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HomeMy WebLinkAboutBLD2001-00527 t 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 #: BLD01-00527 Received Date 09/18/2001 SITE ADDRESS: 75 FLORA ST Issue Date 09/25/2001 PORT HADLOCK, 98339 Expiration Date 09/25/2002 APPLICANT: RON BRIDGEFORD PHONE: 360-379-8445 73 FLORA ST PORT HADLOCK WA 98339 SUBDIVISION: CHALMER'S 2ND ADDITION Block: 9 Lot: 27-31 PARCEL NUMBER: 942900906 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQ'D --Converting a Portion of the Garage to an ADU REQUIRED INSPECTIONS: [ ] setbacks (Shoreline Setbacks : 'VD Footings: .NtyO] Foundation: /9 y Q^a.:7_01 [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: Frami Pt. bin rc/Z , Q iL ///,.36/mi / [ ] /' G C ', /E rd `C, v:_fc ;✓?a.s r" a;� 'i [ ] Propane Tank/Lines: [ ] Insulation: /=zc-62r-c / , 1f 0/c ',c 70 :y"_c,; 44,4t2.- zc_.../ie-)/1SC-- /oi-iv•-c-5i K Sheetrock: s O'- / , ' Ct 7— ^ J' [ a ccupancy Approva i:� //©-,- s HEALTH DEPARTMENT APPROVAL REQUIRE''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 is\F_BLD_Permit_Bu ildng.rpt 10/29/19 BUILDING PERMIT APPLICATION Revi'zw Typo: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00527 Received Date: 9/18/2001 SITE ADDRESS: 75 FLORA ST PORT HADLOCK, 98339 OWNER: RON BRIDGEFORD PHONE: 360-379-8445 73 FLORA ST PORT HADLOCK WA 98339 SUBDIVISION: CHALMER'S 2ND ADDITION Block: 9 Lot: 27-31 PARCEL NUMBER: 942900906 Section: 3 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTIO Converting a Portion of the Garage to an ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 282 VALUATION 1,637,856.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: 0 Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: y F&W Landslide l/r�`/� r Shoreline Aquifer Forest: Commercial Rural Proximity Plat Condition., Type Amount Paid By: Date: Receipt: proved/Date -•-_ Permit $279.25 ZAN 09/19/01 30402 AP �� �E Plan Check $83.78 ZAN 09/19/01 30402 State Building Code $4.50 ZAN 09/19/01 30402 Potable Water Application $30.00 ZAN 09/19/01 30402 S E N 2 2001 Total: $397.53 j R el •T f DEPT.OF C N ENT SIGNAT 0NCO - (11 , %, JEFFERSON COUNTY C `A nE ,.._al 141DEPARTMENT OF COMMUNITY DEVELOPMENT r,_.. 1 �I i' 0� 621 Sheridan Street • Port Townsend • Washington 98368 `�'Z/?NC3`S 360/379-4450 • 800/831-2678 • 360/379-4451 Fax DEPT. OFJCOMMUN TY DEVELOPMENT BUILDING PERMIT APPLICATIO Project Description: Building Type: Project Type: Frame T pe: Single Family New Wood Garage Attached/Detached Addition Steel Modular . Iteration/Remodel Concrete Commercial •epair i Masonry _ Multi-family/#of Units Demolition . Other: Industrial II Other: f 7 Li Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: .._g - Sewer Community System _ Oil Proposed: i Proposed: Cndividual System Woodstove Propane Total: -� Total: If not sewer,fill out the following: -! Heat Pump _. Conventional -: Alternative Other Permit# SEP Water Supply: Private well - Two Party Well - Public:\ame-n eater system: _ Square Footage: �y ch,037,. .3, -� For Office Use Only Main Floor t2 t7 � UBC OCCUPANCY GROUP 2hD Floor _ Base fee g r ts- 3rd Floor Plan Check fee F e ' 0 Htd Basement - State Surcharge fee t . SD Unhtd Basement Subtotal 3 LO -7 f S 3 Garage/Carport Pot Water Review fee 3 a' 00 ��, OD Decks 911/Rd Approach fee / Commercial TOTAL Lt 2(0' S3 Industrial Receipt# 3O'/C) Other Cash/Check# t s ?DI 0 gig 0 Total Valuation: Initials k Or Date / / Estimated Cost: 0 0 e7f (-)Z" ��orlZeV 39. 00 . ed(es, s 3 If within 200' of the Shoreline, ____--- ----- Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. 13y 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. 1 further agree to save,indemnify and hold harmless Jefferson County against all liabilities,jud}mtents,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 emp ..ees,representatives or agents for the purpose of application review and any required later inspections. Access and right of ent to th applicant's rty or structure shrill b• Nue' d and shall o ur during regular business hours. e / Signature: Date: �� Z0e) 1-1:I-TOME\PLNCNTR\INFOBI.D( \FORMS\B .)pe it:Applicationl/2000 Stormwater Calculations IMPERVIOUS SURFACE NEW r1 0 U le VI cf rQ r" EXISTING Structures (all roof area) NO 0_— sq/ft Structures (all roof area) `' / t-sq/ft Driveway sq/ft Driveway (6—C/ sq/ft Sidewalks sq/ft Sidewalks ( 7 sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks !- sq/ft �'Lei Other sq/ft Other ,tioo e l & sq/ft Total New sq/ft Total Existing ;,Z / .7 sq/ft TOTAL NEW+TOTAL EXISTING* ----6e' / 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 L.;% sq/ft RE CFE5WiE SEP 1 8 2001 i JEFFLASUN COUNTY DEPT OF COMMUNITY DEVELOPMENT i RDR H T��Mr � u 5vt ? #z� 1 44 ,<ecd , exi5 A4j gar /6` 3F Fu rnate �! LL X f T-C fit IN) LIVING 12 M a Frl Lk igeerss , C L 13F_0R00M GJH4Lt �/©vs c FA_ 6/ A%'00 4p c C TY7RZ—r n vGawS cor ve"ncor � ! y?C x -p n( S t�a Yt 4ox4s' PORCH ;' 31 f' `qy cvc G K312 of S 4 C F= L o c-il _ r M (! a r� Ccgtni-I lever Q 2 Fc r-4 I I \!V II ,S/R XIS 6 S Jre: '477- c H c� -57 > NO SCA L E 2X8 PT C�XIS7 iv19 cua�l2' 4 w/ayt2 Frri oo D E_ llg r �I I SEP 1 8 2001 --jEFFtASO I COUNTY DEPT. OFCOM%1'R TY DEVELOPMENT ---� 4 t/OZ iKIDo PolZ7 D 2.¢ % �XlSfivig Sara 2g °/ D I 6-% 1C 1 6413 " 7 I x ho sc(y r- t ' 6 + cl u� 1 .Z K Adcl z X /2 L eP46 tz wj2' "J`&),wkING Corncrcf cv �ot�r .��rat/d r7 Ga r P> Pla fe i ✓�'+P T existlhq sl�G D©wrc ---IF 3ir e ,5(aG- A D U U N )T FOk _LO . Rl DGEFC�;;?b - _73- FLORA RA ST P- _H-A0106K__-- -� (o In SCALE: � An � 7 APPROVED BY: 1 L DRAWN BY b DATE: 9- l 3' D I REVISED I I DRAWING NUMBER 17%22 MINTED ON NO. 100011 ClFARPRINT• 1"4, JEFFERSON COUNTY -' ., 1 DEPARTMENT OF COMMUNITY DEVELOPMENT _ Q► '1 621 Sheridan Street • Port Townsend • Washington 98368 I iil• ~ �� ,s N°z° 360/379-4450 . 800/831-2678 . 360/379-4451 Fax ! r 1 -L , I I SEP 1 8 2001 �,J Master Land Use Permit Application Form J _. 1 PROPERTY INFORMATION JEFFtRSUN COUNTY DEPT. OF COMMUNITY DEVELOPMENT Tax Parcel Number: 0 0 CI El CI 0 ® 0 Subdivision Name: C h r I Pi crs .2 Zed fi7o/ri, fro v► Lot Number: 2 7 7Lj rit 31 Property Size: (acres/square feet) Existing Use of Property: ilp wt � Site Address and/or/Directions to Property: 73 o` r q S-L • P4-, ,a d 1 o c--k ©ice . . /och Al, o -r e:1 54, t O 0- 171_0 4a5 APPLICANT INFORMATION / Name of Applicant: t�ee>(A e h a,. ��it( ye n F Telephone: ?- 4/1' 6-- Address: -7,3 ,Cf fort :5-1, City: PA PG,1/ r•kl State: wa , Zip Code: T 9/33 4 Name of Authorized Agent(if applicable): Telephone: Address: City: State: Zip Code: DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) Crarviciimo1 h cr Af¢- 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: ❑ Se tic Permit/Evaluation of Existing System (EES) UDC Section 6.4.1 and Chapter 8.15 JCC uildin 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 ❑ 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 O Binding Site Plan* UDC Section 7.5 O Conditional(Administrative) "C(a)" Use UDC Table 3-1 and Section 8.8 O Conditional (Discretionary)"C(d)"Use UDC Table 3-1 and Section 8.8 (Discretionary Permit Review Process Determined by Administrator) O Variance, Minor* UDC Section 8.9 ❑ Wireless Telecommunication Ordinance 06-0712-99(UDC Appendix C) O Shoreline Substantial Development(Primary Use) UDC Section 5 O 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 O Conditional"C" Use UDC Section 8.8 ❑ 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 application) O Plat Vacation/Alteration UDC Section 7.1.3(d) O Variance, Major* UDC Section 8.9 O 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 r Type IV Permits _ ❑ Long Plat, Final UDC Section 7.4 SEP $ � O PRRD, Final UDC Section 3.6.13 ij 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 JEFFERSON COUNTY Amendment* OEPT. OF COMMUNITY DEVELOPMENT ❑ Jefferson County Shoreline Master Program Amendment* UDC Section 5 Other Local,State or Federal Permits ❑ 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 o 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. Acces d right of ty to the applicant's roperty shall be requested and shall occur only during regular business hours. yr {- 7 / f (APPLICANT OR AUTHORIZED REPRESEN AT E SIGNATURE) (DATE) I ereby designate to act as my agent in matters related to this application for permit(s). C PPLICANT 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'acknowtedges that he, sh or " olds individual and non-transferable responsibility for adhering to and complying with the E§A.The Applicant has read this, Imer a signs and dates it below. / o APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) MASTER LAND USE PERMIT.DOC REV.4/6/01