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HomeMy WebLinkAboutBLD2000-00117 • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00117 Received Date: 2/16/2000 SITE ADDRESS: 151 WINDROSE PL PORT LUDLOW, 98365 APPLICANT: RICHARD DUOOS PHONE: 151 WINDROSE DR PORT LUDLOW WA 98365 SUBDIVISION: BAYVIEW VILLAGE DIVISION 1 Block: Lot: 30 PARCEL NUMBER: 931900030 Section: 16 Township: 28 N Range: 01 E CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 3535 MCNEILL ST PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5S Expires 02/18/2000' .pot ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: NEW DECK, GLASS RAIL, STAIRS AND GATES TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 1,833 VALUATION 6,890.00 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: 436 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $139.25 MAM 02/16/0CI 25256 Plan Check $41.78 MAM 02/16/00 25256 State Building Code $4.50 MAM 02/16/00 25256 Total: $185.53 I:\F_BLD_App_Bld.rpt 10/29/99 � SIN co Jefferson CountyDepartment of Community Development �� , l Viz, 621 Sheridan Street,Pert Townsend WA 88368[360]378-4450 � '�y � perm , In ° Q o NG Project Description: Building Type: Project Type: Frame Type: X Single Family ❑ New X Wood • Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular X 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: 3 Existing: 3 ,Sewer ❑Community System X'Electricity ❑ Oil Proposed: - =— Proposed: ❑ Individual System ❑ Woodstove 0 Propane Total: a3 Total: 3If 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: Port- L-V ct(o tN Square Footage: 1$3 3 For Office Use Only 1I n r 22-6 1 UBC OCCUPANCY GROUP 2ND Floor Base fee 139': ZS-- 3rd Floor Plan Check fee Lt I':—1 51. Htd Basement State Surcharge fee , Unhtd Basement Subtotal I S. S 3 Garage/Carport Pot Water Review fee Decks y 3(' 911/Rd Approach fee Commercial TOTAL t S . S Industrial Receipt# is 7; Other Cash/Check # 2- Total Valuation: Initials c‘-2,,,_ Or Date ` t (p oc Estimate Cost:$ el C(C) If within 200' o t`he 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 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 applic s property or structure shall be requested and shall occur during regular business hours. Signature: Oc °) Date: 0 Z/tb/) STORMWATER CALCULATIONS Owner/Applicant: 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: Drainfield area cleared sq.ft. Driveway Length ft. X Width 9 Digit Parcel Identification No.: = Total Driveway sq.ft. Permit Number: Clearing and Grading foe Development PLOT PLAN (Well/Structures/Ut/ies/etc.) sq.ft. r,. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot p n: One inch equals N. IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. 1. North arrow Existing Structures (all roof area) sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. 0 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: 0 8. Wells and/or water lines • Construction Access Route Stabilization: 11 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 0 1 1. 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, 0 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base. 0 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: O 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. O 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 CN TR\FORMS\PLOTPLN.FR M9/9 7 Jefferson County Department of Community Development /,e_,oN coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 W \ '$ Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: pet-- D r- re 1 . ex c'st �,•�`� r 1�►c : A,.1.4, to4t, re p cam. �v et t l c5 rct t t , iJ t C., J 1-e P 5 c .4 r l O .t wJ et , 9 Digit Parcel Identification Number (from your tax statement): e:7 ; Site Address 911#: 1 5_ 1 Road Name: k v\c i r o Zip Code: Legal Description Subdivision Name: `Laa y t 4# t.. Diu Block: -- Lot(s): 30 Section: r Township: 2.a p a r kL Range: 1 04s t Parcel Size (acres or square footage): Property Owner: Phone: lam; r� a- Ott _ no Mailing Address: 1� 1 i ".ct„vr_)S-- O r'\J , Po r /,,ua f Dw , (,"A Applicant/Occupant: Phone: (if different from owner) L- ' (Arkti-� C3(o) 386-'Sloc='6, Mailing Address: cx 4 LL fly 51Ycr� ter 7 �sr4 �; f-✓..4 '2 S5C Authorized Rep: // / Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: L; 4-Ct .- Phone: ( )385 5-(ov(® Mailing Address: zoo el fh f- ford-- A `3 Contractor's State License Number: Expiration Date: L. 1 - r LL GiS7LS' d- OI Septic Designer: /tr:4 Phone: Mailing Address: Architect:/Engineer: P74 Phone: Mailing Address: Loan Lender/General Phone: C�Contractor's Bond Holder: ,0 JA,141 04,s. <5-c...-A-th3 . Mailing Address: , — - 3,PS 411ga,1 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan 1 : ,,_.,,,,......:..„. :11::':'1;:ii:'..::;::::!IIPI'' C)k/ • 8 g . a r NJ :-.i • ,.."7('', • . 14;111.,110 * / , , . ,) ,,,, ;'14 IA,/ ..: „ .'. .. .• s's . •••)-r v • .1.71 -,.e ,.• --. -..,...-..• 6" OMM ' in •*.s -1),,r- ,-, ,....ct . .,...,:,. •0•:.... .amtti ,•-c• A, ,.6 O,,•- •, •,-)fr ,,,,," . :...• •.....t1.2,4 ..1-.4..,:‘14 ,,;•;I:fiRKV• . v q , .. . - '34.---;-..4::,131111P1.''... t'Y •i 2 il(79 re. . 1 L•,_.,J H.LVII , 1 1 40:1i:,,,.,,,.,,,.. , ,,..._w_y_s, . , .,41r.. • ori."rratetIA.tir:i., 4 '''-...- ^ -- , rail-- 1 'I'V't \..i. , , •,...„r , ,.:...;;;..,55.. toil. 1 '''... .,L001.4§gnifif. % N „ -, - _T...10;:-._A..... r gist We.,', . •,, • -1-; CIZZ: .:r:WoLvt. *.;44iP,,i4 bl'' • ',,,c,i,-,i".2 •,..-.004 • •li ..s.i. •ri'. , ,,* . 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