HomeMy WebLinkAboutBLD2000-00527I
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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 #: BLD00-00527 Received Date 08/9/2000
SITE ADDRESS: 51 BEACH DR Issue Date 08/15/2000
NORDLAND, 98358 Expiration Date 08/15/2001
APPLICANT: KATHLEEN WALDRON PHONE: (503)695-5885
33130 NE MERSHON RD
CORBETT OR 97019
SUBDIVISION: FULLER'S ACRES 1ST ADD Block: Lot: 1
PARCEL NUMBER: 952500001 Section: 08 Township: 29 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License: PARADBD141KW Expires: 03/29/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION RESIDENTIAL ADDITION (BEDROOM & DECK)
REQUIRED INSPECTIONS:
111 Footings/Setbacks (Shoreline Setbacks): 5 . -04 )
Foundation: 67/t:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ _ raming/Plum.". '/l' /6/ 9/(
( ] Propane Tank/Lines:
[.-1' ;Insulation:
[ Sheetrock: Q ) c ) ►-
[LFinal/Occupancy Approval: 6 I�S' Q/
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
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BUILDING PERMIT APPLICATION
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00527 Received Date: 8/9/2000
SITE ADDRESS: 51 BEACH DR
NORDLAND, 98358
APPLICANT: KATHLEEN WALDRON PHONE: (503)695-5885
33130 NE MERSHON RD
CORBETT OR 97019
SUBDIVISION: FULLER'S ACRES 1ST ADD Block: Lot: 1
PARCEL NUMBER: 952500001 Section: 08 Township: 29 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License PARADBD141 KW Expires 03/29/2001
ARCHITECT/ OLYMPIC DESIGN GROUP, INC
ENGINEER : 606 ROOSEVELT
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: RESIDENTIAL ADDITION (BEDROOM & DECK)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 470
VALUATION 29,310.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 330 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
Shoreline Aquifer
Forest: Commercial Rural
1-'r xim.it Flat C d bons
Type Amount Paid By: Date: Receipt: Approve��a�e
Permit $441.75 MAM 08/09/00 33441 APPROVED
Plan Check $132.53 MAM 08/09/00 33441 tx-.4-'3 ' -' -)o-ek
State Building Code $4.50 MAM 08/09/00 33441 AUG 1 5 2000
Potable Water Application $30.00 MAM 08/09/00 33441
Total: $608.78 Jefferson Count/ t'ior;ning
& B;it iri' ;rt tier t
i:\F_BLD_App_131d.rpt 10/29/99
Jefferson County artment of Conunmdty Development
•�5orr c0 62131av'idan Street,Port Town, ,nd WA 88388[3dOt 318=4450
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Project Description:
Building Type: Project Type: Frame Type:
x Single Family ❑ New At' Wood
❑ Garage Attached/Detached Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: E Existing: I ❑ Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: i Proposed: 0 >(Individual System ❑ Woodstove ❑ Propane
Total: ` Total: i If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor `I 70 2( o I`C .3- UBC OCCUPANCY GROUP
2ND Floor Base fee Li 9 C, IS
3rd Floor Plan Check fee 1 33-2„. 53
Htd Basement State Surcharge fee t"I • 5
Unhtd Basement Subtotal 5 • 1-8
Garage/Carport Pot Water Review fee 3 .
Decks `7• 329 5 911/Rd Approach fee
Commercial TOTAL �(1 4
Industrial �� "� \ Receipt # 3 f-i-
Other '�•�� CashlCheck# 3 7/ c
Total Valuation: 2C 1 CJ Initials
Or )ate 04)
Estimated Cost: -t 2 fJ y de,'�
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.
g
Si nature: 1 Date: —7 / '/,21
(._,1);, C 6(,- G z-_
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�� BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00527 Received Date: 8/9/2000
SITE ADDRESS: 51 BEACH DR
NORDLAND, 98358 r,
APPLICANT: KATHLEEN WALDRON PHONE: (503)695-5885 �-
33130 NE MERSHON RD
CORBETT OR 97019
SUBDIVISION: FULLER'S ACRES 1ST ADD Block: Lot: 1
PARCEL NUMBER: 952500001 Section: 08 Township: 29 N Range: 01 E
N
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License PARADBD141 KW Expires 03/29/2001
StorTateT 11 1
ARCHITECT/ OLYMPIC DESIGN GROUP, INC 1�eq r'', '-'`�2 `��
ENGINEER : 606 ROOSEVELT
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: RESIDENTIAL ADDITION (BEDROOM & DECK)
TYPE OF WORK RES SQUARE FOOTAGE: Coca' Area
TYPE OF IMP ADD MAIN: 470 III
VALUATION 29,310.00 ADD'L: HEAT TYPE: _ Vie ',-!'`00 ,:1 /-
CODE EDITION: 1997 HEAT BASE: HEAT TYPE.
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 330
BANK HEIGHT: — r
SEWAGE DISPOSAL: ALT fr', H ='
WATER SYSTEM: PWELL PARCEL TAGS: YES NO � '
BEDROOMS: BATHROOMS: STORMWATER: YES NO s.' AREA
Exist: Exist: Wetland Erosion
Prop: 1 Prop: 1 Seismic Streams
Total: 1 Total: 1 Flood Way Flood Plane
F&W Landslide .
Routing Date: Shoreline Aquifer I r= S-, _ ' '-T
Forest: Commercial Rural
�r xlm.lt Flat C d Ions
Type Amount Paid By: Date: recetp : Approve��ae
Permit $441.75 MAM 08/09/00 33441
Plan Check $132.53 MAM 08/09/00 33441
State Building Code $4.50 MAM 08/09/00 33441
Potable Water Application $30.00 MAM 08/09/00 33441
Total: $608.78
is\F_BLD_App_Bld.rpt 10/29/99
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Jefferson County Department of Community Development August 14, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: KATHLEEN WALDRON
33130 NE MERSHON RD
CORBETT OR 97019
Critical Area Review Case Number: CAR00-00362
Project Description: residential addition
Parcel Number: 952500001 S-T-R: 08-29N-01 E
Site Address: 51 BEACH DR
NORDLAND WA, 98358
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.
I
Department of-Community Development Staff
c: File
is\F_CAR_Waiver_Standrd.rpt 12/13/99
�o1vefferson County Department of Community Development
/4 coC 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
Universal Plot Plan
Fill in the following blanks as completely as possible:
Project Description:
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9 Digit Parcel Identification Number (from your tax statement): ,
Site Address / 64
911#: zl� �t ����
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Road Name: 6,4-r Zip Code: 9', ' ; 6 8
Legal Description
Subdivision Name: rt t l 1 _: c fce.5. _ Kor- At7O Block: Lot(s): '(
Section: 5 Township: zq �i Range: 1
Parcel Size (acres or square footage):
Property Owner: R
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l_ ji,74,,c cp7 ki jPhone
: 0 3 ,r.6 — 5c
Mailing Address:
1 0 kit i-,l(%T' ?--C N 1 , !. 7 r1 E- GR q rl ` l 9.
Applicant/Occupant: II Phone:
(if different from owner) \VA G_.1'}d hi
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor: t3(cam, t*W-t n`t
Or Manufactured Home Installer: lA R�,c:21 ,d, Phone: 13 7_c 344
Mailing Address:
+9• ° fox 6-45
Contractor's State License Number: �A� i t t K w , Expiration Date:
Septic Designer: Phone:
'TO i-t t-i Sc 0-r r �L—ex-t c 14 , E t tG 34.a -4 gSa o
Mailing Address: "
f' o Sox -44, `>o,i ` Ast.46EL�S , \N/A 9� 6Z
Architect:/Engineer: Phone:,
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: vY, t ex-
Mailing Address:
FOR OFFICE USE ONLY
Fire District: l Planning Area: School District: Zone:
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