HomeMy WebLinkAboutBLD1997-00206 .
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0206 DATE RECEIVED. : 04/15/97
SITE ADDRESS:93 MYRTLE ST
:PORT TOWNSEND, WA 98368
APPLICANT. . . :ROBERT ROSENQUIST PHONE:772-6329
MAILING ADDR: 8525 S 123 PL
:SEATTLE WA 98178
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. :977100322 landslide _ plat cond _ wetland _ flooding _
LEGAL DESC:STR 24-30-02 W WM seismic _ streams erosion f & w
LOT 17, BLOCK 3 , TAX #161 — — —
OCEAN GROVE #1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1360 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 577 sf
GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER 0 sf
TYPE OF CONST WATER SUPPLY. :PUD CRPT/GAR. . : 294 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :PRO/ / DECKS • 114 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE:WOOD INDUSTRIAL: 0 sf
EST COST. $: 104144 BANK HT. . . : 0 ft
PROJ GRP. . : 6039 SH SETBACK: 0 ft
Owner/agent FEES
Signature: y `,"� + ; . = A type amount by date recpt
PRMT $ 912 . 25 EMH 04/15/97 1127529
Date: '� ' PLCK $ 273 . 68 EMH 04/15/97 1127529
�Y,f .,� IIl��' g B.C. $ 4 . 50 EMH 04/15/97 1127529
Issued By: / �� , POT $ 26. 00 EMH 04/15/97 1127529
Date: J• e i6 in Dcpa,tr+�ent
$ 1216.43 TOTAL
LfttP
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 3830$"
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION: \,C (..O ' .� 'No-''V e oo 1— , J eSSr e 4 lZ,10,-(-
BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
L7--SINGLE FAMILY _ C?NEW er■NOOD
I ARAGEAIrPACHED/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 EXISTING ❑ SEWER ❑ COMMUNITY SYSTEM
PROPOSED PROPOSED L- M.-INDIVIDUAL SYSTEM ❑Conventional
TOTAL TOTAL PERMIT # SEP 1N-03c z ❑Alternative
WATER SUPPLY: TYPE OF HEAT:
❑ PRIVATE WELL ❑ ELECTRICITY ❑ OIL
IYUBLIC Name of water system: TO b -* 1 ❑ WOODSTOVE [PROPANE
❑ HEAT PUMP ❑ OTHER:
SQUARE FOOTAGE:
MAIN FLOOR Fox ° zca vs
UBC OCCUPANCY GROUP
2ND FLOOR 5-71 7� &l,/ O q Q r/
3RD FLOOR
1 B SE A FEE /4
HTD BASEMENT PIFN CFIECK '
UNHTD BASEMENT ST A TE SU CFIARGE 50
CARPORT SUBTOTX7,
GARAGE 9
• /Q FQTABLE S4::: --
DECKS I 1
C J f O S11 RORD APPROACH
COMMERCIAL
INDUSTRIAL
GRAND TO'TJ
OTHER RECEIPT # . .
TOTAL VALUATION CASH/
or ZINITIALS
ESTIMATED COSTS {1
/oY, i' 'y - B_z:. 7 GYM
IF WATERFRONT PROPE•TY,
DISTANCE TO BANK OR HIGH R LINE /VA ft BANK HEIGHT ft
SIGNATURE i.AliL► L.'` 4=.._ DATE 0L(0q C7—1
NAME (PLEASE PRINT) `�-.1 Cl LAARS 0■ Bv`9)%3 is ` H:11-1omeTIncmr1Form41131dapp.00C 4198
141'6" K 53,1„
Gig Odar
Gig fir
Qder
Ofir
cedar 0011-
dip
EpF -
. I •
Gir
Dri -way
Sig
Fir
153'4" 156'1"
Se.tic Fie'. I
Scale V'=10 feet
rti YK11-i 5-r
0- --
•
M
In
�
• � r t-, r�
P'2�''9 m N
Oo
a) 0 10 (No
0 a)
co co
• N C '-o O C C c
C c C l o O o
O O L 0 L L a NI co -Cr)
co M v c a `_ a a a s o a a
a c
M R.1
¢ 3
L qi N
C 0 S L a x^ Y Z
0 C V p• ..o d. ri)
..,
ro
a O 3 A Z o
N• a
o
Z
r °' a r '
cn Q c a 1
N H . ' I �` O
cp• W 0 H C=
.
C Z @ a �� , .e
---) r: . :::::41.1‘'.21) E %...
o v o Z in JI4 9 p z o C a
Q O u
01 cr a)
cn U O
C N J tc: _
O ` C ° E Q1 'D
p p> c c E c c
C O y C @ O O N ca C U = N + ._-= .
•a 'o • Z m 7 0 Q Cn @ cn d y C y y
_ d N O.Z co C U U c
co(L a
C i _ c `
7 ' ` N ' Q
0 Q O y
o y N U o d °m Q .' Q Q A Q Q
= a' "O CZ 0 'j i D1 ) ca m I`0 w Ct3 m @ U " C J (0 C C.
._ . co o t O.. 7 @ @ @ O o d
i. a 04 N m _, cn a o. 2 \9 = Q 2 c O w 2 Q J V
1
V
`n \
7/..--------- ----,............`
9..______ ...,
SN3VHI3S
La
a { r a 1
Z 1
Z A o
O N Z
4a a O
0 .' > Of-- W
CV
r a..
O
W J
d
o
> J
Q
W U
_> J
n.
C d
A V 6
F- c, n
W ZO F- W
w
a
�b4 a
1 Z N
. U0G
rS N O i Z C
JO QG O
a
Y
0
S,
P06, N
T�
ti/2
0o y,
"o
co
Z s
Q U
@
J
L
Q F- cn
_5 0 v Y
J C v
Z 0.. @
O w co 5
co .
_F_ J ° v
C y 0.Q 0. @ s
O Q 6 E
O co
V ^. ch7Lq -2 — OOV . Li
r y
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD97-0206 DATE RECEIVED. :04/15/97
SITE ADDRESS: 93 MYRTLE ST
:PORT TOWNSEND, WA 98368
APPLICANT. . . :ROBERT ROSENQUIST PHONE: 772-6329
MAILING ADDR: 8525 S 123 PL
•
: SEATTLE WA 98178 C\
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
•
J
CONTR. LIC #: EXPIRATION DATE: / / C
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. : 977100322 „. landslide plat cond - wetland G').) flooding 0
LEGAL DESC: STR 24-30-02 W WM seismic ! . streams erosion , ) f & w 9,z
LOT 17 , BLOCK 3, TAX #161
OCEAN GROVE #1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1360 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 577 sf
GARAGE/CARPORT •A PROP. . : 2 PROP. . : 2 HTED BSMT. : 0 sf
WOODSTOVE TOTAL. : 2 TOTAL. : 2 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEPTIC OTHER 0 sf
TYPE OF CONST WATER SUPPLY. :PUD CRPT/GAR. . : 294 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :PRO/ / DECKS • 114 sf
DIMENSIONS: COMMERCIAL: 0 sf
FRAME TYPE:WOOD INDUSTRIAL: 0 sf
EST COST. $: 104144 BANK HT. . . : 0 ft
PROJ GRP. . : 6039 SH SETBACK: 0 ft
Owner/agent FEES
:
Si nature type amount by date recpt
Signature: PRMT $ 912 . 25 EMH 04/15/97 1127529
Date: PLCK $ 273 . 68 EMH 04/15/97 1127529
B.C. $ 4.50 EMH 04/15/97 1127529
Issued By: POT $ 26 . 00 EMH 04/15/97 1127529
Date:
Cr!V.c l Area. $ 1216. 43 TOTAL
/11'°&
2-16;teVi&W. T-T4C(10-7._
Jefferson County Permit Center Date
` 621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name e S zv.).,«
X 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 )( 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 X NO
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present _YES K 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
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)
4 4 4 4 4 E
r ,, J
III ,
, . . ,.❑
I
l l / / /
I , , , / / /
rl / i / / '
iiiii i i .' '' . l
r , , , , . . . ,' -•
i /r iii/i i ' V .' .-O
iiiii%i.'i ��O
(Questionnaire Continues on Back)
r ,
6. Does the site have steep slopes with little to no vegetation? YES X NO
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine _YES NO
NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the _YES 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 ' 1 , ► ate. Date (-,./ `i 1
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_I ❑ 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:
0 b b `•C rt 19 bH- btW O to ''i AzA
n co ti O O b b• CDC A) I-I. 1Y Sv m C I-1 Q
•• ti cD sr cD '' 1-.• 0 (1) 1 1 0 t r 0 R,
!L 0 W W CI b• w to Li. h
tq H- CO m tt 11 t 0 W CD m
b• rt CD A) rt H. rt m tzi II b M k.4 0 to 9
CD k< I-+ "C W CD - cD rt N O
I✓ 0 0 b•' "WC m L4 Q I 0.
C b b W b• rt 0 m m 2fbtnby 'Urnc1 to ooh
rt rt C Cu t II cD H. rt h Iv Z w O N m Eli In O
m
tY A) tD m to 0 bN
O • Nh ~ hamW O h s1--.1 HM N.) to
Li. 0QE r- M y to �i
c D r t m o b 0 1--4 m D CD H- m
9 �7
Er) cDOm ri- ri- H• (1) 01-4 Ctxi 9 Ni N r
rt rt rt rt b cD H- H- cD H b• b rt H. SL 0 m 0 C17
• A) b• k- rt b H, Hi 0 0 0 0 ,k 0 11 0 HI t
M H. b A) A, rt C rt ti •• H. 1-1 b H. b N O
111 0 LC:1 0 to 1v Al H•-. cD H• 0 0 CD to c1, Ald w to
b rt CD H- 0 I-+ n \o CD al (-) Eli
0 rtm H, bh H
- art CD A) m m v v o
o bZ
rt v b m Q, C co t•20
H.) • i4 `.0 F•fi t1 H.N A) 0 b H G'
H• 0 A! rt 1-1 sr �- m 0 O rt rt v H
0 rt0 CD Hi 110 bO0 ''C Co CO
m rt CD m b• (D 1-t •• W •• to A=ii 9
O w 0- to A) b N O m 'b
A) izA b• m • to 0 rt N n 0 m
Li) no, � rt 0m >Zm 0 m N-
v 0 m b H. z m '0 1 • b w rt
‘o !r N to h b Ii O m O el
,r tq 4. H. t r b 'a O o N
,a N M b C 0 m rt H- C, b
t "C v0 H- rth H. rt txiy rt
o 0O '1 23 H' H• rt 0 0 CD b `=s
>~ • N >y M"C b $ fi w O
1-h b N 0 C C 0 H y 0
0 0 C C L4 a M n bu b• •• 1G
CD m 00 to CD 0 cD O N O ts
10 n 'i 7ZI
w w x w �'ts � w I •• o H- H
C b F+ b m H- m A) H O W H
a•
CI 1/40 a °wt, w k 0
0
CD 0 Co W 01 AN H N
rt N N CCD 11 1-1- N.) O m v 0 b H DIA
1-11 11 1-0 b m ct w b N ko O
b• `•C N A) 1,..)23 O Co
CAN CDD Q 'On- nt
Co Co � N Hi rtc�D -. 0 �
Co rt co"C C. iA b b•
H. H. W m b• • (1 A)
0 0 co 04 rt b N Hm•� O 1
10 Co � CI"•• M W
0 r1- rt
CD
•
PLOT PLAN STORM WATER CALCULATIONS
1Ns1-11 t L F3>
INDICATE the following information. ❑ PROPOSED LAND DISTURBING ACTIVITY
Draw entire parcel to scale. Indicate scale of plot plan: Drainfield area cleared 2 gu0 sq.ft.
One inch equals Driveway Length 110 ft.
X Width (0 ft.
❑ 1. North arrow = Total Driveway 230o sq.ft.
❑ 2. All property boundaries and dimensions Clearing and Grading for Site Development
❑ 3. Names of adjacent streets (Well/Structures/Utilities/etc.) sq.ft.
❑ 4. Driveway/s &parking spaces Total Land Disturbance t/7O0 sq.ft.
❑ 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) 12-0 O sq.ft.
existing or proposed, and distance to Existing Structures (all roof area) ,f6 sq.ft.
closest structure Sidewalks 75 sq.ft.
❑ 7. Sewer lines Concrete Patios sq.ft.
❑ 8. Wells and/or water lines Driveway Length //0 ft.
❑ 9. Neighboring wells within 150 feet X Width r0 ft.
❑ 10. Paved surfaces (patios) = Total Driveway f', -
❑ 11. Structures, existing and/or proposed Total Impervious Surfac: 2_3 0 0 sq.ft.
❑ 12. Setbacks (distances to property
boundaries, structures, banks, The Stormwater Manual forth the • • ng Small
Parcel Minimum Requirements:
and shorelines) • Construction Access Route Stabilization:
❑ 13. Easements for access or utilities Construction vehicle access shall be, whenever feasible,
limited to one route. Access points shall be stabilized with
❑ 14. Arrows showing direction of slope-- quarry spoils or crushed rock to minimize the tracking of
assume an elevation of 100 feet at one sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
lot corner and indicate the other lot thoroughly at the end of the day by shoveling or sweeping.
corner elevations in relation to it Street washing should only be done after the bulk of the
sediment has been removed by sweeping.
• Stabilization of Exposed Soil:
FOR APPLICATIONS ADJOINING SHORELINES, All exposed and unworked soil shall be stabilized by
sodding, seeding, mulching, plastic covering, application of
INDICATE: gravel base on roads and driveways, or other appropriate
❑ 15. Ordinary high water mark means within seven days during the period from May 1 to
September 30 and within two days during the period from
❑ 16. Top of bank, if over 10 feet high October 1 to April 30. Mulch shall be applied to a minimum
❑ 17. Slope of bank in degrees depth of two inches.
• Protection of Adjacent Properties:
Adjacent properties shall be protected from sediment
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
Management Practices (BMPs).
• Maintenance:
All erosion and sediment control BMPs shall be regularly
inspected and maintained to ensure continued performance
of their intended function.
• Other Appropriate BMPs as required by Jefferson
County to mitigate the effects of increased runoff shall be
applied.
H:\HOME\PLN CNTRIFORMS\PLOTPLN.FRM
I'
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # 'BLD97-0206 DATE ISSUED. : 04/29/97
SITE ADDRESS: 93 MYRTLE ST
:PORT TOWNSEND, WA 98368
APPLICANT. . . :ROBERT ROSENQUIST PHONE: 772-6329
MAILING ADDR: 8525 S 123 PL
: SEATTLE WA 98178 {
CONTRACTOR. . :OWNER PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
LOAN LENDER. :
MAILING ADDR:
PARCEL NO. . . : 977100322
LEGAL DESC. . : STR 24-30-02 WWM, TAX # 161
LOT 17 , BLOCK 3 , OCEAN GROVE #1
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
( v -Footing/Setback) (Shoreline Setback) :enp 5 m om/) J /6
( Foundation: ®,<- 57/,:/q9 �d°D p
^QDNOpR/vr..ss,> RE ;r A/ IA,'04 c c"c' T'// ? d
( ) Underground Plumbing/Underground Insula it on:
( ramin /Plumbing rChimn • G+s��r r ,rv. 04 A/r
__ )t- _ I � � Le i
( Insulation: 0� -� J_
-7 g tU
e
( yheetrock:/ O d C I iv/ K 1
( v<Ffal/Occupa ppr
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.
I