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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 #: BLD01-00700 Received Date 12/20/2001
SITE ADDRESS: 125 HAADA LAAS Issue Date 03/28/2002
PORT TOWNSEND, 98368
APPLICANT: MARK L GRANT PHONE: (360)379-8095
NANCY J GRANT
75 HAADA LAAS RD
PORT TOWNSEND WA 98368-9237
SUBDIVISION: MC CULLOUGH SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 001052055 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: GRANT GENERAL CONSTRUCTION PHONE: (360)379-8095
75 HAADA LAAS
PORT TOWNSEND WA 98368
Contractor's License: GRANTGC0550A Expires: 04/12/2002
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
REQUIRED INSPECTIONS:
[ ] SETBACKS/ Footings:
[�] ou"F n - i,�" ;A-"',�% '} -(
[ ] Underground Plumbing/Underground Insula ion:
[ ] Shear Wall: /
[ ] Framing/Plumbing: OK/��i?ir ,,,s /V2/4— „--r
Iv
[$] ropane Tan 7 new /NT ,IE2 PkofANchiuEs D,�` /6,GY / / "'r 4-1 ^/'� It %15/"-r 0te
['. ] Insulation: < et Ai �,
[ ] Sheetrock: OK (z/IG/bz
[ ] Septic System Final Approval:
[ ] Zoning Final Approval:
[tT Final/Occupancy Approval: 0 7 SA11
HEALTH DEP TM TAP PR V O AL 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.
SPECIAL CONDITIONS APPLY-SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
•
SPECIAL CONDITIONS FOR CASE BLD01-00700
1.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas(ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
2.) The applicant is proposing to create or add 2,863 square feet of impervious surface. The
McCullough Short Plat required a Small Parcel Sediment and Erosion Control Plan to
address stormwater..
3.) A Small Parcel Sediment 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.
4.) The site plan as submitted with the building application on 12/20/01 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 1/30/02 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of
impervious surface which includes roof tops, gravel driveways, concrete, etc.
6.) Haada Laas is classified as a private road and thus requires a minimum 20-foot setback.
The sides shall maintain a minimum 5-foot setback. The northern lot line (rear) of the
property shall maintain a minimum 60-foot setback. The rear lot line has two(2)
easements recorded for access. All setbacks shall be measured perpendicularly from the
lot line to any proposed development.
7.) The building height is not to exceed 35 feet.
i:1F_B LD_Permit_Buildng.rpt
10/29/19
• BUILDING PERMIT APPLICOION McAOview Type I
006:e8
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00700 Received Date: 12/20/2001
SITE ADDRESS: 125 HAADA LAAS
PORT TOWNSEND, 98368
OWNER: MARK L GRANT PHONE: (360)379-8095
NANCY J GRANT
75 HAADA LAAS RD
PORT TOWNSEND WA 98368-9237
SUBDIVISION: MC CULLOUGH SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 001052055 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: GRANT GENERAL CONSTRUCTION PHONE: (360)379-8095
75 HAADA LAAS
PORT TOWNSEND WA 98368
Contractor's License GRANTGC0550A Expires 04/12/2001
REPRESENTATIVE(S):
PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE VJ/ ATTACH E'D (SAP-42
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,266
VALUATION 136,739.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 513 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 2WELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
F&W Landslide
Routing Date: / 2,/Z 1 /0 Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: f__ Approved/Date
Permit $1,200.95 MAM 12/20/01 42474 APPROVED {
Plan Check $360.29 MAM 12/20/01 42474
State Building Code $4.50 MAM 12/20/01 42474
Potable Water Application $30.00 MAM 12/20/01 42474 MAR 2 8 2002
Total: $1,595.74 •";.•1 Oil. r
DEPT.OF COMMUNITY DEVELOPMENT
SIGNATURE:
—
`t
4w . JEFFERSON COUNTY
►.1 .� d ,... DEPARTMENT OF COMMUNITY DEVELOPMENT U r - i`
I i i '
d
�� ' O� 621 Sheridan Street • Port Townsend • Washington 98368 U DEC 2 0 2001 J
.0IN� 360/379-4450 • 800/831-2678 • 360/379-4451 Fax
J
JEI•FLti.6uN CUUNIC(
BUILDING PERMIT APPLICATION°T of COMMUNITY DEVELOPMENT
Project Description:
Building Type: Project Type: Frame Type:
X Single Family X New A Wood
XGarage 411M Detached l Addition Steel
Modular Alteration/Remodel Concrete
Commercial Repair l Masonry
__ Multi-family/#of Units Demolition : Other:
Industrial
Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 0 Existing: _1_____ Sewer Community System El Electricity lE Oil
Proposed: 3 Proposed: 2 is Individual System -_ Woodstove X Propane
Total: 3 Total: If not sewer,fill out the following: Heat Pump
)< Conventional Alternative Il Other e(4-ki{,ii /f)'i ,tG,,,/,(-
Permit# SEP Sete)/ OW 0 4/
Water Supply:
I Private well A Two Party Well 1 Public:Name of water system:
Square Footage: For Office Use Only
Zany coal get/ 39r
Main Floor 2 Co 6 3 .0•.-22 UBC OCCUPANCY GROUP G�
2ND Floor Al 4Base fee 1 ZOO v / 5-
3rd Floor /ti , Plan Check fee 3 ''/0. 2.
Htd Basement N `t State Surcharge fee - 5 o,1
Unhtd Basement nl / Subtotal 1 0 _l- 7 4
Garage/Carport 5/3 I 51 y De' - of Water Review fee 3 0 , DO
Decks ,'� 1 z /Rd Approach fee
Commercial 0 \ �t 1 t TOTAL I O �T`/ • -7
Industrial Receipt# ya" 74
Other Cash/Check# o% to 3
Total Valuation: Initials
t /lam
/Y2-4/0OrS" Date l
c^ct
Estimated Cost: - ' ``
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
I
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,judemaents,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: ` Date: /Lr /
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