HomeMy WebLinkAboutBLD2004-00433 9
BUILDING PERMIT APPLIC ION ML Revviewiew Type:
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pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00433 Received Date: 6/29/2004
SITE ADDRESS: 141 SPRUCE DR
PORT TOWNSEND, 98368
OWNER: DAVID BROWN PHONE: (360) 385-3392
KAREN BROWN
141 SPRUCE DR
PORT TOWNSEND WA 98368-9442
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 19
PARCEL NUMBER: 940500018 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: STEVE COOPER CONSTRUCTION INC PHONE: (360) 385-2066
120 S RHODODENDRON DR
PORT TOWNSEND WA 98368
Contractor's License STEVECC120P1 Expires 9/29/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE & DECK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,212
VALUATION 90,716.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 384 SHORELINE:
CONST TYPE: DECK: 108 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 1 Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date:/ F&W Landslide
(O 3O/C Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: d/ �
Permit $923.75 KAS 06/29/04 66422 Ar1iY\i E 17)
Plan Check $600.44 KAS 06/29/04 66422
State Building Code $4.50 KAS 06/29/04 66422 AUG 1 9 2004
Total: $1,528.69 Jefferson County Planning
Co &Building Depar�
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1 .y. 621 Shelton Street,Port Tows I [3�318- 0'p e r m ni, I
a 4ppiiica
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17° vi•'1S No( 0 0 "
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BAlding Type: Pyoject Type: Pr n e-Typel-` `
@' Single Family 14 New N. Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
' Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
1)4 Choose one:Existing: k Existing: 2 ❑ /)Sewer ❑ Community System Q"Electricity ❑ Oil
Proposed: I/ Proposed: Individual System ❑ Woodstove ❑ Propane
Total: 7/ Total: 7..--
If not sewer,fill out 3he following: ❑ Heat Pump
12 4tovi rv& At a B/L i.Fo c Z 94)2 /•r34 ❑ Conventional &7 Alternative ❑ Other
Permit# SEP 9"/-5 c' 2-
WWter Supply: 7/2-6r6- Cpvwst._w a., r/ c�L-'L t_
19 Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: Office Use For Office Use Only
Main Floor /2— /2- 1 l r I,ci•�� Consistency Review "el?...) --
2ND Floor Base fee q a 3,1�51
3rd Floor Plan Check fee (o 0 0 .
Htd Basement State Surcharge fee -"A 5
Unhtd Basement ��pp���� Subtotal 1 i 5"14 .ems►
Garage/Carport 5�� CI iD:.XJ Pot Water Review fee [X cs•k-,hC No Ei. p,> uY.
Decks . i Og p2SA 6 911/Rd Approach fee 'k%5+-t n
Commercial '16io TOTAL {j�(Q C(
Industrial �� ^�
Receipt# CO(p 9, �o`
Other Cash/Check# C AS 1'
Initials
Date 62 S'i/ 09
'Estimated Cost: 7 �7 y 3 • 'I e)
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 attomey'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: ,4 . "_ W-- Date: E /O S'
OVER ►
G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
r 1110
BUILDING PERMIT e
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00433 Received Date 06/29/2004
SITE ADDRESS: 141 SPRUCE DR Issue Date 08/19/2004
PORT TOWNSEND, 98368
APPLICANT: DAVID BROWN PHONE: (360) 385-3392
KAREN BROWN
141 SPRUCE DR
PORT TOWNSEND WA 98368-9442
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 19
PARCEL NUMBER: 940500018 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: STEVE COOPER CONSTRUCTION INC PHONE: (360) 385-2066
120 S RHODODENDRON DR
PORT TOWNSEND WA 98368
Contractor's License: STEVECC120P1 Expires: 09/29/2005
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK
REQUIRED INSPECTIONS: ,,/
[ ] SETBACKS: OK 4/u�/e' p
[ ] UFFER: Ok 9/LS/T
[ ] Footing: 4. 9/ `24I4
[ ] Foundation:a( 0 01/
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall : fi]
rP,-9
Framing: (A -07
f 1 Plumbing/-1 `v`1
[ ] Propane Tank/ Lines:
[ ] Insulation: 1)1(1.-/Pa, IcYk,YtGr3714....- ait/171rJ
1 Sheetrock: dk ,�Ii.f& i
[ ] Septic Sytem Final p(ppro(al:
1 1 Road Approach Final Approval:
[ ] Zoning Final Approval: `,.
i i Final/Occupancy Approval: PC.-,:/GS-"
HEALTH DEPARTMENT AND PUBLIC WORKS 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
SPECIAL CONDITIONS APPLY -SEE REVERSE
SPECIAL CONDITIONS FOR CIE A BLD04-00433
1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington to control stormwater, erosion and sediment during
construction. BMPs shall address permanent measures to stabilize soil exposed during
construction, and in the design and operation of stormwater and drainage control systems.
3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) The building height is not to exceed 35 feet.
5.) Minimum setback from Spruce Dr is 20 feet. Minimum side and rear setbacks are 5 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999