Loading...
HomeMy WebLinkAboutBLD2000-00023 , 1 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00023 Received Date: 1/11/2000 SITE ADDRESS: 1342 THORNDYKE RD PORT LUDLOW, 98365 APPLICANT: CHRIS BATES PHONE: (360)475-4336 50 D SOUTH CHANDLER PORT LUDLOW WA 98365 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 7&8 PARCEL NUMBER: 950100406 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: JEFF SMITH ENT PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343-0161 C. ,7 cal Area Contractor's License JEFFSE*027ML Expires 12/3/00 T W ARCHITECT! � ' '� '/ I ��� ENGINEER : -�`1 �" - ' 4A/Uk 1/41(0 O‘r 6/ PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 5,200.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: U_1 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: 520 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD STORMWATE': YES NO ARE4 BEDROOMS: BATHROOMS: Wetland A b Erosion Vo Exist: Exist: Seismic 7 • Streams o Prop: Prop: Flooding 1'o Landslide Nc Total: Total: F&W Jj —Plat Conditions Routing Date: Shoreli—Tj—jV o Aquifer p Forest: Commercial �o Rural Proximity fi R ; 5 Type Amount Paid By: Date: Receipt: Approved/Date Permit $125.25 MAM 01/11/00 23682 Plan Check $37.58 MAM 01/11/00 23682 State Building Code $4.50 MAM 01/11/00 23682 Total: $167.33 I:\F_BLD_App_Bld.rpt 10/29/99 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00023 Received Date 01/11/2000 SITE ADDRESS: 1342 THORNDYKE RD Issue Date 02/22/2000 PORT LUDLOW, 98365 Expiration Date 02/22/2001 APPLICANT: CHRIS BATES 50 D SOUTH CHANDLER PHONE: (360)475-4336 SEATTLE WA 98125 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 7&8 PARCEL NUMBER: 950100406 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: JEFF SMITH ENT PO BOX 161 PHONE: (360)928-0149 JOYCE WA 98343-0161 Contractor's License: JEFFSE*027ML Expires: 12/03/2000 I LOAN LENDER/ WASHINGTON MUTUAL BOND HOLDER: BREMERTON WA PROJECT DESCRIPTION ATTACHED GARAGE REQED INSPE ONS: ' [ ]] footings/Setback (Shoreline S tbacks): [ ] Foundation' ` , 7./7 /d0(1 11 [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: I-- t- P. kik, ( 1 0/< 5 Q©�1‘1 [ ] Final/Occupancy Approval: 0/< 5- /5/ C) ,(1 HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY .I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00023 Received Date: 1/11/2000 SITE ADDRESS: 1342 THORNDYKE RD PORT LUDLOW, 98365 APPLICANT: CHRIS BATES PHONE: (360)475-4336 50 D SOUTH CHANDLER PORT LUDLOW WA 98365 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 7&8 PARCEL NUMBER: 950100406 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: JEFF SMITH ENT PHONE: (360)928-0149 PO BOX 161 JOYCE WA 98343-0161 Contractor's License JEFFSE*027ML Expires 12/3/00 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 5,200.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: U-1 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 520 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: PUD STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: A proved/Date Permit $125.25 MAM 01/11/00 23682 � � Plan Check $37.58 MAM 01/11/00 23682 O VE/` State Building Code $4.50 MAM 01/11/00 23682 F 4...,Total: $167.33 / Z2 0,,/ I:\F_BLD_App_Bld.rpt 10/29/99 j Jefferson County Department of Community Development ON COS 621 Sheridan Street,Port Townsend WA 08368 13601310-4450 ( 4 te i,,, ,2. i"� p o App _ ical ._. o0t.,,„. -,. ---;,.;4. ,.. \\.,,,., ����� on s„,,, Project Description: Building Type: Project Type: Frye Type: ❑ ySitfgle Family ❑ plew VWood Garage Attached/Prnac-ludr Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi family/#of Units ❑ Demolition ❑ Other: ❑ Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: <.) Existing: o� ❑ S7v-er ❑Community System ❑ Electricity ❑ Oil Proposed: -- Propos-d: ' VIndividual System ❑ Woodstove ❑ Propane Total: ''� Total: 2 If sewer,fill out the following: ❑ Heat [ Puxt}A Conventional ❑ Alternative ❑ Other 10 Vl,t Permit# SEP Water Supply: n l ElPrivate well Li Two P. Well 6' Public:Name of water system: t I�FC9 P l3 P y� Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP / � 2� -�.v Floor Basefee / -) 3rd Floor Plan Check fee 7. -), ,S Htd Basement State Surcharge fee `{ • J 1..1' Unhtd Basement Subtotal / ^ 2- S,.3 Garage/Carport ,r21 Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL / ([) --- Industrial Receipt # --cC 6 Other Cash/Check # , Total Valuation: /Oq.!�0 Initials `� Or Date -- / J "'CC) Estimated Cost: /O, / P 0 If within 200' of the Shoreline, Distance to Bank or Ordinary High W. er Mark ft. Bank Height ft. By signing the application form,the applicant/owner, ens that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/own: with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless J fferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequenc-of the granting of this permit. I further agree to provide access and right of entry to Je ferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry t e pli 's property or• it-shall ue . .and shall occur during regular business hours. Th Signature: y ' --Date: J ' a_v..cr) H:HOME\PLN B G\FORMS\BLDpermitApplicationl/2000 STORMWATER CALCULATIONS )wner/Applicant:\(�i S �r c.rjeS • 0 PROPOSED LAND DISTURBING ACTIVITY r''�� F�) Site Address: I c,yL morA4 � Drainfield area cleared „) `- sq.ft. P7 , ,L�f®+)I Lam, 9 36 Driveway Length ��� ft. ) L, X Width /3 ft. /r°... 9 Digit Parcel Identification No.: = Total Driveway _ . �� sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. -- sq.ft. INDICATE the following information. Total Land Disturbance /(46 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: ��One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 06 Q sq.ft. ❑ 1. North arrow Existing Structures (all roof area) ,;,1700sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks sq.ft. 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: • 5. Major features such as ravines, Driveway Length �L' ft. seasonal creeks, bodies of water, etc. X Width /Pi ft. t/ ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway j 6 0 sq.ft. existing or proposed, and distance to Total Impervious Surface _ •,. On sq.ft. closest structure Ei 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: ❑ 8. Wells and/or water lines • Construction Access Route Stabilization: ❑ 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with ri 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of ❑ 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned ❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, ❑ 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best Management Practices (BMPs). INDICATE: • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLN CNTR\FOR MS\PLOTPLN.FR M9/97 �a 06. Jefferson County Permit Center * Department of Coninunity Development c (...".c..x,- .�, 621 Sheridan Street, Port Townsend WA 88368(3601 379-4450 - u :vr so 0-ao0 �c'll ia ek j dieute.4 etaeo 44 Project Description: r �,. ���� 9 Digit Parcel Identification Number(from your tax statement): 550 /,.v L/ 0,, Site Address 911#: /\ K U.3 ,� Road Name: //i r- o ,\, /.t. Zip Code: Legal Description n Subdivision Name: )": :._ !;x, , t' -3 ,, Block: Lot(s): Section: I V Township: Z1- Range: 6 < Cc__ Parcel Size (acres or square footage): ,. •r ' ') Property Owner: C, -L. Phone: - Mailing Address: - _ " Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: ---r" Phone: ( / Mailing Address: -, J General Contractor: —�— C�&L?) ;=; �Y - ti• t 1, Or Manufactured Home Installer: J, _ -.,-, 1:_.,,.-`„,-,,,, a Phone: '--,,o} t? , ,-)1,:_i,,j Mailing Address: i 1 ` Contractor's State License Number ,— .__, 1 Expiration Date: .� f, r': ;; Septic Designer: -1-`• r-- ',..., Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: � N. Contractor's Bond Holder: 031.. j. Mailing Address: FOR'OhNNC;h USE ONLY Ftre District.: - 'Planning ' . School District: -)._':,-:<1 Zane: .,. 3/98 H:\home\pincntr\forms\universal plot plan 6. Does the site have steep slopes with little to no vegetation? YES No . 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 ✓ NO 9 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 cl r �-d, �-v Date jj 1.; L%c9(i. 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 :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 10/99 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Appi ant Name I__ 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 _" No 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: 4. Are there any indications on any portion of the property or on any — YES v.'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) 004404 I Is / i i i i, I r r r i i i i ,J / / r / i i / / / r r i i i i , rr I i i i i /, i r r r i i i i �i �,� iii i i , , /' '� r r r i i i i , // �., r r i , , , , i rr///// /� ,' ---. rrriiii�/, .' --- __-0 II////// ',' .�ani//,- ' � - -o mai4% --' --- f] (Questionnaire Continues on Back) Page 1 of 2 1 410 , ....._ . \ r „Th. (---, \ \ ...‘ \ .A1 "—r-r—.)---- 1 \ `ic \.. , ,....., 1 k .,, (CI %, ,\ \ O i _' b .15 (y GN c ,., 0 —,77.-- fi ....„, :,, ./.._7----A, 7 . kr\ y) 4 __ ,__2.- ' . • a -_ A P P P3 ma rkilIN Q ,• •a C I. 5.,s--0 u, ,... . \ Cs, A-' 1\.(.,