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HomeMy WebLinkAboutBLD2000-00296 - CANCELLED THIS BUILDING IS NOT F THIS IS AN INCOMPLETE BUILDING APPLICATION . THE PERMIT WAS NEVER ISSUED. . BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00296 , Received Date: 5/11/2000 SITE ADDRESS: Wit LLAMA LN VI PORT TOWNSEND, 98368 APPLICANT: JERRY JEFFERSON PHONE: PO BOX 778 PORT HADLOCK WA 98339 (360)385-0125 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001343004 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 52,959.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: GARAGE: 384 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide outing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: rReceipt: Approved/us eons Permit $664.75 MAM 05/11/00 30860 Code Violation $664.75 MAM 05/11/00 30860 Plan Check $199.43 MAM 05/11/00 30860 State Building Code $4.50 MAM 05/11/00 30860 Total: $1,533.43 I:\F_BLD_App_Bld.rpt 10/29/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development • 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00296 Received Date: 5/11/2000 SITE ADDRESS: 184 LLAMA LN PORT TOWNSEND, 98368 APPLICANT: JERRY JEFFERSON PHONE: PO BOX 778 PORT HADLOCK WA 98339 (360)385-0125 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001343004 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 52,959.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 896 SHORELINE: ] CONST TYPE: D RAGE: 384 r�SETBACK: ®®!q 1 BANK HEIGHT: (JY ' li SEWAGE DISPOSAL: CON 4-110 WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Yt;5 Streams N Total: Total: Flood Way NO Flood Plan- outing Date: Shoreline N� Landslide (-) NoAqRuuiferar Si A l �R'�'f�E) C Forest: Commercial l Type Amount Paid By: Date: rReceipt:— Approved/1.)a eons Permit $664.75 MAM 05/11/00 30860 Code Violation $664.75 MAM 05/11/00 30860 Stwirlate A /p\ Plan Check $199.43 MAM 05/11/00 30860 State Building Code $4.50 MAM 05/11/00 30860 Total: $1,533.43 Critica l (,, ,v04) Vim voir.....:___ I:1F_BLD_App_Bld.rpt 10/29/99 g�oN Co Jefferson Comity Departnert of C soniudty Deveh>pnent S � 121 Sheridan Street,Port Townsend WA 88368(3601 378-4450 Q App : cfl© 4s �� n Project Description: Building Type: Project Type: Fr;vie Type: ❑ Single Family -0"lewood ,Garage Attached/sed ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-funily/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Typo ewage Disposal: Type of Heat: u. one: Existing: Existing: 1 e ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: ndividual System .8—Woodstove ❑ Propane Total: Total: f not sewer,fill out the following: ❑ Heat Pump conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: lt _ (IA' 41521.471 — ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 0"6 1` ,. ., — t .141.,CNN 2°Floor Base fee a t"1 - 3rd Floor Q-p, i"- �‘qd Plan Check fee .. Htd.ps t� 1 \\ State Surcharge fee " = 9,, J Unhtd B . .t 0 Subtotal \ O 4 Garag-/j�•,- �6 A �� Pot Water Review fee' { Decks 911/Rd"Approach fee `1- ii Commercial TOTAL ; . b • �'' Industrial Receipt"# 1O Other -ICash/Check# Total Valuation: �� /-Initials " " .,.c,. Or ^ Datej 1 �c) Estimated Cost: If within 200'of the Shoreline, Distance to Bank or Ordinary Haigh Water a., k ft.Bank Height ft. By signing the application form,the applicant/owner attests ..at 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 pea 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 •ting 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: C n o3i D 1 M 5. w m 0 A m r Z r- 0 0.co - .,. -p .0 Q a= n co z — y z o, 1 1 4c o,,, ` cn 4,0 2 qd cn '*1 rH txt rz m 9�, G ." O n J al _\ d M v I 2 V1 m m - a Y y -< -. r ° o D n m -ni � -ii z N 4 N m o - o Tl c m z C c n / SETBACKS 6 '2 --- ---...,____ rm i N 0 G1 ---4,- o '� tro �9 Y d 9 �'. Y a9 Q' v' C1. rr I-4 J.6-i,\ _.- (-9' H Q' ti y ••-,• y y O ti p- H `" -mac 0 n t tp (1; ��' fri i� H y ► Vi y.� y (fj�Q FM M O y 7 Vl �•a. MI 2 to o try t . w , r p ° �U o fD - N o• 17 ao /- 0 i. r. cn c....d.. .%: . g .. • I ‘k.10)7,._, , Pd 4, ict (4 0 fp Pa 5.4 .d (7) 0 PI Fa cn v.,..k\'%4A k A a ro 0 0 o-i, i ...,. a i-d ,-.. ,..... .. 6 w e N rt. Wd • N m /et ON CD CD g .0 .04 1-0 tri 1"0 1-0 1-0 0 0 0 NJ PO R 51 r? 5. ft: q ri: v a. p Pi -1=, N CO g• o 0 d b til a A . N ti gl a 330.72 * 7 ..... ., ,......., ....-.. ...-.. - I• ••7• ..._ ,1 .«! !.: •---• 1 E ---.71... E. . - '.- .i. 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"C ' N.,.0 g • - M.,..01.1.4 : , Ii;•••;•-• ,g, s ',■I : • II"?'4-0? . 4:°,t/.. ' 0 , 4t.,...._ 4.....- ; / ....0,,"4 . • 7 / _ _......--- -- P e ______ — . .... 3.30.62 I . . - -•--- LLAMA LANE -------s- -- --- -- - - .....- .........- - If • STORMWATER CALCULATIONS Owner/Applicant:14 y i 44' Wit- 0 PROPOSED LAND DISTURBING ACTIVITY Si Address: Nv4` iL ib � ' Drainfield area cleared /OM sq.ft. POV 4 &$ 14 ii' Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: OOI 3€ 3•U0'/ = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. O 1. North arrow Existing Structures (all roof area) 423,0; r sq.ft. O 2. All property boundaries and dimensions Sidewalks sq.ft.. 0 3. Names of adjacent streets Concrete Patios -- sq.ft. O 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure O 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: O 8. Wells and/or water lines • Construction Access Route Stabilization: O 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with O 10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of ❑ 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned O 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: I All exposed and unworried soil shall be stabilized by sodding, I ❑ 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base O 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April I lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices(BMPs). • Maintenance: O 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of O 16. Top of bank, if over 10 feet high their intended function. O 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Nam: ��,J'�, , Jaw Building Application _ Land Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application _ Other: 1 . Is there any standing or running water on the surface of the _ Yes No property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been _ Yes No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present X Yes /No on your property or adjacent properties? If YES, please describe: , 4. Are there any indications on any portion of the property or on any — YES 7No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) o o 4 1;1 i i i i i / i '� / , i � , , , , , � i , , , , , , , x.43 r/I,,, iii, , , , - Iry . . -0 /,////,,..-__-' , iii,,,,, - - ' ' ==°---°------------ (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? YES /No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine — YES /NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the — YES /\10 surface of the ground? If YES, please describe: 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. Signat Date FOR OFFICE USE ONLY 0 Wetlands ❑ Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide ❑Seismic ❑ Commercial Forest Section Township North Range Parcel Number: (*f(— 5(4 3-OOLI Parcel Size: 5_a( C. Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 � | ' -- -` -_ / H [| -- �- � -� --L +i - + | -4 -f- ^- ^_� � ~ Z� ' 1 ! / / | r - / | --~ � - �--�- - i --^-^~-- | . . � | ' -----�--� ----- | � 1 __-_---_ _-�_ � _____ _ _ , _+_ m,. -- ' ~�2 ~ __ ~_ / 14 -1- - � - / _ | . ` -4__4 __` -- -- �\ |. ( � / - | ~~~ � . - -- -_ ^� | 1 --�� T- / __J -- - -.~ L---- -- ' + /--- ---' 8 - �-�- ---- - ----r - - �Y - --� --- - ^ `^N. I -_- `i- ____--_ -_--_- _ �� �_ _ [ i � ^ ' --- - �---- ---- �----' 1-- --!- | . �____ [ ' I ' [I i i -- 11 1 1 [ ,