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BLD2004-00081
-0 • BUILDING PE RMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00081 Received Date 02/10/2004 SITE ADDRESS: 93 DRIFTWOOD CT Issue Date 03/2/2004 PORT LUDLOW, 98365 APPLICANT: DENNIS L MADSON PHONE: (360)437-0594 KATE J G MADSON 93 DRIFTWOOD PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: 4 PARCEL NUMBER: 969800004 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: (360) 437-0931 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License: HOMEABI027J3 Expires: 06/04/2005 PROJECT DESCRIPTION: PORCH REMODEL/ENCLOSURE - NO MLA REQUIRED REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: , 4/eone46Di f/PSIA4 1 1 Plumbing: // [ ] Propane Tank/ Line is: [ ] Insulation: L y/� 1 1 Sheet roc: X 14,1,4"didifieri, 4/4*A [ ] Septic Sytem Final Approval: 1 1 Road Approach Final Approval: [ j Zoning Final Approval: I -1- Final/Occupancy Approval: ,i2/�/ HEALTH DEPARTMENT"AND%PUBLIC WORKS APPROVAL REQUIRED Q ED PRIOR TO FINAL INSPEC 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 I:\F_BLD_Permit_Buildng.rpt 10/29/19 •UILDING PERMIT APPLICAIN BRD97N00p247 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00081 Received Date: 2/10/2004 SITE ADDRESS: 93 DRIFTWOOD CT PORT LUDLOW, 98365 OWNER: DENNIS L MADSON PHONE: (360)437-0594 KATE J G MADSON 93 DRIFTWOOD PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: 4 PARCEL NUMBER: 969800004 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: (360) 437-0931 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEABI027J3 Expires 6/4/2005 REPRESENTATIVE: HOME ASSOCIATES BUILDERS PHONE: (360) 437-0931 22 MCCURDY LN PORT LUDLOW WA 98365 PROJECT DESCRIPTIOI' PORCH REMODEN/ENCLOSURE - NO MLA REQUIRED TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 7,656.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 117 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: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /� p oved/Date Permit $153.25 KAS 02/10/04 62546 /"1 FR c 1/ '` Plan Check $99.61 KAS 02/10/04 62546 State Building Code $4.50 KAS 02/10/04 62546 MAR - 2 2004 Total: $257.36 Jefferson County Planning & Building Department CrOCG-oc - @ .- Q` ' '` rs024--.6o ` Jefferson cuun('epartment of community Deu�pmen 621 Sheridan Street,Psi Townsend WA 88388(3801378-445I ... O p pp, �S -� _ OC�Q�00� Project Description: Bding Type: FE ' t'Igje ' pe: Frame Type: G7 Single Family le ❑ New VWood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular VAlteration/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: ['Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: -4*-- Proposed: 49' ❑ Individual System ❑ Woodstove "Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump .., ❑ Conventional ❑ Alternative ❑ Other. Permit# SEP Water Supply: l ❑ Private well ❑ Two Party Well❑ Public:Name of water system: AO' 02*/( fthrt,,,V im/ Square Footage: For Office se Only NO We:MOSE- l N Main Floor Feat pat 1SC. Consistency Review 2ND Floor Base fee j r73.25— 65% CQ• e40( 3rd Floor Plan Check fee- Htd Basement State Surcharge fee LKSO Unhtd Basement Subtotal 2s7.3(o Garage/Carport Pot Water Review fee 040 Decks 911/Rd Approach fee f- Commercial TOTAL "?.. .7 , Industrial Receipt# 67-1 * Other �C1,i11CLtfllitli 117•ZT'(:'l&p' Cash/Check# (9-6 Total Valuation: ` Initials P Or Date to(04—, Estimated Cost: ' '41,000100 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 an: 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. z 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 accru4 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: OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 iiiHOME ASSOC BUIL rRS 3804379638 0' /04 10: 13am P. 001 2/11/2004 15:07 35037944 JEFF CO DOD FADE 01/02 Peat-ir Fax Note 7671 D6ts ,,Ift/0 LC-,Iae°ges 2_ Y°—��7 �71 from 72_ co.Moot lieciv Mr .4A:7r .Co ,,i ett,) . JEFFERSON COUNTY Fix n k 43-1--q,'3Z Prone a Fgxn DEPARTMENT OF COMMUNITY QEV — ._ 621 Sheridan Street•Port Townsend• Washington 98388 • 380/379-4450•360/379.4451 Fax http://www.co.jefferann.wa.us/commdeveloprnent/ Stormwater Calculation Worksheet MtA k v t-Q 64 81 PROJECT/APPLICANT NAME: t,A A-1;)50 d'"l DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed flrat to classify the proposal as email,""medium,"or`large." The size determines whether a Stormwater Site Plan Is required in conjunction with a stand-alone stormwater management permit application,building permit application,or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEl.KFaJIX„SITE) Size of parcel VI, acres An acre contains 43,660 square feet. Multiply the acreage by this figure. Size of parcel in square feet x;f 7J 7 sq/ft Land-disturbing activity is any activity that results In movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soli topography, Land disturbing activities Include, but are not limited to Gearing,grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are Indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples Include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and saint;herbaceous plants ouch as award fern,foam flower,and fireweed. LAND DISTURBING ACTiVtTY.CONVERSION OF NATIVE VFQETAT$ON,AND VOLUME OF CUT/FILla Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation; project. Include In this calculation the area to be cleared for: Does the project convert tt acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainflald,septic tank,eft. -er- sq/ft Circle; Yes ittG Well,utilities,etc, - _ sq/ft Does the project convert 2}h acres or more of native vegetation to pasture? Driveway,parking,etc. -e` sq/ft Circle: Yes N Lawn,landscaping,etc. -S0-.- sq/ft Other compacted surface,ate, --0-- sq/ft indicate Total Volumes of Proposed: Total Land Disturbance '� spi/tt cut Fill (cufyd) • lave.rj • arom,wis«alc wotaMet-REV.1eIeoo3 FEB 1 3 2004 HOME ASSOC BUIL RS 3804979638 02 /04 10: 13am P. 002 112/11I 4bu4 1 :e3 f _ibo3/iq'o Jtr r l:U LIU) rHUt oz/az Impervious surface Is a hard aurtrlce that either praventa or retards the entry of water Into the soil mantle as under natural oond(tione 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 Iota or storage areas,concrete or asphalt paving,gravel roads,paoked earthen materiels, and oiled,macadam or other surfaces which aimflarly impede the natural Infiltration of stoimwater_ #fIORMWAfEfi CA��J Tif}NS iMPggVIfaUt3 Sta(RFACE NM OurPtV4 Structures(all roof area) __KM Structures(all root area) -, 7/0 sidewalks _ -9' eaflt Sidewalks ___ Patios -6-- aq/!t Patios acInt Solid Decka --( eq/It Solid Decks sq/ft (without infiltration below) (without infiltration below) G Driveway -er— sgift Driveway a 4f' eg►ft Other -' split Other stilt Total New .-0 &qTM Total Existing — '!5( C eqm TOTAL NEW+TOTAL EXISTING" I/42 S. ag/Itt ^This amount will be used to check tetra rot oovemea. The following questions will help determine whether the proposed project la considered development or redevelopment. jI EVELOPMENT v.RED VR QJMEt9T Divide the total x ntlna impervious surface above by the size of the parcel and convert to a percentage: % Does the alto have 85%or more of olggal hhpervlous nuance? Circle: Yes No FURTHER INSTRUCTIONS: if the answer Is yes, the proposal la 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 Plow Chart to determine the Minimum Requirements for atermwater management. DOD staff will help verify the ciaseificallon of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement a2-.-Construofion Stotmwater Pollution Prevention-en 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 taltormwater Pollution Prevention(SWPP)Best Management Practices(BMPs)Packet. Proponents of"medium"proJecta-those that must moot only Minimum Requirements 111 through *t5--end for large" projects-those that must meet all f0.-Minimum Requirements-metre required to submit a Stormwator Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, prrincipally for rural residential projects. Complete the template In the Slormwater Site Plan Instructions And Submittal Template or prepare a Stonewater Site Plan using the step-by-step guidance In the Stermwarer Management Manual APPLICANT SIGNATURE By signing the Storrnwater Calculation Worksheet, I as the applicant/owner attest that the Information provided herein is true and Correct to the best of my knowledge. I also certify that this application is being made With the lull knowledge and consent of all owners of the effected property. IniI - 1,2—lt— 0� ( obwNEA QA. rid'ry • • • _',� �SIRE) (OATO) elommaler celc worWhaer--my,1blliZOO9 2 -- FEB 1 3 2004 -92 •i 7 I rD-- .. 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Dennis &c Kate Madson 1148uiossoAw IstTorl0000d.NooihMn NMI Vohs 01140 81&I88I Meglidpiho0as 18 M 1.d rf.Port Wilm.Is i.i r � rn O 13 p rn rnX () rn x rn _,x Mw 0 qt-> ur z O { 0 z " � rn ulX -K rn � � DI -0 � c0 7Jrn II Al i- Tr 1 =0 (s)ii \ rum rn e � rn 4 x PT cp x 3 � X x �_ x� � ° 3 oN 0-3 o � o G) oz mu I 7/ _t _ N 3/x5/ BENCHI \- 3 s 8 o ( /gX/O �g rn I 4/3x5/o NN rnp OX / 4'-6y2" 5 -1" 4'-6y2" `rn Cp 3 Z1 - Cb Ti / 14'-8" O x 073 rn 00 00x4 A rn4 rn � O4rno N 0 U0 < O z C7 N zO Oi 3 Uz O z x PERMIT # RjD JEFFERSON COUNTY D CD z7J • p - • per • r0 • zp . 2c r�r 3 . 2z �• -ova NyN cz OUO b zD > O r > FXI Xlrz(P - > z N � - r U n� � r OH rornpOi rC13X1 3rnz x01- � p z > zz � zrn0 -� �l > Cl" r- > z -+ p c � O r 113 COJc 0rn � T7ipm (TioDzm D = c zm C11 = 0p > 0 —IA) A { rn � z �1 7) / X3-10M0O rnp � D03 rn � )> 0 Oulz § rn {rnr -1073 -i > > �' � MMG) rn � rni- Pz Rix Oz rnrnrn C > rrn Arn 5. 3rn uri � rriO uM -1 Orr- M Orn = rn X0Oz 0rn D � T i3N0 zu) O-1 rn � � › ,0 rNX) MzO � O73 " rnp WM 0 O z n , U) ,- p rnrn -n zrn X1N NO r DNz p � 7J -( z On mu, � n 60 -1 Mr - N 3rn CPX1 Mz7 0 0 -- L1> -i (n � O rm z0 > prat r _ Oi 710 - -0 z8 m ?3 p C1 Qm n � = p rn - 73 - z rn ° y r (- Q (n rnz g 13 3 O12rn ' rn > rnU' 3 z � 0 O � � CAr > N z3 rn � � p � rnr cr � �rz O r r � r m pp fiO � rn C1 rnr z OOp -1 Frnrn � r r (� N � r rn � � � rnz � � AWN O 23 p � r rn ?Ti rn11 z 73Uz -o r z 3 = ';-1) I! 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