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HomeMy WebLinkAboutBLD2003-00056 • BLD03-00056 •UILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00056 Received Dal!, SITE ADDRESS: 60 SUNNY SLOPE BRINNON, 98320 OWNER: SANDRA L CHRISTIAN PHONE: (253)630-0583 31051 E LAKE MORTON DR SE KENT WA 98042-9735 SUBDIVISION: SUNNY SLOPE Block: Lot: 16 PARCEL NUMBER: 997200013 Section: 11 Township: 25 N Range: 02 W CONTRACTOR: MITCHELL CONSTRUCTION PHONE: (360)796-2060 4246 DUCKABUSH ROAD BRINNON WA 98320 Contractor's License MITCHC*1010E Expires 1/29/1999 REPRESENTATIVE: R MITCHELL PHONE: (360)796-2060 MITCHELL CONSTRUCTION 4246 DUCKABUSH RD PROJECT DESCRIPTIOP REPAIR ROOF & FOOTINGS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: WOD OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 86 BANK HEIGHT: 40 SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: Total: 1 Flood Way Floodplain Routing Date: 1 F&W Landslide I3 , 1 c 3 fl,/ Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 MAM 01/30/03 54938 APPROVED Plan Check $190.61 MAM 01/30/03 54938 State Building Code $4.50 MAM 01/30/03 54938 JUL 1 8 2003 Total: $488.36 Jefferson County Planning &Building Department Jefferson IounObpartment of Community Development 'sox: C0 h 621 San Street,Port Townsend WA 883681360]378-4450 motif o Pernt App, Pi Project Description: Building Type: Project Type: Frame Type: Single Family / ❑ New A Wood ❑ Garage Attached/Detached-' ❑ Addition ❑ Steel ❑ Modular a k Alteration/Remodel ❑ Concrete ❑ Commercial �—_— J c j g Repair ❑ Masonry ❑ Multi-family/#of Units `' ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: / Existing: KiGo ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: Iv A Individual System 4 Woodstove ❑ Propane Total: ` Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional G$'Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 3z0 Consistency Review 2ND Floor Base fee o?93 .r o$S 3rd ' 0 b Floor Plan Check fee—65% ! r / Htd Basement State Surcharge fee L1, So Unhtd Basement Subtotal Ogg r 3) Garage/Carport r� Pot Water Review fee Decks -�/ 7J 911/Rd Approach fee C� Commercial TOTAL LiEg31,210 Industrial Receipt# 6-`,7IQ u-/JU Other Cash/Check# cRb ! 0 Total Valuation: Initials Or Date !3 d`D3 Estimated Cos /8 004 If within 200' of the Shoreline, t /r Distance to Bank or Ordinary High Water Mark 86 —6 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 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 en t Person 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 pr structure shall be requested and shall occur during regular business hours. Signature: Date: / 9-O 3 OVER_ H:HOME\PLNCNTR\INFOBL,DG\FORMS\BLDpermitApplication 11-8-01 • BUILDING PERMIT 11, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD03-00056 Received Date 01/30/2003 SITE ADDRESS: 60 SUNNY SLOPE Issue Date 07/18/2003 BRINNON, 98320 APPLICANT: SANDRA L CHRISTIAN PHONE: (253)630-0583 31051 E LAKE MORTON DR SE KENT WA 98042-9735 SUBDIVISION: SUNNY SLOPE Block: Lot: 16 PARCEL NUMBER: 997200013 Section: 11 Township: 25 N Range: 02 W CONTRACTOR: MITCHELL CONSTRUCTION PHONE: (360)796-2060 4246 DUCKABUSH ROAD BRINNON WA 98320 Contractor's License: MITCHC*1 01 CE Expires: 04/09/2005 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: REPAIR ROOF& FOOTINGS REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: qj (G 1 tl2'"'C - [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ • ` ] Framing: 1 1 Plumbing: [ ] Propane Tank/Lines: [ ] Insulationkt t-O;K , f 1 Sheetrock: [ ] Septic Sytem Final Approval: Check wt44.tviffi n 7? - Tv .2si f 1 Zoning Final Approval: r [ ] Final/Occupancy Approval: 61( -or- Anal a l 4/1C $4 HEALTH DEPARTMENT APPROVAL REQUIRE PRI,R 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 • • i low 0,0 JEFFERSON COUNTY -i DEPARTMENT OF COMMUNITY DEVELOPMENT JAN 3 O ZOOS :.: 621 Sheridan Street • Port Townsend • Washington 98368 4 N © 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ _ Stormwater Calculation Sheet MIA# X10 1- 27W PROJECT/APPLICANT NAME: /'/%cl1Cif 6:9/. T 2C? 1,t2 This stormwater calculation sheet should accompany stand-alone stormwater management permit applications, building permit applications,and other land use approval applications that involve stormwater review. STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW hozi( Vb-- EXISTING Structures(all roof area) 75-4' sq/ft Structures(all roof area) XA_O sq/ft Driveway sq/ft Driveway sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft Other sq/ft Other sq/ft Total New 75-4 sq/ft Total Existing 3 2-0 sq/ft TOTAL NEW+TOTAL EXISTING* 7S f 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 16 sq/ft STORMWATER MGMT PERMIT.DOC REV.12/20/02 N o C r © �- e 09 , ill -I" +n ,,, . 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