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HomeMy WebLinkAboutBLD2001-00370 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 #: BLD01-00370 Received Date 06/26/2001 SITE ADDRESS: 140 WINDSHIP DR Issue Date 07/3/2001 PORT TOWNSEND, 98368 Expiration Date 07/3/2002 APPLICANT: BURNICE E CLARK PHONE: (360)344-4300 NAOMI H CLARK 140 WINDSHIP DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#1 Block: Lot: 46 PARCEL NUMBER: 964700046 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQ'D - DAYLIGHT BASEMENT REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: r Final/Occupancy A rova• Ode WIS 0/ `6,t, PP HEALTH DEPARTMENT APPROVAL REQUIR 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 W BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00370 Received Date: 6/26/2001 SITE ADDRESS: 140 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: BURNICE E CLARK PHONE: (360)344-4300 NAOMI H CLARK 140 WINDSHIP DR PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#1 Block: Lot: 46 PARCEL NUMBER: 964700046 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): RICHARD STELOW 1220 WATER ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIO NO MLA REQ'D - DAYLIGHT BASEMENT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 36,619.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: 630 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: KALA PT PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain Routing Date: .zL d F&W Landslide q26T3 Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $512.45 MAM 06/26/01 28577 APPROVEtilPlan Check $153.74 MAM 06/26/01 28577 State Building Code $4.50 MAM 06/26/01 28577 Total: $670.69 JUL 3 J2OO11 DEPT. OF CO RS NITY EV tO NT SIGNATURE. T Y. iciON �°�,� JEFFERSON COUNTY � � d� 74 '° '4 DEPARTMENT OF COMMUNITY DEVELOPMENT ti 4\ o r JUN 26 2001 ` J O� 621 Sheridan Street • Port Townsend • Washington 98368 �`S�NCs`S 360/379-4450 • 800/831-2678 • 360/379-4451 Fax JEFFERSON COUNTY t1fPT.OF COMMUNITY DEVELOPMENT BUILDING PERMIT APPLICATION Project Description: Building Type: Project Type: Frame Type: X. Single Family New X Wood Garage Attached/Detached Addition Steel Modular X Alteration/Remodel Concrete Commercial Repair Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: A Existing: Sewer Community System I Electricity Oil• Proposed: ` Proposed: / Individual System Woodstove Propane Total: �-- Total: If not sewer,fill out the following: y.Heat Pump r. Conventional Alternative 1 I Other Permit# SEP Water Supply: 7. Private well Two Party Well _ Public:Name of water system: K041.4 ro,NJT A-16k*S, Square Footage: FL; :4a AcicR'T dvAL For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee Si 2-4'5' 3rd Floor / / � Plan Check fee ( S3 .- 7 6 Htd Basement 630 . 5 3 6 kg •'(jjf State Surcharge fee `C Unhtd Basement _ / Subtotal Cola LPI Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL Industrial Receipt# e9g917 Other ` Cash/Check# LZ'S - Total Valuation: I 'tials pi-24 . ti-t( Or .(WCI Date 7.-b © ' Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. liv 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 Jeffers°'County and it's employees,representatives or agents for the purpose of applicatio review and any required later inspections. Access and right of en' the applicant's property t stru ut shall be requested and shall occur during regular business hours. e��I�' Signature: _ -AA-A-A l.4,�jl. _- Date: 6 1 1 E-) I II:I-IOME\PLNCN'l'R\INFOBI_DG\FORMS\HI I)permitApplication1/2000 • Z w d \%t U c 6 � �� f Lo u-U 0 nn���� O lJAll CI 1\1 \ - 1 l Ql\ vsi v' \1 f \J 1 .1 1/4)\ Q.\\\ \ C N 1 J35 I . \ . l 1 ,-- 111-11 61- ,--- L-' --j .•.,D CI) O.D • C.._.) 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(:) fitj% •' ....- . . ,. • ,,41 , ...• .-......• .,. ...- • . ,. - '..-*°1,-• • •--• . . -.'.-t7' - • • .. ..6,-. . • • .'••• , •-••'• . . - . , .'3 . .- ...' i. „...4•1.• • • . ...... - •--,_.:,,....,,,.„-,._,,,,,,,", •:".•....•;•••,. • :•'..,7, -••r•i,....421ti'•:.":•••'•• '' ' . , ,..•:'•--'• ',, % --; •;.-"'•-':' •-- ''• . i ••.7' - •••'-' _ • ?;7i4J.!• '1.•; .', • ., . ,...._ • . • . • . • ,• • ' , ' • . • • , . . hi... ••' • • 4, Ow 4.6. • %. ,.. 4Fici%, _ ' JEFFERSON COUNTY --a ,. `►� DEPARTMENT OF COMMUNITY DEVELOPMENT ---____�_ Q. ' 621 Sheridan Street•• Port Townsend ••Washington 98368 y t J(,, c J�� `4N�� 360/379-4450 . 800/831-2678 . 360/379-4451 Fax ...9 JEFFERSON COUNTY Master Land Use Permit Application Form DEPT. OF COMMUNITY DEVELOPMVIT PROPERTY INFORMATION Tax Parcel Number: ® CI El Cl E I al '/ Subdivision Name: K41.A. tom'©1 AST. .D t im vi S,v #/ Lot Number: '4/4 Property Size: t'S,b8 (acres/43M Existing Use of Property: •5,.144 Z,q.01.1Z7 Site Address and/or DirectionsDi to Property: (SIo 14)1 d3 A,3 'bite/ J i; Lou 1vI.^.37 1��c-EEd/ �4 v / KA L.' I p,J! C 4 E ®It) xA 1.4 Po )es..17--2)/it N'a /L.. /v�iJ t 7�i r 6,11�© U/t�e).S� 7-PR Z✓4, /dl1'c-E,E'd APPLICANT INFORMATION //�� Name of Applicant: ,3v.FZ/1//E e.,,./a+e K Telephone: J'4 '-j /9- 5O v Address: /`*U /,(,,e d5.At'p �/2* City: ,et /gag-W.5%6" �D State: A Zip Code: yvy x39 Name of Authorized Agent(if applicable): ,c.24 r 57 .Lo Telephone: 330 3F6" 954114 Address� /ou � Address: /z — �A'T 7%-5 City: -ZeV ) Si54 2/ State: ,a)ift Zip Code: 9,936( DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) 4 L 4c i-4s y /'e�s -:n�SA .,.styL pA) 3rlsefrng1v%Av4C4�. 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 1A1 Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 Allowed"Yes" Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 Li Home Business Table 3-1 and UDC Section 4.20 ❑ 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: ❑ 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 • ❑ Short Plat, Preliminary and Final* UDC Section 7.3 ❑ 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 ❑ 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 O Long Plat, Preliminary* UDC Section 7.4 ❑ Planned Rural Residential Development Preliminary Approval. UDC Section 3.6.13(m st be in conjunction with an (PRRD)and Major Amendments* underlying land division pplication) O Plat Vacation/Alteration UDC Section 7.1.3(d) O 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 O Long Plat, Final UDC Section 7.4 ❑ PRRD, Final UDC Section 3.6.13 Type V Permits ❑ 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 Shoreline Master Program Amendment* UDC Section 5 Other Local,State or Federal Permits O 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 right of entry to the,applicant's property shall be requested and shall occur only during rggular business hours. (APPLICANT OR AUTHORIZED REPRESENTATIVE`` �� SIGNATURE) (DATE) I hereby designate ficii K Rd --/-T, loin 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. 7.2_/ NAIC (APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) MASTER LAND USE PERMIT.DOC REV.4/6/01 -11 . .. r4P r•j. •• ''' ... f'• . f. ...-----.-----_ ,--- ..."/;• -----..-----,. — —-,..----,---- • 1 \ /".... ....----.4.,) ‘ C, ..., (9 '.1 . \ , .. N , * 11 . J.1....4.,„rez -Rerkiv.;, (1 Of ,09.• . s!,' .-...' c• 1 'Lr f'• l'f/4 '9.0****'--- -- 4 .- ' . i ,... .. 1 . i ' i --3 .. ..t , 1 a., I t - * t •% ..-•''''. — , k.,,, • klZC4). 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