HomeMy WebLinkAboutBLD2003-00699 BUILDING PERMIT W
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00699 Received Date 11/7/2003
SITE ADDRESS: 133 S BAYVIEW DR Issue Date 11/13/2003
PORT LUDLOW, 98365
APPLICANT: PAUL W BOCEK PHONE: (360)437-0779
135 S BAYVIEW DR
PORT LUDLOW WA 98365-9471
SUBDIVISION: MATS MATS BEACH Block: 3 Lot: 13-15
PARCEL NUMBER: 970800309 Section: 33 Township: 29 N Range: 01 E
CONTRACTOR: OLYMPIC STEEL PHONE: (360)385-6059
DICK SHIPMAN
1934 SHERIDAN AVE
PORT TOWNSEND WA 98368
Contractor's License: OLYMPS*014D2 Expires: 03/25/2004
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: ROOF REPLACEMENT NO MLA REQ
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing:
1 1 Plumbing:
[ ] Propane Tank/ Lines:
[ ] Insulation:
11 Sheetrock:
[ ] Septic Sytem Final Approval:
1 1��/ Zoning Final Approval:
[ �1" Final/Occupancy Approval: 'opF p
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 APPLICATIONBLD03-00699Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00699 Received Date: 11/7/2003
SITE ADDRESS: 133 S BAYVIEW DR
PORT LUDLOW, 98365
OWNER: PAUL W BOCEK PHONE: (360) 437-0779
135 S BAYVIEW DR
PORT LUDLOW WA 98365-9471
SUBDIVISION: MATS MATS BEACH Block: 3 Lot: 13-15
PARCEL NUMBER: 970800309 Section: 33 Township: 29 N Range: 01 E
CONTRACTOR: OLYMPIC STEEL PHONE: (360)385-6059
DICK SHIPMAN
1934 SHERIDAN AVE
PORT TOWNSEND WA 98368
Contractor's License OLYMPS*014D2 Expires 3/22/2000
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ROOF REPLACEMENT NO MLA REQ
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 1,738
VALUATION 13,200.00 ADD'L: HEAT TYPE:
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:
WATER SYSTEM: PWELL 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: 't F&W Landslide
Q (F Shoreline Aquifer
Forest: CommerciA pp
Type Amount Paid By: Date: Receipt: H A dvd'd to
Ypppr
Permit $237.25 KAS 11/07/03 60361 NOV 1<3 2003
Plan Check $154.21 KAS 11/07/03 60361
State Building Code $4.50 KAS 11/07/03 60361 Jefferson County Planning
&Building Department
Total: $395.96
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0 Jefferson Cmintsepartment of Community
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soN r °tt_ 621 Sln Street,Port Townsend WA 88368(3601370-4458
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Project Description: n `',...
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,..„-, ir„, „, ,, ,,,,, rrn r\:\I
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Building Type: ' Project Type: Frame Type:
* Single Family as. 7 KNKINew Wood
❑ Garage Attached/Detached k ❑ Addition ❑ Steel
❑ Modular1 I.- - -..... -.— 'i( Alteration4Remodel ry 0 Concrete •
❑ Commercial .IEFI E�Sta C' ❑ Re air
❑ Multi-family/#of Units DEPT. OF C� ,,,lu ,�, P ❑ Masonry
y/ .'°~-�`----- 0 Demolition fl Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: I Existing: ❑ Sewer 0 Community System Electricity 0 Oil
Proposed: A Proposed: a,. Ja/ X Individual System . Woodstove ❑ Propane
Total 0 V� Total If not sewer,fill out the following: 0 Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
Private well 0 Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor .4...6 Consistency Review
2ND Floor Base fee 2_3-7-2-S
3rd Floor Plan Check fee-65% t Sli"".24
Htd Basement iv,� State Surcharge fee 14 SO
Unhtd Basement /v 0 Subtotal ' ?I
Garage/Carport A C Pot Water Review fee
(ii,
Decks 911/Rd Approach fee c-
Commercial TOTAL 317 5 •? 6
Industrial Receipt# i+„__ ._ � /
Other Cash/Check# L F°S---
Total Valuation: Initials 0 /
Or Date UJIC03
.., 3.-.
Estimated Cost 1 Cr r j
If within 200' of the Shoreline, , L S-it'(2 tff) i.
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.
Signature: Date:
OV 'R
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
41
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Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
to " / try STORMWATER CALULAT1ONS—IMPERVIOUS SURFACE
NEW .. ,.�-u._.. _ EXISTING
f.'° ----• 'D i 7 7CD
Structues(all roof area)_ s ft Structures(all roof area) sq/ft
Sidewalks ' if
�'� Yt:i `"w' �`�" s /ft Sidewalks sq/ft
.h \
Patios \ sq/ft Patios sq/ft
Solid Decks s ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway sq/ft Driveway tf----6 678 sq/ft
Other sq/ft Other q/ft s
/'� .t
Total New —v "___--sq/ft Total Existing Markiri; sq/ft
TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: %
Does the site have 35%or more of existing impervious surface? Circle: Yes No
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium"projects—those
that must meet only Minimum Requirements #1 through #5—and for large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and
corr to the best„ofmy knowledge. I also certify that this application is being made with the full knowledge and consent of all
o Hers f t ected pert.
. /\(o V \--?
(LANDOWNER OR AUTHORIZED R RESENTATIVE SIGNATURE) (DATE)
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