HomeMy WebLinkAboutBLD2002-00059 0 •
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 #: BLD02-00059 Received Date 02/7/2002
SITE ADDRESS: 630 RHODODENDRON LN Issue Date 03/28/2002
BRINNON, 98320
APPLICANT: NORMA A ROBINSON PHONE: (360)796-3296
110 DOGWOOD LN
BRINNON WA 98320
SUBDIVISION: PLEASANT TIDES Block: Lot: 36
PARCEL NUMBER: 988500035 Section: 14 Township: 25 N Range: 02 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED I INSPECT
[c=}� SETBACKS / o : c�— (e Q --��
oundati x
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[✓( Propane Tank/Lines: DK--see. 151-0 0, -133 P P € Pi t,7 #t NA cO �l/4cc, pp43] Insulation: E`'c4.5rr I3ors6e,,6 j c, «J y.,
// , '-- V BAs - A-a' ®k 34(o./Ao��7i
[ ] Sheetrock: /1,/«1,1,X,;.K�Ta,,,td
[ ] Septic System Final Approval: _
[ ] Zoning Final Approval:
[ ] Final/Occupancy Approval:!I ,-2,6- 3-1 tI
HEALTH DEPARTMENT APPROVAL 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 BLD02-00059
1.) PE
R JEFF CO HEALTH DEPT- NO PLUMBING IN ANY OUT BUILDINGS (PLUMBING
MUST BE REMOVED FROM ORtheNAL CABIN)
efferson County Department of Community
2.) The Developmentpe was reviewed by DOES). NOT contain
for the presence of Environmentally Sensitive Areas (FBAs). The
proposals willp rt subject to a new ESA
Department conducted a review and has concluded that the property
review
co Environmentally Sensitive Areas.badded if new ESAs are found on the property.
review and conditions may
uare feet of impervious
3.)
The applicant is proposing to create or add 1,650 Unified Development Code requires that
Sections 6.6 and 6.7 of the Jefferson County
nd
your proposal adhere to Best Management Practices (BMPs)to control sediment
amwater,
erosion on the property.
4.) The proje
ct shall adhere to the Best Management Practices (BMPs) to control
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems. on 2/11102has been reviewed for
5.) approved by Jefferson County Department of
The site plan as submitted with the building application
consistency under the UDC, and has been
Community Development. Any modifications, changes, and/or additions to the stamped,
approved site plan dated 3/22/02 shall be resubmitted
opmor review and approval by
Jefferson County Department of Community
DeveThe property was reviewed for potential eagle habitat and it was not found on the subject
6.)
property. Lot 7.)
Maximum lot coverage is not to exceed 5°°'concrete drivewayse is , etcd.by the amount o
impervious surface which includes rooftops,
8.) Rhododendron Lane is callsified as a Toe side and eo Access ad and
ndcthus
s shall bUIa ES minimum
setback
minimum All setbacks
kont yard from the lot line to all proposed
5-feet. setbacks shall be measured perpendicularly
development.
9.) The building height is not to exceed 35 feet.
10/29119
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Jefferlt County Department of Community D o
/ oN Cb 621 Sheridan Street,Port Townsend WA 98368 (360) 3 5E (1 J fz
Universal Plot Pl FEB 7 1002
DEPT. OF COMMt rl1;l uiVELOPMENT
Fill in the following blanks as completely as possible:
Project Description:
, e ,1 Res c_
9 Digit Parcel Identification Number (from your tax statement):
Site Address }
911#: 6 3 I�0 Road Name: 0c e cl r Zip Code: ' ,l a 0
Legal Description
Subdivision Name: P\ e :J, Ti e S Block: Lot(s): ? L 4 3?
Section: I 4 Township: 2 5 Range: 2 W
Parcel Size (acres or square footage): 1 j S p rc S X 110 co, . C 160 X I l b)
Property Owner: N arc vh r „ R p\z �h v h + (l ev)a A *.a Phone: '6 a 6 7 9‘,- 3 ea ci l
Mailing Address: 1 r t p.
yshgboc
Applicant/Occupant: Phone:
(if different from owner) Y'y1 e
Mailing Address:
Authorized Rep: ' Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: Cj w Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: .. (-CD,, - 4 Phone: ,Ua0 - 7 qta -3 3 2 E.
Mailing Address:
4D:� 1 Sc,Jtnela11 h g3 O
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: h 6
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan
i.
..,, SON . s., . , t� � 'Jeffw'son Coe artment of Commun ty Development
Aw co621 SherJan St
reet treed Port Townsend WA 88368 13601378-4450
l , FEBDerr I lj a , 0 o
a,
��q`S NGOpp_
a,I O O
,,.Y
. OF COMMUNi c`r DEVELOPMENT
Project Description:
Building Type: Project Type: Frame Type:
✓Single Family B°rNew v!Wood
Garage Attached/Detached ❑ Addition Steel
Modular !� Alteration/Remodel E. Concrete
Commercial ❑ Repair 0 Masonry
I Multi-family/#of Units ❑ Demolition ❑ Other:
Industrial
I Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 0 Existing: O I Sewer _ Community System 0 Electricity ❑ Oil
Proposed: S Proposed: I individual System
Total x, Total: l Woodstove ❑ Propane
If not sewer,fill out the following: 0 Heat Pump
Conventional ❑ Alternative 1 Other
Permit# SEP ci `1 - 92
Water Supply: `
Private well Two Party Well nn 1
Public:Name of water system: 1' e a..,,7,0,v,i T j 4' . 3
a k`
Square Footage: For Office Use Only ��
1 Main Floor ' TU o.&1O- 4 ' Consistency Review 39,00
2 Floor r • e. - .qZ Base fee L 318.e5
3rd Floor Plan Check fee 3a 5. 57
Htd Basement State Surcharge fee Lt.V)
Unhtd Basement 1-8c) 574.5- Le) Subtotal t 757 - b z
Garage/Carport Pot Water Review fee .Ov
Decks P 0V 11/Rd Approach fee
Commercial TOTAL 17 GI .4 2—
Industrial ' �J ' I Receipt# Li56k5�=j
Other isi�`'� Cas tairliP it q 52.—
Total Valuation: Initials Pf
Or // Date 2/7/O .
Estimated Cost: C V-?,000
t........._
If within 200' of the'Shoreline,
Distance to Bank or Ordinary High Water Mark h � ft. Bank Height h t 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,judfmtents,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 r structure shall be requested and shall occur during regular business hours.
(--1)./
Signature: ' „ .. ,2—, i Date: 61 in ''.0 0 D-.
OVER ►
H:f-IOMI:\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
°BUILDING FrERMIT APPLICSION Review 0005i7
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00059 Received Date: 2/7/2002
SITE ADDRESS: 630 RHODODENDRON LN
BRINNON, 98320
OWNER: NORMA A ROBINSON PHONE: (360)796-3296
110 DOGWOOD LN
BRINNON WA 98320
SUBDIVISION: PLEASANT TIDES Block: Lot: 36
PARCEL NUMBER: 988500035 Section: 14 Township: 25 N Range: 02 W
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,481
VALUATION 157,992.00 ADD'L: 1,099 HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 480 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 240
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 1 Prop: 3 Seismic Streams
Total: 1 Total: 3 Flood Way Floodplain
F&W Landslide
Routing Date: ?,1 - Shoreline Aquifer
//1(5Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,318.55 MAM 02/07/02 45655 AP
Plan Check $395.57 MAM 02/07/02 45655 pROVED
State Building Code $4.50 MAM 02/07/02 45655
Potable Water Application $30.00 MAM 02/07/02 45655 MAR 2 8 2002
Total: $1,748.62 CM
DEPT.OF COMMUNITY DEVELOPMENT
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