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HomeMy WebLinkAboutBLD2003-00575 • . BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00575 Received Date 09/16/2003 SITE ADDRESS: 93 W SWANEY ST Issue Date 10/9/2003 PORT HADLOCK, 98339 APPLICANT: DONALD COOK PHONE: 93 W SWANEY PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 50 Lot: 17-22 PARCEL NUMBER: 961805011 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: POLE STRUCTURE OVER MANUFACTURED HOME - NO MLA REQUIRED REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER' [ ] Footing y i Viy [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: [ 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: f 1 Sheetrock: _ [ ] Septic Sytem Final Approval: f 1 Zoning Final Approval: [ ] Final/Occupancy Approval: 10` -'7-0b( cmp- HEALTH 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. HOT LINE AVAILABLE 24 HOURS A DAY UILDING PERMIT APPLICA"AlltN SEP92-00409 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00575 Received Date: 9/16/2003 SITE ADDRESS: 93 W SWANEY ST PORT HADLOCK, 98339 OWNER: DONALD COOK PHONE: 93 W SWANEY PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 50 Lot: 17-22 PARCEL NUMBER: 961805011 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI POLE STRUCTURE OVER MANUFACTURED HOME - NO MLA REQUIRED TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 12,365.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 7,685 CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide �`��7 3 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A PPO`v,E Permit $223.25 MJA 09/16/03 60075 /�-� ID Plan Check $145.11 MJA 09/16/03 60075 OCT 9 2003 State Building Code $4.50 MJA 09/16/03 60075 Total: $372.86 Jefferson County Planning & Building Department yi ( 1)ià4io: cct4 oco4 JEFFERSON COUNTY r .rNitik tiw,. }C DEPARTMENT OF COMMUNITY DEVELOPMENT13) l cc,; Ei7L1rrr 4. '54 — r* 621 Sheridan Street• Port Townsend •Washington 9836 `40, 140(V 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ SEP 62003 I I ' . Stormwater Calculation Sheet /~ffiT r ,,IT MLA# PROJECT/APPLICANT NAME: 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 A01...Q: Structures(all roof area) /a sq/ft Structures(all roof area) sq/ft Driveway sq/ft Driveway 7 0 0 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 Q sq/ft Total New 1 Zf sq/ft Total Existing !• 0 8 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 Drainfield area cleared sq/ft Well,Structures, Utilities,etc. sq/ft Driveway sq/ft Other sq/ft Total Land Disturbance sq/ft STORMWATER MGMT PERMIT.DOC REV.12/23/2002 $01Y �"YO • JEFFERAN COUNTY 114.0/ DEPARTMENT OF COMMUNITY DEVELOPMENT Uvii)0°/t1P< 621 Sheridan Street• Port Townsend•Washington 98368 �s, �cSO 360/379-4450.800/831-2678.360/379-4451 Fax "�ilN www.co.jefferson.wa.us/commdevelopment Master Land Use Permit Application Form PROPERTY INFORMATION Tax Parcel Number: ® © 0 ® 0 © El 0 El Subdivision Name: %. avt d ejP %I J t S! n t Lot Number: I 7 a s Property Size: /5,060 (acres/square feet) Existing Use of Property: Site Address and/or Directions to Property: 9 3 Lo 4 s4 S w a.`x p g-po -'� >�a,//n. �fr Le APPLICANT& OWNER IINFORMATION Applicant(if applicable): o h OL c� (!v i, Telephone: ( 60) 3 g s- �S Address: 3 ')e S 9 i 0.,ti ,¢c `rye r City: v _+ 4 e State: to 0, Zip Code: S 3 ' Email Address Applicant's Signature: 72 e- C. • c �d— Property Owner(s)of RecordiTtl.t ad_ J- V ir,t hL1 jn/ Telephone: (3�U� 3 3 5— -S 5—*-- Address: ! 3 k. . 2 g7L Q u,Q14 P J?` I e e City: "Po W /00L State: 1-do Zip Code: ! }T3 3 a)Email Address I acknowledge that the applicant above is applying for a building permit on my property. Owner's Signature: oL--121- I hereby designate to act as my agent in matters relating to this application for permit(s). (PROPERTY OWNER SIGNATURE) (DATE) DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary) [THIS SECTION FOR OFFICE USE ONLY] Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk(;)indicates that a supplemental application or questionnaire may be required. Type I Permits Refer to: ❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC ❑ Building/Demolition Permit UDC Section 3.2.1 and Table 3-1 ❑ Allowed"Yes"Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 ❑ Home Business Table 3-1 and UDC Section 4.20 ❑ Stormwater Management* UDC Section 6.7 ❑ Road Access* UDC Section 6.8 ❑ Boundary Line Adjustment* UDC Section 7.2 ❑ Minor PRRD Amendments UDC Section 3.6.13.15 ❑ Sign Permit* UDC Section 6.15 ❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 ❑ Shoreline Master Program Exemption/Permit Revisions UDC Section 5 ❑ Temporary Use(based on use may be Type II or Type III)* UDC Sections 4.38 and 4.39 (OVER) 11111 Jefferson County fillirtment of Community Dovebpment ��g oN °�,� 621 Shan Street,Port Townsend WA 6 [360]379-4450 4.7 .\\ prmat APpliaCCIOOn Project Description: i (2 c rE ii Vi E r L� 7 li Building Type: Project Type:i,4.# . '� Frame Type: ❑ Single Family WI New lil Wood ® Garage Attached/Detached ❑ Addition SEP 16 2003 p Steel ❑ Modular ❑ Alteration/ ❑ Concrete . ❑ Commercial ❑ Repair ❑ Multi-family/#of Units JEFFERSON COUNTY 0 Masonry Y/ ❑ Demolition r y f Ol.+� %(j'` ❑ Industrial OEF'Tip, (',_'>t"ei'>.+7Y LFVE ❑ Other: V r r� X Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: —I Existing: I ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: 01. Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other NA,e Permit# SEP ?A-qO ? Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only NCD M L q, ECZ.W Main Floor Consistency Review - 2ND Floor Base fee 2-2-3,25" 3rd Floor Plan Check fee-65% (1-ks. • 1 I Htd Basement State Surcharge fee c•SC) Unhtd Basement Subtotal 317-• $(o Garage/Carport Pot Water Review fee 0 Decks 911/Rd Approach fee Cif Commercial -. TOTAL 37Z �� Industrial \p Receipt# ld 0d�j 5—' Other S �3 Cash/Check# 2..2--Lf 0.- Total Valuation: Initials pfula a Or Date 9 )46 ( 3 Estimated Cost: ��,3 0 Q 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 applicant's property or structure shall be requested and shall occur during regular business hours. r. 12 ,( Signature: &17'% p Date: / '!8.^ ©3 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • , . , . - . I- . 1 7 .__ _ .. . 1 f , - .i 1 , I __ _d.1 0 • • , co I 1 c.,rn rt.% • n , 1-- ...___ 1 i ___ _ --r-ii e 70 013 _1714 ..i. . i::0 • ! i 7 .--- '-,--- 1 1 I I I- T I 0 0 I T- -.; . i .._____. en C •••• .2 V j 1 _ 1 , — I - rrt. 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