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HomeMy WebLinkAboutBLD2000-00311 VP , BUILDING PERMIT APPLICATION r Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00311 Received Date: 5/18/2000 SITE ADDRESS: .tvl LORDS LAKE RDA► QUILCENE, 98376 APPLICANT: MARK APELAND PHONE: (360)765-5079 PO BOX 859 QUILCENE WA 98376 SUBDIVISION: LORDS LAKE LOOP#1 SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 702024024 Section: 02 Township: 27 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ROGER LARSON ENGINEER : 142 RESOLUTE AVE PORT LUDLOW WA 98365 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,483 VALUATION 142,317.00 ADD'L: 1,025 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 350 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane R F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: rRece pt Approvea�a eons Permit $1,234.55 MAM 05/18/00 31518 Plan Check $370.37 MAM 05/18/00 31518 - S r 1, D.I,a State Building Code $4.50 MAM 05/18/00 31518 Potable Water Application $30.00 MAM 05/18/00 31518 fu • ,0 2 Total: $1,639.42 Jefferson County Planning &Building Department 1:1F_BLD App Bld.rpt 10/29/99 • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD00-00311 APPLICANT: MARK APELAND PHONE: (360)765-5079 DARLENE APELAND PO BOX 859 QUILCENE WA 98376-0859 SITE ADDRESS: 794 LORDS LAKE LOOP RD Issue Date: 07/10/2000 QUILCENE, 98376 Final Date: 8/14/2014 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 702024024 Section: 2 Township: 27 N Range: 2W PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/14/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 8/19/2014 w ■ Jefferson County Permit Center * Department of Community Development (:;:... �„ N °°� 621 Sheridan Street,Port Townsend WA 083 (3601 370-4450 .1s rlrrG� prq _cachop Project Description: r1 Exo 11,,c.Le TT-A-x4. t L.,4 (c. .-QA ®b).+c_ Building Type: Project Type: Frame Type: Single Family ❑'New O' ood ❑ Garage Attached/Detached ❑ Addition • ❑ Steel O Modular ❑ Alteration/Remodel ❑ Concrete O Commercial ❑ Repair ❑ Masonry ❑ Multi-family/# of Units ❑ Demolition ❑ Other: O Industrial O Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: �{ Choose one: Existing: f' Existing: ❑ S er 0 Community System 0 Electricity ❑ Oil Proposed: / 45 Proposed: 21 z 6a'Individual System ❑ Woodstove ropane Total: 3 Total: V If not sewer,fill o��utth�the following: 0 Heat Pump ❑ Conventional :0Alternative 0 Other Permit # SEP c "]—2�' , Wayr Supply: • Private well 0 Two Party Well ❑ Public:Name of water system: Square Footage: , Office Use Only �3 Main Floor 11 u g Z�b UBC OCCUPANCY GROUP 2ND Floor 1l o2 5 7 5(013 j Base fee 17 31",ss 3rd Floor Plan Check fee 310. -g Htd Basement — State Surcharge fee It Sa Unhtd Basement Subtotal I£P C Cj .'4 Z Garage/Carport Pot Water Review fee 30" Decks 360 4 0D 911/Rd Approach fee z9.01) Commercial • TOTAL f tP(.o ,4Z Industrial Receipt # 3 i S I S Other Cash/Check # (Q((og Total Valuation: Initials A Or VIZ 511 Date S- St 00 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordin High Wat r Mark )I ) 1 'p� ft. Bank Height ft. Signature: Date: 0 1 • • g8o °tr Jefferson County Permit Center * Department of Community Development 4, 1,� 621 Sheridan Street,Port Townsend WA 88368(360)378-4450 N r "e 0 -0N�� PSo �. P.©t WI is ek 0110441 au& 44 c4mftld€4 as julai&e: • Project Description: )..) �v ) S t Cl Le i 4Lt f ,t D 4., 9 Digit Parcel Identification Number(from your tax statement): _7 0. O Z4- 024- I Site Address 911#: Road Name: C ?2pIS Ltev/...t- go , Zip Code: cm 1-7,‘, Legal Description // Subdivision Name: (o raps 1.04(..e / Block: Lot(s): 1 Section: 02, Township: 27 1J Range: e 2 W es= Parcel Size (acres or square footage): 5 -F .,5 Phone:Property Owner M ZK. 4t T>A e 'PEt �D "7 5- S of g Mailing Address: 470 �o�c S S t a V 1 1.ce-.0 E j IA.)ft- gl t 3 740 ,Applicant/occupant: Phone: (if different from owner) -- 4 Mailing Address: Authorized Rep: Mme` 4\ 0 ` Pe..It-N� Phone: 7�r s q 0_7 Mailing Address: / General Contractor. Or Manufactured Home Installer: O t.J)JeL Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: S Gel)41 Phone: Mailing Address: ,..2.06 L ! C•.?6.IJ S U t architect:/Engineer: / „ _ Phone:,4 3.7 _O t 1 0 Mailing Address: t)L4re 1�2. _ t Qor�- �fl t.e�✓ l �►A- 9� 3d Loan Lender/General Phone: Contractor's Bond Holder: S b w lJ st... Mailing Address: FOR:'Oi~1-ICE>:USE ONLY :. ::... Fire District,....:;. ...::;: .....:.:: �?laririing.,Ar�a. .....:. .... ::;... . School<Dlstxlct: .. ..... Zone .::..::: 4/98 H:\home\pincntr\foams\universal plot plan .Ins wm w.w wm ww ■■o .•w NM 1 --""... ................ LoRp?s • -1 LA,1 1 1 1 I I • - -I 1 _ 1 vrF 1 t - t I 1 • 1 i _ . .OqE \ /• I 1 1 \ I \ I i-2 V 3 1 • *4r —. _I • -I CA 0 �u i ill - do / / Nth 1 ;-.�S*1�# ) I�IIlIIII6. III' D LAT. 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I li I 6- \ 1 ((ti \ I I �ni41xS • 1 1 1 I I , 1 \ 1 1 61 0 1° m 1 :--i gra T c d..,..i T I mm O No 77 3 -_643j_ r ip _ 1111 E: rn A ' i , ..- WASTTWATER SYSTEM PLANS . xl PARCEL,!'t02-024-024 IT - - < �7 _ e "EN APLAND Polaris Engineering & Surveying, Inc. 0` PD.BOX 859 71)6 S.LIMN SL 5 ?Dt it PORT M�6flfS tk IA �p QUILCENE,WA 98316 (360)163-5019 91 4 '41111%iv _ PBX: (,'Sr: ) , 5393 * FAX: (360) 457-9319 • c4 BUILDING PERMIT APPLICATION 00-00 (a 0 Jefferson County Department of Community Development ✓-*'. 621 Sheridan Street Port Townsend, WA 98368 c PERMIT#: BLD00-00311 Received Date: /18/20.4 i,r 41 �/ SITE ADDRESS: ' RESS: LORDS LAKE RD ,,II QUILCENE, 98376 Off' Jr�IV W APPLICANT: MARK APELAND PHONE: (360)765-5079 PO BOX 859 QUILCENE WA 98376 SUBDIVISION: LORDS LAKE LOOP#1 SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 702024024 Section: 02 Township: 27 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ROGER LARSON ENGINEER : 142 RESOLUTE AVE PORT LUDLOW WA 98365 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,483 VALUATION 142,317.00 ADD'L: 1,025 HEAT TYPE: PRO �2 CODE EDITION: 1997 C v OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: r� UNHEATED: #OF STORIES: OCCUPANCY: OTHER: ,/- CONST TYPE: 5N GARAGE: SHORELINE: 0 CONST TYPE: DECK: 350 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT eel /.S' WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist Exist: Wetland NO Erosion Prop: 3 Prop: 3 Seismic r40 Streams Total: 3 Total: 3 Flood Way NO Flood Plane N 6 F&W r\)r Candslidel (Routing Date: Shoreline OD Aquifer k.I Fore st: Commercial Rural Nr ximit C d Type Amount Paid By: Date: Receipt' s pp��A av Gru Permit $1,234.55 MAM 05/18/00 31518 � ` 4di Plan Check $370.37 MAM 05/18/00 31518 State Building Code $4.50 MAM 05/18/00 31518 Potable Water Application $30.00 MAM 05/18/00 31518 ` / Total: $1,639.42 ' / _ 4triP L z-mg MINIM I:\F_BLD_App_Bld.rpt 10/29/99 F Q. JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT N CONTR L PLAN EROSION AND SEDIMENT CO :, Owner: £ 1 arlen e &pe(,t.11GC Telephone: (oo) 7(Q 5 5O`79 Property own Mar Address: TO 'off 35q ,l l/Oen?, \/UIA- "1 37(P Assessor's Parcel Number: !0 A -0 ''1 -0 44 Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: ,Sr JG CE MAMA) "1"1-A-)0 - STI) y ftovvt (% • Site Location: ! e)(t-b S ( (cC" &OD P je t l Lo-r" p,141.-e4..-t.k. 70 2---02y-o). Li Person Responsible for BMP Installation and Maintenance:, al /)'P C. CA WA Address: Po B J ZC R Sq 61v i L c.,C NE c-(f4 c)23?(:. Telephone: 3‘20 7S - 5-C)-1? 1. Describe/check the Best Management Practices (BMPs) that you s will imeimplement during wanland disturbing activities or construction to control erosion and prevent bodies (marine waters, streams, rivers,lakes,or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more space is required. ---___ , lep Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock ' to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas,landslide or erosion hazard area, etc.). March 10,1997 9 ■ • • EROSION AND SEDIMENT CONTROL WORKSHEET Describe how disturbed arms will be permanently stabilized (seeded, landscaped, apply gravel base to roadways,etc.) Disturbed soil areas will be replanted as soon as possible with \egetation such as trees. grass, and landscape foliage. Most of these areas will be planted with a rye type grass seed. Driveways and parking areas will be covered with a crushed rock base as soon as possible. The primary driveway' area is existing at this time. 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well, infiltration trench, route runoff to existing drainage facilities, etc.). Due to land terrain, runoff is expected to be minimal. Disturbed areas will be dispersed into existing vegetation and/or collected into an infiltration trench. The area surrounding the construction site is currently covered with natural vegetation. 11 III • EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. Land clearing and disturbing practices will begin with the septic drain field, which will begin in the spring of 1998. To follow will be the well site, which will begin as soon as possible. Last, will be the construction site of the building. The building site will hope- fully begin in early summer of 1998. During each phase, all measures will be taken to ensure soil stabilization is maintained. BMP's will be implemented during and/or immediately after each phase. Short term BMP's will be as follows: straw covering, temporary infiltration ditches, use of plastic sheeting, and crushed rock where necessary. Long term maintenance of BMP's will be as follows: proper ditching, re-planting of vegetation (grass, shrubs, and trees), and the use of crushed rock on driveway areas. There are no wetlands or adjacent wetlands located next to subject property. The Best Management Practices proposed above will be implemented to control erosion, sediment, ana stormwater runoff. I will noti the Permit Center for inspections as required. Signature of er/Agent Date • i j March 10, 1997 12 i BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00311 Received Date 05/18/2000 SITE ADDRESS: 774 LORDS LAKE RD Issue Date 07/10/2000 QUILCENE, 98376 Expiration Date 07/10/2001 APPLICANT: MARK APELAND PHONE: (360)765-5079 PO BOX 859 QUILCENE WA 98376 SUBDIVISION: LORDS LAKE LOOP#1 SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 702024024 Section: 02 Township: 27 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: ootings/Setback horeline Setbacks): (,� /C /- 3 0- v ? 1' -ga,u.."-.-, [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [r Framing/Plumbing: 6 f C--. Z f/0 [ ] Propane Tank/Lines: / [ i/ Insulation:©1t .5/29/a [ ] Sheetrock: [ ] Final/Occupancy Approval: . g/7 t'tt 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. Inspector's Phone Hours 8:00 a.m. -9:00 a.m. SPECIAL CONDITIONS MAY APPLY -SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY Jefferson County Department of Ca unity Development July 10, 209 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: MARK APELAND PO BOX 859 QUILCENE WA 98376 Critical Area Review Case Number: CAR00-00260 Project Description: single family dwelling Parcel Number: 702024024 S-T-R: 02-27N-02W Site Address: 774 LORDS LAKE RD QUILCENE WA, 98376 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall b as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of p posed development activities will require further review pursuant to the Jefferson County Cri al reas Ordinance. De a n of Commu ity Develo m St ff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99