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HomeMy WebLinkAboutBLD2000-00556 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#: BLD00-00556 Received Date 08/25/2000 SITE ADDRESS: 293245 HWY 101 Issue Date 09/6/2000 QUILCENE, 98376 Expiration Date 09/6/2001 APPLICANT: GARY ANDERSON PHONE: BECKY ANDERSON (360)765 4049 PO BOX 188 QUILCENE WA 98376 SUBDIVISION: PARCEL NUMBER: 702114008 Section: 11 Township: 27 NBIock:Range: 02 Lot T 15 CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [U----(15-otings/Set ac (Shoreline Setbacks);, 0 j' t.L? re.„ tr)/C it07:23/7cnn 6 . [J Foundation: (9*- /1- 7 C->d ' '-t._.c. c.,- _ 2Z a`' [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: - [L.] -�-Ecari 72 c),1/47/5 C-Vc .�-k'r/ram 4—RA)/v'r/"= [ ] Propane Tank/Lines: [r sulatio /�)� [ 1 S ock: G�'K. v/O a. 1U/ Final/Oc upancy Approval:p IK 1 K \K 'a l AAjt."-- 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 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00556 Received Date: 8/25/2000 SITE ADDRESS: 293245 HWY 101 QUILCENE, 98376 APPLICANT: GARY ANDERSON PHONE: (360)765-4049 BECKY ANDERSON PO BOX 188 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 15 PARCEL NUMBER: 702114008 Section: 11 Township: 27 N Range: 02 W CONTRACTOR: OWNER PHONE ARCHITECT/ INDEPENDENT HOME DESIGN ENGINEER : 210 E PACIFIC SPOKANE WA 99202 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,247 VALUATION 128,976.00 ADD'L: 926 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 648 SHORELINE: CONST TYPE: DECK: 222 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane RoutingDate: � F&W Landslide -` '' "`" .._( 0 Shoreline Aquifer Forest: Commercial Rural —1-'r xim.ity - Plat C d tions Type Amount Paid By: Date: Receipt: Approved�me Permit $1,156.15 MAM 08/25/00 33492 Plan Check $346.85 MAM 08/25/00 33492 A 1- x E State Building Code $4.50 MAM 08/25/00 33492 Total: $1,507.50 S 6 000 Jefferoon County Planning :1 L:,:ht:3 a t'pz:t vet:f is\F_BLD_App_Bld.rpt 10/29/99 4 • y SON4 . Jefferson County Permit Center * Department of Community Development w ,. °, 621 Sheridan Street,Port Townsend WA 98368[3601379-4450 4, 'Pt' -63'.:y, ‘.. ..t-l‘t,Th.i;c1, 0 erm..1nr Atliorcl?on rd - L, - Project Description: Real le'Y'1 c 9arya / Becky AY7G1 vYYail ,Q93��,5-/ c.y/O/ or„„/c:1,t Bqditig Type: Project Type: Frame Type: Single Family f!r V�ew [ rood ❑ Garage Attached/Detached ❑ Addition 0 Steel O Modular 0 Alteration/Remodel 0 Concrete O Commercial 0 Repair ❑ Masonry ❑ Multi-family/# of Units 0 Demolition 0 Other. O Industrial O Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 0 Sewer :Community System rctricity E. Oil Proposed Proposed j dividual System 0 Woodstove ❑ Propane Total Total: a 1- If not sewer,fill out the following: iilqeat Pump ❑ Conventional 0 Alternative 0 Other Permit # SEP 7 9,-(7//,S— Wat upply: Private well 0 Two Party Well 0 Public:Name of water system: Square Footage: For Office Use Only Main Floor /�? /7 (0q (fl l . 5 UBC OCCUPANCY GROUP 2ND Floor 9 a 49 5 1 J , ( Base fee I ) S(o , i 5 3rd Floor Plan Check fee 34 L . 35 Htd Basement State Surcharge fee "1 St Unhtd Basement Subtotal 150 0 O . 5-1) Garage/Carport Co 4 t b Li 0 Pot Water Review fee Decks `�P a c2 0 911/Rd Approach fee Commercial TOTAL I5 --1 SO Industrial " " Receipt # jg"L Other �' Cash/Check # (A-5 Total Valuati n: i-2_g/� 1"" L� Z7 Initials U Or Date g` 2-5. 'CO Estimated Cost: 4 80,00 0 If within 200' of the Shoreline, h;/A Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. i3 Signature: cti. Date: "/2v/0 -7(s�470i • - ��o o Jefferson County Permit Center * Department of Community Development 621 Sheridan Street Port Townsend WA 88368(360]379-4450 uni-nrsti Till iu el€ in/.Gimi &am s a4 comAtetely a4 frzamifle: Project Description: ' e6icie,d fled Dvvellin,c) 9 Digit Parcel Identification Number(from your tax statement): 7 I 1 ,4 QC}F Site Address 911#: Ci 3a 45 Road Name: 14 w ki I() I Zip Code: q F 3-7 ce Legal Description Subdivision Name: Block: Lot(s): Section: i i Township: J V Range: ® a Nir4 Parcel Size (acres or square footage): off,, Property Owner: c Phone: Gtry c-tr,d Pe_loveCeL. AndC'4rS 3(eo 1 c/0 st 9 Mailing Address: P c5 be f gfr ', ()GC, leer‹, WA q?3-7k Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 0 Len eir fbLLi (L C /lYatyserN Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: (ctrxrtilPone: ice8 98 Mailing Address: OW Li.-15)4r• L-4(ter .:t lr�t L Ce ru, cco 9 S )k) Architect:/Engineer.:_ Phone: 1��ri did e41+ -.rn 1 — Mailing Address: 210 F_ Pa6.-Fic- 5pckeine, 99 0 Loan Lender/General Phone: Contractor's Bond Holder: ti /A Mailing Address: FOR OFNCE-USE ONLY Fire District Planning Area.. School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan 4.-j-}Isd..- lik BUILDING PERMIT APPLICATION „r� Jefferson County Department of Community Development . 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00556 Received Date: 8/25/2000 SITE ADDRESS: 293245 HWY 101 QUILCENE, 98376 APPLICANT: GARY ANDERSON PHONE: (360)765-4049 BECKY ANDERSON PO BOX 188 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 15 PARCEL NUMBER: 702114008 Section: 11 Township: 27 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ INDEPENDENT HOME DESIGN ENGINEER : 210 E PACIFIC SPOKANE WA 99202 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,247 VALUATION 128,976.00 ADD'L: 926 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: l CONST TYPE: GARAGE: 648 SETBACK: DECK: 222 BANK HEIGHT:SEWAGE DISPOSAL: CON 'h 3 WATER SYSTEM: PWELL PARCEL TAGS: YES NO L. BEDROOMS: BATHROOMS: STORMWATER: YES NO V AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic `'r 5 Streams - Total: 3 Total: 3 Flood Way Flood Plane Landslide / Routing Date: - Shoreline _ Aquifers Forest: Commercial L -5-1-- Rural r ximiFlat Uoad. ions Type Amount Paid By: Date: Receipt: Approve a e Permit $1,156.15 MAM 08/25/00 33492 CAot�� �' .; .. Plan Check $346.85 MAM 08/25/00 33492 11 110-. State Building Code $4.50 MAM 08/25/00 33492 - - --- - L Total: $1,507.50 Rev{ AA , ,N\ , U is\F_B LD_App_B ld.rpt 10/29/99 i Yj- erson County Department of Community Development .21 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: GARY ANDERSON BECKY ANDERSON PO BOX 188 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00383 Project Description: sfr Parcel Number. 702114008 S-T-R: 11-27N-02W Site Address: 293245 HWY 101 QUILCENE WA, 98376 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. /RV De artment of Community evelopment Staff c: File I:\F CAR Waiver_Standrd.rpt 12/13/99 xY. xw > WWashington State AIT Department of Transportation Access Connection Permit Name and Address of Applicant: Permit Number Gary&Becky Anderson M99-3024 P.O. Box 188 SR MP L/R Quilcene,Wa 98376 101 293.17 Left KP Region Olympic County Tax Parcel Number • Jefferson Government Lot Number Phone (Optional) 3( o -1(�c ,(loV/ 1/4 of SE 1/4 of S 11 , T 27 , R 2 Permit Category Current Highway Classification Z 1 -Minimum Connection ❑ 1 -1320'Minimum Approach Spacing Required ❑2-Minor Connection ®2-660'Minimum Approach Spacing Required ❑ 3-Major Connection ❑3-330'Minimum Approach Spacing Required ❑4-Temporary Connection ❑4-250'Minimum Approach Spacing Required ❑5-125'Minimum Approach Spacing Required Access Connection meets current Department location,spacing, and design criteria: ❑conforming ®Non-Conforming The Applicant, hereinafter referred to as the"Grantee,"having applied for a permit to construct/upgrade, use, and maintain an access connection to serve: 1 Single Family Residence. The Washington State Department of Transportation or its designee, herein after referred to as the"Department," hereby orders that this permit be granted, subject to the terms and provisions stated upon the General Provisions hereof and Exhibits attached hereto and by this reference made a part hereof: Exhibit"A"-Special Provisions for Highway Encroachments, Page(s) 1 &2 Exhibit A,Type"A"Template Exhibit•B, Traffic Control Plan This permit shall be void unless the construction herein contemplated is started within 90 days of issuance and completed within 120 days of issuance, unless otherwise provided herein. This permit is accepted and approved by the Grantee subject to the terms and provisions as herein set forth. GRANTEE DEPARTMENT OF TRANSPORTATION By: By: 4NYI Title: puOraide, ULvrt.ec) ' Title: Asst. Maintena ce Superintendent Date: 94/9 i Date: September 15, 1999 • DOT Form 224-005 EF Revised 5/97 �C(hc Q r `� N�v�! 1 O E .. 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