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HomeMy WebLinkAboutBLD2003-00587 • i BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD03-00587 Received Date 09/18/2003 SITE ADDRESS: 1070 EGG & I RD Issue Date 09/26/2003 CHIMACUM, 98325 APPLICANT: MARJORIE BOYD PHONE: (360)732-4908 1070 EGG & I RD CHIMACUM WA 98325 Cjrn SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 801022003 Section: 2 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NO MLA REQ'D - REBUILD MUD ROOM IN SMALLER FOOTPRINT, ADD SUPPORT BEAM, BRING STAIRS UP TO CODE REQUIRED INSPECTIONS: [ ] SETBACKS: - b43 [ ] UFFER: [ ] Footing: 5zE- 63 -e704/3J [ ] Foundation: S 63 - O6113/ [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : xr NAILING Old my C. I110/03 [ ] Framing: f 1 Plumbing (, ) 11)o 4 [ ] Propane ank/Lines: Ayr Goas J roJE OK by 3C 318/czq EXT 'AS L IWC' OK 3C- I/i7/c '~ [ ] Insulation: Ok 17124/o4 by 7C [ 1 Sheetrock: (2/</.)Q LS QNLIfj i-//3 5 [ ] Septic Sytem Final Approval: `�' 1 Zoning Final Approval: [ ] Final/Occupancy Approval: OK -41-,r 41 f r. .l71 �3e 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 • BUILDING PERMIT APPL TION SEP03-60177 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00587 Received Date: 9/18/2003 SITE ADDRESS: 1070 EGG & I RD CHIMACUM, 98325 OWNER: MARJORIE BOYD PHONE: 1070 EGG & I RD CHIMACUM WA 98325 SUBDIVISION: (360)732 4008 Block: Lot: 4 PARCEL NUMBER: 801022003 Section: 2 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NO MLA REQ'D - REBUILD MUD ROOM IN SMALLER FOOTPRINT, ADD SUPPORT BEAM, BRING STAIRS UP TO CODE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 0 VALUATION 13,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 224 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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: l F&W Landslide ZZ 9 061-L— Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /1 ©f RaV E Permit $223.25 ZAN 09/18/03 58493 /"�1- f �,,,/ �/ Plan Check $145.11 ZAN 09/18/03 58493 SEP 2 6 2003 State Building Code $4.50 ZAN 09/18/03 58493 Total: $372.86 Jefferson County Planning & Building Departmen !Il0- saN , �f + I II 'SDI of Community Develonvit c SEP 1 8 2003 w� , .. o � _. o': Sloop Street,Port Town�nd WA 81361[3a0 311-4450 o APPGC1D5© Project Description: Building Type: Project Type: FrameType: C+l Single Family ❑ New ?(Mc/41 � U-r1 t,QO( CJn 111-'X'ood ❑ Garage Attached/Detached -2` VA tom) ❑ Modular C-Alteration/Remodel ❑ Concrete • ❑ Commercialrfrice p air ❑ Multi-family/#of Units ❑ Demolition ❑ Masonry ❑ Industrial C>J Other 6Q'+AL � ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal:� � P Type of Heat: Choose one: Existing: . .__ Existing: ❑ Sewer ❑ CommunityS Proposed: j Proposed: System ❑ Electricity ❑ Oil Total: r Individual System ©-Woodstove propane Total: If not sewer,fill out the following: ❑ Heat Pump I "Conveiittb nal` ❑ Alternative ❑ Other Permit# SEP r`T j ;t ,; 1 * IWater Supply: Crivate well ❑ Two Party Well❑ Public:Name of water system: 1 Square Footage: For Office Use Only Main Floor ri 9 ul Z?�1 h1UtlVlii No i .N ;' t Consistency Review "IMAM- „1-1i•' 2ND Floor +.9 f> t uNfo WO Base fee v 22. 3 , ZS 3rd Floor 65% j Lk 5. Plan Check fee- Htd Basement State Surcharge fee f{ .-SD Unhtd Basement Subtotal a 7 a. % Garage/Carport Pot Water Review fee --)' Decks 911/Rd Approach feel Commercial TOTAL 3—ia, (00 Industrial Receipt# 5-13 £9 S Other ��. Cash/Check# a SD fA Total Valu on: -` Initials n/ / Or Date 9 I (2 (b3 s ate ost: 13,l�(`s' �- If within 00' of the reline, Distance to B rdinary 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. Signature: `j 2`�tr d Date: e t. OVER ` H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpennitApplication 11-8-01 " ,C)N C0Q Y1 6, JEFFE*SON COUNTY J(4 AM-A Pe a/ ► ) DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 - ----_.___ ei . O 360/379-4450.800/831-2678•360/379-4451 Fax (J+ 1c; I \it r www.co.jefferson.wa.us/commdevelopment �1 Master Land Use Permit Application Formill I SFP 1 g 2993 PROPERTY INFORMATION Tax Parcel Number. IB El El ❑ ❑r Q ❑ ❑ JEF R,1+I rOi i — DEPT OF C7"v JP,I i CEVELOP", 'NT Subdivision Name: Nio.t kt l rat Z_ .r�`,i1 7 R 4 Lot Number: Property Size: =() \(CT S (acres/square feet) Existing Use of Property: X Site Address and/or Directions to Property: I 0 69(s 2 12-1:f (',14+INAP,L;� 1 APPLICANT&OWNER INFORMATION Applicant(if applicable): cvstoe, Ld Telephone: ylb& 3 3d (100h Address: I U T 'eC•C9 City: 4 I M fiCCJI\ State: ( _ - Zip Code: l c" Email Address =of ()(L t /c w Applicant's Signature: 4P'a44.-S 1 Property Owner(s)of Record: I Y1.0 gyp, 1c Telephone: -4.cL-' Address: , City: State: Zip Code: Email Address I acknowledge that the applicant above is applying for a building permit on my property. Owner's Signature: L'�1c4 rt )d 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) kernocteD I t,L 5 Lt F `z;> x fti�. �. a : I Plxi`Siae 4714 c\ '' 'Acivotki rn a Stool iel is c1104_ tiNat t,et v\e (Iry CIE r 61t [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: 0 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 0 Allowed"Yes"Use Consistency Analysis UDC Section 3.2.1 and Table 3-1 0 Home Business Table 3-1 and UDC Section 4.20 Stormwater Management* UDC Section 6.7 Road Access* UDC Section 6.8 0 Boundary Line Adjustment* UDC Section 72 0 Minor PRRD Amendments UDC Section 3.6.13.15 0 Sign Permit* UDC Section 6.15 0 Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7 0 Shoreline Master Program Exemption/Permit Revisions UDC Section 5 0 Temporary Use(based on use may be Type II or Type III)* UDC Sections 4.38 and 4.39 (OVER) UISF ..ritt", JEFFERSON COUNTY ki ,';34 DEPARTMENT OF COMMUNITY DEVELOPMENT 'frtlr* 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 IMLA# PROJECT/APPLICANT NAME: /) K .' 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) fe.4 oc k 0x)crN 01C' p(%tA-- EXISTI -4 Structures(all roof area) L —NG ' sq/ft Structures fall roof area) ��� sq/ft Driveway H id"�''`' sq/ft Driveway sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios '(eir r `XAA /C C sq/ft Solid Decks sq/ft Solid Decks sq/ft Other sq/ft Other 0.5(I A.p1k16 3 sq/ft Total New sq/ft Total Existing L//Lie 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 (Z50 J;r j-- `Fz'Z SCDS- ) Drainfield area cleared 6 sq/ft Well,Structures,Utilities,etc. ,_500 sq/ft '4A-OrCk1� Driveway sq/ft Other sq/ft Total Land Disturbance ) sq/ft STORMWATER MGMT PERMIT.DOC REV.12/23/2002 • . f 111bird IS e6sti,e&li K 6f,2-4/ ---> ------A........„,... i ) I\ 11\ — rie.LIF 1o:6QI ,_____ --------‘'NN. 1 cf.37-\ 6 pACQ-P4i• 601 61-1-CD3 5 LOP \ \ „ 1:140 ik 00 ri iv Cr/C-6X ) > , A1 \ / L El] .7 7 ,i._ . , I ...__— 15-iiiRmi,,A;I' - , • P r'' D' 'a ,, \ 7i - 6.56 tv„,.. 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