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HomeMy WebLinkAboutBLD2000-00075 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 #: BLD00-00075 Received Date 02/1/2000 SITE ADDRESS: 104 PUGET LOOP RD Issue Date 02/10/2000 PORT LUDLOW, 98365 Expiration Date 02/10/2001 APPLICANT: HAROLD MOE PHONE: (360)437-2740 311 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 1 AREA 1 Block: Lot: 52 PARCEL NUMBER: 990400152 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License: HAROLMC074N3 Expires: 07/21/2000 LOAN LENDER/ NORTH SOUND BANK BOND HOLDER: PORT TOWNSEND WA 98368 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE REQUIRED INSPECTION [ ] Footings/Setbacks (Shoreline-Setbacks : ck "- �00J Foundation:M< 15 O© 7 [ ] Underground Plumbing/Under round Insulatio : [ ] Shear Wall: / 3/ o 9 ,' [ ] Fram lumbi : ®/ k/7( u�7e [ l Propane Tank/Lines: 14,,4-en r &Jk vh-fpd 4.7jt--- [ ] Insulation: 1 4}LA' (c)K le/,�/®�j/ [�� `� �/ heetrock: ��K' �����/u, t�'J,,� �� [ Final/Occupancy Approval: Q1iC 6/ 2..y,/p(y` 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 /C f_ HOT LINE AVAILABLE 24 HOURS A DAY 4' ' BUILDING PERMIT'APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00075 Received Date: 2/1/2000 SITE ADDRESS: 104 PUGET LOOP RD PORT LUDLOW, 98365 APPLICANT: HAROLD MOE PHONE: 311 MATS VIEW RD (360)437-2740 PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 1 AREA 1 Block: PARCEL NUMBER: 990400152 Section: 8 Township: 28 N Range: 01 E t: 52 CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 07/21/1999=-ot/4a ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 77,070.00 MAIN: 1,405 CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 475 SHORELINE DECK: SETBACK: SEWAGE DISPOSAL: SEW BANK HEIGHT: WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 2 Flooding Landslide Total: 3 Total: 2 F&W Plat Conditions Routing Date: Shoreline Aquifer 2,-2 • G'c_D--o ) Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $839.75 MAM 02/01/00 24110 APPROVED Plan Check $251.93 MAM 02/01/00 24110 State Building Code $4.50 MAM 02/01/00 24110 Potable Water Application $30.00 MAM 02/01/00 24110 20 Total: GC qtt $1,126.18j4FiceE2)1 Uounty Pia �in r<" ) Zi Building Qepartmz;c: I:1F_BLD_App_Bld.rpt 10/29/99 • 8.001s4T co Jefferson County Permit Center * Department of Community Development 621 Sheridan Street,Port Townsend WA 98368[3601379-4450 43( `>y 0 �� perm:11Dily,,,,,1-)ll ?cicton0 _ �7N� Project Description: N cam , ,4 ,k,,,.,Lam_ 1 kw iL Building Type: Project Type: Frame Type: Single Family oie Wood jGarag ached)etached ❑ 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: ❑ Sewer kreommunity System ❑ Electricity ❑pil Proposed 3 Proposed: , . ❑ Individual System Total: Total: 0 Woodstove Z Propane If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit # SEP Water Supply: /� ❑ Private well ❑ Two Party Well Public:Name of water system: ,K72 4 1.0.ral(6:._,u 1 j 4( , Square Footage: For Office Use Only Main Floor ° '"/:) UBC OCCUPANCY GROUP 2ND Floor Base fee t 1.- 3rd Floor Plan Check fee s 1 . /3 Htd Basement State Surcharge fee I+ - Unhtd Basement Subtotal 1 r 0 9(:2 . t Garage/Carport 4 -J":.. Pot Water Review fee 130 V' Decks 911/Rd Approach fee `A 4 I j Commercial TOTAL ( f 2 . . Industrial Receipt # '7J-i(1 O Other Cash/Check # 000 S g i 2, Total Valuation: Initials —Th, Or Date - ' ` fl d Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. f Signature: . 1�" t ,'r r Date: _ caa Z� BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00075 Received Date: 2/1/2000 SITE ADDRESS: 104 PUGET LOOP RD PORT LUDLOW, 98365 APPLICANT: HAROLD MOE PHONE: (360)437-2740 311 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 1 AREA 1 5 Z° Block: Lot: 52 PARCEL NUMBER: 990400152 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 07/21/1999'r foca. i" t ARCHITECT/ i4 9‘ ' 3 0 ��/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,405 VALUATION 77,070.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 475 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland /,c? u Erosion Exist: Exist: Seismic IV Streams 1 Prop: 3 Prop: 2 Flooding /Up Landslide /11„ V_ Total: 3 Total: 2 F&W Plat Conditions Shoreline i� 0 Aquifer k y l Routing Date: 2._,Z-zcz3-cp Forest: Commercial /i r< Rural I) Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $839.75 MAM 02/01/00 24110 Plan Check $251.93 MAM 02/01/00 24110 State Building Code $4.50 MAM 02/01/00 24110 Potable Water Application $30.00 MAM 02/01/00 24110 Total: $1,126.18 I:\F_BLD_App_Bld.rpt 10/29/99 go 68 I 0. `t'"2 r2e-NG 1 I \V i kV zI d. \if P ir :741- x I i ,„,,,,4) 4 .iLiotks a- 'Z' 1 0 I k N 1111 5 , \Pp off."- ti 3 NI\ ( t \t 1\( I / \Z Otto CALCULATIONS 41.0 Owner/Applicant: . ',AA . iY Otto or ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: t bT J Z pu.144, 4 C9$, Drainfield area cleared sq.ft. Li Ate)Pa i2.4 [e)t.Ni Driveway Length SO ft. X Width 2_0 ft. r 9 Digit Parcel Identification No.: co /J 2_ = Total Driveway /.I7® sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. ,�1�� 2 2C> sq.ft. INDICATE the following information. Total Land Disturbance 1200 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 0 IMPERVIOUS SURFACE Proposed Structures (all roof area)lRgO sq.ft. Ja 1. North arrow Existing Structures (all roof area) -{ "" sq.ft. ,12. All property boundaries and dimensions Sidewalks sq.ft. 13. 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 20 ft. 4. Septic tank, drainfield and reserve area location, = Total Driveway /000 sq.ft. existing or proposed, and distance to Total Impervious Surface .e4ID sq.ft. closest structure (677. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: j' 8. Wells and/or water lines • Construction Access Route Stabilization: 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, r limited to one route. Access points shall be stabilized with YJ 10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of sediment onto public roads. If sediment is inadvertently Z1 1. Structures, existing and/or proposed 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 0 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.FRM9/97 Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # t Applicant Name Otd 1 i L 0 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 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) a o Q Q a s ❑ , /, / / / ,� I / , / / / , I / / / / / , , / ❑ / , , , , , , , / / , ,. / , , / / / , , I / / / / J ,/ ,, , / / , �,, , / / / / , ' �.❑ r , , , , , , �, �, , , , , „ , , I , , , , , , , ..❑ i/i , ii'.' -- _____ _ 0 i ,,,,,i, ',' -' ,//////,'.,.'�.� uiiii,,..'.� - --- (Questionnaire Continues on Back) 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 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 Date I' — Z'7 — 2-ocn,) 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: JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: .0 Telephone: 4437 2 746 Address: 3 1`1 Maas 'It+dt t a4 P,ot IQ7 tuzi to tA Assessor's Parcel Number: q9O ,T Z. Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: K,16-411,4 $t $ ^: ) -ho- Site Location: C-01 Z Paopr4- 1 ae Crept.. Person Responsible for BMP Installation and Maintenance: A O .-Ott' Address: a V Irv) d +tryL10(.4.) Telephone: 4 " 2') 4 0 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. V 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.). • EROSION AND SEDIMENT CONTROL WORKSHEET Phase clearing so that only areas that are actively being worked are uncovered. [] 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. [%' 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. [, `'Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [of Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. if Protect adjacent properties and water bodies from sediment deposition: V 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.) [r]'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.) Y✓J 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. • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) 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.). fr •r~ 4-t rew 1•6504 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. (..,,Lc) 1-0," citro44, sA4-a- it , ti - Ne.e v toAce Ps,f•.4 Ok- (e,At..e..6. 0c4 LL v.3 ,.4-\,..vi". 4:10 ! to .it ..3 " , 'Le .4' cs r 4—eopv.ip Ark 4u- 1034/ The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will notify the Permit Center for inspections as required. i 01 I_,C7 - -zoo c1 Signature of wner/Agent Date s � ozv oQ Jefferson County Permit Center Department of Community Development 621 Sheridan Street,Port Townsend WA 88368[3601318-4450 a *IP 1 UHrVerSa. ot fo t(e fi e. dleziela ad eos (fleet ad,Deed€: Project Description: 9 Digit Parcel Identification Number(from your tax statement): Site Addressj. Lc: 'do p 911#: " Road Name: �'' Zip Code: Legal Description Subdivision Name: -`"- f.VP Block: Lot(s): .� f Section: Township: 2..,8 ` Range: Parcel Size (acres or square footage): Property Owner: AloarfLotot 04 chir, Phone: z."7� 0 Mailing Address: 3 / ! W45 VI 6- + ' qat f t.L F ' �1 Iv 1 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: ,, ,,� Or Manufactured Home Installer:1. t�, r ,f,� te/le'-, / Phone: Z / t Mailing Address: 3 , a e , ` et g , p0ter- I wile,4,4 �. /_ Contractor's State License Number: 1 j inc_0-7 fl)3 Expiration Date: z� Septic Designer: `f Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: lCSit'_ Mailing Address: FOR 4 :USE ONLY: Fire District..... I 'lar nin Area.. ....::g...... ..:. �chooll�lst>'�� ........ .........I Zone 4/98 H:\home\pincntr\forms\universal plot plan