HomeMy WebLinkAboutBLD2002-00244 • •
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 #: BLD02-00244 Received Date 4/25/2002
SITE ADDRESS: 161 OAK ST Issue Date 5/13/2002
QUILCENE, 98376
APPLICANT: TINA PELLETIER PHONE: 360-765-4686
157 OAK ST
QUILCENE WA 98376
111
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 601334118 Section: 33 Township: 26N Range: 01W
CONTRACTOR: OWNER PHONE:
OWNER, MERRILL E GORDON PHONE: (360)765-4686
if different: 161 OAK ST
QUILCENE WA 98376-9625
PROJECT DESCRIPTION DEMO
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 05/13/2003.
REQUIRED INSPECTION:
[ FinalApproval: (O /7' /S--O 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.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
.
SPECIAL CONDITIONS FOR CASE# BLD02-00244: •
1.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas (ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
2.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
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.
3.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
4.) Maximum lot coverage is not to exceed 25%.
5.) Minimum setbacks from Oak Street and Hazel Point Road are 20 feet. Minimum side and
rear setbacks are 5 feet.
6.) Ths parcel has been designated as Rural Residential under the Jefferson County
Comprehensive Land Use Maps effective August 28, 1998.
7.) Oak St(P121) is a private road. No road approach permit is required. An address of 157
Oak st has been assigned to the parcel.
8.) A septic permit(SEP70-00039)was finaled on February 23, 1999 for a two (2) bedroom
system.
9.) The revised site plan as submitted with the building application on May 10, 2002 has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated May 10, 2002 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
10.) This approval is for a building demolition only. Any future permits on this site are subject
to review for consistency with applicable codes and ordinances and does not preclude
review and conditions which may be placed on future permits.
i:\F_BLD_Permit_Propane.rpt 10/29/19
ML
9ILDING PERMIT APPLIM Review 0 0e25
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00244 Received Date: 4/25/2002
SITE ADDRESS: 161 OAK ST
QUILCENE, 98376
OWNER: TINA PELLTIER PHONE: 360-765-4686
157 OAK STREET
QUILCENE WA 98376
SUBDIVISION: Block: Lot: 111
PARCEL NUMBER: 601334118 Section: 33 Township: 26 N Range: 01 W
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S): TINA PELLETIER
157 OAK ST
QUILCENE WA 98376
PROJECT DESCRIPTIO DEMO
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
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: ; / (0 (02.—
? Shoreline Aquifer
"7Forest: Commercial Rural
Proximity Plat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $47.00 MAM 04/25/02 46480
State Building Code $4.50 MAM 04/25/02 46480
Total: $51.50
JEFFERSON COUNTY COMMU••ELOPMENT, 621 SHERIDAN ST, PORT TOW •A 98368 PH: (360) 379-4450
DEMOLITION PERMIT APPLICATION
SITE ADDRESS: ,VJ\ oc& S c ,
911#!ROAD NAME 1(_ �j
Q�.`ce�e f Wc, ZIP fl b
9 DIGIT PARCEL ID NUMBER CPO , 33y \\
Legal-Description:
Subdivision Name 'V'c x \ *D-a ---X rCAC - 11 k Block Lot(s)
Section s.3. Township 040 North, Range \\NI WM
APPLICANT , I-c
�1 C1G `\Pti�\\er' PHONE � -�bS"�U
1 10V�
MAILING ADDRESS \�� c c .'_ ' j- r
Ql..)Z\ `cei- ,WG ZIP \ C fl(Q
PROPERTY OWNER ` 1'nC\ 1ac1 e PHONE �J00—1\05 44j
MAILING ADDRESS 15-1 CD 03c- Skr .
QtrA 1 (c+ r\e. I Lk_)G ZIP 1%3---1(O
CONTRACTOR PHONE
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.
AAPPLICANT SIGNATURE V.tV� �av DATE 4- / .S/ .,
(f FFc t OFFICE USE ONLY
BASE FEE a i ! 7• v cti RECEIPT# q; •�
STATE SURCHARGE 4.50 CASH/CK # (-{ ( i /
TOTAL - J -
DATE' :� 1 / /�+�
J 1 I 1
HAHOME\PLNCNTR\FORMS\DEM010/99 ---`-------'
H APR 2 5 2002 . ..._f)
�Ju
JEr`r L'y,'i :' U i
DEPT OF COMMUNITY DEVELOPMENT
, \ _.........._,.. 0 v,
i pe\ ...„ ....
......_.I ...___ -----
8(....)
`C.
-^.....,
D -
\
.....-
1 , ,
i co
i )
, .. ...,
ir, 1
.„---
1 ,
,--- i \----1 --1
...... 1 9, ,
\ C A m
...:..f -c,
.._,
cr-_,.•_, S :-,1
1 • i crl
I .
1 i 1
i .
"%,....
1 q
1
t‘ .1
', 1
i
I
, .
1 .
. 1
1 :1
i .
I , A
I 1
1 ,
1 ,
, ) •
1 i
. 6.
•'4 ,,,I. . .
•';','.', qit,'
,. 1:33 0 ._ t ku ca
,...., co
V ..13-1
. „kr,„
,, -0 . .
..„ .
4-IIF- 111 ik
rl
g
1
-__