HomeMy WebLinkAboutBLD2001-00082 . ilkcAdc - 4z.
BUILDING PERMIT APPLICATION ---1-y Pa
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00082 Received Date: 2/6/2001
SITE ADDRESS: 63 OAK SHORE DR
PORT TOWNSEND, 98368
APPLICANT: GRETCHEN THOMPSON PHONE: (360)385-9883
RAY THOMPSON
1016 E 5675 S
ODGEN UT 84405
SUBDIVISION: KALA POINT#5 Block: Lot: 371
PARCEL NUMBER: 965000183 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: MARBRI, INC. PHONE: (360)385-5576
24 WESTRIDGE CT
PORT TOWNSEND WA 98368
Contractor's License MARBRI*111N1 Expires 04/22/2000
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: ADDITION TO RESIDENCE (GREENHOUSE)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD
VALUATION 1,910.00 MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 191 SHORELINE:
CONST TYPE: GARAGE:
DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: ()1/(0
( F&W Landslide—
D` Shoreline Aquifer
Forest: Cvomme-r 1 -(
Type Amount Paid By: Date: �rRecei�tpt
• _
Permit $69.25 MAM 02/06/01 38110
Plan Check $20.78 MAM 02/06/01 38110 F F R 1 6 2001
State Building Code $4.50 MAM 02/06/01 38110 _
JEFFERSON COUNTY
Total: $94.53 DEPT. OF COMIAUNITy DE�OPMNT
SIGNATURE: 0-
•
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 #: BLD01-00082 Received Date 02/6/2001
SITE ADDRESS: 63 OAK SHORE DR Issue Date 02/16/2001
PORT TOWNSEND, 98368 Expiration Date 02/16/2002
APPLICANT: GRETCHEN THOMPSON PHONE: (360)385-9883
RAY THOMPSON
1016 E 5675 S
ODGEN UT 84405
SUBDIVISION: KALA POINT#5 ' Block: Lot: 371
PARCEL NUMBER: 965000183 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: MARBRI, INC. PHONE: (360)385-5576
24 WESTRIDGE CT
PORT TOWNSEND WA 98368
Contractor's License: MARBRI*111N1 Expires: 04/22/2001
LOAN LENDER/
CBIC
BOND HOLDER:
PROJECT DESCRIPTION ADDITION TO RESIDENCE (GREENHOUSE)
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: %?f/ly'Cy
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 APPLY-SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE BLD01-00082
1.) Minimum setback from Oak Shore Drive is 20 feet. Minimum side and rear setbacks are
5 feet.
2.) Maximum lot coverage is shall not exceed 25%.
3.) The proposed greenhouse has been reviewed for consistency under the UDC. The site
plan map has been approved. Any modifications or changes to the proposal or site plan
will require additional review for consistency.
•
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•
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i:\F_BLD_Permit_Buildng.rpt 10/29/19
Jefferson County Department of Co emeity Development
( ON
c Street Port Townnd WA 8i358CHM 373.4450
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Project Description: - - _ - - - J ` _
BuildingT Project Type:
Type
t]New f'�o
Single Family a i^
j ' e
rl Garage Attched/DPrxti..> - X Addition _ Concrete
6.:
Modular 2 Alteration/Remodel
Commercial 2 Repair = Masonry
2 Multi-family/#of Units = Demolition = Other:
Industrial
X Otheer: IAudE,rED .l VA-t v .
5 Bedrooms: • !) Bathrooms: A Type of Sewage Disposal: Type of Hear. JA
�l k Choose one ilifilft
Existing: //f 'E�g ///_ = Sewer .QCommunitwSystem laElectricity = Oil
Proposed: Proposed: = Individual System = Woodstove Propane
Total: Total: If not sewer,fill out the following: - Heat Pump
= Conventional = Alternative - Other
Permit# SEP q -Z5--
Water Supply:
Private well 2 Two Party Well a Public:Name of water system:
Square Footage: For Office Use Only
Main Floor _ UBC OCCUPANCY GROUP
2N-D Floor Base fee !o q•ZS—
3rd Floor Plan Check fee t d -7 T
Htd Basement State Surcharge fee • St)
Unhtd Basement --_-- Subtotal q ` S 5
Garage/Carport Pot Water Review fee • __
Decks 911/Rd Approach fee
Commercial TOTAL gib S3
Industrial ooReceipt # 3 3 li d
Other . LL f�I fqf() ";.r JCheck# /
4-1 ----- -----.
,ff�Tot a:�/aliiaCloll_ i Initials C _---
Or f Date Ze�O/b l
Estimated Cost: 11 0 -1
If within 200'of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height - ft.
By signing the application form,the applicant/owner amens that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or Inv
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 againsr all liabilities,judgments,court costs,reasonable attorney's fees and ctpenses which may in any-iay acme
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 uiscecicns-
Access and right of entry the applicant's property or structure shall be requested and shall occur during regular business hours. •
Signature: o. 4.r, 0_. Date: ,/j:k4xWi--
Jefferson County Department of Community Development
4, „esoN oe,� 621 Sheridan Street,Port Townsend WA 98368 (3e ,.,,,�
1
�$ Universal Plot FE8 — 6 2001 J
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
Fill in the following blanks as completely as possible:
Project Description: LAr. h eA Ap va.fc P.F_E1v►ft +,s L 1-op e P e;x,is ►. 4ec-k
ex17-A-oisc/ kdu-Se
9 Digit Parcel Identification Number(from your tax statement):
Site Address
911#: .3 Road Name: Oa 1c s'Ae to 13(. Zip Code: 4/33 ,?
Legal Description
Subdivision Name:, 1, Pc D ;v • 7 Block: Lot(s): 3 7/
Section: Township: Range:
Parcel Size (acres or square footage):
Property Owner: Phone:
Mailing Address: ; CALLA-S e ,�j�r A . �Gt r'7� TutAil,Se ge,3�G
Applicant/Occupant: Phone:
(if different from owner) ', E
Mailing Address:
Authorized Rep: Ai/ n'T Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: / /3 p j Phone: Sir 57376
Mailing Address:
Contractor's State License Number. Expiration Date:
Septic Designer: N }, Phone:
Mailing Address: /
Architect:/Engineer: A�, 1, Phone:
Mailing Address: /v
Loan Lender/General Phone:
Contractor's Bond Holder: C., g , 1, C .
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan
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EXISTING DECK
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