HomeMy WebLinkAboutBLD2003-00231 Ank
• BUILDING PERMIT III
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD03-00231 Received Date 04/10/2003
SITE ADDRESS: 21 RAINBOW LN Issue Date 04/30/2003
BRINNON, 98320
APPLICANT: JOHN M HALL PHONE: (360)425-7828
143 YELTON PL
LONGVIEW WA 98632-5842
SUBDIVISION: SEAMOUNT ESTATES DIV 2 Block: Lot: 13
PARCEL NUMBER: 993200013 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: ROOF OVER MOBILE HOME - POLE STRUCTURE
REQUIRED INSPECTIONS: /
[ ] SETBACKS /Footings: N �1
[ ] Foundation: /0
[ ] Underground Plumbing/Underground Insulation: /0
[ ] Shear Wall: /A
[ ] 0'lumbing: Die s/2/37 f
f 1 Propane Tank/Lines: N/4
[ ] Insulation: /VA
f 1 Sheetrock: AVAr
f 1 Septic System Final Approval:
[ ] Zoning Final Approval:
f 1 Final/Occupancy Approval: ji' ccr C O SA�df3��f/
HEALTH DEPARTMENT PPROVAL 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
0 BUILDING PERMIT APPLI ION BL 231
Revviewiew T Tyype:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD03-00231 Received Date: 4/10/2003
SITE ADDRESS: 21 RAINBOW LN
BRINNON, 98320
OWNER: JOHN M HALL PHONE: (360)425-7828
143 YELTON PL
LONGVIEW WA 98632-5842
SUBDIVISION: SEAMOUNT ESTATES DIV 2 Block: Lot: 13
PARCEL NUMBER: 993200013 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ROOF OVER MOBILE HOME - POLE STRUCTURE
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 560
VALUATION 9,016.00 ADD'L: HEAT TYPE: UN
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: PUBLIC 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
I �( I/03 ?..,6
Shoreline Aquifer
( Forest: Commercial Rural (('��
Type Amount Paid Bv: Date: Receipt: APP.a::0 V E L�l
Permit $181.25 MAM 04/10/03 56055 APR 3 0 2003
Plan Check $117.81 MAM 04/10/03 56055
State Building Code $4.50 MAM 04/10/03 56055 Jefferson County Planning
Total: $303.56 & Building Department
i,/,,,,,,,y, at
Cc
• Jefferson Cot Department of Community Development P.��. sore °� 0213herldan Street,Port Townsend WA 88368 60)318-4450
4.... -" -.)''''-:L''.---- - Perm} -ll- App
- � C
Project Description: ! APR 1 0 2003 ! I
Building Type: Project Type: Frame Type:
fsl Single Family ❑ New l `
JEi` VocClOUNTY
❑ Garage Attached/Detached $ Addition DEFT OF Cf `• Steelr DEVELOPMENT
❑ Modular ❑ Alteration/Remodel �_ — ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: ! Existing: 2 ❑ Sewer ❑ Community System 'Electricity ❑ Oil
Proposed: — Proposed: — A, Individual System ❑ Woodstove ❑ Propane
Total: Total: Z,
If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP 13--1(495
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system: S C.9 ilia Lt.n 7" c5t-9*t,S
Square Footage: For Office Use Only
Main Floor 5-6e--0, b Consistency Review 0°.
2ND Floor Base fee / I- 2...5
3rd Floor Plan Check fee—65% ] I 1- O' ( --
Htd Basement State Surcharge fee 5 0
Unhtd Basement Subtotal `9'0 ' • S to
Garage/Carport ` Pot Water Review fee `�
Decks - 911/Rd Approach fee --0--
Commercial TOTAL f 0 3 -_SI.=,
Industrial Receipt# %0 5—
Other Cash/Check#
Total Valuation: g OO 0 Initials
Or Date O 0
Estimated Cost: FS COO
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 entry to the apphc nt's property or structure hall be requested and shall occur during regular business hours.
Signature: -74- -rl " '
Date: / Q
.O
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
• III
4+ �� JEFFERSON COUNTY I M C
A $444 DEPARTMENT OF COMMUNITY DEVELOPMENT
`t b. , . 621 Sheridan Street• Port Townsend •Washington 98368 APR 1 0
cOfi 360/379-4450 • 360/379-4451 Fax
http://www.cojefferson.wa.us/commdevelopment/
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
Stormwater Calculation Sheet
MLA# PROJECT/APPLICANT NAME:
t�' A �} ) qLL
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) 5b U11' sq/ft
Driveway sq/ft Driveway 2Sd a u ' sq/ft
0
Sidewalks sq/ft Sidewalks _ sq/ft
Patios sq/ft Patios sq/ft
Solid Decks sq/ft Solid Decks i Q 20/ sq/ft
Other r� sq/ft Other '- sq/ft
Total New .{ ti C5/ -Z sq/ft Total Existing > 2J Z sq/ft
TOTAL NEW+TOTAL EXISTING* -3 5 Z C:J 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 d sq/ft Well, Structures, Utilities,etc. 0 — sq/ft
Driveway _ Ci- sq/ft Other _ 0 sq/ft
Total Land Disturbance - 0 sq/ft
STORMWATER MGMT PERMIT.DOC REV.12/23/2002
1"— 5
.
SI 0.
..-.,
. . z 0 1 1
:•
0 r ,
0 a , I
,
,,
c 0. .
i
> X' i
r rrvil' Z =.- ...,..--
1 i ill II
-i
- is• n
. m 1
.k
.._,
I' '1\/- 6o ,.
„,, 7 73
i . i K
I y--- ----,
/''". (S-/
Ocyt i r"
..<
I c41
'. . ,
. —'. --.---,-_,.. ._..... It )> ,
0:, -,..--- , t--
I' -1' ,
-I , -‹
i 1 "-At- , , tt
' a co 7. / c,/ < 7a
,
.
. ,
. .
:0 K 0
.
. (I) trt "•,,, „,„,"
. ' '' / • ril
o- se_ 0„... :---- , ,„„ --...._, ,„._,,_ --......4.,__„. m
:.. / ,,,,,„
't- 0
\ P,
/
0 in
! i ' 41—' kr---...-'
. ' ,
'- 1 in' tt
IA i i 1 1 140
/fiit•'''D' 1 -/
V
10 0
3 1 i
Z i ' I / > 1 frl°, i
_list:.. Cf4tii0.0 ...1°' :' Iv:oil\I-4-------4---11II : 1,004-46—:0:7'. ii,/7"-' '------- -' '- 1
PI
--N,, 0,
› , o
)4
(.7)
4 ......, .1, i ,
rn _1
'* —I
0 .
, .
z
in r I it: / .:0- , A r'
Iii >
4 4 C IP Z
A lj 1 1111 il il ...„:„." ,
ti: /
-. .
, I .v • .--
r- ' 01 ( ig'\ , ..,)
t C.) ,'
0 > , % a
''
?. 1 1na
..c) ,o, c ..,
/1/c
' r Z r 1 i 1
, ,
.,e-' Fi r" g! ,' *-1".,:
r, ti in ni i-
. fil ..:,In
H <
> , ,/,'''
.
> ,
I
im! r-
.4 r I Pi
(i) _ • iv / b .
c)
3.3ai -
'
, .
ruij :..A
0 1
..........c) ..-
C>
•5 0
0 , ,
. ,
, !
g
1,1)q
1 1 Pi
r-
--1 c rn
llk f.. 0
x / r
6 -1
c 0
-+ "
n1 r o ,0
. 4 >
-b `—itil P E
i A • ...• e.
.A
r n
r7.--.---
,--1
(a--1 -0 C-,:-:".',:°•
m
°`2471
P K x
.---C1-0 ,
27 CD rori c, rri
evcl) C.J.1
-4, -
<z.• .
. ,
.-:::','% r•z4 co
j.
...