HomeMy WebLinkAboutBLD2000-00520 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 #: BLD00-00520 Received Date 08/7/2000
SITE ADDRESS: 2481 ANDERSON LAKE RD#441 Issue Date 08/16/2000
CHIMACUM, 98325 Expiration Date 08/16/2001
APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE:
2481 ANDERSON LAKE RD
CHIMACUM WA 983258764
SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot:
PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006
243 KENNEDY RD
PORT HADLOCK WA 98339
Contractor's License: DKJOHC*042J2 Expires: 04/19/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION TEMPORARY STORAGE UNIT
REQUIRED INSPECTIONS:
( ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] ShearWall:
[t �z " ng/Plumbing: l ` gjt7
F
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ a Final/Occupancy Approval: G r ? t)/
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
f 1
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00520 Received Date: 8/7/2000
SITE ADDRESS: 2481 ANDERSON LAKE RD#441
CHIMACUM, 98325
APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE:
2481 ANDERSON LAKE RD
CHIMACUM WA 983258764
SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot:
PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006
243 KENNEDY RD
PORT HADLOCK WA 98339
Contractor's License DKJOHC*042J2 Expires 04/19/1999
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: TEMPORARY STORAGE UNIT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 400.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: DECKGARALE: 40 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: 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
Shoreline Aquifer
Forest: Commercial Rural
Proximity - Hat c; d tions
Type Amount Paid By: Date: Receipt: ' Approved/pate
Permit $38.75 MAM 08/07/00 32289 PR
Plan Check $11.63 MAM 08/07/00 32289
State Building Code $4.50 MAM 08/07/00 32289
Total: $54.880
Jefferson County Planning
& ., !ding Department
is\F_BLD_App_Bld.rpt 10/29/99
GA e--OO — O0355
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' ,®--'- BUILDING PERMIT APPLICATION
- Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00520 Received Date: 8/7/2000
SITE ADDRESS: 2481 ANDERSON LAKE RD#441
CHIMACUM, 98325
APPLICANT: EVERGREEN COHO ESCAP RETREAT PHONE:
2481 ANDERSON LAKE RD
CHIMACUM WA 983258764
SUBDIVISION: EVERGREEN COHO ESCAPEE RESORT Block: Lot:
PARCEL NUMBER: 901101039 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006
243 KENNEDY RD
PORT HADLOCK WA 98339
Contractor's License DKJOHC*042J2 Expires 04/19/1999
ARCHITECT/ Critical A a
ENGINEER . Review ,/ \„7
PROJECT DESCRIPTION: TEMPORARY STORAGE UNIT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 400.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY. UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: GARAGE: 40 SHORELINE: �p►$
CONST TYPE: SETBACK: '{� 1/11 ✓,- ' if,/
DECK: BANK HEIGHT: /
SEWAGE DISPOSAL: ' Zb
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES AREA
Exist: Exist: Wetland `_ Erosion W0
Prop: Prop: Seismic Streams #1
.-c-
Total: Total: Flood Way Flood Plane YvD ?
F&W (N L.- . . - - :yr5 ( l�- . (l
1
Routing Date: Shoreline IN Aquifer - • -- -
Forest: Commercial " • -1 >
Yr xltd�tions
Type Amount Paid By: Date: R mleceipt:— Approved/ a e L N
Permit $38.75 MAM 08/07/00 32289 1
Plan Check $11.63 MAM 08/07/00 32289 Q
State Building Code $4.50 MAM 08/07/00 32289
Total: $54.88
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is\F_BLD_App_Bld.rpt -. „x$ r�1`
Jefferson County Department of Community Development August 14, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: EVERGREEN COHO ESCAP RETREAT
2481 ANDERSON LAKE RD
CHIMACUM WA 983258764
Critical Area Review Case Number: CAR00-00355
Project Description: Temporary Storage Unit
Parcel Number: 901 101039 S-T-R: 10-29N-01W
Site Address: 2481 ANDERSON LAKE RD #441
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.
D artme of-Community Development Staff
c: File
is\F_CAR_Waiver_Standrd.rpt 12/13/99
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Building Department
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621 Sheridan Street,Port Townsend WA 98368(3601379-4450
a ollti
un..-verst Co
Project Description:
P0,44 y S Z) E l hr r (-TS if)
9 Digit Parcel Identification Number(from your tax statement): CIO I 16 \(3C1
Site AddressLj - .' � ,
: 911#: Z96/ 44) Road Name: Zip Code: 9232 5
I Legal Description
Subdivision Name: Block: Lot(s):
Section: Township: Range:
Parcel Size (acres or square footage):
Property Owner: }. L f;,;" .,50„ Phone:
Mailing Address: 1 `�� e,-11 , ( / 983
2
IApplicant/Occupant: ? Phone:
(if different from owner) ,dr / 4AJ 7' („% a‘933 c-7e 2
Mailing Address:.
e 1 csdo L , , - - e cr�/d, /a4 9832 s
Authorized Rep: Phone:
Mailing Address:
General Contractor: D. k. :Toff-Ai
Or Manufactured Home Installer: Phone:(3i /385_-700
Mailing Address: ��} �� 1 �, l4 i 243
k�.fJiL1+Zf'�l�� ��'>) g 33
I Contractor's State License Number: K Jo t4G ;40 �2-7 Expiration Date:
Septic Designer: J Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
Fire District 'lam tying Area School District Zone:
. ..... . ..................
4/98 H:\home\pincntr\forms\universal plot plan
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Jefferson County Permit Center * Department of Community Development
(- - °c-/,, 621 Sheridan Street,Port Townsend WA 98368[3601379-4.450
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Project Description: #Jo/" 7 S+0 4.4c j),,c; c i (-rs I)
Building Type: Project Type: Frame Type: 1
❑ Single Family ❑ New X Wood
E Garage Attached/Detached $ Addition ❑ Steel
❑ Modular Cl Alteration/Remodel Cl Concrete
Cl Commercial Cl Repair Cl Masonry
• Muki-family/# of Units Cl Demolition Cl Other:
• Industrial j
Cl Other: —TS Li -r--l)
Bedrooms: Ba rooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer Cl Community System Cl Electricity Cl Oil
Proposed: Proposed: Cl Individual System Cl Woodstove Cl Propane
Total: $ Total: If not sewer,fill out the following: Cl Heat Pump
Cl Conventional Cl Alternative Cl Other AroWrg
Permit # SEP
Water Supply: I
Cl Private well ❑ Two Party Well ❑ Public:Name of water by stern: II
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee 34g ',
3rd Floor Plan Check fee l I . 6 3
Htd Basement State Surcharge fee ( f• SD
Unhtd Basement Subtotal 5 y',g ‘
Garage/Carport 70 400 Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL S`i.%%
Industrial Receipt # 322.81
Other � Cash/Check # ZOO'4
Total Valuation: (- _{00 Initials
Or Date g•-7 •c
Estimated Cost: 7�. ad
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
Signature: Date: al. , 3. D
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