HomeMy WebLinkAboutBLD2000-00548 LDING PERMIT APPLICATION
Jeffer on ountybepartment of Community Development
62 Sh ridan Street Port Townsend, WA 98368
PERMIT #: B . 0 00548 Received Date: 8/22/2000
SITE ADDRESS: (A b-, C E/ EORGE RD
PO TOWNSEND, 98368
I APPLICANT: JANET A WALLIN PHONE: (360)385-1582
835 POLK ST
PORT TOWNSEND WA 98.3686534
SUBDIVISION: GLENN HAVEN LARGE LOT SUBDIVIS Block: Lot: 1
PARCEL NUMBER: 001305014 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/ KIRK BOIKE
ENGINEER : 789 QUINCY
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 76,715.00 MAIN: 624
CODE EDITION: 1997 ADD'L: 576 HEAT TYPE: WOD
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: 576 #OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: SHORELINE:
CONST TYPE: ETBACK:
DECK: 340
far; BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
PARCEL TAGS: YES 4.1
BEDROOMS: BATHROOMS: STORMWA ER: YES \ AREA
Exist: Exist: Wetland Er. . P.
Prop: 2 Prop: 2 Seismic V Str-- s ��
Total: 2 Total: 2 Flood Way Flood Plane��'1 i)
Routing Date: F&W �&• Landslide
y_ a..Z -a o Shoreline Aquifer SfJ�G0
Forest: Commercial ' ( Rural r(o
Type Amount Paid By: Date: rKeceilpt: Appro conditions
Permit $832.75 MAM 08/22/00 34107
Plan Check $249.83 MAM 08/22/00 34107
State Building Code $4.50 MAM 08/22/00 34107
Potable Water Application $30.00 MAM 08/22/00 34107 `
r9Total: $1 ±..itt3tCatiAlTro_c_ics6:7,-,117.08
r ( 'llW ��
--
477 ,-, ‘
is\F_BLD_App_Bld.rpt 1 0/29/99
Jefferson County Department of Community Development September 12, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: JANET A WALLIN
835 POLK ST
PORT TOWNSEND WA 983686534
Critical Area Review Case Number: CAR00-00353
Project Description: 170-Mound
Parcel Number: 001305014 S-T-R: 30-30N-01 W
Site Address: 6405 CAPE GEORGE 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.
Dep rtment of Community Development Sta
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
1
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00548 Received Date: 8/22/2000
SITE ADDRESS: CAPE GEORGE RD
PORT TOWNSEND, 98368
APPLICANT: JANET A WALLIN PHONE: (360)385-1582
835 POLK ST
PORT TOWNSEND WA 983686534
SUBDIVISION: GLENN HAVEN LARGE LOT SUBDIVIS Block: Lot: 1
PARCEL NUMBER: 001305014 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/ KIRK BOIKE
ENGINEER : 789 QUINCY
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 624
VALUATION 76,715.00 ADD'L: 576 HEAT TYPE: WOD
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 576 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 340 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: I Exist: Wetland Erosion
Prop: /L� Prop: 2 Seismic Streams
Total: ....2 I Total: 2 Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
�� ��:� Forest: Commercial Rural
1-'r xim.it - I�lat C d tions
Type Amount Paid By: Date: Receipt: Approve� a�e
Permit $832.75 MAM 08/22/00 34107 P e V F D
Plan Check $249.83 MAM 08/22/00 34107 /'l! �;✓
State Building Code $4.50 MAM 08/22/00 34107 ‘-J'u-`-a-L
Potable Water Application $30.00 MAM 08/22/00 34107 SEP `� 2���
Total: $1,117.08 Jefferson County iJat;,ni,g
St Building Department
is\F_BLD_App_Bld.rpt 10/29/99
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 #: BLD00-00548 Received Date 08/22/2000
SITE ADDRESS: 6405 CAPE GEORGE RD Issue Date 09/26/2000
PORT TOWNSEND, 98368 Expiration Date 09/26/2001
APPLICANT: JANET A WALLIN PHONE: (360)385-1582
835 POLK ST
PORT TOWNSEND WA 983686534
SUBDIVISION: GLENN HAVEN LARGE LOT SUBDIVIS Block: Lot: 1
PARCEL NUMBER: 001305014 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQ IRED INSPECTIONS:
'Footings/Setbacks (Shoreline Setbacks): �>'Goc.-�ieao�aic, ;6v, Ge�,,u� /o�,,
[`f Foundation: OK,/w4 67 - /0—/7—Do
[j Underground Plumbi pnderground Insulation: Q/C`/�w Coy,-(---/e)—n- a o
[t]-` Shear Wall: CT)( )—)6 ,v /
[ ] (Frami robing: ' 0IC 'G //�e, SAC 5/ c'-
[ ] Propane Tank/Lines:
[ZJ< Insulation:OCck ±0y o/
[4 Sheetrock: ► -7 7�/
[7 Final/Occupancy Approval (J(C . /O—Zr--O/
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
I
Jefferson County Department of community Development
oiv
�, co'Z �' 6213tian Street,Port Town :nd WA 88368 I3601378-4450
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Project Description:
Building Type: Project Type: Frame Type:
X,?Single Family New (-" Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-farnily/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: 2t I Propose.! X Individual System XWoodstove ❑ Propane
Total: 1 Total: If not sewer,fill out the following: C❑ Heat Pump
❑ Conventional Ahern 've ❑ Other
Permit# SEP
Water Supply: FCJ
❑ Private well ❑ Two P. Well❑ Public:Name of water system:
Square Footage: ? /r� r , For Office Use Only
Main Floor 6 !r+ `7" `4 UBC OCCUPANCY GROUP --"'
C r �` Q'3 .
2�Floor J 7 V \ ,� Base fee ( } �y
3rd Floor (���`Plan Check fee , ill+
Htd Basement -.. C;(�� State Surcharge fee 4 65
Unhtd Basement �7'6 lQ \u Subtotal 0
Garage/Carport 7I l Pot Water Review fee t
Decks � �� 911/Rd Approach fee • O
c 5X/.D
Commercial -,TOTAL ( •
i/\ 7
Industrial / Receipt rr j ' f
Other I h/Check# `� <„7.
d'
f\\Total Valuation: tials / �
Or / \ n ` Date ` 6 l
Estimated Cost: 72 �y
t _
If within 200' of the Shoreline, ,
Distance to Bank or Ordinary High Wa -r Mark ft.Bank Height ft.
By signing the application form,the applicant/owner atte 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 wi respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jeffers. 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 th 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 structur shall be requested and shall occur during regular business hours. '
Signature: ,,�� —'L. J,r C( --)7- .CC Date: ( - 6)0
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