HomeMy WebLinkAboutBLD1997-00092 JEFFERSON COUNTY BUILDING APPLICATION
•
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0092 DATE RECEIVED. : 02/12/97
SITE ADDRESS: 112 CRESSEY LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :PATRICK ALLEN PHONE: 779-3811
MAILING ADDR:PO BOX 923
:POULSBO WA 98370
CONTRACTOR. . :ADAIR HOMES INC. PHONE: 360-352-8571
MAILING ADDR:
: 2303 93RD AVE SW
:OLYMPIA WA 98512
CONTR. LIC #:ADAIRH0262RZ EXPIRATION DATE: 12/15/97
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. : 990400137 landslide _ plat cond _ wetland _ flooding _
LEGAL DESC:STR 09-28-01 E WM seismic _ streams _ erosion f & w
LOT 37, BLOCK , TAX #
PORT LUDLOW AREA 1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1702 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEWER OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. :LUDLOW CRPT/GAR. . : 440 sf
UNITS. : 0 STORIES: 0 HEAT TYPES. :EEE/ / DECKS • 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 92325 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 9092 SH SETBACK: 0 ft
Owner/agent 1 � FEES
Signature: ''j i ,% type amount by date recpt
PRMT $ 843 . 50 EMH 02/12/97 1137704
Date: , p a ," , • PLCK $ 253 . 05 EMH 02/12/97 1137704
Issued By: 1 (•r a- ■ B.C. $ 4 . 50 EMH 02/12/97 1137704
•
Date: :4'!idinc
De,; e
rtrr,
$ 1101. 05 TOTAL
/ ! D
PLOT PLAN STORMWATER CALCULATIONS
INDICATE the following information. ❑ LAND DISTURBING ACTIVITY
Draw entire parcel to scale. Indicate scale of plot plan: Drainfield area cleared 0 sq.ft.
, r
One inch equals Driveway Length "7 7 ft.
X Width �e ft
❑ 1 . North arrow = Total Driveway 67/4 sq.ft.
0.'2. All property boundaries and dimensions Clearing and Grading for Site Development
Er'3. Names of adjacent streets (Well/Structures/Utilities/etc.) 4� /4 sq.ft.
L 4. Driveway/s & parking spaces Total Land Disturbance "5 sq.ft.
R'5. Major features such as ravines,
seasonal creeks, bodies of water, etc. ❑ IMPERVIOUS SURFACE
❑ 6. Septic tank and drainfield location, Proposed Structures (all roof area) , sq.ft
existing or proposed, and distance to Existing Structures (all roof area) sq.ft.
closest structure Sidewalks sq.ft.
U 7. Sewer lines Concrete Patios sq.ft.
0-8. Wells and/or water lines Driveway Length 'J ) ft.
❑ 9. Neighboring wells within 150 feet X Width ' r ft
❑ 10. Paved surfaces (patios) = Total Driveway L�` sq.ft.
Total Impervious Surface J sq.ft.
0'11 . Structures, existing and/or proposed
x"12. Setbacks (distances to property
The Stormwater Manual sets forth the following Small
boundaries, structures, banks, Parcel Minimum Requirements:
and shorelines) • Construction Access Route:
Construction vehicle access shall be, whenever feasible,
❑ 13. Easements for access or utilities limited to one route. Access points shall be stabilized with
quarry spalls or crushed rock to minimize the tracking of
Li 14. Arrows showing direction of slope-- sediment onto roads. If sediment is inadvertently
assume an elevation of 100 feet at one transported onto roads, they shall be cleaned thoroughly by
shoveling or sweeping. Street washing should only be done
lot corner and indicate the other lot after the bulk of the sediment has been removed.
• Stabilization of Denuded Areas:
corner elevations in relation to it All exposed and unworked soils shall be stabilized by
applying sod, seeding, mulch, plastic covering or other
appropriate BMPs within seven days during the period from
FOR APPLICATIONS ADJOINING SHORELINES, May 1 to September 30 and within two days during the
INDICATE: period from October 1 to April 30. If seeding is conducted
during July and August, mulch shall be applied to a
❑ 15. Ordinary high water mark minimum depth of two inches.
• Protection of Adjacent Properties:
16. Top of bank, if over 10 feet high Adjacent properties shall be protected from sediment
❑ 17. Slope of bank in degrees deposition by appropriate use of vegetative buffer strips,
sediment barriers or filters, dikes, seeding, mulching, or
other appropriate Best Management Practices (BMPs).
• Maintenance:
BMPs shall be regularly inspected and maintained to ensure
f R continued performance.
FEB 12 1997
- JEFFERSON COUNTY
PERMIT CENTER
•
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0092 DATE ISSUED. : 02/21/97
SITE ADDRESS: 112 CRESSEY LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :PATRICK ALLEN PHONE: 779-3811
MAILING ADDR:PO BOX 923
:POULSBO WA 98370
CONTRACTOR. . :ADAIR HOMES INC. PHONE: 360-352-8571
MAILING ADDR:
: 2303 93RD AVE SW
:OLYMPIA WA 98512
CONTR. LIC #:ADAIRHO262RZ EXPIRATION DATE: 12/15/97
LOAN LENDER. :WEYERHAUSER MTG CO
MAILING ADDR:
PARCEL NO. . . : 990400137
LEGAL DESC. . :STR 09-28-01 EWM, TAX #
LOT 37, BLOCK , PORT LUDLOW AREA 1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
(Footing/Setbacks (Shoreline Setback) :
Ind A-'; %v,,,i - T 7 6..1-�-h'- .-J ' t•�
( L- Foundation:
( ) Underground Plumbing/Underground Insulation:
( 1- ramin lumbin Chimney: - z „ �, , ■ /� ,��o
- 9 i
/ '7- cam._..,! _ '
( nsulation: � WA� 9" S=14--4`7 ? L few ) Palms
( v Sheetrock: c b u},91i ®le . /219(2 4*ol
( ,t,r, inal/occupancy Approva o: • 0 -,32. . �y
.o ��z� r� _
• Or
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.
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0092 DATE RECEIVED. :02/12/97
SITE ADDRESS: 112 CRESSEY LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :PATRICK ALLEN PHONE: 779-3811
MAILING ADDR:PO BOX 923
:POULSBO WA 98370
CONTRACTOR. . :ADAIR HOMES INC. PHONE: 360-352-8571
MAILING ADDR:
: 2303 93RD AVE SW
:OLYMPIA WA 98512
CONTR. LIC #:ADAIRHO262RZ EXPIRATION DATE: 12/15/97
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. : 990400137 landslide '= plat cond wetland , ; .;flooding
LEGAL DESC:STR 09-28-01` E WM seismic •,streams erosions ? f & w
LOT 37 , BLOCK , TAX #
PORT LUDLOW AREA 1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1702 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 3 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEWER OTHER • 0 sf
TYPE OF CONST • WATER SUPPLY. :LUDLOW CRPT/GAR. . : 440 sf
UNITS. : 0 STORIES: O HEAT TYPES. :EEE/ / DECKS • 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 92325 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 9092 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 843 .50 EMH 02/12/97 1137704
Date: PLCK $ 253 . 05 EMH 02/12/97 1137704
B.C. $ 4 . 50 EMH 02/12/97 1137704
Issued By:
Date:
` '"i , $ 1101. 05 TOTAL
aj
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name 1'c.4_iir k 10'�
•ZE:uilding 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 ' 10
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 Ne<0
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present ' YES NO
on your property or adjacent properties?
If YES, please describe: `�I C \ t4 AC/Cy
4. Are there any indications on any portion of the property or on any YES 1NO
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 O 4 P O O ❑
, r / / I , i'
.,
I r / / / /
I „ / / / , �
I , / / / / / ,,
r / / / / / ,� ,�
D V r•
I , , , , , , ,- ,- L 11 / / /
fit riiiiii,- ,' -.' -❑ FB 1 q '
dit r , , , , , , , �- -, G
r,,, , , , - — — --- �.-
II,,, , , , ,, -,
w„,,,,.. .- ......--
,,,,,, - - .' I
mar u,,,,,,,--- '-� JEFFERSON COUNTY
„a-----=-=-----------°---� PERMIT CENTER
(Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? YES VNOI
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES /NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES V'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 C�T Vr 1/ u ' v' Date , '-3) s�
2 -1c)-cLE, cS
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:
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) THE INFORMATION ON THIS PLOT PLAN HAS UEEN PROVIUEU AND
REVIEWED BY THE PROPERTY OWNER WHO,BY SIGNING BELOW!I),
ACKNOWLEDGES AND ACCEPTS FUR RESPFNSIBILITY FOR ITS ACCBRAV
AND COMft.ETF N'r.SS 2.)IS R:SPONSIB(.E TO.r WIWI.THAT THE
IMPCOVcI,T;;':;T,)1 IF. ;fl F!AKE F'1A;E I(4 CONFORMANCE WITH THIS
PLAN 3 j`FILL E STA';LIST1 LI I T I IF CONE!:'I:Ot?,,!!.N I 1 ES AND CODE-
REQUIPTII','.T]lC:It:i',R!:.::iI'Fil r. `HIS FZtrLCCC.+P:.-; :!!'NGE(S)TO THI!,
PLAN t P.r...1 GF,PT;F•t:I'Pr TIEU BY I H IsKr ¶ J r t.,ZIENCIES WITH
JURlS(•.1;7IE14,IKELI,3TGAGELEIWENANDT1EC5TITiTALTOO 1 AND
NOUN ENIE".
OWNER DATE
OWNER DATE