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Home My WebLink AboutBLD2000-00542 o I .° 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#: BLD00-00542 Received Date 08/16/2000 SITE ADDRESS: 853 FAIRMOUNT RD Issue Date 11/21/2000 PORT TOWNSEND, 98368 Expiration Date 11/21/2001 APPLICANT: B.E. DOUGLAS PHONE: (425)641-3487 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 SUBDIVISION: Block: Lot: T 7+ PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): ['-r Foundation: U'1Ce,.r, W. y% y [LK Underground Plumbing/Underground Insulation: •..-&-(_ „ A n Ky_._ s/ / �,NS c.1°t_,41T" o..."� [ ] Shear Wall: // +/ [ ] Framing/Plumbing: ?(..,ova) a K 1-7-os 14-637r-roa ksvtt4404— [ ] Propane Tank/Lines: t f.l.r>t-, I-3..c -- £jf.� I/0E6 ilia�N7k OA 4%5 t q[ ] Insulation: Sc,A- C (A l a/! '1� t/�,,,2 ,C 5: [ ] Sheetrock: flppipytp RY CE$ 1/4/65 [ ] Final/Occupancy Approval: +: r{<<=offf C--tb-C 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 INSPECTION 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 6 6 , , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00542 SITE ADDRESS: 853 FAIRMOUNT RD Received Date: 8/16/2000 PORT TOWNSEND, 98368 APPLICANT: B.E. DOUGLAS 2038 W LAKE SAMMAMISH PHONE: (425)641-3487 PARKWAY NE REDMOND WA 98052 SUBDIVISION: Block: Lot: T 7+ PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ FRANK CHANEY ENGINEER : 67 STREET DESIGN STUDIO 67 STREET SEATTLE WA 98117 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE TYPE OF IMP NEW VALUATION 198,127.00 MAIN: 2 322 CODE EDITION: 1997 AMYL: HEAT TYPE: PRO OCCUPANCY: R_3 HEAT BASE: �,986;' HEAT TYPE: OCCUPANCY: UNHEATED: HO'r.;. #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 600 SHORELINE: DECK: 903 SETBACK: 52 SEWAGE DISPOSAL: ALT BANK HEIGHT: 8 WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Exist: Exist: Wetland Prop: � Prop: Erosion Seismic Total: Total: ("1,t, 1, • . Flood WayStreams Floodms Plane Routing Date: [ — —OQ F&W Landslide 416 I Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Proximity it AP late a eons Permit pp �� $1,548.15 MAM 08/16/00 33466 APPROVED Plan Check $464.45 MAM 08/16/00 33466 State Building Code $4.50 MAM 08/16/00 33466 �`v 2000 Potable Water Application $30.00 MAM 08/16/00 33466 2 Total: $2,047.10 Jefferson County Planning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 • • . #soly ca Jefferson County of sty It cr, 621 Shorba i Street,Port Townsend WA 8[360]378-4450 perm[lot SANG O o 0 0 � c�a�oon Project Description: Building Type: Project Type: Single Family Frame Type: ❑ Garage Attached/Detached UNew K Wood 0 Modular ❑ Addition ❑ Steel ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Multi-family/#of Units ❑ Masonry ❑ Demolition ❑ Other.❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal:� g �P Type of Heat: Existin . Choose one: E sg: 0 Existing: ____ ❑ Sewer ❑Community System ❑ Electricity ❑ Oil 3 Total: PTom sed: Individual System ❑ Woodstove Propane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ¢Alternative ❑ Other IWater Supply: Permit# SEP L -- ? .j t , Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Z -17 , 1, j Sc if- 126E Z2.. UBC OCCUPANCY GROUP 2ND Floor Base fee ( 2` >s.'I b `1 c5 ‹ti .. 1 I2 S° 3rd Floor Plan Check ' ' `5-0 •.O ! LI( L�. `� ��6`I Htd Basement (14 0� C/ , G S '1� t'. e Sure.fee ' Unhtd Basement 7/gZ Z ` Subtotals "�r y G� Garage/G port 6 GO 5 c f f" Pot WaterReview ` ?-I l a5 �� 3� _ 1 O feej(w ----- it ( 0 I S t 1 O O 9111Rd Approach fee Commercial TOTAL a 2-G°� "--I i C Industrial Receipt # L ' p r( Other Cash/Check# D Total Valuation: 4 Or -.` Initials Estimated ��, �7i e 94111 C `\t tS'; G `�4cost: I l `-) If within 200' ore ine, _,/' ' S , 9 c� ft.( - Distance to Bank or Ordina ry High Water Mark Z ft.Bank Height 1- S -t4 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 f .. • 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 , � 1 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 du rin Xe g regularbusiness hours. Signature: ( � Yl [7 0 {- 1 Date: �� BUILDING PERMIT APPLICATION ON Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00542 Received Date: 8/16/2000 SITE ADDRESS: 853 FAIRMOUNT RD PORT TOWNSEND, 98368 APPLICANT: B.E. DOUGLAS PHONE: (425)641-3487 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 SUBDIVISION: Block: Lot: T 7+ PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ FRANK CHANEY ENGINEER : 67 STREET DESIGN STUDIO 67 STREET SEATTLE WA 98117 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 198,127.00 MAIN: 2,322 CODE EDITION: 1997 ADD'L: HE,,, OCCUPANCY: R_3 HEAT BASE: 986 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 600 SHORELINE: CONST TYPE: DECK: 903 SETBACK: 52 BANK HEIGHT: 8 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL i, 1 ' PARCEL TAGS: YES - NO BEDROOMS: BATHROOMS: STORMWATER: YS V NO AREA Exist: Exist: Wetland 2 5 /c Erosion Prop: 3 Prop: 3 Seismic f L Streams Total: 3 Total: 3 Flood Way Flood Plane Routing Date: F&W Landslide 0 _ l � 0 ShorelineC--; " ..�,_,/ Aquifer-- . .. - Forest: Commercial / Rural Type Amount Paid By: Date: —Proxlrruty flat C ditlons -' Receipt: Approvewva e Permit $1,548.15 MAM 08/16/00 33466 Ica! Plan Check $464.45 MAM 08/16/00 33466 State Building Code $4.50 MAM 08/16/00 33466 q,0 , tri P Potable Water Application $30.00 MAM 08/16/00 33466 -1 '�" ' , Total: $2,047.10 J/�� %IS" ' - A — . , .,. :- A ) \ //,/ -•.-,,,,v , ,% ' i:\F_BLD_App_Bld.rpt 10/29/99 \\,.....j • • Jefferson County Department of Community Development November 14, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: B.E. DOUGLAS 2038 W LAKE SAMMAMISH PARKWAY NE REDMOND WA 98052 Critical Area Review Case Number: CAR00-00010 Project Description: Parcel Number: 902241006 S-T-R: 24-29N-02W Site Address: 853 FAIRMOUNT RD PORT TOWNSEND WA, 98368 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. Department of Community Development toff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 • `"t-� v -- frAY k ‘ I ____ pi- c,e2V6P( - 57 8e x.r i- 1 ..........-0-"-'".11.17---------" % ...a.- "go-wk_�f"" "'k ` X j O .....-•- t N ........._ ................ x F7 7 .,.. , r " "- .- ce ` i " ` _' ,„ aa►0 1 ;, , r.) ________ :. vt tt .7 17......----ft .1.-----.. ....- "•.... ,,- --#,..._ ......„-:.7--it v, ____----- ,i ...., ............., --,......... v... semmiskyl-- I Titt__________. 1 1, ..1------_____ _ ‘,,....,.... ...... . 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(v4s0 A1-0 11° ./ P I`.-w.._.,,4I fP e G,,G�j rrka.i l• .-.--..-...1..\,./....i._.......-'.!-..-.„.."_.„, ,61t - L . •. 79 07 • .•.,.._.0.I). ,:. . .I toN.0 1 . f ( • s :_ fff �� o 1v.,E 37..::"g•-"‘i I 1:: PI ------'i. ,„--m-1 A , .......x , , iz) ,,.., '.N*',''.--. 0111,,IIi.,' ; , „„ ____ 1 1 i ,, z c=, m , o m n 1 i 1 • • JeWson County Department of Community Development i��oN c�G 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 f • Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: r vU ( viA,toy 9 Digit Parcel Identification Number (from your tax statement): , 1 `?. Z Lt Site Address 911#: %3 / T Road Name: fa„;,,, wiz/t t v1,T (( Zip Code: Gj E 3. Legal Description Subdivision Name: k 17 Block: Lot(s): Section: -_ Lt. Township: Z. '7 Range: Parcel Size (acres or square footage): Property Owner: Phone: Mailing Address: ( �c6' AIL":,, �C t c� 6' cl i % t� e VV, i!� 7 tt wt vti t I"p� /! 1� . 1 C f_AA t..e-,., rA� /ea Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 0 t,jj F/ Phone: ti 7- 6 cif 3 C( Mailing Address: Contractor's State License Number: Expiration Date: Septic e Designer:' f'Pp5 / l� c ( ( C Phone: `� � t- ,� ✓ 7- ��l G J` Mailing A essf3IJ X ( L / +ri (i c (A,k q 3 s3 6( Architect:/Engineer: I Phone: . 14. C ,� (�'7 � r n ,ti % �- c 3 yet 3 MailingAddress: 7- TO 'Y fV 67 5T 1f/17 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