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Home My WebLink AboutBLD2001-00012 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 #: BLD01-00012 Received Date 01/8/2001 SITE ADDRESS: 680 W VALLEY Issue Date 01/10/2001 CHIMACUM, 98325 Expiration Date 01/10/2002 APPLICANT: DAVE CERNA PHONE: (206)764-1495 ANGELA CERNA 680 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 901151009 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION TO GARAGE REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): (9 7// [ Footings: .�� -54,/6/c7/ qtri)Underground Plumbing/Underground Ion: [ ] Shear Wall: [ ] -rPlumbing: 8,K I—,3—D� [ ] Propane Tank/Lines: UUU [ ] Insulation: [ ] Sheetrock: [L( Final/Occupancy Approval: AAK /-3 -v Z_- HEALTH DEPARTMEN 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 i:\F_BLD_Permit_Buildng.rpt 10/29/19 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00012 Received Date: 1/8/2001 SITE ADDRESS: 680 W VALLEY CHIMACUM, 98325 APPLICANT: DAVE CERNA PHONE: (206)764-1495 ANGELA CERNA 680 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 901151009 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 8,640.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 864 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 Floodplain F&W Landslide Routing Date: //,, UI Shoreline A.uifer .� �� Forest: Comm .r =1 I- roxim itv - i • • I - a ( �, Type Amount Paid By: Date: Receipt: J •• '. �.a 1011 Permit $167.25 ZAN 01/08/01 35684 Plan Check $50.18 ZAN 01/08/01 35684 ,INN 1 0 ?OM State Building Code $4.50 ZAN 01/08/01 35684 7EFFERSSON COUNTY Total: $221.93 DEPT.OF DEVELOPMEVT SIGNATURE 5 • Jefferson Canty Department of Community Development 1,'4. w 621$lwrplan Street,Pit Town nd WA 88368[3601318-4450 ti -4 permov o A o 0 L- cd - on ,,,,...,N.6.. ....., Project Description: Building Type: Project Type: Frame Type: O Single Family New +?!"Wood ;,i/Garage Attach Detached A orry(-jlp( ..1 r-Addition i Steel O Modular ❑ Alteration/Remodel i Concrete O Commercial 0 Repair 0 Masonry Multi-family/#of Units LE Demolition 0 Other: • Industrial O Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System ,0 Electricity Oil Proposed: Proposed: *.Individual System ❑ Woodst e 0 Propane Total: Total: If not sewer,fill out the following: ❑ Heat ump ❑ Conventional ❑ Alternative 0 Other Permit# SEP Water Supply: 0 Private well 0 Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee I L.7 -Z S 3.1 Floor Plan Check fee 50 16 Htd Basement State Surcharge fee S0 Unhtd Basement Subtotal 221 _ Ct--- Garage/Carport ra g6.2"/"D Pot Water Review fee Decks 911/Rd Approach fee Q Commercial TOTAL t 2'7--I ` 93 Industrial Receipt# 35 b a `t' Other /� Cash/Check# 3 3 S 3 Total Valuation: Yv q1:::) Initials Or Date u !/ew Estimated Cost: 1 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. , s 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 th pli s property or structure shall be requested and shall occur during regular business hours. Signature: Date: /./ ...../5 1 • GArzo( -DDOO - BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00012 Received Date: 1/8/2001 SITE ADDRESS: 680 W VALLEY CHIMACUM, 98325 APPLICANT: DAVE CERNA PHONE: (206)764-1495 ANGELA CERNA 680 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 901151009 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 8,640.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R 3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 864 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWAT YES NO AREA Exist: Exist: Wetland n Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way ?) Floodplain /// F&W Landslide `I S j.. Routing Date: /,,/ Shoreline Aquifer JS GiE31.k- Forest ommerc�1.Afi y-Rural Pr xim. Flat C: • tions,sonif Type Amount Paid By: Date: Receip :„. Permit $167.25 ZAN 018/01 35684 _ • 4O Plan Check $50.18 ZAN 01/08/01 35684 State Building Code $4.50 ZAN 01/08/01 35684 Total: $221.93 P' / pl A :: 8 yr' l0 4P/ Jefferson County Department of Community Development • January 9, 2001 -621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: DAVE CERNA ANGELA CERNA 680 W VALLEY RD CHIMACUM WA 98325 Critical Area Review Case Number: CAR01-00007 Project Description: addition to garage Parcel Number: 901151009 S-T-R: 15-29N-01W Site Address: 680 W VALLEY CHIMACUM WA, 98325 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 o roposed development activities will require further review pursuant to the Jefferson County riti al Areas Ordinance. D partment of Comm nity Developmen to c: File i:\F_CAR_Waiver_Standrd.rpt 12/13/99 i . i 1 1 1 I \ / o 7 . i. „ ,--- k ,.. t.-.1 f -1 r i I t t • 4.-------\ 7.4474 �sy, -- /til"V J It - \. k J Z Jefferson County Departinent of Community Development - 621 Sheridan Street,Port Townsend WA 98368 (360) 37)-4450 ( -;> Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): C) I 1LSi CD 9 Site Address 911# 281 kir.5,1 1/4 I*/ I , Road Name j "?' ,1 Zip Code Legal Description Subdivision Name: 5 I 6 T (I r( I h/ Block: Lot(s): 9 Section: Township: Range: Parcel Size (acres or square footage): 9 4.7) t 6C yrs On s Property Owner: 04 ; 6 Phone: " /1,11 Mailing Address: litt }VI/ , CA;evi A 1414 7:ev Applicant/Occupant: Phone: \A)0 7 44 (if different from owner) -7(r1-4- ) 4 cf .. Mailing Address: ryy ,36:1 St-;I Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan