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BLD2000-00076
c , 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 #: BLD00-00076 Received Date 02/1/2000 SITE ADDRESS: 33 GOLDFINCH 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.4 Block: Lot: 35 PARCEL NUMBER: 990500035 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/ NORTHSOUND BANK BOND HOLDER: PORT TOWNSEND WA 98368 t PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks ( oreline Setbacks): 1 ER.., p 1<`3/1,,V Lt7,4 [L �Foun.: . # 3fi/,/0p 7 [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] F min g/Plumbuaa' c-? „_-- "a". a .0 1Eropane Tank/Lim • ©1C 5 ? 00k7_ [ ]] Insulation: a� S cf_9/ s',3% 69A7j -/ lea .CA(S Pti--7 f n( G-Nee67) Mt [k,l Sneetrock: r"&r'1? CDA/7 jT/?r'T-77 -- '1,-=e A 77 /q C/9, -D e_Gcr-rL=-`7? [ mal/Occupancy Approv l: D/( //(/z r/®,j 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 r BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00076 Received Date: 2/1/2000 SITE ADDRESS: 33 GOLDFINCH PORT LUDLOW, 98365 APPLICANT: HAROLD MOE PHONE: (360)437-2740 311 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO.4 Block: Lot: 35 PARCEL NUMBER: 990500035 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 ARCH ITECT/ 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: U-1 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 Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 2 Flooding Landslide Total: 3 Total: 2 F&W Plat Conditions Routing Date: Shoreline Aquifer .:. Z c ra.. Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $839.75 MAM 02/01/00 24110 APPROVED State Building Code $4.50 MAM 02/01/00 24110 Potable Water Application $30.00 MAM 02/01/00 24110 Total: $874.25 1 ���� Joffe an County & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 1. .:siso co Jefferson County Permit Center * Department of Community Development 621 Sheridan Street,Port Townsend WA 9836813601379-4450 tom`''-' o .‹.1s, _ kippr 0 „, 0 3 Cat C[(11 rm:t Project Description: Building Type: Project Type: Frame Type: Single F • 2 New ,Wood C�Garage Attached/ etached ❑ Addition ❑ Steel ❑ Mod ar ❑ 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: 3 Proposed: ❑ Individual System ❑ Woodstove 2-Propane Total: Total: 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: Square Footage: For Office Use Only 1 Main Floor /L f = UBC OCCUPANCY GROUP 2ND Floor Base fee -°1I -3-5 3rd Floor Plan Check fee 1D(,.(F Htd Basement State Surcharge fee 9 - TO Unhtd Basement Subtotal c`i 4 - Zs Garage/Carport q /1`. Pot Water Review fee Jir-si ., O Decks 911/Rd Approach fee Commercial TOTAL 614 .-IC Industrial Receipt # 4 I ID Other Cash/Check # 000 5 g I Total Valuation: Initials Or Date '� - 1 - 00 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. � a;� � Signature: 7Q, ,� , , ` Date: /--3/- Zoo 6 IMP! ._ ..... „AN zel 1°11 ,I-1 1 IS' \Y C{o_U vw 1 U, flans~ Ii 4 o '° ik L4, r r /-/. 1- f eJ j ;le i rck. `t i, . A 6. "--- 4'ircsi. , i/ Z0 3E d DNI 1SNO0 30W QlOei H-'•-, l{ b980-L6b-096 06:60 000Z/L0/Z0 oICY r A ...: .:::: :::,:,.• ,.•:•:..•.• .... ,. ., „.:, .•..,:.: ' M 4 ::: ::::: o v `� m s l €3 a N o (j o 0 0 n.0 o [o a0<v'3 O � a a W� C� c N 6) .. - =Ec:.-c=iEz.is1-Ps-ui3.r2.... gc.'..E4...,d=cs_=e.._-.o.- s,:,-='r,- ,...i--ZE0'04Vca1-,F.--/n--._)-'-) 2 . .n „(-•=1.N-3c0,z94.)*)=)31,,= i6, --,-,"-.--,--'4.N-_'.'.(''..,..-,t_.... E *-'.:rt(j.A3i-.''. v y _ Y O o �ti �� ii cie O I s r ` -J LJ CU prTi \. V 14 J y 0 • /r `. 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A z .� z co Q Uco tt J : a 0 Q cc)o -0 c Z a COO 4_• 0 w d •`- e F- -J c 0 2 0 < 6 E BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00076 Received Date: 2/1/2000 SITE ADDRESS: 33 GOLDFINCH PORT LUDLOW, 98365 APPLICANT: HAROLD MOE PHONE: (360)437-2740 311 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO.4 67/0 Block: Lot: 35 PARCEL NUMBER: 990500035 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 (Lrt It Iica Ara Contractor's License HAROLMC074N3 Expires 07/21/1999 Ro /.< 41Z, 36tl,7lc- ARCHITECT/ ENGINEER : St°°181.77110 -)Sc PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE w/ATTACHED GARAGE e` ` L I d t \1. taCf TYPE OF WORK RES SQUARE FOOTAGE: T-1 c,C) C ) t i S 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: U-1 OTHER: CONST TYPE: 5N GARAGE: 475 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AR A BEDROOMS: BATHROOMS: Wetland ip Erosion U Exist: Exist: Seismic 1, o Streams I v p' Prop: 3 Prop: 2 Flooding N�n Landslide A d Total: 3 Total: 2 F&W Plat Conditions L- Y'Shoreline o Aquifer z- - Z C7St� Forest: Commercial Rural i Routing Date: i Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $839.75 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: $874.25 I:\F_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: /<_ j0 (4f / (4e?-- ❑ PROPOSED LAND DISTURBING ACTIVITY Site ddress: "" � GL� Drainfield area cleared sq.ft. 9 / �`i' ' s` Driveway Length 470 ft. //�� X Width ft. �t 9 Digit Parcel Identification No.: e9 SOS UV� = Total Driveway l�lOO sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. cD sq.ft. INDICATE the following information. Total Land Disturbance ?2,00 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area)I�7 D sq.ft. ❑ 1. North arrow Existing Structures (all roof area) sq.ft. O 2. All property boundaries and dimensions Sidewalks 90 sq.ft. ❑ 3. Names of adjacent streets Concrete Patios D' sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width Z ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway _ �0 sq.ft. existing or proposed, and distance to Total Impervious Surface Z.1/t 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 spells 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 O 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.FRM9/97 Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name D C_C� 4'i�? J 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 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 y 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) o a 4 Q o o ❑ / / / r / / / r / / / / / / /' �,❑ rr / ; , / / ,' ,,' i i i i i i , , J / / / / / / ,,/, /,. --. isi / / iiiiii , '''--- ima mm„,, ',, -❑ �,.., --_'----- -- -- fl (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 Vit Date 1 3/ 2000 FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELYADJACENTTO 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: /-- 4-0 ` Telephone: 6/3 `2- `?VD Address: 31 , L1'l 1\4- /'C# 1/3 AR,4- tt-tac toe.) Assessor's Parcel Number: 91'4 4`9 1 Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: /J 1A-) Ee...A- Site Location: ,.0/`' D r . i z .,,)A Person Responsible for BMP Installation and Maintenance: /-fry-/4O/ s( ///01 Address: 3/' /4 A j 0 i Kam. ge-1- LMd(Oc,) d A F 3c Telephone: 4 3 9 Z,�6 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. Vf 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. ["y' 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 Fe}" 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. [4( 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. [ ""Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [.} 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.) [.} 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.) [}-' 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.) 44111gr - (Nr4( (o . d€a d u/, /1'465 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.). dlAr r. /A D 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. I C/'ea - 4 g, 2500 C-6Ve,►° Att._ g�oc/c. IPCP L 1 � 61s 1/2-rn eko viAe, 6-r-4 kw w-1., -46,2 io (1„e„; 44441 The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwateraunoff. I will notify the Permit Center for inspections as required. k Pi/ /.3i Signature of Owner/Agent Date