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BLD2003-00177
• BUILDING PERMIT Jeffe County Dpartm 621rson Sheridan Streete , Portentof TownsendCommunity, WA 98368 Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00177 Received Date 03/19/2003 SITE ADDRESS: 270 BECKETT POINT RD Issue Date 04/22/2003 PORT TOWNSEND, 98368 APPLICANT: LANDON L KIMBROUGH PHONE: (360)379-8969 SHERRY S KIMBROUGH 270 BECKETT POINT RD PORT TOWNSEND WA 98368-9618 SUBDIVISION: OCEAN GROVE ESTATES#3 Block: A Lot: 13 PARCEL NUMBER: 977100916 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)385-4265 PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License: BLUEHCC10908 Expires: 08/19/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: 2nd STORY DEN ADDITION REQUIRED INSPECTIONS: [ ] SETBACKS /Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] 'Framing/Plumbing: %/3 f 1 Propane T k/Lines: [ ] Insulation: ' L., , � 1 1 Sheetrock: ' ' ,</'/oy f 1 Septic System Final Approval: [ ] Zoning Final Approval: 14 ' Final/Occupancy Approval®/C z—o HEALTH D ARTMENT 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. HOT LINE AVAILABLE 24 HOURS A DAY 441UILDING PERMIT APPL ON BRD03-00177 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00177 Received Date: 3/19/2003 SITE ADDRESS: 270 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: LANDON L KIMBROUGH PHONE: (360)379-8969 SHERRY S KIMBROUGH 270 BECKETT POINT RD PORT TOWNSEND WA 98368-9618 SUBDIVISION: OCEAN GROVE ESTATES#3 Block: A Lot: 13 PARCEL NUMBER: 977100916 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)385-4265 PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC10908 Expires 08/19/2004 REPRESENTATIVE: MIKE STORY PHONE: (360)379-0293 BLUE HERON CONSTRUCTION PO BOX 718 tPockTownse hc1,(AAA 4-31= PROJECT DESCRIPTIOP 2nd STORY DEN ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 0 VALUATION 18,801.00 ADD'L: 288 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: ( F&W Landslide �Z< 03 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $307.25 MAM 03/19/03 55913 A P Q®� Plan Check $199.71 MAM 03/19/03 55913 7 1 State Building Code $4.50 MAM 03/19/03 55913 APR 2 2 2003 Total: $511.46 Jefferson County Planning & Buil m � D gartment g, ©�v co 00 �fferso I� partlll�lt of Community Development ,fe f 621 Sheridan Street,Port Townsend WA 88368 1360)378-4450 Ocii©Lrt 4... 'P '''' .' 0 p_ a c.i.p On ,..si. ,0 limo I . Project Description: Building Type: =,1 Project Type: Frame Type: yt Single Family t r 1 ❑ New X Wood ii ❑ Garage Attached/Detached j `, X Addition ❑ Steel fZ ❑ Modular i!- Alteration/Remodel ❑ Concrete • ❑ Commercial 7 ❑ Repair ❑ Masonry ❑ Multi-family/#of Units _ —, e ❑ Demolition ❑ Other: El12 Industrial (__ c ! ' ❑ Other: _- Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: c Existing: 3 ❑ Sewer ❑ Community System X Electricity ❑ Oil Proposed: Proposed: j:il,'Individual System ❑ Woodstove ❑ Propane Total: Total: 3 If not sewer,fill out the following: ❑ Heat Pump l4 Conventional ❑ Alternative ❑ Other Permit# SEP ID - 0 54-j Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system:D it / Square Footage: For Office Use Only Main Floor " /lieu" J Consistency Review 2ND Floor b G o(`� 6 �t'6 ,� Base fee ED-7 P Z-.S 3�Floor '%� Plan Check fee—655% 19 9 7 I Htd Basement State Surcharge fee y ,. V Unhtd Basement (2(i° • Subtotal ,S/ Garage/Carport / I(i Pot Water Review fee .--& Decks l'� 911/Rd Approach fee ----0.— Commercial TOTAL S7/ ' ZiL' Industrial Receipt# -5 /g / 3 Other Cash/Check# ( 0° 2-- Total Valuation: InitialsF-17, Or L� j Date 3// 1/0-2-' Estimated Cost: /-5 8 / 0 0/0 0 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark -'e 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 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 p ' ant's roperty or structure shall be requested and shall occur during regular business hours. Signature: �/� Date: `j! /`2 .1.3 OVER ifr H:HOME\PLNCNTR\INFOBLDG\FORI<BLDpermitApplication 11-8-01 OD . ,.„..,, .,.:. .. , 3//0 vUo:4, - 6 iph 14 vilb1/4,154 , -1),"k_i ei S3 t....,ips e5-, . (..q ,., klA t-41 ,0,. . ' 51,k<.., , . 0 it'A . . : ., tf1 / i \\c/ i 1 _ \ , k b _ c.% \ . N (V( \ i . ( P r; CV.. , f /CV() C-,74i— /4; I 1 COT 6 1 IVoi 1 ; i , L. - I_ 1•6 / - 1------ --------fo-l'ic:For"- ‹ „..-- , ••,---- lr 17r1- ir, --1-`7 .. N • °NC' �� r ° JEFFERSON COUNTY 4' -\y ► DEPARTMENT OF COMMUNITY DEVELOPMENT MAfl ' 9 2003 4 -. 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax , http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Sheet MLA# PROJECT/APPLICANT NAME: JC IM M.-OWFI /L eel00E L.- 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) sq/ft Structures(all roof area) /59( , 5 sq/ft Driveway sq/ft Driveway 6ff1 ¢t sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks I /" 0 sq/ft Other sq/ft Other sq/ft Total New ---tS)-' sq/ft , Total Existing Z,9'&4 O7 sq/ft TOTAL NEW+TOTAL EXISTING* 2*y9GO •V 3 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 331 a 0-3 V/srl4)sq/ft Well, Structures, Utilities, etc. sq/ft Driveway bki.SPb leV6rtt)sq/ft Other sq/ft Total Land Disturbance sq/ft STORMWATER MGMT PERMIT.DOC REV.12/20/02