HomeMy WebLinkAboutBLD2001-00712 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 #: BLD01-00712 Received Date 12/27/2001
SITE ADDRESS: 101 OAK RD Issue Date 1/22/2002
PORT HADLOCK, 98339 Expiration Date 1/22/2003
APPLICANT: WILLIAM J SNYDER PHONE: (360)437-2532
LAURA M SNYDER
PO BOX 372
CHIMACUM WA 98325-0372 28
SUBDIVISION: HILLERS WF TR INC TL Block: Lot:
PARCEL NUMBER: 960300023 Section: 7 Township: 29N Range: 01 E
CONTRACTOR: OWNER PHONE:
OWNER, WILLIAM J SNYDER PHONE: (360)437-2532
if different: LAURA M SNYDER
PO BOX 372
CHIMACUM WA 98325-0372
PROJECT DESCRIPTION NO MLA REQ'D - DEMOLITION
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 01/22/2003.
REQUIRED INSPECTION:
V FinalApproval: OK /'� 9"-0 Z
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_Propane.rpt 10/29/19
BUILDING PERMIT APPLICATION BRDOview00p712
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00712 Received Date: 12/27/2001
SITE ADDRESS: 101 OAK RD
PORT HADLOCK, 98339
OWNER: WILLIAM J SNYDER PHONE: (360)437-2532
LAURA M SNYDER
PO BOX 372
CHIMACUM WA 98325-0372
SUBDIVISION: HILLERS WF TR INC TL Block: Lot: 28
PARCEL NUMBER: 960300023 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - DEMOLITION
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: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
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
F&W Landslide
Routing Date: )Z1 Zg/ I Shoreline Aquifer
Forest: Commercial Rural
' Proximity Plat Condition.,
Type Amount Paid By: Date: Receipt: Atlifar.oyOVED
Permit $48.00 MAM 12/27/01 42486 r r K
State Building Code $4.50 MAM 12/27/01 42486
Total: $52.50 JAN 1 7 2001
DDEPT.O F C NITY � ��, T
,
t ,
JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 HERIDAN ST P RT TOWNSEND .V:.rj iai; ,,SiiJ c7: ;4 0,
DEMOLITION PERMIT APPLICATION
DFC 27
SITE ADDRESS:
911#/ROAD NAME
Pew— t—a LK ZIP DE� 0• !Sfi�fY DEVELOPMENT
9 DAVIT PARCEL ID NUMBER �'�O zad d 2-3
Legal Description:Subdivision Name 1-0 2 /� ,,"�/�/dTS G-/ -
e 'M`` o ""/ 0. � Block Lotls) 0T 2
Section Township 29&) North, Range /E— WM
APPLICANT 41/,//A jy7 i'—q/n L 4-/-4 2 j- 'OU 2 PHONE S fo O 7 � 6-32
MAILING ADDRESS .r P. 0. 13®), 3°72._ C.-in', -
VV-As +44 i.l l=CT� ZIP C 7 8 3 Z
PROPERTY OWNER c � 797 PHON a0y- l j
MAILING ADDRESS \
ZIP
CONTRACTOR c C� 0,1' v u//'/CT/2.___ PHONE Soq-14/ -------
MAILING ADDRESS
ZIP
STATE LICENSE # EXP. DATE
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 �(!t./` DATE /) /0 7 / D/
FOR OFFICE USE ONLY
BASE FEE L RECEIPT# FEZ
STATE SURCHARGE 4.50_`` CASH/CK # G3475"
TOTAL DATE 12.• 2l/�
H:\HOME\PLNCNTR\FORMS\DEM010/99
' ''' ''''247, .T!,.rr'' i L:'''., Y ,A
{ L y 1 { I ��'{ 1 '` 5 ('�S�
OLYMPIC
DEC 2 7
AIR POLLUTION CONTROL AUTHORITY 01
Jcr : '1TY
Notification of Demolition Permit DEPT. OF COMMUNITY DEVELOPMENT
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos-
containing materials 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.
R
?Project Site Address: /O( O,¢,� �ci4 Count { e c
y —� r'
kity 72-T //7 ,c c,�K State c..J,_Ei Zip
Starting Date: l—s?p , �,�,J to`Z 01___ Completion Date: � e�e_,�,q� t-S (Zb 62
Property Owner: (,(i'//'.r-ter u,t,,,� v).( Telephone:-�,6D �3 7 25 —
Mailing Address: F70. 8c 3r72_.
City G� ; ,-,-, ,4 c ,.1 State Lt./±=}-- Zip 2-S�
Demolition Contractor: 5��. P arm OI,) State License #
Mailing Address: .S.k-z- v
City State
Zip
Contact Person: , .:7/ ,yl./2/ck-S)J Telephone E�O t( 7 23L
YES NO
Demolition by Wrecking or Dismantling? ($25 fee)
1�Training Fire Demolition? (If yes, attach fire department request for training fire)
I� Renovation, Alteration, Remodeling, Maintenance, or other Construction?
✓` 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 I Article 14 for additional
requirements that may apply.
Asbestos Survey Completed by
AHERA Certified Inspector UTYP:FN-In3� t ��� I 0_
Certification # \ t"\ () .& _ . 96 (4'1___,_
This approved permit Certification of the As.-stos
must be available at the Enclose $25 3 Survey must accompany his 1
job site Processing Fee form I
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 1
•
01V3 ' . : :.,., ;,,I 0 Z
g . , ,,.
3I 3ONVd
)....,,' ' 1:p,.,',::„'''?'4':.'.,'*.''1'':''.':,'41;',i^''.:,',''',.:,1;
N6Z dIHSNMOA
L NOI133S
d ` o e
M �/ IP H pod
SJ3eJj IUOajua;eM S..JOIIIH
P-,
-, 4y7
' � 'R r p. �Cs q...
"„ , ry
. 1\1 Zt.",k7s'\,"4
-'--e0-_--- 0_ . 4
7..T .''v'''''l:,;'.''..-'-t,'''"
119 29
Y
r,.
(AIVO `amod`euoydala L . \ \
.mod g:.q, \ \ < --' - -J r4,
( .
\ \ \ \ \ Its,
I v v v v 3) ' .Z 3
1 \ � \\ � //L r Eva a,
11 � v v v vv \ v 4 `
v ss.\ \ .xf G3 .s`�ti.t?P
\ \
r.
\ \ \ 1
ii,01.,Iiiis''
4::
6Z 101 .
,c9,
*7 ,I, , ...,,,,
P\ z
r,;.
0 . .
t.
8to. .«::,
- ,,
a.
-
• -1t•1.
II lo
„,. ..i.,:,.,:
L..,, —, -s C 4, �i7„;
iii, F
ii�le..
VI
?y 7 .
i�;zf
. I::
1, ,LZ 8
tz,, ,. . :.,, :,,,,.
R�
, .. .-,,,,,,,, ,... ,..,,.
00i VM �ho a .„,I,:.:
lP H,uod ,
s;aer1 Puol
uogeia6an auiwoys 4 �ua�eM sa�j�aH 0
8Z.107
•
„^ter yt„4,.: '
f1'" '•
."44111111141004\
,l0+lilt h, i, ;:
1 Z-,E9
.01 ssei ueg : 310N 0i•
/ .,
3Nfl2JOHS XOJdd
11, .
AVG MVO 44.10N
�{ n
.,,,, ..,,,,,,..„c,..,,
..,k:;'•,:-:',',-1,,
f J l
iE;'
�Ja l•� •Om^r;, T !Sl1511
ttr- •` rr ! n
c vt ;iYa
4 0�'`r ram) 1 t.if IS,
, rn 1 c_7 tX f
: Fw
_ < 7 •ri+
l4 3g\fw o u.= i . ,.
C= --7 ,k f 0 „. tr