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HomeMy WebLinkAboutBLD2000-00111 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 #: BLD00-00111 Received Date 02/15/2000 SITE ADDRESS: 50 FIR PL Issue Date 02/23/2000 PORT TOWNSEND, 98368 Expiration Date 02/23/2001 APPLICANT: FLORENCE A ALLEN PHONE: 50 FIR PL PORT TOWNSEND WA 98368-9415 SUBDIVISION: CAPE GEORGE VIL3 Block: Lot: 66 PARCEL NUMBER: 940500065 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: W G INGRUM CONSTRUCTION PHONE: (425)742-8487 2312 136TH PL SW LYNNWOOD WA 98037 Contractor's License: WGINGC*015BN Expires: 01/15/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ROOF MODIFICATION REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): ?n,.571 [J©/eS /C a76 e20�� (( [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [4-]' Final/Occupancy Approval: C)< 3/404 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 4 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00111 Received Date: 2/15/2000 SITE ADDRESS: 50 FIR PL PORT TOWNSEND, 98368 APPLICANT: FLORENCE A ALLEN PHONE: 50 FIR PL PORT TOWNSEND WA 98368-9415 SUBDIVISION: CAPE GEORGE VIL3 Block: Lot: 66 PARCEL NUMBER: 940500065 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: W G INGRUM CONSTRUCTION PHONE: (425)742-8487 2312 136TH PL SW LYNNWOOD WA 98037 Contractor's License WGINGC*015BN Expires 01/15/2001 ARCHITECT/ MICHAEL ANDERSON ENGINEER : 141 OAK BAY RD PO BOX 1375 PORT HADLOCK WA 98339 PROJECT DESCRIPTION: ROOF MODIFICATION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 760 VALUATION 7,600.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CAPE GEO 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 $153.25 MAM 02/15/00 24196 APPROVED Plan Check $45.98 MAM 02/15/00 24196 State Building Code $4.50 MAM 02/15/00 24196 , Total: $203.73 F E B 2 40 plc ,J ffe oh County Planning & uilding Department I:\F_BLD_App_Bld.rpt 10/29/99 E BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00111 Received Date: 2/15/2000 SITE ADDRESS: 50 FIR PL PORT TOWNSEND, 98368 APPLICANT: FLORENCE A ALLEN PHONE: 50 FIR PL PORT TOWNSEND WA 98368-9415 SUBDIVISION: CAPE GEORGE VIL3 Block: ()Lot. PARCEL NUMBER: 940500065 Section: ownshi . 30 N Range: CONTRACTOR: W G INGRUM CONSTRUCTION PHONE: (425)742-8487 2312 136TH PL SW LYNNWOOD WA 98037 Contractor's License WGINGC*015BN Expires 01/15/2001 ARCHITECT/ MICHAEL ANDERSON ENGINEER : 141 OAK BAY RD PO BOX 1375 PORT HADLOCK WA 98339 PROJECT DESCRIPTION: ROOF MODIFICATION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 760 VALUATION 7,600.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CAPE GEO STORMWATER: YES NO� AREA BEDROOMS: BATHROOMS: Wetland "\' Erosion fl Exist: Exist: Seismic VMC) Streams nc Prop: Prop: Flooding ry:n Landslide 1' c Total: Total: F&W LCD Plat Condition., Shoreline Aquifer Routing Date: Forest: Commercial f'lC3 Rural ( CTh Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.25 MAM 02/15/00 24196 CritIcalPlan Check $45.98 MAM 02/15/00 24196 Are- c41) State Building Code $4.50 MAM 02/15/00 24196 Fieview4 Total: $203.73 0 Stillwater ater MP's I:1F_BLD_App_Bld.rpt 10/29/99 • � STORM WATER CALCULATIONS Owner/Applicant: Fq f'J�` &L A 2 ile4N, . 1y 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: P I 6e.— Drainfield area cleared sq.ft. Driveway Length ft. BB,, X Width ft. 9 Digit Parcel Identification No.: C`7 6 h1 = 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 soft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 766 sq.ft. Er 1. North arrow Existing Structures (all roof area) sq.ft. L!(2. All property boundaries and dimensions Sidewalks sq.ft. Names of adjacent streets Concrete Patios sq.ft.Driveway/s & parking spaces Proposed: all- Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. Pd 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 sediment onto public roads. If sediment is inadvertently i� 11. 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 on roads and driveways, or other appropriate means within ❑ 14. Arrows showing direction of slope-- 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 INDICATE: Management Practices (BMPs). • 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\PLN CNTR\FORMS\PLOTPLN.FRM9/97 V Jefferson County Department of Community 1:V6lopment �� N SU G 621 Stan Street,Port Town;:nil WA 88368[360]318-4450 ti ►.41 o Pm1nAjii3ps Gcat - on Project Description: Building Type: Project Type: Frame Type: Single Family New _ Wood Garage Attached/Detached _ Addition i Steel Modular X Alteration/Remodel I Concrete Commercial i Repair I. Masonry I Multi-farnily/#of Units i Demolition E Other: Industrial �J/� XOther. �/°( ratpc Bedrooms: //Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: = Sewer I Community System )(Electricity J Oil Proposed: Proposed: Individual System _ Woodstove I, Propane Total: Total: 0 / If not sewer,fill out the following: Heat Pump Conventional I Alternative _ Other Permit # SEP '‘) Q Water Supply: d I. Private well I Two Party Well Public:Name of water system: / Square Footage: ��\\ For Office Use Only t1 Main Floor / l 4"e (o Qv UBC OCCUPANCY GROUP Z) 2ND Floor Base fee If3' j 3r Floor Plan Check fee 7 cU 4, 7 Htd Basement State Surcharge fee / -5�0 Unhtd Basement _..----7 Subtotal , .o 3 . -2 3 - '-Garage/Carport Pot Water Review fee I Decks 911/Rd Approach fee 'Sr-- Commercial TOTAL3 - Industrial Receipt # 3 11pp/ 9 �p . Other Cash/Check # tl 14`— ._- Q j Total Valuation: "�T Y'' Initials Or Date —I5 -- Qa Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Wate Mark ft. Bank Height ft. I By signing the application orm,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 to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: SPECIAL CONDITIONS FOR CASE BLD00-00111 1.) The existing septic system is non-conforming. No future building permits can be issued on this property. This permit is approved for the purpose of the Department of Labor& Industries approval for the roof covering the structure. I:\F_BLD_Permit_Buildng.rpt 10/29/99 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name CA,-,v14, 4De\ov„N u\-•U1. 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 )( No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present Yes )C 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) , , ,7❑ ; ; / :: : , / / / / / / ice•',, ii/iii, , ,' -'� !,,/ / / / ' , ,� ,,,,i/,,, . .. fl (Questionnaire Continues on Back) Page 1 of 2 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 X NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES K 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. a—a01 Signature Date ‘2,--2 C ` 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 10/99 '1-111.39 '• % • ' - 3/1/e/0 5/0E5 N„50;98./8 ./.P.,/,c,/.4•4'„,,V1 t?P s\.<.11.,\14:A4* --. e., ra ZrfraL , $9t 9 k Zk ic•31 I , \ a .8,68g/6, •8 7e67., /N g / / t OZ66 06 06 06 :'NI ,•4) .* .8,56 98./N X tol 3 i..., <I) .(I'N ko • •'''e,, .,>,to • N,,o k°rcizi 4t3 :la '7 p, r,:, f!...., , ,fr.1...- ;;,,/ --.. ,r; k,''' —° . 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S C:{ eN.,, - Site Address ,5 C r. flo,C, 911#: Road Name: 4 \ac Zip Code:zij - Legal Description , ,� b-- `` vt Subdivision Name:C Q 6e . , i r f J,r;,,C,\ Block: Lot(s): (,(0 Section: _b ` ;, _'3 Township`: Range: Parcel Size (acres or square footage): 43 ,‘ cN- A c,,i C. .`x L ' _I, Property Owner: 0r e•.,a i` c a Phone: Mailing Address: ,'`. .0 " 4,1 ty k F,Q. i)r T `t c ,•..S-_,„,,LA:), +., e Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: _ Phone: Mailing Address: 2 < �. General Contractor ; 4 L-- in CC e, .;ct ,o f _ Or Manufactured Home Installer: Phone: "`7�2 --? Mailing Address: t Contractor's State License Number: I Expiration Date: Septic Designer: i b` i, Phone: Mailing Address: t Architect:/Engineer: Phone: Mailing Address: r ct d 1 c.,j r s "t , Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: te..../ r e c e. '�� s �°® even. FOR arrtc.E USEoNLY �� .��� Fire District : Planning Area, . chool District: Zone 4/98 H:\home\pincntr\forms\universal plot plan -