HomeMy WebLinkAboutBLD2000-00784 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 #: BLD00-00784 Received Date 12/6/2000
SITE ADDRESS: 293700 HWY 101 Issue Date 12/11/2000
QUILCENE, 98376 Expiration Date 12/11/2001
APPLICANT: WILLIAM PURBAUGH PHONE: (360)765-3044
PO BOX 873
QUILCENE WA 98376
SUBDIVISION: HELANDER SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 932700091 Section: 14 Township: 27 N Range: 02 W
CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)765-4787
94 SHADY LN
QUILCENE WA 98376
Contractor's License: NIEMACC018MZ Expires: 07/19/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION 2-CAR GARAGE
REQUIRED INSPECTIONS:
[ ] /Footings/Setbacks (Shoreline Setbacks):
[ y'/ Foundation: 44') ("k" /—/;/
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] ramini/Plumbing:c%� q ` )/—V/
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock: j\
[` L. Final/OccupancyAI: <'"'K �l'l�-v�
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
t 2 oa -- 08 S-2
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00784 Received Date: 12/6/2000
SITE ADDRESS: 293700 HWY 101
QUILCENE, 98376
APPLICANT: WILLIAM PURBAUGH PHONE: (360)765-3044
PO BOX 873
QUILCENE WA 98376
SUBDIVISION: HELANDER SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 932700091 Section: 14 Township: 27 N Range: 02 W
CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)765-4787
94 SHADY LN
QUILCENE WA 98376
Contractor's License NIEMACC018MZ Expires 07/19/2001
ARCHITECT/ NIEMAN CONST
ENGINEER : PO BOX 846
QUILCENE WA 98376
PROJECT DESCRIPTION: AR GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,740.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 874
CONST TYPE: DECK: SETBACK:
BANK HEIGHT: 4/4�ao 00�Z5—
SEWAGE DISPOSAL: CON2e1:r
WATER SYSTEM: PWELL PARCEL TAGS: yES 2i)BEDROOMS: BATHROOMS: STORMWATER: ✓" AREA
Exist: Exist: Wetland Nb— Erosion I'4
Prop: Prop: Seismic Nb Streams lob
Total: Total: . Flood Way 140 Flood Plane Mb
RoutingDate: � ��, F&W N 4 Landslide NO
(�7 ZpDb Mb Shoreline NV Aquifer PE-S-SeSC-
/ Forest: Commercial Rural MO
Pr xim.ity Hat C d i
Type Amount Paid By: Date: Receipt: ApproveaRate ons
Permit $167.25 MAM 12/06/00 35563 :iiiiH' !Mai Area
Plan Check $50.18 MAM 12/06/00 35563
State Building Code $4.50 MAM 12/06/00 35563
Total: $221.93 1
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is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development December 11, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: WILLIAM PURBAUGH
PO BOX 873
QUILCENE WA 98376
Critical Area Review Case Number: CAR00-00525
Project Description:
Parcel Number: 932700091 S-T-R: 14-27N-02W
Site Address: 293700 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.
‘fric--e/m----Z----e------i —
Department of Community Development Staff`
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00784 Received Date: 12/6/2000
SITE ADDRESS: 293700 HWY 101
QUILCENE, 98376
APPLICANT: WILLIAM PURBAUGH PHONE: (360)765-3044
PO BOX 873
QUILCENE WA 98376
SUBDIVISION: HELANDER SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 932700091 Section: 14 Township: 27 N Range: 02 W
CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)765-4787
94 SHADY LN
QUILCENE WA 98376
Contractor's License NIEMACC018MZ Expires 07/19/2001
ARCHITECT/ NIEMAN CONST
ENGINEER : PO BOX 846
QUILCENE WA 98376
PROJECT DESCRIPTION: 4-CAR GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,740.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 874 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
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
F&W Landslide
Routing Date: 'z/ 7 70Do pa Shoreline Aquifer
(/ Forest: Commercial Rural
Type Amount Paid By: Date: 'Prolxi 1pv: Platt o dttions
Permit $167.25 MAM 12/06/00 35563 V E Q
Plan Check $50.18 MAM 12/06/00 35563 ..,/4„0„4, *RAi--
State Building Code $4.50 MAM 12/06/00 35563 DEC 1 1 2000
Total: $221.93
Jefferson County Planning
&Building Department
is\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
. `SON °�. 621 Sheridan Street,Port Townsend WA 08368[3601 370-4450
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Project Description:
Building Type: Proipct Type: Frame Type:
S' gle Family _....11, New flood
Garage Attach:air ` Addition Sit el
Modular ii Alteration/Remodel !Concrete
Commercial Repair ❑ Masonry
Multi-family/#of Units LE Demolition I Other:
Industrial
_ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: ,4/4 Type of Heat: A(/ftt--
Choose one:
Existing: Existing: Sewer ii Community System ❑ Electricity - Oil
Proposed: Proposed: i Individual System ❑ Woodstove i Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
,Conventional ❑ Alternative ❑ Other
Permit# SEP ccq-isi
Water Supply:
Private well I Two Party Well❑ Public:Name of water system: i
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee 1 L 7.25-
3rd Floor Plan Check fee 5) . I G
Htd Basement State Surcharge fee "I-.SO
Unhtd Basement ,L Subtotal 2-24 - j
Garage/Carport 7 7 # � Pot Water Review fee
Decks 911/Rd Approach fee -'653--
Commercial TOTAL 221 -q3
Industrial Receipt # 3 SS(O
Other CA # l C)�/3�C
Total Valuation: P. Initials f T-'t
Or DatebU
1 /b
Estimated Cost:
If within 200' of the Shoreline, ,q
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 attorney'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 enuy to ..plicant's property or structure shall be requested and shall occur during regular business hours.
Signature- /f ", _ fin/Wieen t#/ Date: /Z/6710
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