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HomeMy WebLinkAboutBLD2001-00645 71 BUILDING PERMIT APPLICATION Review Ope: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00645 Received Date: 11/16/2001 SITE ADDRESS: BAYCLIFF DR3i3 PORT TOWNSEND, 98368 OWNER: WILLIAM SCHNEIDER PHONE: (360)379-4709 JESSICA SCHNEIDER 10 HARBORVIEW DR #8 PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#5 Block: Lot: 275 PARCEL NUMBER: 965000160 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: RICK-Si'AFTER CONS+R6CTION PHONE: (30)- 79-3101 163-FOXFIETD Contractor's License -111CKSC`005Ri Expires 1 2121720 0 1 REPRESENTATIVE(S): RICK S1WFER 1•C3 FOXFIELD' PORT TO1A/NCENO WA-00360 PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,840 VALUATION 142,049.00 ADD'L: 400 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 632 SHORELINE: CONST TYPE: DECK: 563 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: KALA PT PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain F&W Landslide Routing Date: Shoreline Aquifer 1 _1 Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,234.55 MAM 11/16/01 42384 Plan Check $370.37 MAM 11/16/01 42384 State Building Code $4.50 MAM 11/16/01 42384 Potable Water Application $30.00 MAM 11/16/01 42384 Total: $1,639.42 ..., efferson County Department of Community Development c NOV 1 A 2001 ridan Street,Port Townsend WA 98368(360)319-4450 o er- ,,,,,,,„„NC:11. DEPT. OF•0 ITY D LO EN P p_ II Ca?fl©U U Project Description: $I IJ G L,E. FA fM I LY !2 a l i` 4 C IP/A f7ACI P `2 -CA'i „"A t t )E 1 Z'r 4-0 C,F L l v i...(,, r<i 4 P4 Building Type: Project Type: Frame Type: Si e Family New Wood Garage Attached/Detached Addition Steel Modular 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: O Existing: 0 Sewer Community System VElectricity Oil Proposed: 2- Proposed: Individual System Woodstove Propane Total: Z. Total: �' If not sewer,fill out the following: Heat Pump Conventional Qp Alternative Other Permit# SEP o f- 00/ 1 Water Supply: Private well Two Party Well Public:Name of water system Square Footage: For Office Use Only I Main Floor 1 n40 ' 010gb/� -' UBC OCCUPANCY GROUP ((� 2ND Floor 400 2 ?� t 3Z- 2-- Base fee ( - SS' 3rd Floor 0 Plan Check fee 31 O. 3 7 I Htd Basement a State Surcharge fee / "l 1 S b Unhtd Basement © Subto C?tal ©q • 'rrZ T Garage/Carport J.g �1- ( � v Pot Water Review fee '© • IV U Decks Stil.3 S ✓ 911 d Approach fee 1 ,9-q ' 0 C) Commercial — TOTAL L!,( k, ic, ` 2 Industrial Receipt# fr2-27 o Z Other kW Cash/Check# , 603!-�L' Total Valuation: Initials ,' F A Or Date 11.. f 00' (9' ' -- `I) Estimated Cost: �2 5(3 aCO eJcoklgel3q oo, ( i )' If within 200'of the Shoreline, I Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 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 attomey's fees find expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this pemtit. I further agree to provide a ess 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 tapir applicant's property or structure shall be requested and shall occur during regular business hours. Signature: % _• - " . - Date: li ' 7. t 1 H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpeumitApplicationl/2000 Jefferson County Permit Center # Department of Community Development r 6 621 Sheridan Street,Port Town 1 ;j _ • '. ) tuRygrsa 5 Mari z�o°y11,tirN . , NOV 1 6 1 JEFFERSON COUNTY Fill in the following blanks as completely as possible: DEPT. OF COMMUNITY DEVELOPMENT Project Description: CINGC,E 1'4*Icy REdrO Wcf w/ rrAc Her 2-c 4.Go t-) 27_40 jL.IV,iV6 I"4 9 Digit Parcel Identification Number(from your tax statement): q 56001 to Site Address 911#: (IN&iyR) Road Name: EAYCL1 Plzi'E Zip Code: 9 tJ (045 Legal Description Subdivision Name: 1CAI-A POff4tT ®IVI$101J ma., 5 Block: Lot(s): 2l Section: a-1 Township: 30 N Range: Ql W Parcel Size(acres or square footage): �j 72,3 Q.FT. (a.T3 Adzes) Property Owner: Phone: WI al (7. 7MS51 CA 1,. S.C. N �CQ_ 31,0-37q—47009 Matliug Address: '0 iTng49ef1 V AEW P R1 MTr i''r r PORT IrototJat.10W R g P,3 'H Applicant/Occupant: Phone: (if different from owner) fig'7-1 Mailing Address: Authorized Rep: �c St* r_ 3toC� R Phone: � 3'19- �+�� Mailing Address: General Contractor: (•Z,C►4 S B A c F EiZ C o N S ie_xiwy l o L) Or Manufactured Home Installer: n q �Ph Q,one:C ') �9 `o Ma�ling Address: 103 t("'y�v(- l LL a Polz -T w rss �/b.J RContractor's State License Number: A. Q I RI C.K'S C.`'�4b5R 1 Expiration Date: %2. {, ad/ Septic Designer. 4ERAir, IV cs�!j Phone:3bQ_,385_1 3�/�� Mailing Address: in 3misrm 6,45 4V5, 06 P ToivAessiva 14,44 / 8 3l l7 Architect:/Engineer:7RAGY eiklt414, Phone:426_7q -0164 Mailing Address: 441 Bulot r [ P C. .EN14rp4 ►j4 ditoSS Loan Lender/General 15 --0iK1A-./ K C'1 f3 (4 NI Phone: Contractor's Bond Holder: CE2T\PtCA i� CC- ►D t-POS+% 5 3— B5 1 Lk 111 R-nn Adder arvN 6;u-rtl.2N toRa f, 2al\re.k , e �a Q wDR ' S14,66 FOR OFHCE USE ONLY Fire District Planning Area: School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan PROD T NAME R [ a SCHNEIDER RESIDENCE Nov 1 s got T 'Y 1"BRIM( JEFFERSON COUNTY \ 441 TT AVE.S. DEPT. OF COMMLNITY DEVELOPMENT \ \ \ RE T ON,WA 98055 \ 425.793.0104 • FILE EL. 360' AHONE •� \�y� ,c� \ REVISIONS • Re l:S ��set- , \ sr 49��\ �O oo • ['Os, �.. k O \\ \ SIP Pqp / \ �S, �iy 9,p Q �'� EL. 365' \p�'/ .. /�. \ 4 ti c / // �\ \ \ • •O / •o • \ �/ • �/ Qp • 404ALK 20' WIDE •\ p \O �'y��\ DRIVEWAY�‘ ' �Oo O S/mac \\ �\ (2) H \ p'�, / • \ ( �,z0 • \ MONUM.ITS • • • •\ -7 S \\ • ••\ 'P Q # \ Ills\ \ � \ // -\\/ EL. 360°.°;\;C 1 ' ,� se 2 0\ \ / / , cA PF. `\ x�a / S� Off\ �\\ S�4) \\9�4c • /4 ��. .. 9'%F-v \\ /`0PG /0 Ik e2 I=S :)/\;:s �\\ / pc EL. 365' c c ��\ \ / \otr10h� LOT 275 KALA POINT DIV. NO. 5 \\1\- CD BAYCLIFF DRIVE ZONE: R-5 18,723 SQ_FT. (0.43 ACRES) IMPERVIOUS SURFACE: 4725 S.F. DRAINFIELD AREA: 1350 S.F. NORTH SCALE: 1"=30' 3� 3 bba. ycl � � � .