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HomeMy WebLinkAboutBLD2000-00119 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 #: BLD00-00119 Received Date 02/18/2000 SITE ADDRESS: 630 RHODODENDRON Issue Date 03/2/2000 BRINNON, 98320 Expiration Date 03/2/2001 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 37 PARCEL NUMBER: 988500036 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION DETACHED GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): /9/) r't- v k //r3c /C-T t,, r,,�,� [ ] Foundation: ��.R3"7'iA.: t' 1 —,2 r: ", e ,f?.«.0 Ca-Ad f�1 [ ] Underground Plumbing/Underground Insulation: [ ] Shear-Wall: [,J/ rami :tubing: o k 1/7/i i j/li ✓►�Z� 1'� [ ] rropane Tank/Lines: [ ] Insulation: [ ] Sheetrock [ final/Occu an'cy pproval: Irk 0/0 i'A 4 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 #: BLD00-00119 Received Date: 2/18/2000 SITE ADDRESS: 630 RHODODENDRON BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 37 PARCEL NUMBER: 988500036 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,600.00 ADD'L: HEAT TYPE UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 960 SETBACK: Of'( ' , DECK: , BANK HEIGHT: ((}} MA DISPOSAL: CON � 1 A./1 p�� _.) 4b I`e1 Q'w\ k)0 s WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland k)O Erosion ,OO Exist: Exist: Seismic , )v Streams 4)0 Prop: Prop: Flooding A.)0 Landslide AJO Total: Total: F&W l'JC) Plat Conditions NO Routing Date: 3 Shoreline X)i) Aquifer D '2 - -2 Forest: Commercial /01.4 Rural on Proximity — Type Amount Paid By: Date: Receipt: / • ' v Permit $181.25 MAM 02/18/00 25267 Criti Plan Check $54.38 MAM 02/18/00 25267 Rem° w , C State Building Code $4.50 MAM 02/18/00 25267 Total: $240.13 Stormwa Wolfed _ I:\F_BLD_App_Bld.rpt 10/29/99 STORMWATER CALCULATIONS Owner/Applicant: N o C Wl q R. k k 1,1 S(3 h ❑ PROPOSED LAND DISTURBING ACTIVITY / Site Address: (-13® o Cfp�eh ci Y'U VJ Drainfield area cleared 1 ���+ sq.ft. r! h o V) VV /`i $3��(� Driveway Length `), 0 ft. / X Width D,.�# ft. 9 Digit Parcel Identification No.: rJ 0 0 Q.3fj = Total Driveway ( C sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. I I �' sq.ft. INDICATE the following information. Total Land Disturbance l G p g sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals it= �Q ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) NJ 9l7 sq.ft. ❑ 1. North arrow Existing Structures (all roof area) 0 sq.ft. • 2. All property boundaries and dimensions Sidewalks O 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 `?OI ft. seasonal creeks, bodies of water, etc. X Width p� � ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway _ sq.ft. existing or proposed, and distance to Total Impervious Surface 5f}}14 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❑ 1 1. 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 ❑ 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 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\PLNCNTR\FORMS\PLOTPLN.FRM9/97 a BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00119 Received Date: 2/18/2000 SITE ADDRESS: 630 RHODODENDRON BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 37 PARCEL NUMBER: 988500036 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 9,600.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: UH OCCUPANCY: U-1 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 960 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: 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 Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: /1agp roved/Date Permit $181.25 MAM 02/18/00 25267 Plan Check $54.38 MAM 02/18/00 25267 VE State Building Code $4.50 MAM 02/18/00 25267 R ?or. . Total: $240.13 Je rs , Cn c , 1\)...-- -z- & U iR9 uopa tment 9 I:\F_BLD_App_Bld.rpt 10/29/99 • g4oN co Jefferson County 11:i'artment of Community•I :velopiuent 621 Sherklan Street,Port Town:,.rnd WA 88368(3601370-4450 PErTni .,.. A0.,,___,.. ..._,..,, ,,,-,---,-;',„5���� .� 0�flc5© Project Description: r;) Building Type: Project Type: Frame Type: ❑ Single Family New J�'� Wood [ arage Attache Detached , ❑ Addition ❑ Steel ❑ Modular ❑ 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: 0 Existing: n ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: 0 Proposed: U ❑ Individual System ❑ Woodstove ❑ Propane Total: O Total: 0If ngt sewer,fill out the following: D Heat Pump Conventional ❑ Alternative ❑ Other OA k.. Permit # SEP cr Q — q Water Supply: • Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Va9S 4 For Office Use Only Main Floor UBC OCCUPANCY GROUP �} o 21`'D Floor J�� S 4 Base fee C. 1 • 25 it 3rd Floor Plan Check fee 1 .SE S y . 3Y• Z S Z) Htd Basement State Surcharge fee , Si) Unhtd Basement Subtotal 3L .33 2 y o,,I 5 l01• Z'D Garage/Carport X Q = Ci ka ? g(4200 Pot Water Review fee Decks 911/Rd'Approach fee Commercial TOTAL c .,t-{ 0. 13 I( '( .20, Industrial Receipt'# 2S*Z,(;)-1 'k V{1.1 Other Cash/Check# a "7 99 Total Valuation: Initials Or � ,b� Date Z,1 �` p\ I Estimated Cost: I / `� If within 200' of the Sreline, 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 applicant's property or e s be requested and shall occur during regular business hours. Signature: -v-,J Date: —lid 16 `a.O O a Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name Ni caYvvq ?cs IDtVr , ✓ 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 V 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 ✓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) 1-1 iiiii iiiii' .' -.fl //iiiii / __.❑ -xX- u//iiii.. ---'- ----------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 V 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: 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 ` V Date _ (D, GCS FOR OFFICE USE ONLY ❑ Wetlands E Seismic CRITICAL AREAS ON OR E 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 41. z IA) - 0 P 73 .0.1%,..) 4;4_, 0 Om .)t" 4 vr) 7 0 Oc 0-- 3 CA0 P‘ to) p lb — 53 ci) 071 4 0 (11 0 -.0 P (1) 0 5 CrAC n 4,0 0 ° 75 f Q." 0 r-s) -1\1 ,0 I c 'sir •Q --Q a 00 coQr 0a u Qii 0 0 0 0N ® .Y � ro o � ''� U . E 0\ 0 0 U 0 0 0 aj0 0 0 aj0 0 M aix c aW a. a a — N 4)o ail n \O •1.) V a .�•0 H C� 0 MI o — U 0 U RI .-0 0 Uo •1ti) � -� s ~ z - - .4 -0 ' --� - -0 ' A) Li _Q Vn b1 0 0 0 O o C •i 71'. c a) z v U �,fa — a 5 b N ". Z eye j �cr. 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