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HomeMy WebLinkAboutBLD2001-00344 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 #: BLD01-00344 Received Date 06/12/2001 SITE ADDRESS: 1671 OAK BAY RD Issue Date 06/22/2001 PORT HADLOCK, 98339 Expiration Date 06/22/2002 APPLICANT: ARVEN PEDERSON PHONE: (360)385-4463 JOYCE PEDERSON PO BOX 324 MOUNTLAKE TERRACE WA 98043-0324 SUBDIVISION: HILLERS WF TR INC TL Block: Lot: 19 PARCEL NUMBER: 960300016 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQ'D -REPLACE DECK&ADD SUNROOM REQUI INSPECTIONS:[ etbacks Shoreline Setbacks):®JC `1, 2// ©/ (5/ [t - ootin•s A/70 / 7 [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ aml Plumbing: ;�r97,/,204N`/ V` 2) l��' �$�'/r�l [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [v]'' Final/Occupancy Approval: Al( .7C. `€"l�-0 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. HOT LINE AVAILABLE 24 HOURS A DAY i:\F_BLD_Permit_Buildng.rpt 10/29/19 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00344 Received Date: 6/12/2001 SITE ADDRESS: 1671 OAK BAY RD PORT HADLOCK, 98339 APPLICANT: ARVEN PEDERSON PHONE: (360)385-4463 JOYCE PEDERSON PO BOX 324 MOUNTLAKE TERRACE WA 98043-0324 SUBDIVISION: HILLERS WF TR INC TL Block: Lot: 19 PARCEL NUMBER: 960300016 Section: 7 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ PATRICIA ALBERT ENGINEER : 6707 1ST AVE NW SEATTLE WA 98117 PROJECT DESCRIPTION: NO MLA REQ'D - REPLACE DECK & ADD SUNROOM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 4,330.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 433 SETBACK: 32 BANK HEIGHT: 20 SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 1 Total: 1 Flood Way Floodplain F&W Landslide Routing Date: 3 '� Shoreline Aquifer �// Q l .�' 4 Forest: Commercial Rural —Proximity - P. t '... • • Type Amount Paid By: Date: Keceipt: •' ' Permit $111.25 MAM 06/12/01 28400 _ ,' Plan Check $33.38 MAM 06/12/01 28400 JUN 2 2 2001 State Building Code $4.50 MAM 06/12/01 28400 Total: $149.13 JEFFER N COUNTY DEPT. OF C M NI a ENT 5IGNATU • r �% (r' 70..SON 0 06 JEFFERSON COUNTY ,' -- d E d o ,� DEPARTMENT OF COMMUNITY DEVELOPMENT i '�I i �' 621 Sheridan Street • Port Townsend • Washington 98368 1`rliI'NcO 360/379-4450 • 800/831-2678 • 360/379-4451 Fax N COUNTY OCOT.. OF COMMUNITY DEVELOPMENT BUILDING PERMIT APPLICATION Project Description: Buy ding Type: Project Type: Frame Type: ✓ Single Family New VWood 11 Garage Attached/Detached Addition _ Steel Modular ✓.Alteration/Remodel Concrete Commercial Repair Masonry Multi-family/#of Units Demolition Other: Li Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: / Existing: I Sewer Community System Electricity 1 Oil Proposed: e) Proposed: 0 Individual System ✓Woodstove Propane Total: / Total: —1-- If not sewer,fill out the following: L Heat Pump Conventional - Alternative Other Permit# SEP Water Supply: I Private well Two Party Well I Public:Name of water system: 1. Square Footage: For Office Use Only Main Floor 960 )C/$'z) UBC OCCUPANCY GROUP 2ND Floor Base fee i 1 I l • 4?"-S 3rd Floor Plan Check fee 3 3 / 38 Htd Basement State Surcharge fee Li50 Unhtd Basement Subtotal /4/ 5' / 3 Garage/Carport //2 l/•/ _ Pot Water Review fee Decks 7' 'l I -7"_3�L 911/Rd Approach fee Commercial TOTAL /Li' i. /3 Industrial Receipt# t® Other Cash/Check# -70 Total Valuation: Initials Or Date 4, Z vl Estimated Cost: If within 200' of the Shoreline, 2 i / Q /� Distance to Bank or Ordinary High Water Mark 3 2 ft. Bank Height 2D 'U 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. 1nv 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,judlmtents,court costs,reasonable attorney's fees and expenses which may in any way accrue ai,,,ainst 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 strum 'shall be requested and shall occur during regular business hours. Signature: L Date: (/ 7- 0 H:HOME\PLNCN'I'R\INFOBLDG\FORMS\BI.DpermitApplicationl/2000 • Stormwater Calculations IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) sq/ft Structures (all roof area) //!/ sq/ft Driveway sq/ft Driveway( W /Y'// 6 0 sq/ft Sidewalks sq/ft Sidewalks /7 sq/ft Patios sq/ft Patios ( sq/ft Solid Decks 50 2 sq/ft Solid Decks ;/e & sq/ft Other sq/ft Other t sq/ft Total New 5 sq/ft Total Existing Z T sq/ft TOTAL NEW+TOTAL EXISTING* 2613/ `7` sq/ft *This amount will be used to check total lot coverage Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface, that will take place: LAND DISTURBING ACTIVITY Drainfield area cleared sq/ft Well, Structures, Utilities, etc. sq/ft Driveway sq/ft Other - sq/ft Total Land Disturbance f' sq/ft 3t E C E W JEFFERSON COUNTY DEPT OF CCM4r`JPIIT;'DEVELOPMENT • �°N C 49 °6 JEFFERSON COUNTY ►•, DEPARTMENT OF COMMUNITY DEVELOPMENT �� r'1 621 Sheridan Street• Port Townsend •Washington 98368 IL� C E 0 W IF LNc . 360/379-4450• 800/831-2678 • 360/379-4451 Fax � 1 Master Land Use Permit Application Form PROPERTY INFORMATI N � „C:FFE?SO'V COUNTY ® ® C 0 0 0 0 © ® ) CcPT OF C0�'4'u° YY _�;~"_E.vRft NT1 Tax Parcel Number: -"" �"" i Subdivision Name: Ab //ep rig el Og_. Lot Number: /7 Property Size: (acres/square feet) Existi se of Property: ,'e S/deh Site Address and/or Directions to Property: /lQ 7/ Oazi �QQ� APPLICANT INFORMATION /Z06 J: %3 -!8/q �Name of Applicant: rve� �Q(�� b d e.fisQ 1 Telephone: ,0!>385—4q(O 3 Address: City: State: Zip Code: Name of Authorized Agent(if applicable): Telephone: Address: City: State: Zip Code: DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) re'e lace ex/5fins deck, exf6./d �- 2 '-6 " 5DGc.. Zc/ /d Grli ' €/Pd S2✓'aafr - & m' dad Kinfof ex�sh d 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 In Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 El Allowed"Yes" Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 ❑ Home Business Table 3-1 and UDC Section 4.20 ❑ Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 El Boundary Line Adjustment* UDC Section 7.2 El Minor PRRD Amendments UDC Section 3.6.13.15 ❑ Sign Permit* UDC Section 6.1'5 ❑ Site Plan Approval Advance Determination (SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 El Temporary Use(based on use may be Type II or Type III)* UDC Sections 4.38 and 4.39 Type II Permits Refer to: El Discretionary"D"or Unnamed Use Classification UDC Sections 3.2.1, 3.2.2 and Table 3-1 ❑ Cottage Industry UDC Section 7.3 and Table 3-1 MASTER LAND USE PERMIT.DOC REV.4/6/01 i . JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UDC LAND USE REVIEW WORKSH .— Pre-Application # MLA # ) Date J Applicant/Representative Name: JEFFERS':u! COUNTY T-PT n�: ��r,y7�aJ, ; F a �— • REVIEW TYPE PERMIT TYPE —_- ------�_ _. FEE RkriED TYPE I ALLOWED "YES" USE CONSISTENCY REVIEW 39.00/hr TYPE I HOME BUSINESS 113.00 TYPE I STORMWATER MANAGEMENT PERMIT/REVIEW 39.00/hr TYPE I SITE PLAN APPROVAL ADVANCED DETERMINATION (SPAAD) 39.00/hr TYPE I TEMPORARY USE 56.00 TYPE I SIGN PERMIT 29.00 TYPE I ACCESSORY DWELLING UNIT 167.00 TYPE I WIRELESS TELECOMMUNICATION (CONSISTENCY REVIEW) 39.00/hr TYPE II DISCRETIONARY "D" OR UNNAMED USES 120.00 TYPE II COTTAGE INDUSTRY 281.00 TYPE II CONDITIONAL (ADMINISTRATIVE) "C (a)" USE 281.00 TYPE II CONDITIONAL (DISCRETIONARY) "C (d)" use 281.00 TYPE II VARIANCE (MINOR) 225.00 TYPE II WIRELESS TELECOMMUNICATION (MINOR) 228.00 TYPE II TEMPORARY USE (UDC SECTION 4.38.2) 56.00 TYPE III VARIANCE, MAJOR 225.00 TYPE III CONDITIONAL "C" USE 281.00 TYPE III WIRELESS TELECOMMUNICATION [PER 18.42.080lb)] 228.00 TYPE III REASONABLE ECONOMIC USE VARIANCE [UDC SECTION 3.6.411111 169.00 NOTICE OF APPLICATION 1 1 1.00 HEARING NOTICE 113.00 NOTICE BOARDS (at cost $7.50 each) APPEAL 400.00 STATE ENVIRONMENTAL POLICY ACT ISEPA) REVIEW CHECKLIST 225.00 — SEPA Hourly Rate 39.00/hr SUBTOTAL LESS ZONING PRE-APP CREDIT (80.00) GRAND TOTAL These fees are effective February 8, 2000 and are subject to change. Allowed "Yes" Use Consistency Review: This land use review occurs for all residential, commercial, and industrial uses and is subject to a $39.00 per hour review fee. Environmental Review: Additional hourly charge after first 24 hours of review - see Hourly Rate. The Applicant shall be notified when the hourly charges become effective and upon each additional 24 hour period. Per ordinance #7-00325-96, all Department of Public Works fees for administrative review are charged on the basis of $50.00 per hour. This includes but is not limited to application review, plan check, and site inspections. The Jefferson County Health Department reserves the right to charge a plan review fee per ordinance #12-1209-96. FOR OFFICE USE ONLY FEE RECEIPT # CHECK # DATE H:\home\pincntr\fees\zon.doc 05/00