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Home My WebLink AboutBLD2001-00009 • v r l 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 #: BLD01-00009 Received Date 01/4/2001 SITE ADDRESS: 295313 HWY 101 Issue Date 01/24/2001 QUILCENE, 98376 Expiration Date 01/24/2002 APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 702231007 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License: QUAMC"*18OLB Expires: 04/20/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL ADDITION REQUIRED INSPECTIONS: [tJ'Setbacks (Shoreline Setbacks): /ye' //.:2' / [r,.]�ootin eve- /7.4F5_;-//> w-- -� [ Qunttatio s• tOX. 2/7/0/ I " [ ] Underground Plumbing/Underground I sulation: [ ] Shear Wall: [`t Framing/Plumbing: z / {-/d4p —Daw.uS 6 BGj [ ] Propane Tank/Lines: [k.,-- Insulation: I <f S' [`r] Sheetrock�/Ci [kr4 Final/Occupancy Approval: �P; �� ;'c• t 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. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Buildng.rpt 10/29/19 t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00009 Received Date: 1/4/2001 SITE ADDRESS: 295313 HWY 101 QUILCENE, 98376 APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 702231007 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License QUAMC**180LB Expires 04/20/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 504 VALUATION 27,629.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 1 Total: 1 Flood Way Floodplain �� F&W Landslide Routing Date: (/0r� /0 V ' Shoreline - Aquifer Forest: Commercial Rural —Proximity 'IcititiVED-- s — Type Amount Paid By: Date: Receipt: Permit $421.55 MAM 01/04/01 37264 Plan Check $126.47 MAM 01/04/01 37264 State Building Code $4.50 MAM 01/04/01 37264 ,I A N 2 4- ?OO 1 Total: $552.52 - .«.410 II II DEFT. OF COM NRY SIGNATURE: [, ! . +, , , , . s �$oN . Jefferson County Department of Community Development �� ;, �, 621 Sheridan Street,Port Townsend WA 08368[360]378-4450 (w �„ prmr Project Description: Building Type: Project Type: Frame Type: X Single Family 7 New 'Wood Garage Attached/Detached ')Addition i Steel I Modular 7 Alteration/Remodel i Concrete Commercial Repair Masonry li Multi-family/#of Units Demolition ii Other: Industrial Other: Bedrooms: -Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: I Existing: I i Sewer I Community System 'Electricity I Oil Proposed: 0 Proposed: D y„Individual System I Woodstove ei Propane Total: ( Total: 1 If not sewer,fill out the following: I Heat Pump I Conventional I Alternative I Other Permit# SEP Water Supply: XPrivate well I Two Party Well I Public:Name of water system: Square Footage: For Office Use Only Main Floor SGr Li UBC OCCUPANCY GROUP 2r`'o Floor i*/ /4 Base fee l_ 2 I - 55 3rd Floor /V 4 Plan Check fee I 2 6 . 4 } Htd Basement , / State Surcharge fee 4 Unhtd Basement Ai 4 Subtotal J 5 Z , `J -2- Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 5 S Z . 5 -2-- Industrial Receipt # 31— L1 Other Cash/Check# LI I,S 9 Total Valuation: Initials T Or '1.1- / G"7 Of cr Date /OEstimated Cost: G-� —If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. I 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 applicant's property or structure shall be requested and shall occur during regular business hours. Signature: k< ......„ Date: /— 5' --0/ . CA I - 00() 0 _... 1r BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00009 Received Date: 1/4/2001 SITE ADDRESS: 295313 HWY 101 QUILCENE, 98376 APPLICANT: PHILIP R JEFFERSON PHONE: PO BOX 748 QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 702231007 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: QUAM CONSTRUCTION PHONE: (360)765-3393 PO BOX 215 QUILCENE WA 98376 Contractor's License QUAMC"180LB Expires 04/20/2001 ARCHITECT/ , ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 504 VALUATION 27,629.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS l7--n._1 . ' WATER SYSTEM: PWELL PARCEL TAGS: YES NO / BEDROOMS: BATHROOMS: STORMWATER: YES NO )- AREA Exist: 1 Exist: 1 Wetland /45104- tiff S rosion At Prop: Prop: Seismic Streams ND _ Total: 1 Total: 1 Flood Way Floodplain F&W rl andslide Routing Date: 1/0 5- /05- O ` Shoreline )IL Aquifer SPSe..- IJ Forest: Commercial n/ Rural Type Amount Paid By: Date: rKeceiipt: :..4 Approvediva eons Permit $421.55 MAM 01/04/01 37264 •' \� 99 r% u • i Plan Check $126.47 MAM 01/04/01 37264 �ir •��, State Building Code $4.50 MAM 01/04/01 37264 ri,Sr-- IJ� »,' ,i ?�, Total: $552.52 I , -I;- ir` • Jefferson County Department of Community Development January 5, 2001 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PHILIP R JEFFERSON PO BOX 748 QUILCENE WA 98376 Critical Area Review Case Number: CAR01-00002 Project Description: Residential Addition Parcel Number: 702231007 S-T-R: 23-27N-02W Site Address: 295313 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 a proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of pro sed development activities will require further review pursuant to the Jefferson County Critic r as Ordinance. XIV/ Department of Community Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 7- to -- - w I . JAN 31 01 1... , . _.._ .__ • -›`• REVISID- date• , _....i ._.... . _ _..._ .,', ...,,„,,f I P t. 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