HomeMy WebLinkAboutBLD1997-00384 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0384 DATE RECEIVED. :06/16/97
SITE ADDRESS: 1372 E MARROWSTONE RD
:NORDLAND, WA 98358
APPLICANT. . . :GEORGE FIEDLER PHONE:
MAILING ADDR: 1372 E MARROWSTONE RD
:NORDLAND WA 98358
CONTRACTOR. . :HESS CONSTRUCTION INC PHONE: 385-9669
MAILING ADDR:PO BOX 801
:PORT TOWNSEND WA 98368
CONTR. LIC #:HESSCDI033CL EXPIRATION DATE: 02/13/98
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. :977700063 landslide plat cond _ wetland flooding _
LEGAL DESC:STR 04-29-01 E WM seismic streams erosion f & w
LOT , BLOCK , TAX #211
DESCRIPTION OF IMPROVEMENT: deck
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:ADD 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. . : OTHER • 0 sf
TYPE OF CONST WATER SUPPLY. : CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS • 80 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE: INDUSTRIAL: 0 sf
EST COST. $: 1900 BANK HT. . . : 0 ft
PROJ GRP. . : 2080 SH SETBACK: 0 ft
Owner/agent ° ' + FEES
Signature: � type amount by date recpt
PRMT $ 59.50 AK 06/16/97 1132535
Date: 6 r -- PLCK $ 17.85 AK 06/16/97 1132535
B.C. $ 4.50 AK 06/16/97 1132535
Issued By:
VelffrAtt3on
ilttT1141
Date• & Budding Department
$ 81.85 TOTAL
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368
t
BUILDING PERMIT APPLICATION
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PROJECT DESCRIPTION:
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BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
❑ SINGLE FAMILY ❑ NEW '1'J, WOOD
❑ GARAGE ATTACHED/DETACHED I� ADDITION ❑ STEEL
❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE
❑ COMMERCIAL 00
REPAIR ❑ MASONRY
❑ MULTI FAMILY/#OF UNITS ❑ DEMOLITION ❑ OTHER
❑ INDUSTRIAL I
® OTHER Alm�i�e- Ai r
BEDROOMS: BATHROOMS: TYPE OF SEWAGE DI 'OSAL:
EXISTI EXISTI ❑/SEWER MUNITY SYSTEM
PRO E P' �� ' La1 INDIVID Y: u ❑Conventional
TOTAL OT L PERMI # SE' ❑Alternative
WATER SUPPLY: TYPE OF HEAT:
❑ PRIVATE WELL ,A% PARTY WELL ❑ ELECT 1 Y ❑ OIL
❑ PUBLIC Name of t system: ❑ WO ❑ PROPANE
❑ HE T PU P ❑ OTHER:
SQUARE FOOTAGE:
MAIN FLOOR
OCCUPANCY UP
2ND FLOOR
3RD FLOOR BASE FEE
P' CHECT�
HT() BASEMENT
UNHTD BASEMENT STA'T'E SURCHARGE 4.50 ......
CARPORT SUBTOTAL >.< ::;:....
GARAGE POTABLE WATER
D� Q
9] IRQPcti APPROACH
COMMERCIAL
GRAND TOTAL
INDUSTRIAL
cb
RECEIPT # 1 ! '�'�' .�
OTHER � � .
TOTAL VALUATION
__S ...
ESTIMATED COST DATE
IF WATERFRONT PROPERTY, f
DISTANCE TO BANK OR HIGH WAT „_ . ft BANK HEIGHT'') S---- ft
SIGNATURE DATE ��/ ��3
NAME (PLEASE PRINT) Q1`rte 3, �f't'gr H:Uiome�Plruntr\Forms\Bldepp.DOC6/97
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JEFFERSON COUNTY BUILDING APPLICATION
I
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT #. . . :BLD97-0384 DATE RECEIVED. :06/16/97
SITE ADDRESS: 1372 E MARROWSTONE RD
:NORDLAND, WA 98358
APPLICANT. . . :GEORGE FIEDLER PHONE:
MAILING ADDR: 1372 E MARROWSTONE RD
:NORDLAND WA 98358
CONTRACTOR. . :HESS CONSTRUCTION INC PHONE: 385-9669
MAILING ADDR:PO BOX 801
:PORT TOWNSEND WA 98368
CONTR. LIC #:HESSCDI033CL EXPIRATION DATE: 02/13/98
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. : 977700063 landslide,_ 5 plat cond �__ wetland � flooding N0
LEGAL DESC: STR 04-29-01 E WM seismic (.4-(,) streams j0 erosion /TO f & w
LOT , BLOCK , TAX:. "'-N . (Orei)}. `.r,�
DESCRIPTION OF IMPROVEMENT: deck
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:ADD 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. . : OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. : CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. : DECKS 80 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE: INDUSTRIAL: 0 sf
EST COST. $: 1900 BANK HT. . . : 0 ft
PROJ GRP. . : 2080 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 59 . 50 AK 06/16/97 1132535
Date: PLCK $ 17 . 85 AK 06/16/97 1132535
B. C. $ 4 . 50 AK 06/16/97 1132535
Issued By:
Date: !_ ,
,F :. PA : �n (6) ' 81 . 85 TOTAL
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Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Tow1 send WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
+
�
Applicant Name /t-�'S5 `C'$\ i � r �1 e__,
✓ Building Application _ Land Use Application _ Shoreline Application .
On-site Sewage Application Subdivision Application
_ 9 PP Other:
1. Is there any standing or running water on the surface of the YES t/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 t/NO
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present YES 1/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
Y YP P P Y Y
of r k li earthflows, mudflows, or landslides?
nearby property o oc s des, e t ,
If YES, please describe:
5. Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
444 Q q 4 p
J
,,
i / i /
1 i iii,i/' �'
tiiiiii ,
' '
///////i i ''''''''' --fl
(Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? IVES 'NO
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES t/NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES k/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.
Signature - Date & `� /
9 to / /77
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:
Ow /Appli : . . e.�� C OA. T U�t�4_LV� STORN1WATER CALCULATIONS
go// �, 4. 0 ,�,
Site Address: 7 ��- &. 9-
❑ PROPOSED LAND DISTURBING ACTIVITY
,r`) /I-ale I LoLock C, '3 Drainfield area cleared sq.ft.
Driveway Length ft.
9 Digit Parcel Identification No.: f77-700 °6Vegt,tj/ X Width ft.
/c61, = Total Driveway sq.ft.
Permit Number:
Clearing and Grading for Site Development
(Well/Structures/Utilities/etc.) sq.ft.
Total Land Disturbance sq.ft.
PLOT PLAN
INDICATE the following information.
❑ IMPERVIOUS SURFACE
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals Proposed Structures (all roof area) sq.ft.
Existing Structures (all roof area) sq.ft.
Sidewalks ) S._ sq.ft.
Z2/1. North arrow
Concrete Patios sq.ft.
❑ 2. All property boundaries and dimensions
Proposed
❑ 3. Names of adjacent streets
Driveway Length ft.
❑ 4. Driveway/s &parking spaces
X Width ft.
❑ 5. Major features such as ravines,
= Total Driveway sq.ft.
seasonal creeks, bodies of water, etc.
Total Impervious Surface / sq.ft.
❑ 6. Septic tank and drainfield location,
existing or proposed, and distance to The Stormwater Manual sets forth the following Small
Parcel Minimum Requirements:
closest structure • Construction Access Route Stabilization:
❑ 7. Sewer lines Construction vehicle access shall be, whenever feasible,
limited to one route. Access points shall be stabilized with
El 8. Wells and/or water lines quarry spalls or crushed rock to minimize the tracking of
❑ 9. Neighboring wells within 150 feet sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
❑ 10. Paved surfaces (patios) thoroughly at the end of the day by shoveling or sweeping.
❑ 11. Structures, existing and/or proposed Street washing should only be done after the bulk of the
sediment has been removed by sweeping.
❑ 12. Setbacks (distances to property • Stabilization of Exposed Soil:
boundaries, structures, banks, All exposed and unworked soil shall be stabilized by
sodding, seeding, mulching, plastic covering, application of
and shorelines) gravel base on roads and driveways, or other appropriate
❑ 13. Easements for access or utilities means within seven days during the period from May 1 to
September 30 and within two days during the period from
❑ 14. Arrows showing direction of slope-- October 1 to April 30. Mulch shall be applied to a minimum
depth of two inches.
assume an elevation of 100 feet at one • Protection of Adiacent Properties:
lot corner and indicate the other lot Adjacent properties shall be protected from sediment
corner elevations in relation to it 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
FOR APPLICATIONS ADJOINING SHORELINES, Management Practices (BMPs).
INDICATE: • Maintenance:
All erosion and sediment control BMPs shall be regularly
❑ 15. Ordinary high water mark inspected and maintained to ensure continued performance
❑ 16. Top of bank, if over 10 feet high of their intended function.
• Other Appropriate BMPs as required by Jefferson
❑ 17. Slope of bank in degrees County to mitigate the effects of increased runoff shall be
applied.
H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM5/1 5/97
. • -
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0384 DATE ISSUED. :07/18/97
SITE ADDRESS: 1372 E MARROWSTONE RD
:NORDLAND, WA 98358
APPLICANT. . . :GEORGE FIEDLER PHONE:
MAILING ADDR: 1372 E MARROWSTONE RD
:NORDLAND WA 98358
CONTRACTOR. . :HESS CONSTRUCTION INC PHONE: 385-9669
MAILING ADDR:PO BOX 801
:PORT TOWNSEND WA 98368
CONTR. LIC #:HESSCDI033CL EXPIRATION DATE: 02/13/98
LOAN LENDER. :
MAILING ADDR:
•
PARCEL NO. . . :977700063
LEGAL DESC. . :STR 04-29-01 EWM, TAX #
LOT 41-42, BLOCK , OLSON & HAMBLETONS
DESCRIPTION OF IMPROVEMENT: deck
( ) Footing/Setbacks (Shoreline Setback) :
( ) Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheetrock:
( Final/Occupancy Approval:,�fC�[ ��j��!!��..��--�
THIS PERMIT IS VALID FOR ONE YEAR.
24 Hour Recorder for Inspections
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS
Office Hours 9 a.m. to 4: 30 p.m. Inspector's Phone Hours 8 - 9 a.m.