/00 34551 ����� ��% �' �I� Total: $167.33 �� C... ' ' 2 , „�� L/ M. . ..11.,-;------.. wel ' i f :_i i:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development October 10, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 Critical Area Review Case Number: CAR00-00450 Project Description: attached garage Parcel Number: 989500001 S-T-R: 11-29N-01 W Site Address: 384 PORT HADLOCK HEIGHTS RD PORT HADLOCK WA, 98339 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. o ,V Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 It N 0 1 / > lzl, Ob ' ` - a o ,� .. ..., -),. T ,.. ` 1 &-- 3v � � v a Lo' li t 75. r_., 1 i 0, VI cgCI- AO w p I - 1 s ''.7 ! k._: . 2 7 ' i 1 -1/1-1--- ir . _ 00 /zo.77' Q3 3 r . tom. (N) (-4 NtN W J H Oho A % c'n N , 1 ID 00 ta cat o J9, 9 Ul O m Q q a g 0 0 N a ocu � ro v- ro a G a 0 0 o r CI rlv �4 v d N x a\ _Po q Q O 0 U -z o 0 o • ,-4-4 v _ 'Z� 0 v 4) ro 01 0 a q a) ( 0 v 0 -I 0 a - -j\(/) Q v A ›, .'n v1 2 Z 0 ° cs 0 o Cd vv"' ( a \n ! b c 9 _-) _ 0 0 z v �, (iTYa) Cgi' T 0 v xN MQ 'ti p v "T 0 $.� a o c1 a u 0 'C 4-1 o ;' J 1 .b O a� 0 0 � 'bv uf' r Z •% a „ u 0 1 ' 4_, 0i \ P� \�'T: "H G1 y f". v \ v '� v O td v vt v \ v 't� it v \�y� ' AT' Q C=. 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