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Home My WebLink AboutBLD1997-004331! JEFFERSON COUNTY BUILDING APPLICATION '+ Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0433 DATE RECEIVED. : 07/03/97 SITE ADDRESS: 126 DEER HOLLOW CIR :PORT LUDLOW, WA 98365 APPLICANT. . . :ROBERT WALTERS PHONE: MAILING ADDR: 1250 S WASHINGTON ST :#618 :ALEXANDRIA VA 22314 CONTRACTOR. . :HILL DESIGN & CONSTRUCTION INC PHONE: 437-9637 MAILING ADDR: 9401 OAK BAY RD :PORT LUDLOW WA 98365 CONTR. LIC #:HILLDCI054QP EXPIRATION DATE: 11/28/97 ARCHITECT/ . . :BAYPOINT CORPORATION PHONE: 206-697-8923 DESIGNER • 11661 SE 1ST ST MAILING ADDR:#100 :BELLEVUE WA 98005 PARCEL NO. :948200019 landslide _ plat cond _ wetland _ flooding _ LEGAL DESC: STR 20-28-01 E WM seismic streams _ erosion _ f & w _ LOT 19, BLOCK ? , TAX # EDGEWOOD VILLAGE DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 2003 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 HTED BSMT. : 56 sf WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 146 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEWER OTHER 0 sf TYPE OF CONST WATER SUPPLY. :LUDLOW CRPT/GAR. . : 505 sf UNITS. : 0 STORIES: 1 HEAT TYPES. :EEE/HTP/ DECKS 0 sf DIMENSIONS: COMMERCIAL: 0 sf FRAME TYPE:WOOD INDUSTRIAL: 0 sf EST COST. $: 113949 BANK HT. . . : 0 ft PROJ GRP. . : 9673 SH SETBACK: 0 ft Owner/agent ' L K „ „•„ FEES E Signature: type amount by date recpt PRMT $ 957 . 25 AK 07/03/97 1132692 Date: JUL 2 3 197 PLCK $ 287 . 18 AK 07/03/97 1132692 B.C. $ 4 . 50 AK 07/03/97 1132692 Issued By: f s C:O F'laa uii:iiny 6epa;iment Date: ilg $ 1248 . 93 TOTAL 1 y . JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # 'BLD97-0433 DATE ISSUED. : 07/24/97 SITE ADDRESS: 126 DEER HOLLOW CIR :PORT LUDLOW, WA 98365 APPLICANT. . . :ROBERT WALTERS PHONE: MAILING ADDR: 1250 S WASHINGTON ST :#618 :ALEXANDRIA VA 22314 CONTRACTOR. . :HILL DESIGN & CONSTRUCTION INC PHONE: 437-9637 MAILING ADDR: 9401 OAK BAY RD :PORT LUDLOW WA 98365 CONTR. LIC #:HILLDCI054QP EXPIRATION DATE: 11/28/97 LOAN LENDER. :ACORDIA NORTHWEST/PETTIT-MORRY MAILING ADDR:PO BOX 34826 : SEATTLE WA 98124 PARCEL NO. . . : 948200019 LEGAL DESC. . :STR 20-28-01 EWM, TAX # LOT 19, BLOCK ?, EDGEWOOD VILLAGE DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE ( ootin• Setback-4 (Shoreline Setback) :E'x7- # rARG .SNP' /c907an/6 Q4 dP '," ( ) Foun:ation' / A , :fit, ""a wa1An a fd-4,1NAns O4 !$--Cr5-`?'? ( ) Underground Plumbing/Underground Insulation: ( arcing lum•ing i - r - r • - co , -.4L, / - 40 - R - s► - _ P r - ( ) Insulation:pat S�.tL O< hoiegai4?40 . 2S IC ti• q ( ) Sheetrock: r -. ( anal/occupancy A•, s , . 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. rJEFFERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST, PORT TOWNSEND WA 98368 f : BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: SIC, E7SI (CVUt, ( W(),IAe.rs ►Bence) BUILDING TYPE: PROJECT TYPE: FRAME TYPE: ID SINGLE FAMILY _l C 17.1 NEW . WOOD El GARAGE(ATTACHFfl/'DETACHED ❑ ADDITION ❑ STEEL ❑ MODULAR ❑ ALTERATION/REMODEL ❑ CONCRETE ❑ COMMERCIAL ❑ REPAIR ❑ MASONRY ❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING 0 EXISTING ( 1Sk SEWER ❑ COMMUNITY SYSTEM PROPOSED a PROPOSED ,Z ❑ INDIVIDUAL SYSTEM ❑Conventional TOTAL a TOTAL a PERMIT # SEP ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL AI ELECTRICITY ❑ OIL Ill PUBLIC Name of water system: \_ ke N `VUU Y ❑ WOODSTOVE ❑ PROPANE /HEAT PUMP ❑ OTHER: SQUARE FOOTAGE: FOR OFFICE USE ONLY MAIN FLOOR a o03 '-#J1 UBG OCCUP]Ul Y GROUP 2ND FLOOR r � 3RD FLOOR BASE FEE HTD BASEMENT >LQ / / P7,XtN CHECK `' ( I UNHTD BASEMENT /4ty S'PA'TE SURCHARGE 4.50 CARPORT SBTOTL .' : R /A t? ii__ GARAGE r 05 PQTA3LE WA2E C� DECKS 811/RDAp AP 'ROACH ~ COMMERCIAL INDUSTRIAL GRAND TOTAL /a� > OTHER RECEIPT f} TOTAL VALUATION / /3q2/. 9 CASHI�t ,, ,t or NIITIALS A•ESTIMATED COST fig.i '7 1 . / .3 1{ 2 a< •a r.SSSS Sk{N < b t <3 < IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE N A ft BANK HEIGHJ ft SIGNATURE f ' DATE =//+- .7.------- NAME (PLEASE PRINT) 44------ HaHomeTIncnlr1Forme∎BldevP.DOC 4/96 3 . 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U C O Y d C > Cl N d E .N+ N d m O L mc L N A• d m c ` >• O t0 O f0 .O+ C N C c O N `- ,C A O c m C O P d Q O L MI m CD o c3 c y s * @ -2 En E 3 E `o `m Q ro o api w °) c u.U L «+ E > O N '�+ �• 0) 0) N L y L 0) 7 U C V c J W N .-. 8 O 'r6 A a N O 0) 'a t0 r 6) O c N 0 H 4- O J W a a O O N O. o Z d Z w N axi �, cn Z 0.. co to a ca w Q �° v Q Q O F- co .� •c•A E — N C0 0' t0 CO 1� 01 _� •_-• N (`') 7 Q V CO f- C 0 C7 JEFFERSON COUNTY BUILDING APPLICATION �'� Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD97-0433 S11TE ADDRESS: 126 DEER HOLLOW CIR DATE RECEIVED. : 07/03/97 :PORT LUDLOW, WA 98365 --------------------------------------- --------------------- APPLICANT. . . :ROBERT WALTERS --------------- MAILING ADDR: 1250 S WASHINGTON ST PHONE: :#618 :ALEXANDRIA VA 22314 CONTRACTOR. . :HILL DESIGN & CONSTRUCTION INC MAILING ADDR: 9401 OAK BAY RD PHONE: 437-9637 :PORT LUDLOW WA 98365 • CONTR. LIC #:HILLDCI054QP EXPIRATION DATE: 11/28/97 ARCHITECT/ . . :BAYPOINT CORPORATION DESIGNER • 11661 SE 1ST ST PHONE: 206-697-8923 MAILING ADDR:#100 :BELLEVUE WA 98005 PARCEL NO. : 948200019 landslide plat LEGAL DESC: STR 20-28-01 E WM seismic streams wetland — flooding — LOT 19, BLOCK ?, TAX # __ __ erosion __ f & w EDGEWOOD VILLAGE __ DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 MAIN FL. . . : 2003 sf GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 ADD'L BSMT. :. : 6 sf HTED WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 46 sf UBC OCCUPANCY GROUP: LITHE BSMT. : 146 sf SEWAGE DISP. . : SEWER OTHER TYPE OF CONST WATER SUPPLY. :LUDLOW 5 sf UNITS. : 0 STORIES: 1 CRPT/GAR. . : 505 sf DIMENSIONS• HEAT TYPES. :EEE/HTP/ DECKS 0 sf FRAME TYPE:WOOD COMMERCIAL: 0 sf EST COST. $: 113949 INDUSTRIAL: 0 sf PROD GRP. . : 9673 BANK HT. . . : 0 ft SH SETBACK: 0 ft Owner/agent Signature: FEES type amount by date `recpt Date: PRMT $ 957.25 AK 07/03/97 1132692 PLCK $ 287. 18 AK 07/03/97 1132692 Issued By: B.C. $ 4 . 50 AK 07/03/97 1132692 Pate: Storm 6 a YJP Requiret 0 1 • I0'd =11101 •`� JU I 0 1 1997 JEFFERSON COUNTY JEFFERSON COUNTY P(JBL C WORKS DEPT. STORMWATER MANAGEMENT ORDINANCE-- SMALL PARCEL EROSION AND SEDjMENT CONTROL PLAN (� EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: 1' �I1 1 Y a1i y5 Telephone: X O) "1-157 J bU33 S Address: W/lShivinicry, 1�X(1fld lC , V>� a�31 Assessor's Parcel Number: Qi-1 no 0� 9 Building Permit or Septic Permit Application Number`(if applicable): Brief Project Description: NW 5,f, 6S1UCntCj • Site Location: V- jl) IO 1 • ( ( W Person Responsible for BMP Installation and Maintenance; r Address: kkl I I ks 19 n 4L S11 I al. 3j 1 V(1, ei 1126 . P , ,1 ley � Pori- Lid loo Telephone: 31D- 431-cite 31 1• Describeltheck 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 \s'pace is required. p,1 Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry,snails, ballast, or crushed rock to minimize trackrna sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. 13 Minimize the extent of hind 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.). • 9 , H R-1d-1997 11:n,2 JEFF C.0 PERMIT :ENTER b0 379,4451 P.01 . > ROStOtr" AND SEDIME1,T_CONTROL WORKSHEET f I\ 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. Stabiliration means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion, fl Stabilize exposed soil Exposed and unworiced soil will be covered within 2 days between October I 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. ( ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. iPlace gravel base on roads, driveways, and parking areas after clean ig and subgrade preparation. [J 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.) [ ) Regularly inspect and maintain all BMPs especially after storms events (J Describe other erosion and sediment control Best Managerent Practices. Be specific as to design and specifications. 10 • TOTRL P.01 T'd TU101 • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped,apply grave! base to roadways,ctc.) G C'o>► QOM ,1--s iA.JC-) 1.44 t2- E • 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.), ( L Lrr PE72 t1i NJ.S 3i) FFkf (,U C, --.‘7>1eECT-z `O S'TdYL t-,1 -44,36 • • 11 .APR-18-1997 , 10 55, JEFF CO PERMIT CENTER 380 379.445'1 P.01 • • EROSION AND SEDIMENT COivvTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbisig activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. FN,K- CS I L. of/9,AA 7. :ement Practices proposed above will be implemented to control erosion, sediment, and • sto tat .ff. I will notify the Permit Center for inspections as requi ed. $nature) a . /Agent Date • 12 TOTAL P.01