HomeMy WebLinkAboutBLD2000-00763 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 #: BLD00-00763 Received Date 11/27/2000
SITE ADDRESS: 190 STEVENS AVE Issue Date 11/29/2000
PORT TOWNSEND, 98368 Expiration Date 11/29/2001
APPLICANT: KENNETH W AUSTIN PHONE: (360)732-7575
190 STEVENS RD
PORT TOWNSEND WA 98368
SUBDIVISION: GISE'S ADDITION Block: 18 Lot: 1&2
PARCEL NUMBER: 953101801 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION STORAGE SHED
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: IC It -b�a
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
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00763 Received Date: 11/27/2000
SITE ADDRESS: 190 STEVENS AVE
PORT TOWNSEND, 98368
APPLICANT: KENNETH W AUSTIN PHONE: (360)732-7575
190 STEVENS RD
PORT TOWNSEND WA 98368
SUBDIVISION: GISE'S ADDITION Block: 18 Lot: 1&2
PARCEL NUMBER: 953101801 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: STORAGE SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 2,660.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 266 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
Routing Date: /-z. /c9O
F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Pr ximltyy - t Iat conditions
Type Amount Paid By: Date: Receipt: Approved/pate
Permit $83.25 MAM 11/27/00 35509 APPROVED
Plan Check $24.98 MAM 11/27/00 35509 �.
State Building Code $4.50 MAM 11/27/00 35509 NOV HMO
Total: $112.73
Jefferson County Planning
& Building Department
is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
(i74...9ON c° i 62131un lan Street,Part Townsend WA 88368[3601378-4450
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Project Description:
Building Type: Project Type: Frame Type:
❑ Single Family ❑ New Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular -Q Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
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❑ Industrial
❑ Other.
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
- Choose one:
Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
A' Private well ❑ Two Party Well 0 Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee W3, ZS
3rd Floor Plan Check fee </, / g
Htd Basement State Surcharge fee ?
Unhtd Basement Subtotal t t Z
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee cr{ '
Commercial TOTAL 1 1 2 r
Industrial _-— Receipt # `-5 C) t`4
Other r1/ S l7 :r C 59/7/1_`� Cash/Check# 1 i` Li R
Total Valuation: — �J y-
/r Initials
Or
01/4‘) Date I t 1
U.
Estimated Cost:
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark L' 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 J
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 applicant's property or strucnuhall be requested and shall occur during regular business hours.
Signature ,, - ", C �` Date: j 7 D
, , ' P 71 . - , 7
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BUILDING PERMIT APPLICATION
{
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00763 Received Date: 11/27/2000
SITE ADDRESS: 190 STEVENS AVE
PORT TOWNSEND, 98368
APPLICANT: KENNETH W AUSTIN PHONE: (360)732-7575
190 STEVENS RD
PORT TOWNSEND WA 98368
SUBDIVISION: GISE'S ADDITION Block: 18 Lot: 1&2
PARCEL NUMBER: 953101801 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: STORAGE SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 2,660.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 266 SETBACK:
� �ANK HEIGHT:
SEWAGE DISPOSAL: OSS l` 1 i : 5
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AR A
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane i'
F&W Landslide �-
Routing Date: 1 Shoreline quifer {e�,
( J Forest: Commerci I 7s7
I I,i �U Rural ''
-IrQxlmlt( Hat t;ond Lions
Type Amount Paid By: Date: Receipt: --, ;•pproved/Date
Permit $83.25 MAM 11/27/00 35509Li
Plan Check ;$24.98 MAM 11/27/00 35509 't, fx .'"• .� tag .
State Building Code $4.50 MAM 11/27/00 35509 II 1/ ill
3 Total: $112.73 I
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is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development November 29, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: KENNETH W AUSTIN
190 STEVENS RD
PORT TOWNSEND WA 98368
Critical Area Review Case Number: CAR00-00507
Project Description: Storage Shed
Parcel Number. 953101801 S-T-R: 16-30N-01W
Site Address: 190 STEVENS AVE
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,A !?.as Ordinance.
6.,till\i\-------- f?i,/ t-A \\ , \
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Department of Community Development Staff'
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
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o Jefferson County Permit Center * Department of Community Development
c° 621 Sheridan Street,Port Townsend WA 88368(3601379-4450
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Project Description:
9 Digit Parcel Identification Number (from your tax statement): ; _ `c C1 /
Site Address C c 911#: 9 0 Road Name:J\--'e-V4?--►'- S '%A1Q- Zip Code: C8 3 CoaG
Legal Description 6,_ ` `
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Subdivision Name: 6 Cv� Block: /r Lot(s): /y-Z
Section: /v Township: 3 0 Range: /
Parcel Size (acres or square footage):
Property h ce s s
P rtY Owner:
K.e t1 h .Q_ 1 o �l Phone: "-? 3 �- —"1 cm) S
Mailing Address: _
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: GwVN-..-(z.--tr 'Qcione:
Mailing Address:
Contractor's State License Number: 1 Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
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FOR OH-ICE:USE ONLY
Fire District: lio :!! -Planning Area: School District: 1 kso 1 Zone:
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Jefferson County Planning
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