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BLD2000-00079
b • 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 #: BLD00-00079 Received Date 02/1/2000 SITE ADDRESS: 630 RHODODENDRON LN Issue Date 02/15/2000 BRINNON, 98320 Expiration Date 02/15/2001 APPLICANT: NORMA ROBINSON PHONE: (360)835-5553 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 36 PARCEL NUMBER: 988500035 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION STORAGE SHED REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks):(D l\ Z1,1„cy to 0 694- [L Foundation: G / . J-, is. [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Frami 4Plumbing:C \' —6 - Uc) [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ . final/ cupancy Approval: `'/C' ii//5�ir, ?C'-...Z-4.---,--e 2( HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL IN ECTION. 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 Q r BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00079 Received Date: 2/1/2000 SITE ADDRESS: 630 RHODODENDRON LN BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: (360)835-5553 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 36 PARCEL NUMBER: 988500035 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: STORAGE SHED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,200.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 320 SHORELINE: N Io. CONST TYPE: DECK: SETBACK: BANK HEIGHT: PJ/r-A. SEWAGE DISPO.,, CON 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 2 • Zc,'v Forest: Commercial Rural Proximity FleipeV Type Amount Paid By: Date: Receipt: Ap E ID Permit $97.25 MAM 02/01/00 24067 Plan Check $29.18 MAM 02/01/00 24067 FE r 1 4 L 0°-0State Building Code $4.50 MAM 02/01/00 24067 C.CAQ ^"1 J son County Panning Total: $130.93 & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 , Jefferson County Permit Center * Department of Community Development ���S�N � � 621 Sheridan Street,Port Townsend WA 98368[3601379-4450 41' "1t•'y' I'__,P.- - ---'---..1-c.e 4 0 E. rm:t SYNC`% Astporcat?on Project Description: S t 0)tr a / t' i , 1 4 ,` V v Q Building Type: Project Type: Frame Type: ❑ Single Family V New lie.Wood • Garage Attached/Detached ❑ Addition ❑ Steel O Modular 0 'Alteration/Remodel 0 Concrete O Commercial ❑ Repair 0 Masonry ❑ Multi-family/# of Units 0 Demolition 0 Other: ❑ Industrial • Other: s to e \K I A A hci Bedrooms: Bathrooms: J Type of Sewage Disposal: Type of Heat: Choose one: Existing: D Existing: G 0 Sewer 0 Community System ❑ Electricity ❑ Oil Proposed b Proposed ❑ Individual System ❑ Woodstove ❑ Propane Total: _o_ Total: D If not sewer,fill out the following: ❑ Heat Pump [ 'Conventional ❑ , .lternnative ❑ Other 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 2ND Floor Base fee `1 3rd Floor Plan Check fee 2_c9. t X Htd Basement State Surcharge fee L4 Unhtd Basement Subtotal I 3U '3 'Garage/Carport J b X a v = Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 13 0 ° " Industrial Receipt # 2-4 0(p Other Cash/Check # I (.) S Total Valuation: _D Initials V.Ss-1.-.... Or Date 2_ - 1 - Z0-0 u Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Signature: m-� Date: A BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00079 Received Date: 2/1/2000 SITE ADDRESS: 630 RHODODENDRON LN BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: (360)835-5553 110 DOGWOOD LANE BRINNON WA 98320 +, i $ 7 9 SUBDIVISION: PLEASANT TIDES Block: Lot: 36 PARCEL NUMBER: 988500035 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: CrttcaI Area Review -7-/3 0©,,7-1- ARCHITECT/ ENGINEER : / 1 z13lOOAZ lot PROJECT DESCRIPTION: STORAGE SHED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,200.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 320 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland No Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide d Total: Total: F&W Plat Conditions Routing Date: Shoreline ,,•, Aquifer I� Z -Z'Zo�v Forest: Commercial N ) Rural Proximity o Y Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 MAM 02/01/00 24067 Plan Check $29.18 MAM 02/01/00 24067 State Building Code $4.50 MAM 02/01/00 24067 Total: $130.93 I:\F_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: N o v*:%-,a o l o hg6 h ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: L30 R\i-N o p e h c\r o h Drainfield area cleared sq.ft. Y1r1 w A Driveway Length ft. c� X Width ft. n 9 Digit Parcel Identification No.: i p g S 00 015 = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 3s r7 sq.ft. INDICATE the following information. Total Land Disturbance 3.51 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 1 0 0 IMPERVIOUS SURFACE Proposed Structures (all roof area) 4 O sq.ft. ❑ 1. North arrow = Existing Structures (all roof area) 32. sq.ft. El 2. All property boundaries and dimensions Sidewalks sq.ft. C' 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: CI 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 I a... sq.ft. closest structure ❑ 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 O 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 0 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, ❑ 1 3. 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 21 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name N yr van e.. 9 ob ;vls o h V 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 VNO 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 VNO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES VNO 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) / / / / , / / / / / .' ,o / , , , / . / / / , / / / / r , , / / / . ,, ,,,u / / , „ i i , , . . P / / / / / / / 7/ „ i / / / ,ice, , , „ iii / , . . .0 ,„/// / i . ,I///// '. --' ,„iiii,„',' - - ---- /„/////. ' -' — — -�u iii,,,.'-' - - _-- _ ----------- - 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 Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone I ❑ 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: , ) ,4 I i$ ; f , 5 t k 1 .i. 1 eyes '' Ai. - • ON • ''. , , , 5 . ,.. It) -.)-• i , . co / i-7-- 1" .S- rP —II CA, 1 -r-.) '` , .3- t c....f.... .5. lit. J a) 0 14 0 ,, -i• P !ICC .,,. 3-I et . P.- ' V -I' i 0 . 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