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HomeMy WebLinkAboutBLD2000-00799 / c,d1 ](�yV Nr✓- BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 --/ IT #: BLD00-00799 Received Date: 12/12/2000 SI ADDRESS: 530 REINIER RD NORDLAND, 98358 APPLICANT: DEE TOUR DE MONDE PHONE: (360)385-4448 DAVID BISE 530 RENIER RD NORDLAND WA 98358 SUBDIVISION: OLSON & HAMBLETON'S Block: 6-7 Lot: PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GAZEBO TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 1,440.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 144 CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: �A'2-00•00 55q SEWAGE DISPOSAL: ' V l= S� WATER SYSTEM: PARCEL TAGS: YES N0. BEDROOMS: BATHROOMS: STORMWATER: YES • Y AREA Exist: Exist: Wetland NC Erosion NO Prop: Prop: Seismic Streams NO Total: Total: Flood Way r u Flood Plane N° F&W yY`7 r ' • andslide -7y?cp Routing Date: ( Z / O Shoreline 71> Aquifer H� �G �l/ Forest: Commercial N� Rural g 0 Hroxim.lty - Flat eo d Ions Type Amount Paid By: Date: Receipt: Approved�a e Permit $54.00 ZAN 12/12/00 35541 6'Y4;. I ;q Plan Check $16.20 ZAN 12/12/00 35541 :. State Building Code $4.50 ZAN 12/12/00 35541 Total: $74.70 4 z - ./4/0-0 ie Stormwater 8MP's flequiredj2/ '' to i:\F_BLD_App_Bld.rpt 10/29/99 1 I J I Jefferson County Department of Community Development December 26, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: DEE TOUR DE MONDE DAVID BISE 530 RENIER RD NORDLAND WA 98358 Critical Area Review Case Number: CAR00-00539 Project Description: gazebo next to an existing residence Parcel Number: 977700024 S-T-R: 4-29N-01E Site Address: 530 REINIER RD NORDLAND WA, 98358 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. . 4( '. 7.9'4- Department of Community Development Sta c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 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 #: BLD00-00799 Received Date 12/12/2000 SITE ADDRESS: 530 REINTER RD Issue Date 12/27/2000 NORDLAND, 98358 Expiration Date 12/27/2001 APPLICANT: DEE TOUR DE MONDE PHONE: (360)385-4448 DAVID BISE 530 RENIER RD NORDLAND WA 98358 SUBDIVISION: OLSON & HAMBLETON'S Block: 6-7 Lot: PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GAZEBO REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: Propane Tank/Lines: [ ] Insulation: [ ] S etrock: ( ] Final/ ccupancy Approval: , „�Q HEALTH DEP TMENT 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 1 y • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00799 Received Date: 12/12/2000 SITE ADDRESS: 530 REINIER RD NORDLAND, 98358 APPLICANT: DEE TOUR DE MONDE PHONE: (360)385-4448 DAVID BISE 530 RENIER RD NORDLAND WA 98358 SUBDIVISION: OLSON & HAMBLETON'S Block: 6-7 Lot: PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: GAZEBO TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 1,440.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 144 CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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: 2 /,11�D Shoreline Aquifer G gForest: Commercial Rural 'r ximit Nlat C; d tions Type Amount Paid By: Date: Receipt: A proved ate Permit $54.00 ZAN 12/12/00 35541 A HP R` O V E D Plan Check $16.20 ZAN 12/12/00 35541 dam- State Building Code $4.50 ZAN 12/12/00 35541 DEC 2 7 2000 Total: $74.70 Jefferson County Planning & Building Department is\F_BLD_App_Bld.rpt 10/29/99 y.,,... (4; , ,,,c defferswi County Doliartm8nt of Community Dov810 9nt °U 621 Sheridan Street,Port Town nd WA 88368 E3601378-4450 pBk © Project Description: Building Type: Pr ject Type: Frame Type: 11 Single Family New `Wood ❑ Garage Attached/Detached ❑ Addition teel ▪ Modular ❑ Alteration/Remodel ❑ Concrete E. Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ▪ Industrial k'Other: •O/fZ. C> Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: / • /�/�/ Choose one: e/ � Existing: Existing: ❑ Sewer Community Syst ❑ Electricity l� El ' ' Oil Proposed: Proposed: i Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: Private well E Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor ® UBC OCCUPANCY GROUP Di 2� Base fee Floor Q �6 3rd Floor Plan Check fee I �. Z Htd Basement State Surcharge fee 9 - 'a Unhtd Basement Subtotal 711 r 7? Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee ow- Commercial TOTAL • 7 . 7 0 Industrial Receipt # 3 S514 if Other Cash/Check# d ! 3 3 Total Valuation: Initials ejc— i Or Date (Z/lZ./O Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 7 ' ft. Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and coneu 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 ac ss and right of-. to Jefferson Coun and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry t th applicant's. ..erty or structure requested and shall occur during regular business hours. Signature: ,Lae 4 6 _ Date: /Z 1 ‘2-- 7C7 � goN Jefferson County Department of Community Development c o 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: / 6/a4749, 9 Digit Parcel Identification Number (from your tax statement): Site Address 911#: 6' Road Name: 4/.A/t Zip Code: Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): / 7 4--cR Property Owner: Phone: Mailing Address: � �� /1Pe/ V/e.' /e/ 11/ee/./r7,c +1 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: P``, General Contractor: Or Manufactured Home Installer: r Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: 7t/c7.v Mailing Address: Architect:/Engineer: Phone: ytic,'- Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: ,a Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pinmtr\forms\universal plot plan if., / /.0.,[ I I I I00I I i i i i I I i i i I i I ! j i I I I p I R, �ii� IIIII I I ail V 0x1 iN9 { I I 110 5 I j j ' ' I ' ovi 1 ReC I i y ' Vic �3© 1z Q V � f � T A I £ j