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HomeMy WebLinkAboutBLD2000-00560 + 4 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 #: BLD00-00560 Received Date 08/28/2000 SITE ADDRESS: 13 SHETLAND LN Issue Date 09/8/2000 BRINNON, 98320 Expiration Date 09/8/2001 APPLICANT: GEORGE BUTLER PHONE: CAROLYN BUTLER PO BOX 233 BRINNON WA 98320 SUBDIVISION: LAZY C RANCH DIV 3 Block: Lot: 216 PARCEL NUMBER: 966900174 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: BROOKS WOOD CONSTRUCTION PHONE: (360)427-2715 PO BOX 2367 SHELTON WA 98584 Contractor's License: BROOKWC061 MO Expires: 07/20/2001 LOAN LENDER/ CBIC BOND HOLDER: 1213 VALLEY ST PO BOX 9271 SEATTLE WA 98109 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [U. -F ootings/Se ck?(Shoreline Setbacks):J/L /0//i ADC) y ( • ndatio • (D!C /C//9/,) , [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ 041, [�a�`. ropane TanTc71=1nes �clT L_/ /l /C t�c G �N 'G>i/67 [cY insulation: C1 /2- /2 - - ,� "✓✓�� - F77-- i -. anal/Occupancy Appr�o „ `� AMP_ _ HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL NSPECTION. 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 #: BLD00-00560 Received Date: 8/28/2000 SITE ADDRESS: 13 SHETLAND LN BRINNON, 98320 APPLICANT: GEORGE BUTLER PHONE: CAROLYN BUTLER PO BOX 233 BRINNON WA 98320 SUBDIVISION: LAZY C RANCH DIV 3 Block: Lot: 216 PARCEL NUMBER: 966900174 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: BROOKS WOOD CONSTRUCTION PHONE: (360)427-2715 PO BOX 2367 SHELTON WA 98584 Contractor's License BROOKWC061 MO Expires 07/20/200 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 576 VALUATION 32,202.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 32 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC 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 F&W Landslide ds de Routing Date: _ Shoreline Aquifer v Forest: Commercial Rural 'Proximity - teat c.ncalitlons Type Amount Paid By: Date: Receipt: Approved/uate Permit $472.05 MAM 08/28/00 33498 P R Plan Check $141.62 MAM 08/28/00 33498 State Building Code $4.50 MAM 08/28/00 33498 (,� L� Potable Water Application $30.00 MAM 08/28/00 33498 S Ill'I Total: $648.17 Jefferson County Planning &8u's1d no 0epartmect is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development ...g., co 621 Sheridan Street,Port Town nod WA 08368 13601 378-4450 t' ,i ., 1. W `s<z. *4 0 ?sue p cal -o © Project Description: Building Type: Project Type: Frame Type: 1 Single Family X.New Wood Garage Attached/Detached = Addition Li Steel • Modular = Alteration/Remodel = Concrete • Commercial = Repair = Masonry • Multi-family/#of Units E. Demolition L Other: • Industrial Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. 0 Existing: 0 = Sewer _Community System ,Electricity = Oil Proposed: f Proposed: / Individual System x j j j-/A)6 Woodstove Propane Total: /` Total: / If not sewer,fill out the following: E Heat Pump 1Conventional = Alternative ❑ Other Permit# SEP (gf) ° I 1 Water Supply: '+ • Private well ❑ Two Party WelX Public:Name of water system: .L 41 Z T C Square Footage: 1 For Office Use Only Main Floor 7‘ '3 I I . ( UBC OCCUPANCY GROUP 2ND Floor '" Base fee L.I 2 °5 3rd Floor _ Plan Check fee I Li I v (a-2 Htd Basement State Surcharge fee l--I . SO Unhtd Basement Subtotal (0 c g . I } Garage/Carport ..-- Pot Water Review fee 3n , CZ Decks 3,Z S X""> - 3' ,D 911/Rd Approach fee Commercial TOTAL (0' 4 . 1 i Industrial Receipt # 331-1 CI Other 2 Cash/Check# 22�3 2 Total Valuatio 327ZC)' Initials Or Date g - 2 3 `O7 Estimated Cost: If within 200' of the Shoreline, . Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 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 plicant's property or e s' 1UA e requested and shall occur during regular business hours. Signature: -e,' - " Date: 0.e: *1 Jefferson County Department of Community Development � oN co . 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 \ \ 4. ' '\ Universal Plot Plan 1 1-riNG 9 Fill in the following blanks as completely as possible: Project Description: .S//u / '/I 5 i-e S/ t /1O2 9 Digit Parcel Identification Number (from your tax statement): g� ` 470e) 1/ 7 Site Address j3 Si/47Z n/0P 911#: , ,Qj/()/l)6/V Road Name: s ff V7'Li9/tJ,jJ Zip Code: �l�j 3 Z f Legal Description C .. D/1,/ 3 Subdivision Name: Z.��' Tl „C / 6?A-) 'H Block: Lot(s): Z./. . Section: Township: Range: Parcel Size (acres or square footage): Property Owner: Phone: E a,2 £ 1307Z•S/e Mailing Address: /`��0- 130z Z 3 3 /yi2!/U/t>a/L>, GUA ?83'7-e2-o z33 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: 131e pd kS-W 6627 G e-14,57 Or Manufactured Home Installer: Phone7tep-+7-7„-2- 7/t> MailingAddress: Contractor's State License Number: ) '' Expiration Date: T/eooka)Cd� Moe) 7-- Za --Z0a/ Septic Designer: E�/57-1^A- ,S-ysT0'/!J Phone: Mailing Address: t/t.;S 777,44 D R i /' riv Ze:4711-/77 J4' Architect:/Engineer: ti,q Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: C./3!c eQ' L i -0 Z.5-- Cj3/G M qz j Address: / 7 y//ozz t. ) /. /boa 9 z J/ sr..1�� !v. yr". F log 1 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan S/ 'ETG , /ti i:2 G •Q./t)E \ \ i 1 I ' Q I 5E,it _ _ \ /:)7‘i ---`) ' 1- 'o I I PI R � w ; 1 I 1 I 1 04 42 i h 1 LJLLLL) I /L 6e _ N.:- tf' fob -0� �. a NEW Z `z`� � T2E'S , `\� �'! U1° o 4;/04, Gd 1 1� /I U c P 2D ---- - 9 ' G E---0.--/i'c'f G'E' /3 4.'7—.4- 0 A' LroT '214 - ptv. 3 G42V "C " R"A?i'U C/7/ , R//LJ/)0Ai, Gd// ' c. /?i E r / // - - 0 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00560 Received Date: 8/28/2000 SITE ADDRESS: 13 SHETLAND LN BRINNON, 98320 APPLICANT: GEORGE BUTLER PHONE: CAROLYN BUTLER PO BOX 233 BRINNON WA 98320 SUBDIVISION: LAZY C RANCH DIV 3 Block: Lot: 216 PARCEL NUMBER: 966900174 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: BROOKS WOOD CONSTRUCTION PHONE: (360)427-2715 PO BOX 2367 SHELTON WA 98584 Contractor's License BROOKWC061 MO Expires 07/20/200 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW 576 VALUATION 32,202.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: '� OCCUPANCY: R-3 UNHEATED: #OF STORIES: 001 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 32 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC 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 F&W Landslide Routing Date: Q Shoreline Aquifer v " 3 ()—0 d Forest: Commercial Rural —Proximity - Nlat iant ons Type Amount Paid By: Date: Receipt: Approved ate Permit $472.05 MAM 08/28/00 33498 _ Plan Check $141.62 MAM 08/28/00 33498 - Z >r,t- .,f,A State Building Code $4.50 MAM 08/28/00 33498 ��` , Potable Water Application $30.00 MAM 08/28/00 33498 . '�"°"- 'i.'r \J Total: $648.17 a� y � ri : 4iii‘ ', RoOell - -V.-- 1 is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development August 30, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: GEORGE BUTLER CAROLYN BUTLER PO BOX 233 BRINNON WA 98320 Critical Area Review Case Number: CAR00-00174 Project Description: Parcel Number: 966900174 S-T-R: 34-26N-02W Site Address: 13 SHETLAND LN BRINNON WA, 98320 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 Ar s Ordinance. Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 A N rorl., h I I t i DF JoaST'S i i, �>r�i�aa=�rtir I NI it L I { 14/PIC 4C4 4u4,. . �% colic P.F. T34./t /7-7- F'T r fr � I � .w JolNr e i 6 x 24 co c ! I ; Srr-M ouA44- ! i ' I " •' ry I I 6 Xi ✓£NTr �2 x /Z N T j'F e} o' `x o/c Ej FOUNDATION PLAN A EL. =cTlt(C RA A- . ELECTRICAL PLAN 2k 6 P7- i s r-5 A/ 4x6 Pi E!x ELKS 4�SAZIVZ V S NOTE: W,"Doty 5 W/rt/ in) - FRR,41 Z " V E AV 7-S Job location: #I; Shetland Brinnon. WA Drawn brn Patrick Brooks DATE. SCALE; I/," PAGE: One ! t 1 vH D';•c C FLOOR PLAN d M w i iW lr.. 211