HomeMy WebLinkAboutBLD2000-00092 •
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 #: BLD00-00092 Received Date 02/7/2000
SITE ADDRESS: 275 W MAUDE ST Issue Date 02/16/2000
PORT HADLOCK, 98339 Expiration Date 02/16/2001
APPLICANT: JERRY SETTLEMIRE PHONE: (360)379-1985
275 W MAUDE ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 73 Lot: 4-11
PARCEL NUMBER: 961807316 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION DETACHED GARAGE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks): I 051 /Ve9(e5 e ,- /07a L
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
Sh Wall:
["]'/Frami /Plumbing: OKcc v7 Od(17l/
[ ] ropane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: '!S CO frvt,
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
•
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00092 Received Date: 2/7/2000
SITE ADDRESS: 275 W MAUDE ST
PORT HADLOCK, 98339
APPLICANT: JERRY SETTLEMIRE PHONE: (360)379-1985
275 W MAUDE ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 73 Lot: 4-11
PARCEL NUMBER: 961807316 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 14,400.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: 14,400 SETBACK:
DECK: 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
Shoreline Aquifer
Routing Date:
2 • 0 Forest: Commercial Rural
Proximity
Rept A P P,, D
Type Amount Paid By: Date: Receipt: A p / t
Permit $251.25 MAM 02/07/00 24083
Plan Check $75.38 MAM 02/07/00 24083 F B 1 6 1
State Building Code $4.50 MAM 02/07/00 24083 t, Ala r
J ffer on County Planning
Total: $331.13 E., 2.4;;;;;;1v DEYJuit,ant
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
,1- °C6° 621 Sheridan Street,Port Townsend WA 08368[360]370-4450
!" .
Zr,' ` *- prmrn
Project Description:
Building Type: Project Type: Frame Type:
iii Single Family e' New e'Wood
G Attached/Deta-----ched_ ❑ Addition ,-8- Steel
❑ Modular ❑ Alteration/Remodel a-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: i) Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: 0 Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
1 I] Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor j/.vd7 l gtriP UBC OCCUPANCY GROUP
2ND Floor Base fee 2 S I.2-S"
3rd Floor Plan Check fee —1 S• 18
Htd Basement State Surcharge fee
Unhtd Basement Subtotal 3. 1 . l 3
Garage/Carport lt 1,/ u I v U Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL - ) 1.3
Industrial Receipt # Zy ads 3
Other Cash/Check# 24 4'Cj
Total Valuation: Initials '
Or Date Z.-'1- Z.Ob v
Estimated Cost: ?, ,
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 attorney'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 anyrequired later inspections.
Access and right of to the applicant's pro erty or structure shall be requested and shall occur during regular business hours.
Signature: Date: 2 — -S
— U---C-3
•
•
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00092 Received Date: 2/7/2000
SITE ADDRESS: 275 W MAUDE ST
PORT HADLOCK, 98339
APPLICANT: JERRY SETTLEMIRE PHONE: (360)379-1985
275 W MAUDE ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 73 Lot: 4-11
PARCEL NUMBER: 961807316 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
' t "0 . f t! Ai
0
ARCHITECT/ RE ',t ��IO�po /11-
ENGINEER :
> fi a
PROJECT DESCRIPTION: DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 14,400.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 14,400 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: STORMWATERi YES NO AREA
BEDROOMS: BATHROOMS: Wetland ivAQ Erosion pl i"
Exist: Exist: Seismic IV 0 Streams it)o
Prop: Prop: Flooding G J Landslide f, r° ,
Total: Total: F&W Plat Conditions �"
Routing Date: Shoreline Aquifer , :, 13� .5
Z - 1� Forest: Commercial Rural �, i 4
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $251.25 MAM 02/07/00 24083
Plan Check $75.38 MAM 02/07/00 24083
State Building Code $4.50 MAM 02/07/00 24083
Total: $331.13
I:\F BLD_App_Bld.rpt 10/29/99
STORMWATER CALCULATIONS
Owner/Applicant: // f7'( 357T�i✓h
❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: ,2 7 Lc- 114/9 uC/A- `"� Drainfield area cleared sq.ft.
dl7- / 0014 ®Cir` Driveway Length ft.
X Width ft.
9 Digit Parcel Identification No.: �/ J — ''7 3/6 = 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 sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) rift( sq.ft.
❑ 1. North arrow Existing Structures (all roof area) 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.
• 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft.
existing or proposed, and distance to Total Impervious Surface 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
• 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\PLNCNTR\FORMS\PLOTPLN.FRM9/97
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name
Building Application Land Use Application Shoreline Application
On-site Sewage Application Subdivision Application Other:
eV/No
1 . Is there any standing or running water on the surface of the _ Yes e� ,,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 (Vo
identified as a wetland or swamp?
If YES, please describe:
//
3. Are any willows, skunk cabbage, alders, or cottonwoods present _ Yes V No
on your property or adjacent properties?
If YES, please describe:
f
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 4 Q a o ❑
.cl
,
r
rrrii , , ,',,
iiiiiii,','
rrrii„,, -' -- _-fl r/I////,'.�. _- _
(Questionnaire Continues on Back)
Page 1 of 2
•
6. Does the site have steep slopes with little to no vegetation? YES
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES /`ENO
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:
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 attorney'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 to the applicant's property or structure shall be requested and
shall occur during regular business hours.
Signature Date
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 1/00
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