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BLD1997-00480
THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. y JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0480 DATE RECEIVED. :07/23/97 SITE ADDRESS:201 S MAPLE ST :PORT HADLOCK, WA 98339 APPLICANT. . . :KENNETH ENDERS PHONE:385-2533 MAILING ADDR:201 S MAPLE ST :PORT HADLOCK WA 98339 CONTRACTOR. . :OWNER PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. :996400505 landslide ft) plat cond • wetland 71,0 flooding /1-0 LEGAL DESC:STR 02-29-01 W WM seismic riL streams 40 erosion f f & w LOT 16, BLOCK 5, TAX # f . /10 SOUTH PORT TOWNSEND DESCRIPTION OF IMPROVEMENT: SHOP/STORAGE BUILDING TYPE *GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . :CON OTHER • 760 sf TYPE OF CONST • WATER SUPPLY. :CITY CRPT/GAR. . : 900 sf UNITS. : 0 STORIES: 0 HEAT TYPES. :PRO/ / DECKS 0 sf DIMENSIONS: COMMERCIAL: 0 sf FRAME TYPE:WOOD INDUSTRIAL: 0 sf EST COST. $: 16600 BANK HT. . . : 0 ft PROJ GRP. . : 9741 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 249.75 EMH 07/23/97 1134075 Date: PLCK $ 74.93 EMH 07/23/97 1134075 B.C. $ 4.50 EMH 07/23/97 1134075 Issued By: Date: $ 329. 18 TOTAL 5, 7 'PLOT PLAN STORMWATER CALCULATIONS INDICATE the following information. 0 PROPOSED LAND DISTURBING ACTIVITY Draw entire parcel to scale. Indicate scale of plot plan: Drainfield area cleared 4.1/9 sq.ft. .. / One inch equals /6 Driveway Length 24 ft. X Width 020 ft. U(1. North arrow = Total Driveway O-No sq.ft. B" 2. All property boundaries and dimensions Clearing and Grading for Site Development 1r'3. Names of adjacent streets (Well/Structures/Utilities/etc.) sq.ft. E{4. Driveway/s &parking spaces Total Land Disturbance /0—e,0 sq.ft. 0'5. Major features such as ravines, seasonal creeks, bodies of water, etc. ❑ IMPERVIOUS SURFACE Ea'6. Septic tank and drainfield location, Proposed Structures (all roof area) /700 sq.ft. existing or proposed, and distance to Existing Structures (all roof area) �,4 sq.ft. closest structure Sidewalks 7. Sewer lines Concrete Patios Er8. Wells and/or water lines Driveway Length f �` �V�L a 9. Neighboring wells within 150 feet X Width ft. 0'10. Paved surfaces (patios) = Total Driveway sq.ft. in1. Structures, existing and/or proposed Total Impervious Surface /7e9D sq.ft. 0112. Setbacks (distances to property boundaries, structures, banks, The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: and shorelines) • Construction Access Route Stabilization: ET 13. Easements for access or utilities Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with 14. Arrows showing direction of slope-- quarry spalls or crushed rock to minimize the tracking of assume an elevation of 100 feet at one sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned lot corner and indicate the other lot thoroughly at the end of the day by shoveling or sweeping. corner elevations in relation to it Street washing should only be done after the bulk of the sediment has been removed by sweeping. • Stabilization of Exposed Soil: FOR APPLICATIONS ADJOINING SHORELINES, All exposed and unworked soil shall be stabilized by INDICATE: sodding, seeding, mulching, plastic covering, application of gravel base on roads and driveways, or other appropriate O 15. Ordinary high water mark means within seven days during the period from May 1 to September 30 and within two days during the period from ❑ 16. Top of bank, if over 10 feet high October 1 to April 30. Mulch shall be applied to a minimum O 17. Slope of bank in degrees depth of two inches. • Protection of Adjacent Properties: Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a combination of these measures and other appropriate Best Management Practices (BMPs). • Maintenance: All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of their intended function. • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM @. 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 l` NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES X NO surface of the ground? If YES, please describe: The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson County based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. 4 / Signature fli,i1///� //� �✓ Date 7-2-2- "I 7 FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name • 4) _ , L i.� R x 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 X NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES X 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 � NO 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) E l D / / //i i � i , / r iiii/ i/1//////////./,▪ - i rrrii • .' Mil /////// /," . ' r11/11/,,„- uaaii - (Questionnaire Continues on Back) JEFFERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST, PORT TOWNSEND WA 98368 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: SNoP /c�/��rr� BUILDING TYPE: PROJECT TYPE: FRAME TYPE: ❑ SINGLE FAMILY ❑ NEW ❑ WOOD ❑ GARAGE ATTACHED/DETACHED ❑ ADDITION ❑ STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/// OF UNITS- Ty❑ DEMOLITION ❑ OTHER 130 INDUSTRIAL OTHER .. ©f BEDROOMS: BATHROOMS: PE OF SEWAGE DISPOSAL: EXISTING EXISTING ❑ SEWER ❑ COMMUNITY SYSTEM PROPOSED PROPOSED �( INDIVIDUAL SYSTEM ❑Conventional TOTAL TOTAL PERMIT # SEP 3/1 j// ❑Alternative WATER SUPPLY: TYPE OF HEAT: (:::::':i:47.......:....:,.::........::'::::.*::.*:::::.::....:::',1 ❑ PRIVATE WELL ❑ TWO PARTY WELL 0 ELECTRICITY ❑ OIL lift PUBLIC Name of water system: T Ci/�/ �Je ❑ WOODSTOVE PROPANE ❑ HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: F'OR c k cS. IISF MAIN FLOOR UBC OCCUPANCY GROUP 2ND FLOOR • BASE FEE 3RD FLOOR HTD BASEMENT PLAN CHECK ' , j : i, UNHTD BASEMENT STATE SURCHARGE CARPORT StJBTO AL ^GARAGE 5i/OP goo �� POTABLE WATER DECKS 9II/ROAD APPROACIE a COMMERCIAL GRAND TOTAL INDUSTRIAL r RECEIPT # 1/ OTHER 5tARA6E 7G� �(e?O� , TOTAL VALUATION / EAAS CK i w •ESTIMATED COST 6GY>O,DO D IF WATERFRONT PROPER / DISTANCE TO BANK'OR HIGH WATER LINE ft BANK HEIGHT ft or SIGNATURE i�/,�/lam/ iL�' _ DATE 7'-� -V II NAME (PLEASE PRINT) ,�//f.(J�%L .© /� H:wome�Plnentr�Fam s�a�d,pp.D005/97 J Id / 7-7" , 7 7,, 7 r„,,,,,,,„. (-4- .---- <1 GO" ./'------ \i, -/------ r‘a \ \ 04)2 .../------ ....------- . ----- ...,,------ t. 1 r----:4 3c1.... 1 .__. [ -"-- --jsi . I z 6 U rn DI O4 i o a. 1 lk 1 d 1 V Sloe it - C. t , li x. ! r'DI G I r Q_. rn vv ri —I i top r X v 4 N4 � ________ V ,.,.. ____1 DRA/A1 FEE/--.Q �. n 1 i a Ex 1 s-r!N DR,)J E 4`l I 4 st • 1J. • • 0 r f:t.... 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