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HomeMy WebLinkAboutBLD2003-00204 • • • BUILDING PERMIT Jeffe County pm oi 621rson Sheridan De Streetart, Portent Townsendf ,Commun Wty AD 98368 Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00204 Received Date 04/1/2003 SITE ADDRESS: 8234 FLAGLER RD Issue Date 05/7/2003 NORDLAND, 98358 APPLICANT: LAWRENCE E JOHNSON PHONE: (360)385-2111 LORI JOHNSON 8265 FLAGLER RD NORDLAND WA 98358-9524 SUBDIVISION: GLENNAN SUBURBAN ACRE Block: 4 Lot: 11 PARCEL NUMBER: 953700423 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: LAUNDRY FACILITIES AND BATH ADDED TO EXISTING SHOP REQUIRED INSPECTIONS: [ ] SETBACKS /Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ -] Framing/Plumbing: Of( Cell 63 (f l' Propane Tank/Lines: {NTT 0 r,sy4,,litiol ' x T 25 p a-. c . ce l• -oj [ ] Insulation: C) C-, ( 1'6-c)j ( 1 Sheetrock: ( 1 Septic System Final Approval: [ ] Zoning Final Approval: ( 1 Final/Occupancy Approval: u C.or>� 7 /)c HEALTH D PART ENT APP OVAL REQUIRED PRIOR TO FINAL IN SPECTION 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 INSPECT Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY 1C441, sttg-nam,--- e liC 1E--- (Pk° 1 g(t) BUILDING PERMIT APPLICATION BL ReviewTy204 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00204 Received Date: 4/1/2003 SITE ADDRESS: 8234 FLAGLER RD NORDLAND, 98358 OWNER: LAWRENCE E JOHNSON PHONE: (360)385-2111 LORI JOHNSON 8265 FLAGLER RD NORDLAND WA 98358-9524 SUBDIVISION: GLENNAN SUBURBAN ACRE Block: 4 Lot: 11 PARCEL NUMBER: 953700423 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr SHOP W/ LAUNDRY FACILITIES TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 235 VALUATION 15,340.00 ADD'L: HEAT TYPE: PRO 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: OTHER PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way Floodplain Routing Date: 4( I ©3 WSF&WLandslide l Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $265.25 MAM 04/01/03 55975 /� �� Plan Check $172.41 MAM 04/01/03 55975 u 1 I State Building Code $4.50 MAM 04/01/03 55975 eh Potable Water Application $50.00 MAM 04/01/03 55975 f4 — / Total: $492.16I 0 'sue—Lji I b C i l all BUILDING PERMIT APPLIO1ON BLD03-00204 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00204 Received Date: 4/1/2003 SITE ADDRESS: 8234 FLAGLER RD NORDLAND, 98358 OWNER: LAWRENCE E JOHNSON PHONE: (360)385-2111 LORI JOHNSON 8265 FLAGLER RD NORDLAND WA 98358-9524 SUBDIVISION: GLENNAN SUBURBAN ACRE Block: 4 Lot: 11 PARCEL NUMBER: 953700423 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION SHOP W1 LAUNDRY FACILITIES TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 235 VALUATION 15,340.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: OTHER PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way Floodplain Routing Date: 4( I (03 WS F&WLandslide Shoreline Aquifer Forest: Commercial Rural \ Type Amount Paid By: Date: Receipt: A PJ R6Qa1� E D Permit $265.25 MAM 04/01/03 55975 MAY - 7 2003 Plan Check $172.41 MAM 04/01/03 55975 State Building Code $4.50 MAM 04/01/03 55975 Jefferson County Planning Potable Water Application $50.00 MAM 04/01/03 55975 & Building Department Total: $492.16 AVA71"-- aff8p= Departmentof Conn mdty Development x`� 0 621 Sheridan Street,Port Townsend WA 883661360]378-4450 11- App_ oCaToOn Project Description: apt I SO Building Type: Perm: ct Type: Frame Type: ❑ Single Family ew )( Wood ❑ Garage Attached/Detached ddition ❑ Steel ❑ Modular 6l;Alteration/Remodel Adcl boit`i coo ly ❑ Concrete ❑ Commercial ❑ Repair lx 1 OW Alify'tlti Irty ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition room ❑ Other ❑ Industrial Other. Sinop vel/Iicle.S Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Q Existing: ❑ Sewer ❑ Community System ❑ Electricity 0 Oil Proposed: j Proposed: ❑ Individual System ❑ Woodstove ;X Propane Total: i Total: If not sewer,fill out the following: ❑ Heat Pump °",7"_���i ''H r Conventional ❑ Alternative ❑ Other U n"ec'ec,1 1-c Permit# SEP SEPOZ-(D0017 61C15 Water Supply: Ccttc1r1Vv►tvit s�/Stem w/ treottW1ev+ / rujAV1 it V mWC C &stv}QLt1on Jv"rt ❑ Private well ❑ Two Party Well •ubli . e o ter system:C1V i Ve)' tOVle pre-fd ter w/ i ile(011 corbon Square Footage: 35 � / For Office Use Only C 1r trt� 2 fr(ter --. J Main Floor BC►throom Lt W I - I i t, Consistency Review 2ND Floor wow Base fee 26 5 -ZS 3rd Floor Plan Check fee—65% (72-. l Htd Basement State Surcharge fee 1-.. Unhtd Basement Subtotal Z.- t(LO Garage/Carport Pot Water Review fee gl•f Decks 911/Rd Approach fee Commercial TOTAL 523 - (� Industrial Receipt# Other Cash/Check# 38 Total Valuation: Initials 4 / Or } LjJ�'� Date 1 ()' ?j Estimated Cost: .�`T l G. 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 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 e to the licant's property.r struc shall be requested and shall occur during regular business hours. S•ignatu r ;ir a Date: 0_2 OV R H:HOME\PLNCNTR\INFOBLD 0' \BLDpermitApplication 11-8-01 0 • . , 0N earillit JEFFERSON COUNTY R. `.,,4 ►' DEPARTMENT OF COMMUNITY DEVELOPMENT 'Q 621 Sheridan Street • Port Townsend • Washington 98368 N 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Sheet 6/53 700 423 MLA# PROJECT/APPLICANT NAME: La i re,n c e `mil 0 Y 0 S r ' 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) 23220 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 sq/ft Total Existing !320 sq/ft TOTAL NEW+TOTAL EXISTING* Z3Z(� 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 VJ7 5 sq/ft Well, Structures, Utilities, etc. sq/ft Driveway 2_400 sq/ft Other sq/ft Total Land Disturbance 3o7 5 sq/ft Ai 0 0e-w I pond- d Lstorbil c'lc t i ur L7 Drain f 1 e ivev.4.7 ict fr., dr - exo-crili RI-wilt -tt MLA 01 .- DD5 31- Septvc £ EPO2.- 00017 STORMWATER MGMT PERMIT.DOC REV.12/20/02 • >00.0041r.. , 4::"" A ,, i- v 'der . e ...-:5... _., . . �� • l` • . _ -K----( P ....L (..........„ \\ -N --t:3 ss.4.',,,A , W 1/4i;,...‘'r. . b'''°. ibei....) .076, o 1 V11 =. ,.."Vi IT 1 F . g Ti k- g cp, .... .„ • .. II 10. W s t4 in W f� '' ‘h` 04 • ill i 1 t . 2... iiii/'1 trt Net> (0 lit • -. - p. . .4 w = Q s� ' w c.• U N 1 j o - O C-4, 1 .. P � �ka- �1 � p R-2-1 ce,iIiI R-Ic1 WL,IIS I I I ct the Building D partment at 9- 0/ 'am todthe�appoM pim I -I Bated I Spc)ce R-1`1 vJq 113 pE1�MI % E7�I ATZc � 2jk L` co L I I�i counter 1 rf Lqun8v room/ (unde ,10 r Siub) �2�8xCv� 6 l�oR W'irsbo Thermo fD TIO preveheatabwe44eVoice M `r 2� R-6 CA'b' 5teo oil l -- Z? --'� P �2 Ao0 0 II tr �I'oK {. t0 Gr1rLp/rYc 8.fk Ro OWT pele-I-e JEFFERSON COUNTY OCO BUILDING PLAN REVIEW Q APPROVED AS SUBtNTTEp APPROVED AS NOTM Q f JECTED ALL CLASS AND OLA21HO SHALL COMPLY WITH CHAPTER 2411997 UBC AS AMENDED BY WASHINGTON STATE BUILDING CODS COUNCIL PERMIT # OLD C ; i 204 affifinvi CRUNTY PIP t�«�.wt.t�utoaa /M.►ak�r�t aycvwD r1; a G ►P u y