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HomeMy WebLinkAboutBLD2000-00027 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 #: BLD00-00027 Received Date 01/13/2000 SITE ADDRESS: 62 LEWIS AVE Issue Date 01/21/2000 PORT TOWNSEND, 98368 Expiration Date 01/21/2001 APPLICANT: DOUG SOEHL PHONE: (360)385-2022 212 GRANT STREET PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 102 Lot: 11-13 PARCEL NUMBER: 962110202 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License: MDCON**084B4 Expires: 08/01/2000 LOAN LENDER/ COCHRAN & COCHRAN BOND HOLDER: SPOKANE PROJECT DESCRIPTION DETACHED GARAGE (20X22) REQUIRED INSPECTIONS: [ , Footings/Setbacks (Shoreline Setbacks): [/j' Foundation: Al i u,r t ,AC 43 ),C4 [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: (1 - /� ' �t'y _.._. [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Final/Occupancy Approval: O' d/C r %(; 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:\F_BLD_Permit_Bu i ld ng.rpt 10/29/99 BUILDING PERMIT APPLICATION c A R 9'S -D 630 R Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00027 Received Date: 1/13/2000 SITE ADDRESS: 62 LEWIS AVE PORT TOWNSEND, 98368 APPLICANT: DOUG SOEHL PHONE: 212 GRANT STREET (360)385-2022 PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 102 Lot: 11-13 PARCEL NUMBER: 962110202 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License MDCON**084B4 Expires 8/1/00 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE (20X22) TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,400.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 440 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: STORMWAT R: YES NO A A BEDROOMS: BATHROOMS: Wetland a Erosion (( o Exist: Exist: Seismic 0 Streams a Prop: Prop: Flooding Landslide O Total: Total: F&W a Plat Conditions a Routing Date: Shoreline 4 Aquifer o Forest: Comm c.al Q Rural 0 Proximity ' Type Amount Paid By: Date: Receipt: Approved/Date Permit $111.25 MAM 01/11/00 23114 Plan Check $33.38 MAM 01/11/00 23114 State Building Code $4.50 MAM 01/11/00 23114 Total: $149.13 I:\F_BI_D_App_Bld.rpt 10/29/99 BUILDING PERMIT APPLICATION , r Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00027 Received Date: 1/13/2000 SITE ADDRESS: 62 LEWIS AVE PORT TOWNSEND, 98368 APPLICANT: DOUG SOEHL PHONE: (360)385-2022 212 GRANT STREET PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 102 Lot: 11-13 PARCEL NUMBER: 962110202 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: M D CONSTRUCTION PHONE: (360)385-4509 PO BOX 225 PORT HADLOCK WA 98339 Contractor's License MDCON**084B4 Expires 8/1/00 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE (20X22) TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,400.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 440 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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: Approved/Date Permit $111.25 MAM 01/11/00 23114 APPROVED Plan Check $33.38 MAM 01/11/00 23114 State Building Code $4.50 MAM 01/11/00 23114 .liA 1 2 Tu 1)--)A Total: $149.13 intyc r.-lanning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 • Jefferson County Department of Community Ihivelopment r^(y,4sorr °'C 621 Sheridan Street,Port Townsend WA 08368[360]378-4450 r?,,,.. pij , ,,c,i),,,,n _____ Project Description: Building Type: gProject Type: Frame Type: ❑ Siagle /� w Wood �' Garage Attach Detached Addition❑ ❑ Steel Li 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: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: a Proposed: 4 ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative ❑ Other ,J v\ Lo n Permit# SEP Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP ?ND Floor Base fee i j ,2.S 3r Floor Plan Check fee 3 3 . 3g Htd Basement State Surcharge fee 4 5° Unhtd Basement Subtotal i y'9 • 1 3 40 Garage/Carport 91/C 4 4 9 Q C' Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL I 1 . I- Industrial Receipt # 2-3)) - Other Cash/Check# 20(15 0-0Total Valuation: C9 � Initials VK Or Date 1 ' I I' 00 Estimated Cost: S 700, O If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. By signing the application form,the applicant/owner attests 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/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson 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 consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry tothe appli is property or sh be uested and shall occur during regular business hours. Signature: G��'C �=. Date: /— //— Z d da STORMWATER CALCULATIONS Owner/Applicant: iQc g $OPA/ / ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 2 LPcv/s //ve, Drainfield area cleared sq.ft. Driveway Length ft. 7 X Width ft. a 9 Digit Parcel Identification No.: (f Z• //22 20Z = 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 l cV sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) If sq.ft. ❑ 1. North arrow Existing Structures (all roof area) /G./60 sq.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 ft. seasonal creeks, bodies of water, etc. X Width ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway • sq.ft. existing or proposed, and distance to Total Impervious Surface /gyp sq.ft. closest structure O 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 ❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of ❑ 11. 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\PLNCNTR\FORMS\PLOTPLN.FR M9/97 ' Jefferson County Department of Community Development • 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name pc) y 5de6/ 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 X 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 X' 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 X 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) a 4 Q o 0 / / r / / / , / r / / / / , / / / / / / , ,a/ / / / / / , / / / / / / , r / / / / / , , / / / / / / ,/ r / r / , , / / / ri „ , ,� ,� .'� / / / i „ , , /rill „ i ' //r//,,,', ///i,,,,, ,, / _ ///i,„i uiee,----; _--___ -- (Questionnaire Continues on Back) Page 1 of 2 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 ,C` 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 %G?c .7 K:::z:::;//A/ Date ///- zoc�C FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: E 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 g5o Jefferson County Permit Center * Department of Coninunity Development �' 621 Sheridan Street Port Townsend WA 98368(3601 379-4450 ti q �e n o -1sU :vt J ©11 oco 1/110- i/1 tie ae helo vi rg aucla 44 eo rcgete4 as twaddle: Project Description: x 22 .e7e 9 Digit Parcel Identification Number(from your tax statement): q6 2 /7'' zO Site Address 911#: G a Road Name: <e i ' $ 14ve Zip Code: 9g,33Q Legal Description Subdivision Name: ,L v'o✓tdat�� Z Block: /O Lot(s): 3 Z- '-31' Section: _3 q Township: 30 4/ Range: p/ GJe; Parcel Size (acres or square footage): 7 5' ZOO / /3 oeo Sy 4--r Property Owner: `4- / / Phone: " ss Zvi,72._ Mailing Address: Z t Z P7T- Applicant/Occupant: Phone: (if different from owner) Mailing Address: r Authorized Rep: / Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: f97/- (7 6,44,f Phone: 3 3 Mailing Address: 74/6t 6/O e-/C./ ' \ 6 3 Contractor's State License Number: pipe® *ide- D .r` Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General ` Phone: Contractor's Bond Holder: C Cr in ir �Lk rr-Ck_rN Mailing Address: S P° FRAt Ftre District Planning Area. 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