Loading...
HomeMy WebLinkAboutBLD2001-00195 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 #: BLD01-00195 Received Date 04/4/2001 SITE ADDRESS: 300 GLEN LOGIE RD Issue Date 04/9/2001 QUILCENE, 98376 Expiration Date 04/9/2002 APPLICANT: RUSSELL L COREY PHONE: (360)765-3630 CYNTHIA COREY PO BOX 685 QUILCENE WA 983760685 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702233002 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: DAVIS MASONRY PHONE: (360)765-3577 PO BOX 357 QUILCENE WA 98376 Contractor's License: DAVISM*101 QO Expires: 2/22/02 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION No MLA Req'd -CHIMNEY REPAIR REQUIRED INSPECTIONS: [ j Setbacks (Shoreline Setbacks): [ ] Footings: LOw z'TZ FL [ ] Foundation: 75A5 i5TZ I C/C ft t T3a 7( Gb/'1 Is,0,5 T7O n/ [ ] atisa;:% 7ze, at" 91/4&/ , Ii I [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [-1 ' inal/Occupancy Approval: HEALTH DEPARTMENT APPROVAL REQUIRED PRIO 0 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_Bu ildng.rpt 10/29/99 i BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00195 Received Date: 4/4/2001 SITE ADDRESS: 300 GLEN LOGIE RD QUILCENE, 98376 APPLICANT: RUSSELL L COREY PHONE: (360)765-3630 CYNTHIA COREY PO BOX 685 QUILCENE WA 983760685 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702233002 Section: 23 Township: 27 N Range: 02 W CONTRACTOR: DAVIS MASONRY PHONE: (360)765-3577 PO BOX 357 QUILCENE WA 98376 Contractor's License DAVISM*101 QO Expires 02/22/2002 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: CHIMNEY REPAIR °. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 11,000.00 ADD'L: HEAT TYPE: UH 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: 4 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 4 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: w._. ,,_, / /© i ra3 Shoreline �. if- Forest: Commer ' �/ I y/ I 1'r ximit - I- .,_- n Type Amount Paid By: Date: Receipt: _ .. . -. •: - Permit $195.25 MAM 04/04/01 38839 APR 0 9 2001 Plan Check $58.58 MAM 04/04/01 38839 State Building Code $4.50 MAM 04/04/01 38839 JEFFERSON COUNTY DEPT.OF COM NITY E1/� IZT Total: $258.33 SIGNATURE: (�/o-�l�' t Jefferson County Department of Community Development �g 50N Co 621 Sheridan Street,Port Townsend WA 88368(360)370-4450 . , t. VA � .r"��` � D �U Q o U ° pl3ii ° o� p Qcato� s ,. 8TN Project Description: 151,E C 15 11 W tPt '" Building Type: Project Type: .1 Frame Type: Single Family New APR - 4 2001 � Garage Attached/Detached Addition - - *d 1 Modular -1 Alteration/R:mode 1 Concrete t : Commercial Repair JEFFERSON COUNTY V' .1asonryC'l1 I"I 11'ecf Multi-family/#of Units 1 Demolition DEPT.OF COMMUNITY DEVELOPNE(14lher: Industrial _I Other: l Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: � ff Choose one: Existing: `� Existing: Sewer Community System eilectricity E Oil Proposed: O Proposed: 0 ItI,fridividual System 'Woodstove ❑ Propane Total: Total: ,3 If not sewer,fill out the following: E Heat Pump Conventional Li Alternative G Other Permit# SEP Wattee Supply: i,Private well C Two Party Well Li Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 16/5'7-5' 3rd Floor • Plan Check fee 6 . SS Htd Basement 41,0 State Surcharge fee 4• so Unhtd Basement Subtotal e -3 3 Garage/Carport %WrPot Water Review fee Decks IMP 911/Rd Approach fee Commercial TOTAL g S ,33 Industrial , _ Receipt# gsg3! Other C-41 I YYl 11 - J Cash/Check# I 0 . 9 Total Valuation: - �«I Initials C I�-17 Or hi Date '71li/©I Estimate Cost: I l,OD a If within '-uf 1 ie Shoreline, Distance to Bank or Ordinary High Water Mark 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 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. Signature: C Date: `�-/- H:HOME\PINCNTR\IN BLDG\FOIL'QS\BLDpermitApplicationl/2000 • ("1 ::----0N .' 6" JEFFERSON COUNTY 1N3wd013A3OAlINnww003o 11d30 :i` AlNnoo NO%i3333r DEPARTMENT OF COMMUNITY DEVELOPMENT �. �'4 621 Sheridan Street• Port Townsend • Washington 98368 LONG �dV l'`�ji'TNC� 360/379-4450 . 800/831-2678 . 360/379-4451 Fax Master Land Use Permit Application Form �.. 3. ADE3R a PROPERTY INFORMATION Tax Parcel Number: 171 1 I El ® C. 0 a.• Subdivision Name: Lot Number: Property Size: // 3 acre S (acres/square feet) Existing Use of Property: `)Ofy- , Site Address and/or Directions to Property: �jO0 Elam, L©3/p �.o "f ct; IGe. _' APPLICANT INFORMATION Name of Applicant: 6I n Co ,-P c./ Telephone: 3& G 7(p 531, 30 li Address: rT"o FCC (v 8S ! /� City: �f LA I. tCe.., —• State:WA Zip Code: "[ g 37(a Name of Authorized Agent(if applicable): Telephone: Address: City: State: Zip Code: DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) Ye___eCtIr ismetcit d C �rntl„0$1 PERMITS REQUESTED FROM JEFFERSON COUNTY Please check with Permit Center personnel before completing this section and refer to the specific sections of the UDC referenced below for more information and further requirements. An asterisk (*) indicates that a supplemental application or questionnaire is required. Type I Permits Refer to: Septic Permit/Evaluation of Existing System (EES) UDC Section 6.4.1 and Chapter 8.15 JCC Buildipg Permit UDC Section 3.2.1 and Table 3-1 Allowed"Yes" Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 ❑ Home Business Table 3-1 and UDC Section 4.20 E Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination (SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 ❑ Temporary Use (based on use may be Type II or Type III)* UDC Sections 4.38.and 4.39 Type II Permits Refer to: C Discretionary"D"or Unnamed Use Classification UDC Sections 3.2.1, 3.2.2 and Table 3-1 C Cottage Industry UDC Section 7.3 and Table 3-1 MASTER LAND USE PERMIT.DOC REV.3/27/01 ❑ Short Plat, Preliminary and Final* UDC Section 7.3 E Binding Site Plan* UDC Section 7.5 ❑ Conditional (Administrative)"C(a)" Use UDC Table 3-1 and Section 8.8 ❑ Conditional (Discretionary)"C(d)" Use UDC Table 3-1 and Section 8.8 (Discretionary Permit Review Process Determined by Administrator) ❑ Variance, Minor* UDC Section 8.9 ❑ Wireless Telecommunication Ordinance 06-0712-99 (UDC Appendix C) ❑ Shoreline Substantial Development(Primary Use) UDC Section 5 E Forest Practices Act/Release of Six-Year Moratorium for Single- UDC Section 4.16.5(c) Family Residence ❑ Temporary Use* UDC Sections 4.38 and 4.39 Type III Permits ❑ Conditional"C" Use UDC Section 8.8 ❑ Long Plat, Preliminary* UDC Section 7.4 ❑ Planned Rural Residential Development Preliminary Approval UDC Section 3.6.13 (must be in conjunction with an (PRRD)and Major Amendments* underlying land division application) ❑ Plat Vacation/Alteration UDC Section 7.1.3(d) ❑ Variance, Major* UDC Section 8.9 • • Reasonable Economic Use Variance* UDC Section 3.6.4(h) • Wireless Telecommunication Ordinance 06-0712-99 UDC Appendix C ❑ Shoreline Management Substantial Development, Secondary Use* UDC Section 5 ❑ Shoreline Management Conditional Use* UDC Section 5 ❑ Shoreline Management Variance* UDC Section 5 Type IV Permits (� ((a 2 Q Wi (2 ❑ Long Plat, Final UDC Section 7.4 is lI��JJ EC U v I ❑ PRRD, Final UDC Section 3.6.13 Type V Permits APR - 4 ^ ,�, ❑ Special Use (Essential Public Facilities) UDC Section 3.3.5 "'' —/ • Jefferson County Comprehensive Plan/UDC/Land Use District Map UDC Section 9 Amendment* JEFFERSON COUNTY ❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5 DEPT.OF COMMUNITY DEVELOPMENT Other Local, State or Federal Permits ❑ Please identify any other local, state or federal permits required for this proposal, if known: ACKNOWLEDGEMENTS By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 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 its employees, representatives or agents for the sole purpose of application review and any required later inspections. This right of entry shall expire when the County (through the Administrator or the Administrator's representatives)concludes the application has complied with all applicable laws and regulations. Access and righ of entry to the applicant's property shall be requested and shall occur only during regular business hours. (APPLICANT AUTHORIZ REPRESENTATIVE SIGNATURE) (DATE) I hereby designate to act as my agent in matters related to this application for permit(s). (APPLICANT SIGNATURE) (DATE) The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential "take" of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act" or "ESA." Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual, group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County development code The Applicant acknowledges that he, she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. (APPLICANT OR UTHORIZED RESENTATIVE SIGNATURE) (DATE) MASTER LAND USE PERMIT.DOC REV.3/27/01 C►n 1 Cores 3(0b ?bs3(493c. / 1/ ` 20 l '7°da3300 I. 1,3 As 19 of w 1C) N0LLI c� Z i O ' ONCCZ €::: a ilig . NN C] 1 si i 1 I { 1 40, 1 i u , 41 So , .., .„6,, ,s , ,,, ,,,,, ,\ , , �`. ` 5,. ti „.. _____... , „,.. .„,„,...,_......,),_... \,. r. , , I i i 0 It i .- ... -...-. _-. ..____-._