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HomeMy WebLinkAboutBLD2001-00088 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 #: BLD01-00088 Received Date 02/9/2001 SITE ADDRESS: 380 APPALOOSA DR Issue Date 02/23/2001 BRINNON, 98320 Expiration Date 02/23/2002 APPLICANT: THOMAS MACNAMARA PHONE: (425)865-9284 87 CASCADE KEY BELLEVUE WA 98006 SUBDIVISION: LAZY C RANCH DIV 1 Block: Lot: 32 PARCEL NUMBER: 966900031 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: ROD BRENTIN CONSTRUCTION PHONE: (253)851-9555 PO BOX 1277 GIG HARBOR WA 98335 Contractor's License: BRENTC"221 PZ Expires: 10/13/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ATTACHED GARAGE REQUIRED INSPECTIONS: [(,],----'» Shoreline Setbacks)rt" r /-/3/c. ete oo_tings. ilk /l '/ }/ Fo ndati [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ lumbing: �_�j �jl [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [� cupancy Apr v HEALTH DEPARTMENT APPROVAL REQUIR D 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 BLD01-00C88 1.) Minimum 20 foot setback from Appaloosa Drive. Minimum 5 foot side setbacks. Minimum 75 foot setback from shoreline. Site plan approved by county identifies garage being 91 feet from top of river bank (OHWM). 2.) The building height is not to exceed 35 feet. 3.) Maximum lot coverage shall not exceed 25%. 4.) The garage shall be constructed in conformance with the Elevation Certificate prepared by Arnold Wood (Wood Land Surveying) dated March 3, 2000. The garage shall be placed one foot above base flood elevation. 5.) Fully enclosed area below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 6.) All new construction shall use construction methods which minimize flood damage. 7.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 8.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral movement of the sturcture. b. be constructed with materials and utility equipment resistant to flood damage and potential damage to adjacent properties. c. be constructed using methods and practices that minimize flood damage. d. have structural components capable of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy. e. electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. 9.) Flood proofing of structures shall be provided by one or more of the following methods: a. Landfill: (Note: Landfills are not permitted in the floodway.) The placement of fill may be utilized to elevate the structure and must comply with the standards and policies of the Jefferson-Port Townsend Shoreline Management Master Program, if applicable. b. Pole, pier or piling construction: The use of poles, piers, or piles for the foundation of the structure may be used to allow the unrestricted flow of flood waters during periods at a base flood. The lowest floor must be one foot above the base flood level. c. Parallel Foundation Walls: Foundation walls may be designed and constructed to provide open spaces through which water can flow unrestricted to equalize pressure. In velocity flood situations, it is important that all foundation walls be parallel to the flow of the floodwaters. d. Extended Foundation Walls and Basements: (Note: Extended foundation walls and basements are not permitted in the floodway.)The lowest habitable floor of a residence may be constructed on foundation walls that extend above grade to one foot above the height of the base flood provided that residential construction complies with the requirment of Section 5.101(2), "Residential Construction," regarding the design of enclosed areas. 10.) The site plan as submitted with the building application on February 9, 2001 has been reviewed for consistency under the UDC. The site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated February 21, 2001, shall be resubmitted for review and approval by Jefferson County. 11.) If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. 12.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. 13.) The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or aency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Services can levy penalties. All areas in Jeffeson County are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters -Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface water to remain there -Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suite for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at(206) 526-6613 or the U.S. Fish and Wildlife Service at(503)231-6121. 14.) The application was reviewed by the Jefferson County DCD staff on February 20, 2001 for the potential presence of Environmentally Sensitive Areas(ESAs) under the provisions of the Unified Development Code (UDC), and the following ESAs were confirmed as potentially present on the subject property: frequently flooded, aquifer recharge, landslide hazard area 3 adjacent to the river, seismic, Fish &Wildlife elk, and shoreline. 15.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 16.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 17.) The proposal is categorically exempt from SEPA under WAC 197-11-800(1)(i). 18.) A shoreline development permit exemption (XMP00-00004)was issued on May 31, 2000 for rework of an existing cabled log drift by adding additional root wads and an engineered log jam upstream for fish habitat. SEPA was conducted on this project and a MDNS was issued by the responsible official on May 31, 2000. is\F_BLD_Permit_Buildng.rpt 10/29/19 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: THOMAS MACNAMARA 87 CASCADE KEY BELLEVUE WA 98006 DATE ISSUED: /:D-3/0 DATE EXPIRES: f2 ( #0 ( — O0 O 81? MLA NUMBER: MLA01-00050 PROJECT PLANNER: M FARFAN PROJECT DESCRIPTION: ATTACHED GARAGE PROJECT LOCATION: Parcel number 966 900 031, Lot 32, Lazy C Ranch Div 1, in Section 34, Township 26, Range 02 West, WM located at 380 Appaloosa Drive, Brinnon. FINDINGS: 1.) The Administrator finds that this application meets the applicable performance (Section 4)and development standards (Section 6)and other applicable provisions of the Unified Development Code and is consistent with the Jefferson County Comprehensive Plan. 2.) The application was reviewed by the Jefferson County DCD staff on February 20, 2001 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC), and the following ESAs were confirmed as potentially present on the subject property: frequently flooded, aquifer recharge, landslide hazard area 3 adjacent to the river, seismic, Fish &Wildlife elk, and shoreline. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. CONDITIONS: 1.) Minimum 20 foot setback from Appaloosa Drive. Minimum 5 foot side setbacks. Minimum 75 foot setback from shoreline. Site plan approved by county identifies garage being 91 feet from top of river bank (OHWM). 2.) The building height is not to exceed 35 feet. 3.) Maximum lot coverage shall not exceed 25%. 4.) The garage shall be constructed in conformance with the Elevation Certificate prepared by Arnold Wood (Wood Land Surveying)dated March 3, 2000. The garage shall be placed one foot above base flood elevation. 5.) Fully enclosed area below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 6.) All new construction shall use construction methods which minimize flood damage. 7.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a.A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 8.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral movement of the sturcture. b. be constructed with materials and utility equipment resistant to flood damage and potential damage to adjacent properties. c. be constructed using methods and practices that minimize flood damage. d. have structural components capable of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy. e. electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. 9.) Flood proofing of structures shall be provided by one or more of the following methods: a. Landfill: (Note: Landfills are not permitted in the floodway.)The placement of fill may be utilized to elevate the structure and must comply with the standards and policies of the Jefferson-Port Townsend Shoreline Management Master Program, if applicable. b. Pole, pier or piling construction: The use of poles, piers, or piles for the foundation of the structure may be used to allow the unrestricted flow of flood waters during periods at a base flood. The lowest floor must be one foot above the base flood level. c. Parallel Foundation Walls: Foundation walls may be designed and constructed to provide open spaces through which water can flow unrestricted to equalize pressure. In velocity flood situations, it is important that all foundation walls be parallel to the flow of the floodwaters. d. Extended Foundation Walls and Basements: (Note: Extended foundation walls and basements are not permitted in the floodway.)The lowest habitable floor of a residence may be constructed on foundation walls that extend above grade to one foot above the height of the base flood provided that residential construction complies with the requirment of Section 5.101(2), "Residential Construction," regarding the design of enclosed areas. 10.) The site plan as submitted with the building application on February 9, 2001 has been reviewed for consistency under the UDC. The site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated February 21, 2001, shall be resubmitted for review and approval by Jefferson County. 11.) If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. 12.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. 13.) The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or aency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Services can levy penalties. All areas in Jeffeson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters -Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface water to remain there -Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suite for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at(206) 526-6613 or the U.S. Fish and Wildlife Service at(503)231-6121. 14.) The proposal is categorically exempt from SEPA under WAC 197-11-800(1)(i). 15.) A shoreline development permit exemption (XMP00-00004)was issued on May 31, 2000 for rework of an existing cabled log drift by adding additional root wads and an engineered log jam upstream for fish habitat. SEPA was conducted on this project and a MDNS was issued by the responsible official on May 31, 2000. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters(streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees' -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by:consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact Brian Gorman at (206) 526-6613 at the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service at (503) 231-6121. UD Administrator r . , "1.- A-41 BUILDING PERMIT APPLICATION PE Z Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00088 Received Date: 2/9/2001 SITE ADDRESS: 380 APPALOOSA DR BRINNON, 98320 APPLICANT: THOMAS MACNAMARA PHONE: (425)865-9284 87 CASCADE KEY BELLEVUE WA 98006 SUBDIVISION: LAZY C RANCH DIV 1 Block: Lot: 32 PARCEL NUMBER: 966900031 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: ROD BRENTIN CONSTRUCTION PHONE: (253)851-9555 PO BOX 1277 GIG HARBOR WA 98335 Contractor's License BRENTC*221PZ Expires 10/09/1999 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: 120 BANK HEIGHT: 6 SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: 0 Prop: 0 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: Zo q ,r� ` ?la° Shoreline Aquifer v Forest: Commercial Rural Proximity - Flat cotldltions Type Amount Paid By: Date: Receipt: Approved/Date Permit $111.25 MAM 02/09/01 38263 Plan Check $33.38 MAM 02/09/01 38263 State Building Code $4.50 MAM 02/09/01 38263 APPROVED 1 Total: $149.13 FEB 232001 JIFFERSON Cat ' DEFT.OF COMMUNITY DEVELOPMENT SIGNATURE;(:ZA C r ►W dl . -71ELEOWIED , . Jefferson Cindy Department of Conmu fty Development �w� c16 F E B •9 ZODI ' Sherl an Street.Port Tom end WA MU EOM 379-4450 _�� n a r '.t;1 � - t� s`'=" DE P JEFF •ri �_sll 7 "i App_ cat(ora o0 4S OHO :�T. CFCOM Li DEVELOPMENT hIN Project Description: Building Type: Project Type: Frame Type: ❑ Single F. ' ,IX New 'Wood X Garag- petached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units E Demolition ❑ Other: ❑ Industrial • ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. (.,,. Existing ii ❑ Sewer ❑ CommunitySystem V Electricity ❑ Oil Proposed: Proposed: T'Individual System ❑ Woodstove ❑ Propane • Total: Total: If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: Private well ❑ Two Party Wellj ' Public:Name of water system: e J IJ Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee O/l , Z S /2S1 Zi s 3rd Floor Plan Check fee 3 3, Se 3 7.5 State Surcharge fee U Htd Basement L�. 0 ''�' Unhtd Basement20 Subtotal i V 9. /3 '(.Zc Garage/Carport iv...el:541 i I . Pot Water Review fee — . Decks 911/Rd Approach fee '-0 • Commercial TOTAL l'-/q. /3 Industrial Receipt# 38 2 b.3 Other Cash/Check# / U 030 Total Valuation: Initials OrDate &7?/(/ 2"/970 Estimated Cost: Yt e)G' If within 200' of the Shoreline, Distance to Bank or OrdinaryHigh Water Mark Z U f g I. ft. Bank Height � ft. 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 tothe applicant's property or structure shall be requested and shall occur during regular business hours. 1 < - Signature: • %�% ",� • ,�,,-P^-0 ^��u. c' f Z C _. Date: f' I-I:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpernutApplication 1/2000 ..------p t � BUILDING PE'tRMIT'APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD01-00088 Received Date: 2/9/2001 SITE ADDRESS: 380 APPALOOSA DR BRINNON, 98320 APPLICANT: THOMAS MACNAMARA PHONE: (425)865-9289 87 CASCADE KEY BELLEVUE WA 98006 SUBDIVISION: LAZY C RANCH DIV 1 Block: Lot: 32 PARCEL NUMBER: 966900031 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: ROD BRENTIN CONSTRUCTION PHONE: (253)851-9555 PO BOX 1277 GIG HARBOR WA 98335 Contractor's License BRENTC*221 PZ Expires 10/09/1999 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,800.00 ADDI: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: 120 BANK HEIGHT: 6 SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES `NO BEDROOMS: BATHROOMS: STORMWATER: YES-ENO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: 0 Prop: 0 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: 2./ q O Shoreline .. Aquifer Forest Commercial mercial Rural Type Amount Paid By: Date: �rKec ieie pt *flat E: #ions P � Permit $111.25 MAM 02/09/01 38263 VIII.:Y Plan Check $33.38 MAM 02/09/01 38263 (`G,�, { „ State Building Code $4.50 MAM 02/09/01 38263 l' �, 2 1 20 1 '`�t {,� Total: $149.13 `JEFFERSON COUNTY DEPT_OF COM OPMF T SIGNATURE d i , A} ,/ --- a ' of E� yv� 3 r . To rx imNta i7o0 4 Y 1 Met NIaN o Rra1G.S �',l�6iSeE /�t/Y,✓I a r1 Pee., FfsPr 1 1 ' IQ 1 a I C.II PP Sr cc-f+n C 6-' aI KI 4i ' 1y il . J L V. ,s11tUlfr /,-rip044-./5' F,torr G-? u 7n ',..I i j 5761 r c 5 -3 T`//" 1 .'l ()r 11 I 1 i ‘1( i ,d 1-- , ›, z,,,.._ ffe ;; /4fr./f;ei LFTrFr' ,Foie fyoclol CoNfltt#cr►i,cf T1/,r pl" '03 P rvIciloc,i z PF r2k11T 0I - 0,60 5-G E c lee sir / '- 4 'r Dft'5_ 3—Zs --a{ Air,ox co�� JEFFERSON COUNTY Q1LL[YJE B 2001 tikiii 1-4 DEPARTMENT OF COMMUNITY DEVELOPMENT FEB 621 Sheridan Street•Port Townsend • Washington 98368 �'S'$jNC6 360/379-4450 • 800/831-2678 • 360/379-4451 Fax DEFT. OF JEFRSON COUNTY COMMUNITY DEVELOPMENT BUILDING PERMIT SUPPLEMENTAL CONTACT INFORMATION Property Owner: Phone: (if different from applicant) he'rgas L;. /--/Gccra4..7c3Ye.t. 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