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HomeMy WebLinkAboutBLD2000-00120 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00120 Received Date: 2/18/2000 SITE ADDRESS: 653 CRUTCHER RD PORT TOWNSEND, 98368 APPLICANT: BETH LORBER PHONE: (360)385-780 653 CRUTCHER PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001184014 Section: 30 Township: 01 N Range: W CONTRACTOR: PAUL KAASE CONSTRUCTION PHONE: (3 )3 0221 2021 HILL ST PORT TOWNSEND WA 98368 Contractor's License PAULKC*061C5 Expires 02/14/2000_7; , ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 700 VALUATION 72,602.00 ADD'L: 230 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 280 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 336 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 230 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: 0 Exist: Seismic Streams Prop: 2 Prop: 2 Flooding Landslide Total: 2 Total: 2 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $804.75 MAM 02/18/00 25269 �� Plan Check $241.43 MAM 02/18/00 25269 State Building Code $4.50 MAM 02/18/00 25269 1 LiYi Potable Water Application $30.00 MAM 02/18/00 25269 et ' k ' Total: $1,080.68 Je son R)1 I (�uiT ingi arming Paitatent I:\F_BLD_App_Bld.rpt 10/29/99 • 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 #: BLD00-00120 Received Date 02/18/2000 SITE ADDRESS: 653 CRUTCHER RD Issue Date 04/12/2000 PORT TOWNSEND, 98368 Expiration Date 04/12/2001 APPLICANT: BETH LORBER PHONE: (360)385-7800 653 CRUTCHER PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001184014 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: PAUL KAASE CONSTRUCTION PHONE: (360)385-0221 2021 HILL ST PORT TOWNSEND WA 98368 Contractor's License: PAULKC*061C5 Expires: 02/14/2001 LOAN LENDER/ CBIC BOND HOLDER: PO BOX 9271 SEATTLE WA 98109 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ Footing 'Setbacks (Shoreline Setbacks): C.)/{ [ ' EQundation' I< C3"rvU. [ ] UngLerground Plumbinq Underground Insula - J<- [`j Shear Wall: K)s -7-00 [.�,.. riming/Plumbing: —2 OO mc c. [ ] Propane Tank/Lines: 3trc&. I.IMr< yo i'S' © K-rL tO—i0'0D ["1 Insulation: [] Sheetrock: vC (1- or u;titk. st i,� nl � e'3'1)- 41 Final/Occupancy Approval: ,?/ /N rrL-- O ItSj 412+1 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 #: BLD00-00120 Received Date: 2/18/2000 SITE ADDRESS: 653 CRUTCHER RD PORT TOWNSEND, 98368 APPLICANT: BETH LORBER PHONE: (360)385-7800 653 CRUTCHER PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001184014 Section: 30 Township: 01 N Range: W CONTRACTOR: PAUL KAASE CONSTRUCTION PHONE: (360)385-0221 2021 HILL ST PORT TOWNSEND WA 98368 Contractor's License PAULKC*061C5 Expires 02/14/2000 ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 700 VALUATION 72,602.00 ADD'L: 230 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 280 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 336 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 230 SETBACK: 00°-7 BANK HEIGHT: dQ r SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: 0 Exist: Seismic Streams Prop: 2 Prop: 2 Flooding Landslide Total: 2 Total: 2 F&W Piat Conditions Shoreline Aquifer Routing Date: �� a: j • 00 Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $804.75 MAM 02/18/00 252698bWAVatprDptry. Plan Check $241.43 MAM 02/18/00 25269 State Building Code $4.50 MAM 02/18/00 2526943/G0 74 Potable Water Application $30.00 MAM 02/18/00 25269 Total: $1,080.68 Critical !,p,tufow rea I:\F_BLD_App_Bld.rpt 10/29/99 STORMWATER CALCULATIONS Owner/Applicant: EC-77/ LO,e/7472 CIPROPOSED LAND DISTURBING ACTIVITY Site 5 Address: 6 . CAeU/%ChlAr, A044 Drainfield area cleared 220 sq.ft. Inn i-. 7,9z04jj'6*M,Q GJ/ff'/�„ 9tra Driveway Length /210 ft. X Width /0 ft. 9 Digit Parcel Identification No.: 00/ Jew 0/V = Total Driveway /200 sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. /7oo sq.ft. INDICATE the following information. Total Land Disturbance ,Z 900 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals SO / IMPERVIOUS SURFACE Proposed Structures (all roof area) /044/ sq.ft. ,/1. North arrow Existing Structures (all roof area) sq.ft. 2. All property boundaries and dimensions Sidewalks sq.ft. c'3. Names of adjacent streets Concrete Patios sq.ft. A 4. Driveway/s & parking spaces Proposed: ,EY 5. Major features such as ravines, Driveway Length /20 ft. seasonal creeks, bodies of water, etc. X Width /0 ft. 0 6. Septic tank, drainfield and reserve area location, = Total Driveway /2 00 sq.ft. existing or proposed, and distance to Total Impervious Surface ZZ'/y sq.ft. closest structure Z 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 8. Wells and/or water lines • Construction Access Route Stabilization: Z 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 0 1 1. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned ,d 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, 2/13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 4 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 • t �© Jefferson Cminty Department of Community Development 621 Sheridan Street,Punt Town `nd WA 88368(3601318-4450 y., po.rml opptiacal) - on S 6.�� Project Description: Building Type: Project Type: Frame Type: / Single Family /New /Wood Garage Attached/Detached D Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial C Repair ❑ Masonry ❑ Muki-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: 2- Proposed: I/Z-- /i Individual System ❑ Woodstove 7 Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional /Alternative ❑ Other Permit# SEP On—•1' • L Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 70o 383-79. UBC OCCUPANCY GROUP 2NDFloor 2.30 124dS Base fee ati.-? 3rd Floor �, p Plan Check fee 2tli_ y3 Htd Basement Ga 1 53� State Surcharge fee `-/'. Unhtd Basement 3 34 39-1 I Subtotal 1 0 so ,b Garage/Carport Pot Water Review fee , 230� 911/Rd Approach fee `r Decks Z 30 Commercial TOTAL i — o ,' Industrial Receipt# 2S"7(p Other �'� Cash/Check# (PJ Total Valuation: 7Z(0()Z— Initials Or Date Z ,s, OV Estimated Cost: 4/3 77 .-Go. DO If within 200' of the Shoreline, 1 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 app' is pro erty or e shall be requested and shall occur during regular business hours.^ Signature: Date: I 00 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name '5' r/I LoR3�2 X 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: S-iAtc /'o, 'ro oA) NE/6, 3o2S �/loP�12T� APAeox//4.9 T66(- /oo 'F2. 444/4)pfGSI4 AN,O Apo ' r/1-0 1 OA'f avi O"s6 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 X 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 o 4 Q a o ❑ i / i / / / ♦♦ r r r i ♦ ♦ ♦ ♦ ♦� O rr / i/i i ♦♦ ♦♦ ,, -- I , , , , , , �� �� -. r r i i i rrr,,♦♦�,. rrii♦♦♦�,-,- ruii♦♦i♦ --I] 1111 (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? YES y 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: 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 co 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 C/?u i ci-I 4 /�o4-4 / — — jo 'u�II'+'s�liGNT lSS' o �'Q J� 332.,ye. / /So' (70----ff.:) P SELL �� ZS 'o 1 /,\;9 '1\ .$)( •\ P oPOS'6e) , �iv , ,v56 yy / R11✓NZ — Pat,POse0 /ccDWE/Z $'��� , �. 56: 7--ie., g. 00 /°UMP ?e,vi s• i OV 011‘ t3 / y 7 1, \� ,,, d- Y 1 ., 0.0 no8.27A/6 \'57 a -6 i r y N. 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