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HomeMy WebLinkAboutBLD2001-00671 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 #: v BLD01-00671 Received Date 12/3/2001 SITE ADDRESS: 464 BACHELOR RD Issue Date 12/28/2001 SEQUIM, 98382 Expiration Date 12/28/2002 APPLICANT: GORDON ANDERSON PHONE: (612)940-8791 2445 ARONA STREET ROSEVILLE MN 55113 SUBDIVISION: WM H THOMAS SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 002341012 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: HINES CONSTRUCTION INC PHONE: (360)681-4458 PO BOX 3336 c e- SEQUIM WA 98382-3336 rofrl—6/0'n Contractor's License: HINESCI034N6 Expires: 10/11/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA - No Change in Footprint CONVERTING UNHEATED SQ FT of BLD00-243 to HEATED LIVING SPACE REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] raml /Plumbing: O le..> Z.- 1-o t. [ ] Propane Tank/Lines: [6(v- Insulation: DIG 1..t*-oz.- ft( Sheetrock: a7 c 2-6-02, [ Final/Occupanc Approval: r IN - 0-0 Z HEALTH DEPARTMENT APPROVAL EQUIRED 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_Buildng.rpt 10/29/19 BUILDING PERMIT APPLICATION BReD0w00pe3 Jefferson County Department of Community Development • 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00671 Received Date: 12/3/2001 SITE ADDRESS: 464 BACHELOR RD SEQUIM, 98382 OWNER: GORDON ANDERSON PHONE: (612)940-8791 2445 ARONA STREET ROSEVILLE MN 55113 SUBDIVISION: WM H THOMAS SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 002341012 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: HINES CONSTRUCTION INC PHONE: (360)681-4458 PO BOX 3336 SEQUIM WA 98382-3336 Contractor's License HINESCI034N6 Expires 10/09/2000 REPRESENTATIVE(S): PROJECT DESCRIPTIO CONVERTING UNHEATED SQ FTAGE TO HEATED LIVING SPACE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 318 VALUATION 51,924.00 ADD'L: 576 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: - o STORMWATER: YES NO AREA Exist: 1 Exist: 1r•.�/" Wetland Erosion Prop: 1 Prop: >t- - / Seismic Streams Total: 2 Total: "2' 1.0 Flood Way Floodplain F&W Landslide Routing Date: ! Shoreline Aquifer ~—� ��� Forest: Commercial Rural Proximity Plat Conditions 1 Type Amount Paid By: Date: Receipt: oved/Bate • - Permit $657.75 MAM 12/03/01 42461 AP ROVED Plan Check $197.33 MAM 12/03/01 42461 State Building Code $4.50 MAM 12/03/01 42461 U 7 2001 t u 2 Total: $859.58 SIGNA ,', • 7. I Jefferson Canty Department of Conunulty Development SON c°G. 4��¢ 021 Sl�ian Street,Port Townsend WA 853681360]378-4450 ermo ID Ap p - ° , iz, „ h'IN . 0 Co u [i 0 n ....) Project Description: , Building Type: * , oject Type: Frame Type: X Single Family k /5 , +❑ New Wood Garage Attached/De .. yy �,^ �' ❑ Addition ❑ Steel Modular �` V0 Alteration/Remodel ❑ Concrete I Commercial ❑ Repair ❑ Masonry .. Multi-family/#of Units ❑ Demolition C Other. Industrial : Other. Bathrooms: Bedroo s: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer C Community System XElectricity ❑ Oil Proposed: I Proposed: 1 '.'Individual System Woodstove ❑ Propane Total: �- Total: 2' If not sewer,fill out the following: Heat Pump ❑ Conventional Alternative Other Permit# SEP etz—TO Water Supply: Private well C Two Party Well Public:Name of water system: Square Footage: Q v [�_,() For Office Use Only Main Floor (D 1 D �,tt�l • � Consistency Review Q®' 2tiD Floor D� 3'34 dF Base fee �� .7 S- 3rd Floor Plan Check fee t�7 • ' 3 Htd Basement State Surcharge fee `.( t Sr Unhtd Basement Subtotal ?I. 58 Garage/Carport Pot Water Review fee -- Decks 911/Rd Approach fee 0 Commercial TOTAL egil_aS© Industrial SI vd. 9 Receipt# e,2 C� / Other Cash/Check# g]�O7 Total Valuation: & Initials �� T C Or nl Date /6C ^5-0 Estimated Cost:4' t�j£O C) : If within 200' of the Shoreline, 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 matenal 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 entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. .\ccess and right of entry e appli ' property or structure shall be requested and shall occur during regular business hours. l Signatu : ailiv t Date: ii--- / 9 01 OVER ► II:I-It)ME\PL 'NTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 C a " 6x Stormwater Calculations ��� • IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) sq/ft Structures(all roof area) _ 2�o sq/ft Driveway sq/ft Driveway 14MC sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios 2— sq/ft Solid Decks sq/ft Solid Decks sq/ft Other sq/ft Other �y sq/ft Total New sq/ft Total Existing 5 ' sq/ft TOTAL NEW+TOTAL EXISTING* 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 sq/ft FAV BR 3 301 F . 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