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HomeMy WebLinkAboutBLD2000-00128 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 #: BLD00-00128 Received Date 02/23/2000 SITE ADDRESS: 180 ARDEN ST Issue Date 03/10/2000 PORT HADLOCK, 98339 Expiration Date 03/10/2001 APPLICANT: COLLEEN WHITE PHONE: (360)379-2685 10962 RHODY DR PORT HADLOCK WA 98331 SUBDIVISION: IRONDALE Block: 16 Lot: 11-13 PARCEL NUMBER: 961801604 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL ADDITION REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear: [ ] Framing/Plumbing: 4 6 �� �� - r 6-)/K 1-// Gd D 7 [ ] Propane Tank/Lines: [ ] Insulation: W/hLS p_to©IK J"G//--/6-i00 [ 1 _ _eetro ®OC 2(//3(C5r <=C [ ] Final/Occupancy Approval: OK -c r - i via,(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 • . STORMWATER CALCULATIONS Owner/Applicant: C O&4 € <V //I T o d ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: /��• i�(,� ,ef A) I' Drainfield area cleared 4/ 7 2 sq.ft. R v A) V t oe* Driveway Length C( b ft. X Width 2...0 ft. 9 Digit Parcel Identification No.: l P / O I /, = Total Driveway Fr9c9C" sq.ft. Permit Number: 041 Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance 7 2 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals �� / ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 4 8 sq.ft. ❑ 1. North arrow Existing Structures (all roof area) '4 8D sq.ft. 0 2. All property boundaries and dimensions Sidewalks sq.ft. • 3. Names of adjacent streets Concrete Patios sq.ft. D. 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: O 8. Wells and/or water lines • Construction Access Route Stabilization: Li 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 spells 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 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 ❑ 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 • •• • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00128 Received Date: 2/23/2000 SITE ADDRESS: 180 ARDEN ST 98368 l" 411 APPLICANT: COLLEEN WHITE PHONE: (360)379-2685 10962 RHODY DR _ PORT HADLOCK WA 98331 S ryE-1c Oco\l,2 ----- eft SUBDIVISION: (` li, y I1� 35 Block: 16 Lot: 11-15 PARCEL NUMBER: 9618016 Section:i3... Township: :30 N Range: ( v1/4J CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 289 VALUATION 15,842.00 ADD'L: HEAT TYPE: WOD 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: OSS ? , WATER SYSTEM: CITY STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland 0)1421 Erosion &P Exist: Exist: Seismic ( Streams 01 Prop: 1 Prop: 1 Flooding Landslide Oft Total: 1 Total: 1 F&W Plat Conditions .$ Routing Date: Shoreline Aquifer tJ/ 1" 2. 74 Forest: Commercial f Rural e)lI Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $265.25 MAM 02/23/00 25315 'cal Area Plan Check $79.58 MAM 02/23/00 25315 State Building Code $4.50 MAM 02/23/00 25315 Revimw /i/J7 "� Potable Water Application $30.00 MAM 02/23/00 25315 Total: $379.33 Stom ter 8MF S 1 .� oT1) at I:\F BLD App_Bld.rpt 10/29/99 F BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00128 Received Date: 2/23/2000 SITE ADDRESS: 180 ARDEN ST ? P1- ii-NDLOgL VIN 90331 APPLICANT: COLLEEN WHITE PHONE: (360)379-2685 10962 RHODY DR PORT HADLOCK WA 98331 SUBDIVISION: Block: 16 Lot: 11-15 PARCEL NUMBER: 9618016V Section: Township: N Range: CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 289 VALUATION 15,842.00 ADD'L: HEAT TYPE: WOD 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: OSS WATER SYSTEM: CITY STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: - '- Seismic Streams Prop: 1 Prop: 1 Flooding Landslide Total: 1 Total: 1 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: ' -'• - ,/"+ Permit $265.25 MAM 02/23/00 25315 D Plan Check $79.58 MAM 02/23/00 25315 , Q � r r State Building Code $4.50 MAM 02/23/00 25315 Jeffers ` r/ ' Potable Water Application $30.00 MAM 02/23/00 25315 & on vn , P 61, ildin ' n. Total: $379.33 artment I:\F_BLD_App_Bld.rpt 10/29/99 , 4SON �, Jefferson County Department of Community Development :, ° 621 Sheridan Street,Port Townsend WA 88368 1360)370-4450 ti ` � °•, Perm - cT 4. 0 o 4�S8NG, Project Description: Building Type: Project Type: Frame Type: /Single Family • Newod ❑ Garage Attached/Detached c... "dition ❑ Steel ❑ Modular El Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair El Masonry i 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: t6t Individual /System ® Total: Total: j y Woodstove ❑ Propane If not sewer,fill out the following: El Heat Pump ❑ Conventional El Alternative ❑ Other Permit# SEP Water Supply: _ Private well ❑ Two Party Well❑ Public:Name of water system: rLI° r T p W�s 4 �`� Square Footage: For Office Use Only Main Floor 2,, e 7 UBC OCCUPANCY GROUP _ 2ND Floor Base fee 2(eS• 2.S 3rd Floor Plan Check fee -7 9 ,S Htd Basement State Surcharge fee LA. Unhtd Basement Subtotal 3 L4 9 • 3 Garage/Carport Pot Water Review fee 'OD Decks 911/Rd Approach fee Commercial TOTAL 3-1 ! • . 3 Industrial Receipt # (--L/ Other Cash/Check # .9() Total Valuatio. $ Z- Initials `^..~ Or Date ;a -:�. - 0 Estimated Cost: If within 200'of the Shoreline, Distance to Bank or Ordinary I-igh Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and con-ect 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: e41. 2'UV-- /'I41;Z Date: (M , a i 2'd' Jefferson County Department of Community Development $ON cb 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 'Z I N ti y7 QSo Universal Plot Plan f1NO Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): cf 6 I s' a /6 !2 Site Address 911#: Road Name: /8 /W - ) _:JT Zip Code: Legal Description Subdivision Name: Block: 16 Lot(s): //-- Section: Township: Range: Parcel Size (acres or square footage): ' 2,60 J4, Property Owner: ` ' T Phone: 3 ""q *, ^� 6 {J Mailing Address: /O 96 Z /1 t.�I/Q `, I I j' rL�f�/AC? W [� Applicant/Occupant: �` Phone: (if different from owner) Mailing Address: Authorized Rep: f _ 0 k �{,�y 1 t� /;, j Phone: // 3 5.6 Mailing Address: �•l�•/ Alt ca.�®�V r v t,.� J z7 C> c.s" P 0 i‘z r re) k4: \.A.) A General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\fonns\universal plot plan lkQ - & • • it N /i r1 cam, 1 ZSf v.. /03 Lc 1-ts 1 (0+- 14. 1 - £ ' - t3 1 Lot Li_ 1 /.LC it r I I —, I / a k 11l fr 7 1 t i — I �pC„i �`")` / I atsvf i $ :vrob4. %* ' SLI 1 d1� y I 1� %`r 1 2 ' I r c I) \\ 1 ,Z4-1S+11'1 r Mio6 QS1'b 1 `*' I 11 0 '1"'-• rot I — 1 % l&t4 171N 0 r ,..% I , ...6- 1 34,1 ___ , ....,),.. Shut.) I. 1, f I' • 1 i a we. V;/D3 r CAL+k i/JUG Anc4,. AIECEBWE ,_, FEB 8 2000 COUNTY DEPT. OFCOON MMUNITY DEVELOPMENT . • • Jefferson County Permit Center Date 621 Sheridan Street Fee Por: Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name C a 4,. k 47/v W f""� t f . 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 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: A 1., C4.5' OA) A Q roIA1t►vG- P&or 0 sT1 E4 T ArkoeA11 4. Are there any indications on any portion of the property or on any YES ✓NO nearby property of rockslides, earthfrows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) u I / / r / / ♦'._. / / / / / / / / / / / / / / / / / / i / // I // // // / / / / / / / / ' i �, �. / / / / / / /♦ � 7 / / / / / / ♦ i �, / / / / / / ♦ i ��1J / / / / i i ♦ i .' / / / / / / ♦ ' - iiii%%♦♦ice/' .—� —TO (Questionnaire Continues on Back) 4111 • 6. Does the site have steep slopes with little to no vegetation? YES \0 If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES X sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES V 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. Signature j r h/( Date aay FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELYADJACENTTO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: