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Home My WebLink AboutBLD2001-00011 ' T DEMOLITION 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 #: BLD01-00011 Received Date 1/4/2001 SITE ADDRESS: 4020 LINDSAY HILL RD. Issue Date 1/26/2001 QUILCENE, 98376 Expiration Date 1/26/2002 APPLICANT: BRUCE P STRATTON PHONE: (360)765-4494 4020 LINDSAY HILL RD QUILCENE WA 98376 T 23 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701321028 Section: 32 Township: 27N Range: 01W CONTRACTOR: OWNER PHONE: OWNER, BRUCE P STRATTON PHONE: (360)765-4494 if different: 4020 LINDSAY HILL RD QUILCENE WA 98376 PROJECT DESCRIPTION DEMO THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 01/26/2002. REQUIRED INSPECTION: [ FinalApproval: g9K //—®l—c� 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_Propane.rpt 10/29/19 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00011 Received Date: 1/4/2001 SITE ADDRESS: 4020 LINDSAY HILL RD. QUILCENE, 98376 APPLICANT: BRUCE P STRATTON PHONE: (360)765-4494 4020 LINDSAY HILL RD QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 23 PARCEL NUMBER: 701321028 Section: 32 Township: 27 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: 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: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide Routing Date: B /01 Shoreline Aquifer Forest: Commercial Rural 30( Nr4xim itv Type Amount Paid By: Date: Receipt: �� ' ED- Permit $48.00 MAM 01/04/01 37114 A �� , • State Building Code $4.50 MAM 01/04/01 37114 /r "' Total: $52.50 I J 174 19 4 2001 JEFFERSON COUNTY" 7 DEPT.OF COMMUNITY DEVELOPMENT SIGNATURE: JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAM ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 DEMOLITION PERMIT APPLICATION « SITE ADDRESS: 911#/ROAD NAME 0c1 ® X. ti`/ / DJA l' f ./ C . . .c>. �^., i ACe.,/J,< CoA• ZIP 9E44376 9 DIGIT PARCEL ID NUMBER .i O 13a I o a Legal Description: Subdivision Name i;ootgiz ram` . L 4 It- 6 Block Lot(s) Section S3 Township .' iJ North, Range 1 w WM APPLICANT peuc_t4 'u_, `ve.A'-ODJ PHONEE.6tO US- ` Ykliq MAILING ADDRESS gOaO 14/MO%caz. -1 (1 eD r ^ c7 `Y i t Cc/L.0C % J . 9?"37 C. ZIP PROPERTY OWNER .%(kYs, 2 PHONE MAILING ADDRESS ZIP CONTRACTOR F3IV., 6..., PHONE MAILING ADDRESS ZIP STATE LICENSE# EXP. DATE FEDERAL I.D. # 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 entry to the applicant's property or structure shall be requested and shall occur during regular business hours. APPLICANT SIGNATURE 3`6, r.j,,,igc�, `.... DATE % / C):a /0 l FOR OFFICE USE ONLY BASE FEE `O RECEIPT# -3..I 6\ `I STATE SURCHARGE 4.550_' CASH/CK# 1, 'T S-4 7 TOTAL { �—�r1 DATE t / 4- / 0 f H:\HOME\PLNCNTR\FO RMS\DEM010/99 1 ..�.... CA12-0 ( OoOZ- ,,,------" BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD01-00011 Received Date: 1/4/2001 SITE ADDRESS: 4020 LINDSAY HILL RD. QUILCENE, 98376 APPLICANT: BRUCE P STRATTON PHONE: (360)765-4494 4020 LINDSAY HILL RD QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 23 PARCEL NUMBER: 701321028 Section: 32 Township: 27 N Range: 01 W CONTRATOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES N04. „,"REA Exist: Exist: Wetland Er sion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide-/Z Routing Date: ( iff/Oi Shoreline 21e-s Aquifer g1)5 L Forest: Commercial Rural (, I�rQQximrt Flat G cl ions Type Amount Paid By: Date: Receipt Approved1Date Permit $48.00 MAM 01/04/01 37114 Critical ' : ;• State Building Code $4.50 MAM 01/04/01 37114 z, Total: $52.50 RevieWr..,0 ,. -ff' ,- :\ _. ti 0\ . ..,., ?AO «. !i0\ Jefferson County Department of Community Development January 25, 2001 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: BRUCE P STRATTON 4020 LINDSAY HILL RD QUILCENE WA 98376 Critical Area Review Case Number: CAR01-00027 Project Description: DEMO Parcel Number: 701321028 S-T-R: 32-27N-01W Site Address: 4020 LINDSAY HILL RD. 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 relocati of proposed development activities will require further review pursuant to the Jefferson Count 'tical Areas Ordinance. 1.7 Vie Department of Community Develop ent taff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 NOR7. /--, �, /rrt „.� ,> _ . �. , _... —r i 1 f , I I .i -1 f Ar,, ? �• a l t ', ilk -+� r f : lLl. nr O L Y M P i i , AIR POLLUTION CONTROL AUTHORITc,r - y 1 ,,. ._. 1 Notification of Demolition Pgrmit E,y;`,. � '..- /16/1 j It is unlawful for any person to cause or allow etar a to bedemolition demolished major V�'ork shall not commence on an asbestos all projectasbestos- containing demolition materials have rbeen r removed from th demolition unless the owner or operator has obt asbestos-containing d written approval from an rea ot'thestructure.11non shall include a certification that there is no known �� IX ;boa . County Jb . Project Site Address: `{ Q �`` �A State �� Zip 9�376 City �,L.c �'� 1 Completion Date: 0 )U i ! (3 IN Starting Date: Of ( p i ( O t —� Telephone: �6� 7 6S_ =j�9 Property Owner: 1�R v- (� rcp, o rJ p d.. lA Q.n Mailing Address: 0 -o ' t o , State" Zip City v,1 c4,JC rs.. �57C Demolition Contractor: .4%Ikc State License # Mailing Address: City Zip State Telephone Contact Person: YES NO Demolition by Wrecking or Dismantling? (S25 fee) Training Fire Demolition? (If yes, attach fire department request for training fire) % Renovation, Alteration, Remodeling, Maintenance, or other Construction? �i Asbestos found or suspected* Remove or Encapsulate Asbestos" form and appropriate fee must be submitted prior to any asbestos *An OAPCA"Notice of Intent to or removal work. Asbestos removal projects involving demolitionde non b be pres. R�rd by a to OAPCR Certified RegAsuestos lation l Arotiiciecl4rfor�dditlonale potentially friable asbestos must be removed before any requirements that may apply. Asbestos Survey Completed by AHERa Certified Inspector !. ` Q Certification # .A cc'` Certification of the Asbestos This approved permit Enclose S25 Survey must accompany this must be available at the Processing Fee form job site 909 Sinter Kinney Rd SE. Suite rl, Lacey,Washington 98503 360-438-S768 * S00-422-5623 * fax 360-491-6308 homepage: www.oapca.org * email: info@oapca.org