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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: L• nJ m m W r+3 c0s-? L.1,..-1.1, t.,.,J i d p p( j y> co o ;CD Cn rfl D r—I 1:7• D• Z Z D O co T` . 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' X X x x 6-TCSSy LAI / r)(-- Poe> LU/n[°L_) , c`,,q. /8U 1 - ® 3G t cj T Or I A 1 0 Irf•) Do I (1\ W . , ci• , // __ ____ .i .30. 1.1 rye . 1 / / /�) / v0 - ,// v\ // i IMPlJrlR 4 wlT-TF2 i )— I t;1 t,) t„., N ) 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