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
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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
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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
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