HomeMy WebLinkAboutBLD2001-00393 DEMOLITION 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 #: BLD01-00393 Received Date 7/9/2001
SITE ADDRESS: 1040 E QUILCENE RD Issue Date 8/20/2001
QUILCENE, 98376 Expiration Date 8/20/2002
APPLICANT: ROBERT M WIGGINS PHONE: (360)533-5232
MARILYN J WIGGINS
719 PURKEY AVE
ABERDEEN WA 98520-1228 T 18+
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701183009 Section: 18 Township: 27N Range: 01W
CONTRACTOR: ELITE TRUCKING & CONST INC PHONE: (360)732-7000
2203 BEAVER VALLEY RD
PORT TOWNSEND WA 98365
Contractor's License ELITETC099OP Expires 02/18/2002
OWNER, ROBERT M WIGGINS PHONE: (360)533-5232
if different: MARILYN J WIGGINS
719 PURKEY AVE
ABERDEEN WA 98520-1228
PROJECT DESCRIPTION DEMOLITION OF RESIDENCE
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 08/20/2002.
REQUIRED INSPECTION:
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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
is\F_BLD_Permit_Propane.rpt 10/29/19
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Approved e I( 61 Permit#o►_h oo, 1�- , �,' 4, RECEIVED
4,
App;Ned But With ' •
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Speci f Conoaiars Noted 1 �' " ' -i , AUG 0 1 2001
Not Approved for
Reasons Noted_ _ OLYMPIC OAPCA
For Compiiance W;tii Reg. 1 AIR POLLUTION CONTROL AUTHORITY
i
sir i r� 'W7� Notification of Demolition Permit
It1X:' f ay pvz 3ou to cause or allow the demolition(or major renovation)of any structure unless all asbestos-
cont. ling m rf enals have been removed from the area to be demolished. Work shall not commence on an asbestos project
or demolition unless the owner or operator has obtained written approval from OAPCA. A written application for a
demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the
structure.
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Project Site Address: / County ��'��
City Q -Erfx.4re_ State r Zip C e<37
Starting Date: 7/30( Q I Completion Date: /3 0 / 0
Property Owner: 49/cS(T &2 (>-Zh(s Telephone: 3670✓` —3 3 6'2-3 a
Mailing rl Address: 7/�( 4,(K rK 1/ v
City 'dd�// /1/Z-0 g1i-fr ' State 0/9-, Zip .�
Demolition Contractor: 7 C.i CC G-4-eb a G.Z7-te License# e- 7 e_ ?0//
Mailing dress: 23 &J zfOZ L 14& -is /� /
City o�T (C-C t C6 CO State (. ) , • Zip GL (3< 5—
Contact Person: e 71"74 A(C9�(fJGOKC-1-Ce 5r C1'Telephone 73 Z-7 O O 0
YES NO
Demolition by Wrecking or Dismantling? ($25.00 fee) check# 3
X Training Fire Demolition? (If yes, attach fire department request for training fire)
X Renovation, Alteration, Remodeling, Maintenance, or other Construction?
- k Asbestos found or suspected*
*An OAPCA"Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos
removal work Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to OAPCA Regulation 1 Article 14 for additional
requirements that may apply.
Asbestos Survey Completed by
AHERA Certified Inspector W J'V G- 0 ( D i oI I i7
Certification# /9-r``l0 A4 —b® Le Z C/Y- 1?)
This approved permit must be Enclose $25 Certification of the Asbestos
available at the job site Processing Fee Survey must accompany this form
�. - 909 Sleater Kinney Rd SE,Suite#1,Lacey,Washington 98503
360-438-8768 * 800-422-5623 * fax 360-491-6308
{ homepage:www.oapca.org * email: info@oapca.org
I
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JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
SPECIAL CONDITIONS FOR CASE#BLD01-00393
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 7/23/01 for the potential presence of Environmentally Sensitive
Areas(ESAs) under the provisions of the Unified Development Code (UDC). After an
initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Shoreline(Suburban), Wetlands, Floodplain, Seismic Hazard, and Stormwater.
2.) The applicant is proposing the demolition of an existing residence, traitor, and shop and
shed. The submitted site plan delineates a"work zone"for the demolition. No new
structures are proposed on the property. All demo work will be conducted on existing
graded areas.
3.) The portion of the property is located inside of the designated floodplain. A flood elevation
certificate will not be required for the proposed demolition project However, future
applications for development may require a flood elevation certificate in compliance with
Section 3 of the Jefferson County Unified Development Code.
4.) The applicant is proposing to disturb 11,500 feet Sections 6.6 and 6.7 of the Jefferson
County Unified Development Code requires that your proposal submit a Small Parcel
Sediment and Erosion Control Plan.
5.) A Small Parcel Sedimentation and Erosion Control Plan has been submitted and
approved by the Department of Community Development Once the subject permit has
been issued the applicant shall fully implement the provisions of the submitted plan and
contact the Jefferson County Department of Community Development to arrange a
schedule to inspect the property for plan compliance. A Certificate of Occupancy will not
be issued until the Department verifies plan compliance. No clearing for roadways or
utilities shall occur on the project site until clearing necessary for the installation of
temporary sedimentation and erosion control measures have been completed.
6.) The site plan as submitted with the building application on July 9, 2001 has been reviewed
for consistency under the UDC, and has been approved by Jefferson County Department
of Community Development Any modifications, changes, and/or additions to the
stamped, approved site plan dated July 23, 2001 shall be resubmitted for review and
approval by Jefferson County Department of Community Development
7.) All heavy equipment for the demolition project shall stay inside the designated"work zone"
as depicted on the site plan. In addition, erosion and sediment control must be installed
prior to undertaking the project
•
i:1F_BLD Permit_Propane.rpt 10/29/19
74
BUILDING PERMIT APPLICATION ReAOw Ope: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00393 Received Date: 7/9/2001
SITE ADDRESS: 1040 E QUILCENE RD
QUILCENE, 98376
OWNER: ROBERT M WIGGINS PHONE: (360)533-5232
MARILYN J WIGGINS
719 PURKEY AVE
ABERDEEN WA 98520-1228
SUBDIVISION: Block: Lot: T 18+
PARCEL NUMBER: 701183009 Section: 18 Township: 27 N Range: 01 W
CONTRACTOR: ELITE TRUCKING & CONST INC PHONE: (360)732-7000
2203 BEAVER VALLEY RD
PORT TOWNSEND WA 98365
Contractor's License ELITETC099OP Expires 02/18/2002
REPRESENTATIVE(S): ELITE TRUCKING & CONST
2203 BEAVER VALLEY RD
PORT LUDLOW WA 89365
PROJECT DESCRIPTIO DEMOUTION1 OF RES I DEM GE_
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Landslide
outing Date:
10/0/ Shoreline Aquifer
Forest: Commercial Rural
Proximity_ plat Conditions
Type Amount Paid By: Date: Receipt: 1RdO\
Permit $48.00 MAM 07/09/01 28957
State Building Code $4.50 MAM 07/09/01 28957
Total: $52.50 AUG 1 7 2001
DEPT.OF CO
ER5 UNIT OD N1Y9 ENT
SIGNATUR
f
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST PORT TOWNSEN WA 3' •
DEMOLITION PERMIT APPLICATION
JUL - 92r'
��SITE ADDRESS: _ JEFFERSON COUNTY
911#/ROAD NAME / +c l (' ` ,DDEEPT. OF COMMUNITY DEVELOPMENT
• �U C( i✓�'e z) cl $7O( ZIP Of ?lam
/9 DIGIT PARCEL ID NUMBER 7 o 1/ 8-3 &&41
Legal Description:
Subdivision Name Block Lots)
Section Township North, RangeZ WM
APPLICANT E .'?t / G/G(y1 si-d9'"4�.7-, PHONE 732_--7(313 0
MAILING ADDRESS g2p3 ''J)
e) c0 W54 ce/36 ZIP F 3 66-----
PROPERTY OWNER C/ 1 1k&4Z C� . PHONE LS `E'D'"J 3' C233
MAILING ADDRESS
ZIP qt
CONTRACTOR c j j 7/t7A4f C TT. PHONE
MAILING ADDRESS
, ___ �- ,/� ZIP /
STATE LICENSE # Ems/ /l /Cowcit?&/' EXP. DATE 2 4 /C!Z
FEDERAL I.D. #
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.
APPLICANT SIGNATURE ' jl1.L6/ k DATE 7 / ? // a/
FOR OFFICE USE ONLY
BASE FEES RECEIPT#
STATE SURCHARGE 4.50_ CASH/CK# Z
TOTAL DATE 7
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DEPT. OF COMMUNITY DEVELOPMENTIt ;
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