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Home My WebLink AboutBLD2000-00268 BUILDING PERMIT'APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00268 Received Date: 5/4/2000 SITE ADDRESS: WOODLAND DR F W 7 r PORT TOWNSEND, 98368 APPLICANT: JOHNNY ODOM PHONE: (615)824-4952 204 BAHIA MAR PT HENDERSENVILLE TN 37075 SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot: 30 PARCEL NUMBER: 001275022 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLESI150LF Expires 05/28/2000 ARCHITECT/ LINDBERG/GREENE ENGINEER : 319 S PEABODY PORT ANGELES WA 98362 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,346 VALUATION 216,385.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: 1,220 HEAT TYPE: OCCUPANCY: R UNHEATED: 1,126 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 552 SHORELINE: CONST TYPE: DECK: 200 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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 Routing Date: F&W Landslide Shoreline ,Aquifer Forest: Commercial Rural Type Amount Paid By: Date: rReceipt Approved a eons Permit $1,648.95 MAM 05/04/00 30768 APPROVED Plan Check $494.69 MAM 05/04/00 30768 State Building Code $4.50 MAM 05/04/00 30768 MAY i 8 2000 Potable Water Application $30.00 MAM 05/04/00 30768 Total: $2,178.14 Jefferson County Planning & Building Department I:\F_BLD App_Bld.rpt 10/29/99 1 � Y 40N Jefferson County Permit Center * Department of Community Development (C.,'" � � 621 Sheridan Street,Port Townsend WA 88368[3601378-4450 '' '� o t ,.?, perM Q o 0 �S'iING'� ppicatwo Project Description: p1 Cj I wce',Ls F-A-wt, ,,y i2,..,-.%,t c,G--,•+C•„ Building Type:m Project Type: Fram ype: e Family ew Wood ❑ Garage y ge Attached/Detached ❑ Addition • 0 Steel ❑ Modular ❑ Alteration/Remodel 0 Concrete O Commercial ❑ Repair 0 Masonry O Multi-family/# of Units 0 Demolition 0 Other: O Industrial 0 Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 0 Se er 0 Community System 0 Electricity 0 Oil Prop osed: 3 Proposed: Ind►vrdual Sys tem ❑ Woodstove 0 Propane ane Total: -----4;-- Total: --.- If n�t sewer,fill out the following: D-Beat Pump [ Conventional ❑ Alternative ❑ Other Permit # SEP 99 — d 2'12 Water Supply: A. O Private well 0 Two Party Well Q-11ublic:Name of water system: 2 () \ 19 Square Footage: ,J \0 X_,Fo For Office Use Only Main Floor 2, 'tj 4(.=, 'I° � ) ,1�.6° UBC OCCUPANCY GROUP (� ' �j 2�Floor "- � A U Base fee /I ' 1 ` 3rd Floor t * Plan Check fee `-( 9 YO (0 9 Htd Basement �A. Z.'2 o \.os> State Surcharge fee 'Y-S C' Unhtd Basement \■\1...b , 'j a Subtotal 1 / ! Garage/Carport 5 5 2., .r 0 Pot Water Review fee - D Decks Z—o 0 �> � 911/Rd Approach fee r 0 0 Commercial • TOTAL (7q.90 -7 `/A/ Industrial , Rec ipt # .. 6 7(' 2' Other / fi_c6L) /Check # )�, Total Valuation: . 1 (j.) rutials �J` 1V� 1 Date / C Or ate Estimated Cost: If within 200' of the Shoreline, — ),14- Distance to Bank or Ordinary High Wate Mark ft. Bank Height ft. SignatureJ/� 0 ‘4,4)19 Date: 5 11) 2.000 " Jefferson County Petnit Center * Department of Conmunity Development 621 Sheridan Street,Port Townsend WA 08368(360]370-4450 • F •a; 0 4:4 unovepsci . 0? • 7iuea rite Pee401.49 ilavis 44 eapolete4 44,x : • Project Description: " �^ N E.1%-) c 1,J Le 'FA-AA Lt.: ? d .0ce 9 Digit Parcel Identification Number(from your tax statement): OO\Z1 SC322 Site Address 911#: Road Name: 1./..)0 1 y)) Zip Code: 9 t G.gt Legal Description Subdivision Name: l LVS Block: t Lot(s): 3a Section: 2. 7 Township: -'3 0 Range: 1 W Parcel Size Size (acres or square footage): s- p .p,e'S Property Owner: ,nH141.0`1 0 t V10‘. Phone Z 4C1 �J�• Mailing Address: d r p "Pt{L C er,j c 't' S►Ljy1`j►VL l i i -37 07 5 Applicant/Occupant:. Phone: (if different from owner) Mailing Address: Authorized Rep: �t..E'I c N 1 0_,D S N Phone: .„ q-.6_7 f SL Mailing Address: „2—U0 / _ PD Tigneral Contract . Or Manufacture come Installer: \LLL-\ aoS ) n)C. Phone: '�, 5'--71 S (� Mailing Address: .LLoo 14%4. 1 Contractor's State License Number: Ex Expiration Date: ►Sa1..�" p 5 0) Septic Designer: ,Fbiz. ,.. Phone:et Mailing Address: Architect: n ' ecr:_�/ _ 1 r2L,N E Phone:3 g S - 6 7 3 a Mailing Address: �•t Address: 2,1.1 S . 'PEA S- r . Prf Et. g-3 (:,- Loan Lender/General LPYY1 50-7744' Phone: I Contractor's Bond Holder: ftli j fR)C, ) (72:6 9 s27-- (�46441-MailingAddress: r �.� ov :,• X00 to 3 c 3 �L ■ t?s ! &I 25 Fire Drsenct< 'la in`ing Area .. ..:::....... School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan ■: , • , C:to i> tA.300 ,Lori.ta — -i: DA vs 2 G.4 ' \ .._. ./.1\ .. . ID-----. . N. -■‘■ \ NI ' 4 \ - ..... v ...._ l ^ / 41 N I ..• . i 1 • *---\ on 41111 ri, 6,$ % . ! ! , . .•- .... - ...• . Li,; ,— i • . 7CS . ■., s •iw qp-jc9 t...71271?—ffir.:4 t--,... . c- - - -• 17 . U \ 1 G 1 2 l4. I c\ , 73.,,, I, i 1c si- ? I C I .■1 0 7r4; 0 %•-' J-) 2 -.. 0 c 1, it f6 0 A . # .0 c i . 1/V i ii ; 4 4 r . if 3 Q s22. 1 cy ‘, 0 ..........›,, i-- l/ roit/1y4,', BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00268 Received Date: 5/4/2000 SITE ADDRESS: WOODLAND DR PORT TOWNSEND, 98368 APPLICANT: JOHNNY ODOM PHONE: (615)824-4952 204 BAHIA MAR PT HENDERSENVILLE TN 37075 SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot: 30 PARCEL NUMBER: 001275022 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLESI150LF Expires 05/28/2000 ARCHITECT/ LINDBERG/GREENE ENGINEER : 319 S PEABODY PORT ANGELES WA 98362 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,346 VALUATION 216,385.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: 1,220 HEAT TYPE: OCCUPANCY: R-1 UNHEATED: 1,126 #OF STORIES: !� OCCUPANCY: OTHER: RR CONST TYPE: 5N GARAGE 552 SHORELINE: 'fRn� *w CONST TYPE: DECK: 200 SETBACK: 6 ANK HEIGHT: �� SEWAGE DISPOSAL: CON \A 0 tio,0 WATER SYSTEM: PUD PARCEL'TAGS: YES■ NO BEDROOMS: BATHROOMS: STORMWATER: YES �l NO EA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Stre- s Total: 3 Total: 3 Flood Way F -od Plane IR outing Date: - F&W andslide Shoreline Aquifer Forest Corn - cial Rural Type Amount Paid By: Date: rRecel'p�vf Approvewua eons Will Permit $1,648.95 MAM 05/04/00 30768 C81 Plan Check $494.69 MAM 05/04/00 30768 Cdt/ 11681 State Building Code $4.50 MAM 05/04/00 30768 - 0 C9 Potable Water Application $30.00 MAM 05/04/00 30768 w ��Total: $2,178.14 6 6)9 1:1F_BLD App_Bld.rpt 10/29/99 • .6. 4 Date Jefferson County'Permit Center Fee F 621 Sheridan Street F ec Port Townsend WA 98368 ' 'CRITICAL AREAS QUESTIONNAIRE Case Applicant Name X0 '1•••"''C 0 �O v"`` 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 J.-'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 l,/NO identified as a wetland or swamp? If YES, please describe: Y 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES X10 on your property or adjacent properties? If YES, please describe: • 4. Are there any indications ortion of the property or on any YES X on any P 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) c ❑ 4 Q ❑ ❑ ❑ I I / / // /, i i i i / I / ,, /I iii i /i i� .❑ /I i i i / / / . III i / i i ,/,../ /1-1 �� i,iri i i i i,/'//� .-. A iiiiii i� ��'�.�� ,.'�� riiiii i i,/ �/ iiiiiii/�'�: -'� =�f ----- (Questionnaire Continues on Back) I 6. Does,th9 site have steep slopes with little to no vegetation? YES �/ N0 If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES V Nu sand? If YES, please describe: _. 8. Does the site contain ground water seepage or springs near the YES 4 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 TJ?I4Is1Ac‘. / V( <'Sr Date 513/2000 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: it A STORMWATER CALCULATIONS Owner/Applicant: -\OW41✓\ 0 ha IA,.‘ / '\ ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: c.oT x 70 -. W O t U tH N-L 1 Drainfield area cleared 2,oo o sq.ft. Driveway Length \4o ft. X Width I2...- ft. 9 Digit Parcel Identification No.: OOH 2;7 50 ,1,, = Total Driveway (L in.it) sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. SS o a0 sq.ft. INDICATE the following information. Total Land Disturbance itt E,tea ' sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ( 0 1 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof a •: - • t. l7 1. North arrow Existing Structures (all roof area) q.ft. E1 2. All property boundaries and dimensions Sidewalks l.zbe sq.ft. � C'/3. Names of adjacent streets Concrete Patios I cat) sq.ft. 6Y4. Driveway/s & parking spaces Proposed: erg. Major features such as ravines, Driveway Length lac ft. seasonal creeks, bodies of water, etc. X Width t ft. 1? 6. Septic tank, drainfield and reserve area location, = Total Driveway _ l LLD%o sq.ft. existing or proposed, and distance to Total Impervious Surface 4,ego sq.ft. closest structure l7. Sewer lines The Stormwater Manual sets forth the following Small Parcel ,/ Minimum Requirements: i7 8. Wells and/o water lin N (R • Construction Access Route Stabilization: O 9. Neighboring wells within 150 feet Ni t Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with Vi 0. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned fR1-1. 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: All exposed and unworried soil shall be stabilized by sodding, RI-3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 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 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, )4 A combination of these measures and other appropriate Best INDICATE: Management Practices(BMPs). • Maintenance: ❑ 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. ❑ 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 STORMWATER MANAGEMENT ORDINANCE INSTRUCTIONS FOR PREPARING SMALL PARCEL EROSION AND SEDIMENT CONTROL PLANS Narrative Requirements: a. A description of the project, construction sequence, and existing site conditions as they relate to potential for erosion and sedimentation. b. A discussion of proposed Best Management Practices and how they meet the goal of controlling erosion and sedimentation; c. A description of maintenance procedures for Best Management Practices. An Erosion And Sediment Control Worksheet can be substituted for the narrative, as long as the necessary information is provided. • March 10,1997 8 APPR•r D BY • JEFFERSON COUNTY MAY • JEFFERSON COUNTY -9 2000 STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL" ' • EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: 0 ft NN‘-I 01)0 Telephone: GI 5 - 2 -- 41 5 2- Address: '204 B#40 14 IN{— 7s1 3107 5-- Assessor's Parcel Number: 00 I V7 So'1't.•- Building Permit or Septic Permit Application Number(if applicable): � '99 - 6 21 2 Brief Project Description: )■,) t C,1),0 as Li t Y 4 i Q'JC-L Site Location: (ø-r p 0® M -S Person Responsible for BMP Installation and Maintenance: 'DEW Nt S S H! Address: Slot) Y.M.A 'CC Telephone: AS ' -1\6'0 1. Describe/cheek the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water 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. [.e/' 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. [AV 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, ['1 Phase clearing so that only areas that are actively being worked are uncovered. [� Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between Octo,,ber 1 and March 31"and within 7 days between April 1 and September 30. [(Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ rCover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. ['lace gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [ Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) k}'" Regularly inspect and maintain all BMPs especially after storms events. [4— Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. March 10,1997 10 ' 4 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded,landscaped,apply gravel base to roadways,etc.) eG- YIV1. ;,,� (� 1r. \ �i, .a,,.�t�.l vr- .. 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.). • -644 March 10,1997 11 • 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 BM.Ps..040.,e4711 . \ ' C.1-0-40,/,-` A()( try - �� G C \ — , C .z-d . %1 Gi- - ~ 1 t ., The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I wil otify the Permit Cen r for inspections as required. 6 'A (-).AAA,•14 Signature of Owner/Agent Date March 10,1997 12 • s 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 #: BLD00-00268 Received Date 05/4/2000 SITE ADDRESS: 1032 WOODLAND DR Issue Date 05/18/2000 PORT TOWNSEND, 98368 Expiration Date 05/18/2001 APPLICANT: JOHNNY ODOM PHONE: (615)824-4952 204 BAHIA MAR PT HENDERSENVILLE TN 37075 SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot: 30 PARCEL NUMBER: 001275022 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License: KELLESI150LF Expires: 05/28/2000 LOAN LENDER/ AMERICAN BANKERS BOND HOLDER: 155 NE 100TH SUITE 303 SEATTLE WA 98125 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] oot �. -- = ks (Shoreli e S tbacks): 1 V t. cr.� �G- f�- 6//:._ 0 (-7Z) [ Fou •- .•n: 0k G /9 OD, c- [ ] nderground Plumbing/Underground Insulation: [u" Shear Wall: "-I-OK-J Iuw Qo ` '-\-.w taming/PI•umbirrg: [ ] Propane._Ta k/Lines:et`x T' L , 1-V CA- !(t //"/' / -f nsatio C 4C 56.3700 ' 1 [14 Sheetrock: 0 K.Jiw. GaTacc. [i,k —Finai%O'ccupanc=Appi'Toval: y ///7/f5/ + ____(` 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