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BLD2003-00072
• BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00072 Received Date 02/6/2003 SITE ADDRESS: 212 BLANCHE RD Issue Date 02/24/2003 PORT HADLOCK, 98339 APPLICANT: NANCY KAY Y STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 98339-0105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 16&1 PARCEL NUMBER: 973500210 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION POLE BUILDING REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ( Framing/Plumbing: '-'/C o/\:).) (, /.6 t3 7 [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] Zoning Final Approval: [`] Final/Occupancy Approval: UV( o\►d -- (,// JoHEALTH DEPARTMENT APPOVREQUIRED 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 BLD03-00072 1.) The application was reviewed by the Jefferson County Department of Community Development staff on February 12, 2003 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Susceptible Aquifer Recharge Area. 2.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) The parcel is a legal non-conforming lot that is designated Rural Residential (RR 1:5) under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 5.) 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). 6.) The applicant is proposing to create or add 200 square feet of impervious surface and 200 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Stormwater Calculation Sheet. The applicant submitted a calculation sheet. 7.) 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. 8.) This approval is for a Pole Building 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. 9.) The site plan as submitted with the building permit application on February 6, 2003 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 February 6, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) The applicant has provided documentation regarding legal access to the subject property. An easement was recorded under AFN 465421 dated February 6, 2003. 11.) Maximum impervious surface area on the property shall not exceed 25 percent. 12.) Minimum setback from the access easement shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 13.) The building height shall not exceed 35 feet. i:\F_BLD_Permit_Buildng.rpt 10/29/19 • BUILDING PERMIT APPLI MTION MLA03-00055 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00072 Received Date: 2/6/2003 SITE ADDRESS: ti11-BLANCHE RD PORT HADLOCK, 98339 OWNER: NANCY KAY Y STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 98339-0105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 16&17 PARCEL NUMBER: 973500210 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOF POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,220.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OGARAGE: 200 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 Routing Date: F&W Landslide 247 C? Vi2.6 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A w•-#• /0- ED Permit $97.25 MAM 02/06/03 52937 Plan Check $63.21 MAM 02/06/03 52937 FEB 2 4 2003 State Building Code $4.50 MAM 02/06/03 52937 Jefferson County Planning Total: $164.96 & Building Department n -- 0 .,,,,, ON co III/ Jefferson Cay Department of Community Development 621 Sheridan Street,Pert Townsend WA 88368[3601378-44.50 ,,, 0-4 = rya Perm � AppI5cfi© 4.. _• .1S 0,a Project Description: Building Type: Project Type: Frame Type: ❑ Single Family „'` New V,Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial (� 7 Other: Y(\e, GJv\-e, ,ko ) Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well Q Public:Name of water system: Square Footage: For Office Use Only Main Floor b S��' Consistency Review 2ND Floor 0 Base fee CY-1 .' 2 Cl 5- 3rd Floor 65/o fi Plan Check fee— ° (C? -� a Htd Basement z :J State Surcharge fee L` `c- L.-' Unhtd Basement i/ Subtotal \ o'\ e C Garage/Carport Pot Water Review fee } Decks 911/Rd Approach fee \LA\, ots Commercial TOTAL .. -) - °1 Industrial Receipt# '')—C -, Other Cash/Check# ci 7 Total Valuation: Initials V . Or Date f V f j 1 SOO, an Estimated Cost 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 attest 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 wit, respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jeffers. 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 oft e granting of this permit. I further agree to provide access and right of entry to J• •-:'County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en he applicant's property or struct re sh.11 be requested and shall occur during regular business hours. Signature: �, m`� _ I Date: . \ Iv OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 , Aik6 JEFFERSON COUNTY 110 r rf'i V .4..._ DEPARTMENT OF COMMUNITY DEVELOPMENT "... 621 Sheridan Street • Port Townsend • Washington 98368 IsviinsTerv, \\,..„.... 360/379-4450 • 800/831-2678 • 360/379-4451 Fax BUILDING PERMIT SUPPLEMENTAL CONTACT INFORMATION ?I e:g th jotiousia Ltd 44 etwolereiv ad faxadiel,e. Project Description: 9 Digit Parcel Identificatlani Number (from your tax statement): . 1 Site Address 911#: Road NameA3\Ck.r\6\42 /)-\\/e Zip ode: ckg 33 1 I Legal Description,, \ Subdivision Name: \\(\LI X - \t,.. ) \'1 rs1 , \A Block: Lot(s): Parcel Size (acres or square footage): • Li i', I I i ',..„ , .4 ,' Property Owner: c\,,,e Mailing Address: pc) 67.) -,,z. S (- --- Applicant/Occupant: Phone: (if different from owner) Mailing Address: , Authorized Rep: to., i- P i ne• 4, \ \- \I 7\ : ,, Y' ' ' ' 1 • .SCA-YA t....., , , Mailing Address: \\\_) 1\\ \I i ' , 1 \ I, FEB - 6 2003 General Contractor: L ____--- _mt. , . Or Manufactured Home Installer: sie \c Mailing Address: uEPT.0 - '%!-^lu _\_,- _.-1-ii.,, e 5 . Contractor's State License Number: E-ileiration Date: Architect:/Engineer: K‘ \: .6O:Ai‘e_. " Mailing Address: )( - Ph e: , i, - ,..: j " (....) -1 S9 C;k.)t Y‘CO -t• G:\PERMIT CENTER\FORMS\BLDG SUPP INFO .*::. t i ) , 1 '- a\ ' ,/ ,, r,... r -.. ‘ ""I si• k•41/ 1 -,. . 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