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HomeMy WebLinkAboutBLD1999-00614 4 i r ` JEFFERSON COUNTY, B.U.T,LDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0614 DATE ISSUED. : 10/22/99 SITE ADDRESS : 2971 OAK BAY RD :PORT HADLOCK, WA 98339 APPLICANT. . . : A4an SS PHONE : MAILING ADDR:2g1 Qa-Be'{ p :PORT HADLOCK WA 98339 CONTRACTOR. . :, ( 6 1.. f I.DS"`j'(2� c-f'-- PHONE : MAILING ADDR: EW :r9t53 f CONTR. LIC # : 6 C p�.a.i � ---{ SZp,'DATE : ttlL 1"/00 LOAN LENDER. :BANKERS LIFE MAILING ADDR: PARCEL NO. . . : 921183026 LEGAL DESC. . : STR 18-29-01 EWM, TAX LOT 1, BLOCK , FINCH SHORT PLAT DESCRIPTION OF IMPROVEMENT: covered tennis court �7 ( ) Foo ing/Setbacks (Shoreline Setback) : I G,1S Dd 1 0 26Cr?f�' .74 ,�Ir r l./ ', ' (7� l� l �n,T G Li 1i��.7 , ..1 1. ( ) Found t ion: � c� � G u... s ©f<- i 2.709.7 ( ) (Underground PlumbinjUnde round Insulation: lu inch mne >i�vti�,;, , �,�(�� �f�-,- ( ) Insulat on. ( V') heetrock: ( Final/Occupancy Approval : (bld_prmt . txt) 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. FERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall _ 621 Sheridan St . Port-Townsend, WA 98368 C 36-0-379-4450 PERMIT # •BLD99-0614 Cr � DATE RECEIVED. : 09/14/99 SITE ADDRESS:2971 OAK RAY RD ✓n `` :PORT HADLOCK, WA 9&3 c 'C aff 11t+; 4,g C44*4 4 APPLICANT. . . :ALAN ROSS fr PHONE : MAILING ADDR:297i OAK EAT RD N > ;0- \i :PORT HADLOCK WA 983.39 CONTRACTOR. . :SILVER SPRINGS STRUCTURES PHONE: (360) 697-9338 MAILING ADDR; 6690 SILVER SPRINGS LN :PO BOX 178 :KINGSTON WA 98346 CONTR. LIC # :SILVESSO44QD EXPIRATION DATE : 08/28/98 ARCHITECT/ . . : PHONE : DESIGNER MAILING ADDR: PARCEL NO. :921183026 Landslides Plat Condt Wetland 5v' Floodi gW° NO DESC:STR 18-29-01 E WM Seismic O Streams No Erosion 0 F & W NO LOT 1, BLOCK , TAX # Shoreline S ->:. 6c. . L Aquifer .) s FINCH ,SHORT PLAT Area (roar_ Forest: Adj . NO 300' (53 p DESCRIPTION OF IMPROVEMENT: covered tennis court BUILDING TYPE -GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. ; 0 EXIST. ; 0 ADD' L FL. . ; 0 5f GARAGE/CARPORT • PROP. . : 0 PROP. . : 0 HTED BSMT. ; Q sf WOODSTOVE TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER 0 sf TYPE OF CONST WATER SUPPLY. :PWELL CRPT/GAR. . : 8000 sf UNITS . : 0 STORIES:1 HEAT TYPES . : DECKS _.. . . . : 0 sf DIMENSIONS : COMMERCIAL: 0 sf FRAME TYPE :STEL INDUSTRIAL: 0 sf EST COST.$ : 80000 BANK HT. . . : 0 ft PROJ GRP. . : 7137 SH SETBACK: 0 ft Owner/agent FEES. Signature: type amount by date recpt PRMT $ 853 .75 LMB 09/14/99 18388 Date : PLCK $ 256 .13 LMB 09/14/99 18388 B.C. $ 4 .50 LMB 09/14/99 18388 Issued By: d D _k___. - cA 0,2 Date : -)_._ : -D -1- -1 {bld_appi . txt 4/98} LJ it . CD35112.Qt-- ,1C C1 $- 1114 .3a TOTAL stot ter Ptah iir . , r ,, JEFFELSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port "'Townsend, WA 98368 3 6-0 3 7 9--445 0 PERMIT # •BLD99-0614 DATE RECEIVED. : 09/14/99 SITE ADDRESS:2971 OAK BAY RD :PORT HADLOCK, WA 98-339 APPLICANT. . . :ALAN ROSS PHONE : MAILING ADDR:2 9 71 OAK BAY RD :PORT HADLOCK WA 98339 CONTRACTOR. . : elp.buil Gera ST, PHONE : (3-6 ---3--3-8 MAILING ADDR: r° Ec)C -Z 2. :P4- f--1-9-8- S e_64 V 114 vull- ql 63 b Z rrr*rivnm/1nr s.,r -n0'�n r �f .11 Lty V•.J L i,./lY ,.lz L,, CONTR. LIC # : D EXPIRATION DATE: L.�o0 H II - I �u,, iTAARCHITECT/ . . : G EL G lZ,�� PHONE : DESIGNER • MAILING ADDR: PARCEL NO. :921183026 Landslide Plat Cond Wetland Flooding LEGAL DESC:STR 18-29-01 E WM Seismic Streams Erosion F & W LOT 1, BLOCK , TAX # Shoreline Aquifer FINCH SHORT PLAT Area Com Forest: Adj . 300' DESCRIPTION OF IMPROVEMENT: covered tennis court BUILDING TYPE -GAR BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT NEW EXIST. : 0 EXIST. : 0 ADD' L FL. . : 0 sf GARAGE/CARPORT PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER 0 sf TYPE OF CONST WATER SUPPLY. :PWELL CRPT/GAR. . : 8000 sf UNITS . : 0 STORIES:1 HEAT TYPES . : DECKS _ 0 sf DIMENSIONS : COMMERCIAL: 0 sf FRAME TYPE:STEL INDUSTRIAL: 0 sf EST COST.$ : 80000 BANK HT. . . : 0 ft PROJ GRP. . : 7137 SH SETBACK: 0 ft Owner/agent FEES Signature: A ,,. P® *, D type amount by recpt t PR * p PRMT $ 853 . 75 LMB 09/14/99 18388 Date: - I PLCK $ 256.13 LMB 09/14/99 18388 Issued By: V Q M 62 999 B.C. $ 4 .50 LMB 09/14/99 18388 Date: Jefferson County Planning (bid_appi .txt 4/98 Building Department $ 1114 . 38 TOTAL V JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: /4/9-rA i2 Telephone: V3 7-6/ /P Address: 2`17/ D K}j( /341 ad Assessor's Parcel Number: GJ'2 /— / 0' - L L 1 Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: COLT-<-r c r",, l-r /,r{-h jSite Location: 1 c- f L , Person Responsible for BMP Installation and Maintenance: fI),ice_ Address: Telephone: C, t- L 1 7—cs2 1• Describe/check 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. [ 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. [ "' 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.). APPROVED 9Y JEFFERSON COUNTY rtil SPESC Instructions—Short Form 13 Revised June 3, 1999 i 3 «,{ r EROSION AND SEDIMENT CONTROL WORKSHEET [] Phase clearing so that only areas that are actively being worked are uncovered. 11 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. f-] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 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. [4] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. N Place gravel base on roads, driveways, and parking areas after clearing and subgrade p eparation. [�] 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.) {y] 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.) [I'l Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. V _.7";ns-711-// I, /1 C,( U„o — ,G/ijiUr��1// 42-zYlS 61 yr? ;?": IV < -e✓4 kv t? 1i /4 7 /vc...-) F70 cv R,, /1 To co In. 7-4, I i_ Gt, i,✓, ..,___ S SC Instructions—Short Form Resed,iane34999 4 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) /41/ .l ,fu/4) 72,D /rT e.e /2( f 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.). �_ /;; x p `✓ SPESC Instructions—Short Form Revised June 3, 1999 5 • 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 BMPs. 01_4. r r-ov— iv /h v u/�-c r✓� /`✓� tf1'aiect / S7 cAL� // v . U' v_s- prate fiL /9-4 4)// The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will n .fy the P rmit Center for inspections as required. Signa e of Owner/ gent Date 34 SPESC Instructions—Short Form Revised June 3, 1999 6 1 0© Jefferson County Permit renter * Department of Community Development (,,,,,,e. o.NT 621 Sheridan Street,Port Townsend WA 88368[360)370-4450 r ,-1 0 "te pll'ISLNG Project Description: Building Type: Project Type: Frame Type: ❑ Single Family KNew ❑ Wood Garage Attached/Detached ❑ Addition `Steel CO Modular ❑ Alteration/Remodel ❑ Commercial ❑ Concrete ❑ Repair ❑ Masonry ❑ Multi-family/# of Units ❑ Demolition ❑ Industrial ❑ Other: ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: _ 4 � osa •g P Type of Heat: ,22 Existin : Choose one: G�ti7 E osg Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil P Proposed ❑ Individual System Total: ----- Total: �U ^ y �� ' ❑ Woodstove ❑ Propane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit # SEP Water Supply: I f� Private well ❑ Two Party Well ❑ Public:Name of water system: 1 Square Footage: For Office Use Only ..-a Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee SS 3 •-1 5. 3rd Floor Plan Check fee 2 S(p . 13 Htd Basement State Surcharge fee y . Unhtd Basement Subtotal I 1 i H, 35‘ Garage/Carport 8 0 OJ'D -- Pot Water Review fee Decks 911/Rd Approach fee "`-- Commercial TOTAL 1 ) I LI • 35‘ Industrial Receipt # l%3 g Other --, Cash/Check # 2,35 3 Total Valuati : U OW Initials Or U.S�Date GI' 14.9q 1 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark /i_./ e.) ft. Bank Height ft. Signature: '� ` / Y`P Date: .- CO _ .._ .. _ ..\...... • • , , • . . ...,,, , -„,....,--- r---___- .„1 J\ . . • Qi . , , . _ , \r, . •• , __ ...,,_ i 1 -.. ,./, . . . . . . .. . ___... • . . • ..., .„. I (... . , f/ Iv • \ • f` c . , �V ,/ - .4... 41 'Jam. _ ___! r k, 1 61 N _ A • C `- - _ _ --- _ - Q. � � N _. (--- -:),„):-9,0-1 _ Icv CC •— r _ I t / V • `� Cr) — id() _ - .: It . FtI+f l. .ttt:.r t 'i- y . > 1 xi L .}A �r 1 f • ''. 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'.•" d44 eti• � t. �:Aj,. • _ . • Aso Jefferson County Permit Center * Department of Cnnvnunity Development eat. `1, 621 Sheridan Street,Port Townsend WA 88368(36D1379-44�50 o URIVergt ©t ap Project Description: �• 9 Digit Parcel Identification Number(from your tax statement): 9 C ( ; j Site Address 911#: ri 17/ t 1t (31 P Road Name: 4-4- f .Zi, Code: i) $ - : Legal Description Subdivision Name: Block: Lot(s): Section: / Township: a_ - Range: 15 Parcel Size (acres or square footage): "g. Property Owner: / ,1 v Phone: Mailing Address: -v if-zr Applicant/Occupant: Phone: (if different from owner) f d ., 5` Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: d t d�;r� s- . -4e-A Phone: Mailing Address: Contractor's State License Number: _ 9 Expiration Date: `C ei 4'713 - zz - d Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: j314 A L C -(- Mailing Address: FOR Oi-'HCi USE ONLY' Fire District: Planning Area: School District: ,t'k Zone: 4/98 H:\home\pincntr\forms\universal plot plan