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BLD2000-00746
W r y. 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 #: BLD00-00746 Received Date 11/20/2000 SITE ADDRESS: 86 N BAYVIEW DR Issue Date 04/18/2001 PORT LUDLOW, 98365 Expiration Date 04/18/2002 APPLICANT: DAVID HOLT PHONE: (541)382-7073 1539 NW SUMMIT BEND OR 97708 SUBDIVISION: GAINER SHORT PLAT Block: Lot: 4 PARCEL NUMBER: 921332026 Section: 33 Township: 29 N Range: 01 E CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEN J WA 98368 r/A�/- /J/o'f Contractor's License: LITTLLC157C5S Expires: 2/18/02 LOAN LENDER/ CUMBERLAND CASUALTY& SURETY BOND HOLDER: TAMPA FL PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): (C1 ( ,,--.)f r2� t [ ] Footings: C5\V__ —I jT/VP"Pn'/0 r f r 'iC W30ircf3/ , [ •undati: : /C '�?� d G/ / �, a [ ] Jn erground Piumbin /Underground Insulati ��r c, C`'c,,,,cam,6 t� to_ i s-C) [Ib*I__ Shear WaI. e C /44/0 3 _„k [�,,}.- raming/Plumb n �� ///2�,i/;; [ ] Propane Tank/Li�neS:Z�y�- c_/'/1/F= (9 7/0K, :3 iloNo, [ ] Insulation: Alas 4 ewat. coo" i/alai/04d cie_g/$/ [ ] Sheetrock: g/.5/03 [ ] Final/Occupancy Approv : 2A 4'-' - 12161 %;or HEALTH DEPARTMENT APPROVAL REQUIRED PRI•R 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 INSF Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. HOT LINE AVAILABLE 24 HOURS A DAY i:\F_BLD_Permit_Buildng.rpt 10/29/99 V7 s BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00746 Received Date: 11/20/2000 SITE ADDRESS: 86 N BAYVIEW DR PORT LUDLOW, 98365 APPLICANT: DAVID HOLT PHONE: (541)382-7073 1539 NW SUMMIT BEND OR 97708 4133aoab SUBDIVISION: GAINER SHORT PLAT Block: Lot: 1-3 PARCEL NUMBER: _921332028 - Section: 33 Township: 29 N Range: 01 E CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5S Expires 02/18/2001 ARCHITECT/ DESIGN ASSOCIATES ENGINEER : 20380 HALFWAY RD SUITE B BEND OR 97701 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,431 VALUATION 18,645.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 2,431 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,098 SHORELINE: CONST TYPE: DECK: 901 SETBACK: 75 BANK HEIGHT: 30 SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams Total: 2 Total: 3 Flood Way Flood Plane Routing Date: F&W Landslide /� — O _ 0 0 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: �rReceipt F'ILt# E ons p Permit $1,464.15 MAM 11/20/00 35449 APPRJE1D Plan Check $439.25 MAM 11/20/00 35449 State Building Code $4.50 MAM 11/20/00 35449 Ei:_i 2001 Potable Water Application $30.00 MAM 11/20/00 35449 Total: $1,937.90 JEFFERSON COON SIGNATTURE:EFT. OF d:5jU DEVELOrP �N�T is\F_BLD_App_Bld.rpt 10/29/99 / 4 ' Jefferson Calnty Department of Community Development �¢sON ° . 621 Slmridan Street,Port Town i:nd WA 88368[360)378-4450 ?ern? , __.,-,-..,T.,-..-_--,_ ___,), A --ds_, I, ,,o,,,,,i. 0- ©n Project Description: Building Type: Proms' ct Type: Frame Type: �'Single Family '' New ❑ Wood ❑ Garage Attached/Detached ❑ Addition l ❑ Modular ❑ Alteration/Remodel LE-"Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: _ Existing: iii ❑�S wer ❑Community System ❑ Electricity ❑ Oil Proposed: 2 Proposed: 3 fl In' dividual System ❑ WW odstove ❑ Propane Total: ' Total: 3 If not sewer,fill out the following: rneat Pump ❑ Conventional temative i ❑ Other Permit# SEP — lS Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: _c`> For Office Use Only Main Floor 24 3 1 131-‘c; ' UBC OCCUPANCY GROUP 2ND Floor Base fee / 11 f 3r Floor Plan Check fee y ,3 . c2 ' Htd Basement l pk�� State Surcharge fee '/• �j O Unhtd Basement 2-1 3 t I�� Subtotal / 90 9de I Garage/ arport I Oci 3 UM k 1V) 1 11 Pot Water Review fee n C. u Decksgot61a,b 911/Rd Approach fee Commercial TOTAL ! ,3 2 Industrial 'eceipt # / Other //ll V V . h/Check# 1p Total Valuation: \ 4J Initials Or �U Date /)—�' - Estimated Cost: �� GO I If within 200' of the Shoreline, t Distance to Bank or Ordinary High Water Mark -1 5 ft. Bank Height 3© ft. B 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 o.. " 'on 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 forth- agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Je erson County as a result of or in consequence of the granting of this permit. I further agr".to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections, Access and ri•: of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. / Signature: / �— Date: /�—/ b--�o { • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00746 . Received Date: 11/20/2000 SITE ADDRESS: 86 N BAYVIEW DR PORT LUDLOW, 98365 APPLICANT: DAVID HOLT 1539 NW SUMMIT PHONE: (541)382-7073 BEND OR 97708 SUBDIVISION: GAINER SHORT PLAT PARCEL NUMBER: 92133 Block: Lot: �'�3'� �,.�� Section: 33 Township: 29 N Range: 01 E CONTRACTOR: LITTLE & LITTLE CONSTRUCTION 2009 4TH STREET PHONE: (360)385-5606 PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5S Expires 02/18/2001 ARCHITECT/ DESIGN ASSOCIATES ENGINEER : 20380 HALFWAY RD SUITE B .. BEND OR 97701 PROJECT DESCR IPTION: SINGLE FAMILY RESIDENCE ,_.-) _ _... . .. .,.... TYPE OF WORK ._.._....._ .... ... ._ RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 18,645.00 MAIN: 2,431 CODE EDITION: 1997 ADD'L: HEAT TYPE: HTP HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: 2,431 #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 1,098 SHORELINE: DECK: 901 SETBACK: 75 SEWAGE DISPOSAL: OSS 942-t K HEIGHT: 30 WATER SYSTEM: PWELL 1-' BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Bst: STORMWATER: YES NO AREA Exist: Wetland Prop: 2 Prop: 3 Erosio Total: 2 Seismic Streams Total: 3 Flood Way Flood Plane Routing Date: cJ FEW Landslide // — �C - Shoreline Vik Aquifer Forest:Q Commercialv Rura Type Amount Paid By: Date: rQecei t a • Ions - Permit p Approvec��a e $1,464.15 MAM 11/20/00 35449 :1,71 Plan Check $439.25 MAM 11/20/00 35449 State Building Code �;, ��$4.50 MAM 11/20/00 35449 '' y 'Potable Water Application s + $30.00 MAM 11/20/00 35449 L���1'� � Total: ��__ �� 51,937.90 ` 4 :oe .1 is\_BLD APP_Bld.rpt ` , 10/29/99 Jefferson County Department of Community Development November 21, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE AppOcant: DAVID HOLT , LS l�1 1539 NW SUMMIT BEND OR 97708 DEC 1 1 0 MS Rolm Coe Plumber: CAROO'00497 SoN DEpT OF 44�M� �ii� sing.family Ni�oe c2UN� O T1 "21 S-T-R: 33-29N-01 E OEVEIOP MENT be N BAYVIEW OR PORT LUDLOW WA. 98365 FINDINGS: In accordance with the authority provided under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on 11/20/00 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: Eagle Habitat, streams, and shoreline.. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 5/18/99 and confirmed the existence of the following critical areas and/or their associated buffers on the property: Shoreline. 3.) Washington Department of Fish and Wildlife deemed that this proposal is not a conflict with eagle habitat, therefore, an eagle plan is not required. 4.) This waiver also includes findings and conditions for evaluation of shoreline areas as regulated under the provision of The Jefferson County Shoreline Management Master Program, adopted March 7, 1988, as amended. 5.) The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be 30 feet, or 1 foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank height exceeds 10 feet. The required setback for the proposed building enveiope shaii measure 30-feet. This waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the following conditions. Any deviation from these conditions shall result in this waiver being revoked and the application becoming subject to further review. CONDITIONS OF APPROVAL: 1.) A vegetive buffer of 30 feet shall be permanently maintained from the top or edge of shoreline bluff. All buffers shall be measured perpendicularly from the top of the shoreline bluff. 2.) Residential structures shall not exceed thirty-five (35)feet in height. 3.) The applicant shall apply for a shoreline permit exemption for the installation of a stormwater tight-line prior to construction of any structures. 4.) A minimum 30-foot setback shall be maintained from the top of the shoreline bluff to the proposed building envelope. I � fi aitt.641 5 /CO Warren Hart, AICP Date Critical Areas Administrator I understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is made subject to my complying with the above listed conditions, and that any violation of said conditions shall result in revocation of the permit or approval and further review of the project under the Critical Areas Ordinance. Please sign and ret t• - Department of Community Development. Apii®nt''s • Date Fie I:\F_CAR_Waiver_W_Conds.rpt 12/13/99 i Jefferson County Department of Community Development w$ oN coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 r '� , : K4,.. . ` Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: Sl v6 L6 (A-741/Ly re-5/D Ss-AI C 6- 9 Digit Parcel Identification Number (from your tax statement): 0724 3 3 Z O2- Site Address 911#: $67/V• 54 YV I ew-7 z . Road Name: ?AY V t Oki l g.. Zip Code: 'I 85635 Legal Description Subdivision Name: G41t J2 5ttO7 1 jL1 Arita k t) Block: Lot(s): 1, 2.13i 4 Section: Township: Range: Parcel Size (acres or square footage): 217 $p-v D I Property Owner: Dm I Sv 5.4p.....) N ELT Phone,) 3". Z -7 07 3 Mailing Address: ( S39 Nw sumwkI-r iR -5 . NA1 Oge6oN q-7 -7oi p lic ccupant: Phone: (i different from owner) tf-r T4 t(TZ C6N 5 T 3.85 Sc O Mailing Address: q 4,- 5T - F.77A /A - / (SS' 3 6 S-- Authorized Rep: % /9-0-a ll� Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: L/f'ILLs4 L17 co N s r , Phone: 3?-( o 5(0D 6 MailingAddress:ress:.2.41,1 4'Lsfi _ er. VVA - ! Ctfl3to3° Contractor's State License Number: f Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: - C,N f_ s5a.( 3_ Phone( ,)f 33b (a D 43 Mailing Address: 2-03g® H,rLrtvVA-Y tZD} Cu i1 $1 D! oR- 6oNI 1.7 0 I Loan Lend( CUMBERLAND CASUALTY& SURETY COMPANY hone: Contractor'; TAMPA,FLORIDA /-yro-Z2Z-1 ZZ- Mailing Address: BOND Nil MB009000902 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan C O Q' N 0 O •-. 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