Loading...
HomeMy WebLinkAboutBLD2003-00170 • BUILDING PERMIT II Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00170 Received Date 03/14/2003 SITE ADDRESS: 100 S RHODODENDRON DR Issue Date 03/26/2003 PORT TOWNSEND, 98368 APPLICANT: LINCOLN TRUST COMPANY PHONE: (541)343-6497 CUSTODIAN/GLEN SVENDSEN 802 SHERATON DR EUGENE OR 97401 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 5 Lot: 33 PARCEL NUMBER: 938400532 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: REPAIR EXISTING DECK/REPLACE PATIO DOOR - NO CHANGE IN FOOTPRINT REQUIRED INSPECTIONS: rill- SETBACKS/Footings: O/<} �_�j 3 [ ] Foundation: ✓✓ [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] r./Plumbing:,17ve: ;<_ a /-03 f 1 Propane Tank/Lines: [ ] Insulation: 11 Sheetrock: 1 1 Septic System Final Approval: [ ] oning Final Approval: f Final/Occupancy Approval: 6-44 0 5 HEALT 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. 410 BUILDING PERMIT APPLATION BL Review T Ty y170 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00170 Received Date: 3/14/2003 SITE ADDRESS: 100 S RHODODENDRON DR PORT TOWNSEND, 98368 OWNER: LINCOLN TRUST COMPANY PHONE: (541)343-6497 CUSTODIAN/GLEN SVENDSEN 802 SHERATON DR EUGENE OR 97401 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 5 Lot: 33 PARCEL NUMBER: 938400532 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr REPAIR EXISTING DECK/ REPLACE PATIO DOOR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 3,800.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 300 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: CAPE GEO 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: 3/ F&W Landslide /( / 3 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 MAM 03/14/03 55150 APPROVED Plan Check $63.21 MAM 03/14/03 55150 State Building Code $4.50 MAM 03/14/03 55150 MAR 2 6 2003 Total: $164.96 Jefferson County Planning iz & uilding Department ii ��Gi i CS: 1 • • °ern JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT '4,, (* 621 Sheridan Street • Port Townsend • Washington 98368 '`S�IINO( 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Sheet MLA# PROJECT/APPLICANT NAME: (. '!2(ft I-_• SV ,v e._y 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 EXISTING Structures (all roof area) `1,-- sq/ft Structures (all roof area) sq/ft Driveway sq/ft Driveway /CIA- sq/ft Sidewalks --� sq/ft Sidewalks N//14 sq/ft Patios 0- sq/ft Patios /V/P' sq/ft Solid Decks 0 sq/ft Solid Decks N/fk sq/ft Other '-C) sq/ft Other .199' sq/ft Total New ---E sq/ft Total Existing 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 9 r1 Drainfield area cleared /'It's sq/ft Well, Structures, Utilities, etc. it."/ c sq/ft Driveway P/ Ps' sq/ft Other 44' sq/ft Total Land Disturbance £ sq/ft STORMWATER MGMT PERMIT.DOC REV.12/20/02 Jefferson Department of Community Development ity ebPme .i., °°� 621 SWIM Street,Port Townsend WA 88368(360T 371-4450 ` ° ac 36o-3''9-y eLsyti E o �s ��° P;Do pc ? © n Project Description: eLIL Q r 4- Pq ' lLce_ Pal-to D00P. Building Type: Project Type: Frame Type: 'y. Single Family ❑ New 111► Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial 34 Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 2-.., Existing: 2 ❑ Sewer ❑ Community System k Electricity ❑ Oil Proposed: Proposed: Individual System ❑ Woodstove ❑ Propane Total: _,2,_ Total: 2_ If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system://e-&5' G' G5 l Dk y Square Footage: For Office Use Only Main Floor q 5 Consistency Review 2ND Floor Ali /it. Base fee //9 7. of S Al/Floor / Plan Check fee—65% (O 3, al Htd Basement 3 7.5_5/3 State Surcharge fee 4.5(7 Unhtd Basement Al/4' Subtotal /I lir 96 Garage/Carport 3d O 93- \ Pot Water Review fee -63" Deck(?) ,0.b0 0 Ve,4.1480 � 911/Rd Approach fee Commercial lV /4" ' e/" TOTAL /// t0 ' Q(O Industrial IV//4- Receipt# J_< S/So Other /V//r Cash/Check# ��� 9'7/2 it Total Valuation: 0 P ge .._., `� :2•53" Initials Or Date 3J� 3 4 Estimated Cost: . If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark p/4' ft.Bank Height /1J/A 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 attomey'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. Signature: Date: F4- SL/ 1 - 3 L/ 6 Y `� 7 � v( : Svektki,ey OVER to- H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpemutApplication 11-8-01 c. (.f6 ea,...- / rke. ._ • • ---------- ■ ■ _T _ — - --- - - _-- _i _ i ' iw i l I .-. p 1 1 • _ __ --7 .. „ to._ 1 ..0.... 1 1 6 ,, 1 - ____.. I I lir I 61.1 - ic-3 1 t- --1 I1 .. ...11. , Pill /4\ --r- -I-- . t- <" _1__0 ....r t: ' 1 r--,-- iJi - 1 Ail1 I __ I i. i. 11 . it ' il -..._ - .-JIT :i; iI : ._..+.. ;._.._._. ....____.,. _ It bill - - - i - - -i i • G- 1 4, v. 1- F _t_ 1._ii _____ . - -I si _ 1 i , ___I __,. ,1 1 -I , 11 ..4tt,..:±± . _ - 1 1---- T. i ' I I -1-- . isi , 1 1 1 , , r I p4 IV tli 1 1 i 1 I I 1 flL 1 % i _, --- 5� i., r _.y— °� i r I-._ _ _ l .sE t 1 1 i' - -- --..- -•- L- i , t. rri_. _ . . �1 1- 1 • I t1I r 1.. i_.. I 1 I • - -i - - - •- - 3 1 mo.,_._. t N . 1.__. I , .._ Ili '. __ • - \ !' 1 • • ; 111 ----1-- . i ,- ,N-,. \ .T.....r. ___ i ,.„ ) h l 1 I , I i r r .:.: ..i_. I TiTIT Q - A IZSI I . ___:_ _ ,;___ I f- 1 1 1 F I 1 I - . _____ _. ____ T , , , , , ______ ______. �.'� Q� �, I I 1 i I _.....I i ,,„_ ___ TIM ben= I �— i I 1 • . y