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HomeMy WebLinkAboutBLD2000-00130I o 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 #: BLD00-00130 Received Date 02/23/2000 SITE ADDRESS: 112 MERRIDITH ST Issue Date 08/8/2000 PORT LUDLOW, 98365 Expiration Date 08/8/2001 APPLICANT: NINA M GILL PHONE: (360)437-0999 112 MERRIDITH ST PORT LUDLOW WA 98365 SUBDIVISION: SHINE 2ND Block: 2 Lot: 1 PARCEL NUMBER: 994600201 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION TO RESIDENCE (BEDROOOM, BATH, GARAGE & SHOP) REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): //i` Por r oX, -c 37„5=o . fool;Nm, ©f.c [ ] Foundation: >N P017`0.44 -s--02eAA c [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: € 7- G../ca.vo /c-ro. D z flat aDaw��S OIC 107/03,/ [ ] Framing umbin' oiey 03 A14101 @ 2 en.rri,.eveps OK . 2/19/63PA*4g-0X4i [ ] Propane Tank/0 - S/WES OK Vi 43A [ ] Insulation: 7 1 O/ 3,l [ ] Sheetrock: Z} 8l' 4/ 0. [ ] Final/Occupancy Approval: eiX" -gr- ,i/6• 0/01104/ 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 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 • 0 BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00130 Received Date: 2/23/2000 SITE ADDRESS: 112 MERRIDITH ST PORT LUDLOW, 98365 APPLICANT: NINA M GILL PHONE: (360)437-0999 112 MERRIDITH ST PORT LUDLOW WA 98365 SUBDIVISION: SHINE 2ND Block: 2 Lot: 1 PARCEL NUMBER: 994600201 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: 3i..,L%v2 6v.',1 ter/ PHONE: PHONE: #d 6 , 3&.i s73 ARCHITECT/ MTAP ENGINEER : 1932 1ST AVE STE 701 SEATTLE WA 98101 PROJECT DESCRIPTION: ADDITION TO RESIDENCE (BEDROOOM, BATH, GARAGE & SHOP) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 139,52400Th Noi vvrtiAIN: /(}() "1 ' CODE EDITION: 1997 ADD'L: "'LL HEAT TYPE: PRO OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: JJ.e-'' #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: 1 Exist: 1 Seismic Streams Prop: 1 Prop: Z 3 Flooding Landslide Total: 2 Total: I► L-I F&W Plat Conditions Routing Date: Shoreline Aquifer Z -7 y Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Dane Permit $1,217.75 MAM 02/23/00 25278 AP w' ROV/ E D Plan Check $336.21 MAM 02/23/00 25278 State Buildin Code 24—/L-L, (4 9 $4.50 MAM 02/23/00 25278 I,U G/t :� Plan Check $29.12 MAM 02/23/00 25279 Total: $1,587.58 Jefferson County Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 • I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00130 Received Date: 2/23/2000 SITE ADDRESS: 112 MERRIDITH ST PORT LUDLOW, 98365 APPLICANT: NINA M GILL PHONE: (360)437-0999 112 MERRIDITH ST PORT LUDLOW WA 98365 SUBDIVISION: SHINE 2ND Block: 2 Lot: 1 PARCEL NUMBER: 994600201 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCH ITECT/ MTAP ENGINEER : 1932 1ST AVE STE 701 SEATTLE WA 98101 PROJECT DESCRIPTION: ADDITION TO RESIDENCE (BEDROOOM, BATH, GARAGE & SHOP) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 1,796 VALUATION 139,524.00 ADD'L: 490 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 779 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OGARAGE: 500 SHORELINE: 000 CONST TYPE: DECK: SETBACK: �Ck, BANK HEIGHT: 4 SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: 1 Exist: 1 Seismic Streams Prop: 1 Prop: 2 Flooding Landslide Total: 2 Total: 3 F&W Plat Conditions Shoreline Aquifer Routing Date: 2 •Z9 Forest: Commercial Rural Proximity _ Type Amount Paid By: Date: Receipt: Approved/Date e�Permit $1,217.75 MAM 02/23/00 25278 CflIiCa r • Plan Check $336.21 MAM 02/23/00 25278 �, �r State Building Code $4.50 MAM 02/23/00 25278 Boyle y fili Plan Check $29.12 MAM 02/23/00 25279 'Sto $ 1 Total: $1,587.58 �' 4//:1A III" I I:\F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNT/PERMIT CENTER, 621 SHERIDAN ST, P ,t TOWNSEND WA 9836 8 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: M. p-eJ 4rk. t g*'T i — bet,vt e 1Q,. -0- S . p l .vv, e?:)t,a .- 1 .t reh t cl.L. ..(_."...., BUILDING TYPE: PROJECT TYPE: FRAME TYPE: 9:1. SINGLE FAMILY 0 NEW @"WOOD ❑ GARAGE ATTACHED/DETACHED ig- ADDITION 0 STEEL ❑ MODULAR 0 ALTERATION/REMODEL 0 CONCRETE ❑ COMMERCIAL 0 REPAIR 0 MASONRY ❑ MULTI FAMILY/# OF UNITS 0 DEMOLITION 0 OTHER ❑ INDUSTRIAL ❑ OTHER BEDROOMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING I EXISTING ,/ 0 SEWER 0 COMMUNITY SYSTEM PROPOSED L PROPOSED 2...5 [INDIVIDUAL SYSTEM 'Conventional TOTAL 3°. TOTAL _ PERMIT # SEP t ?i"2/ ❑Alternative WATER SUPPLY: TYPE OF HEAT: ❑ PRIVATE WELL 0 TWO PARTY/WELL 0 ELECTRICITY 0 OIL 'PUBLIC Name of water system: a+D I t V C 0 WOODSTOVE " PROPANE 0 HEAT PUMP 0 OTHER: SQUARE FOOTAGE: FOR OFFICE USE ONLY MAIN FLOOR ' SLI S( 2ND FLOOR 4( Q b 2�� ` UBC OCCUPANCY GROUP 3RD FLOOR BASE FEE v �7 1 {�3• C 3 L HTD BASEMENT �' 1(�J'xQ 2' s3" .. ::i o� UNHTD BASEMENT I'll 12 STATE SURCHARGE 4.50 CARPORT SUBTOTAL 1 5 Zj g GARAGE 50 d Sao 0 POTABLE WATER DECKS 911/ROAD l'APPROAC COMMERCIAL ,1 c � GRAND TOTAL J 'S INDUSTRIAL ���� OTHER RECEIPT # ocj TOTAL VALUATION `�J(�\\ CASH/CK # 1110 -74,3 or INITIALS ESTIMATED CO [ 39 -Lk-f DATE IF WATERFRONT PROPERTY, / DISTANCE TO BANK OR HI W LINE J i 4 ft BANK HEIGHT ft \k......1 SIGNATURE DATE t)P,79.:90r) NAME (PLEASE PRINT) Skit 4i(, k "t'{-io evt.1, 0 hJ H:\Home\PIncntr\Forms\Bldapp.DOC 6/97 i i STORMWATER CALCULATIONS Owner/Applicant: N(J A M. (,tvL 64.612. i ca C ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: Ct R" ` ( u r• Drainfield area cleared sq.ft. 61-i `Qt W 4 3 Driveway Length 2% v ft. X Width 2-6 ft. 9 Digit Parcel Identification No.: 914 ta,CO ...0 I = Total Driveway 0 sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. I ; sq.ft. INDICATE the following information. Total Land Disturbance ! T 4#? sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE ---- +�� Proposed Structures (all roof area) jt q.ft. ❑ 1. North arrow Existing Structures (all roof area) 20 0 sq.ft. • 2. All property boundaries and dimensions Sidewalks 2<-' '? sq.ft. ❑ 3. Names of adjacent streets Concrete Patios 'c.`.�f: r-' sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length 2.3, ft. seasonal creeks, bodies of water, etc. X Width 2 U ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway y sq.ft. existing or proposed, and distance to Total Impervious Surface e , I 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 1 50 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 ❑ 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently 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, 1 3. 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 Management Practices (BMPs). INDICATE: • 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. :\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 'ti — " Jefferson County Omit Center, 621 Sheridan St., Port Tow,nd WA 98368 UNIVERSAL PLOT PLAN Fill in the following information as completely as possible.•roject Description: 04. eot Rom. '� j A- r"F'� jCM G- ( `'� gL4r �et t ' '1J/Clel 9 Digit Parcel Identification Number (from your tax statement) 9cA Lt t o c Q 1 Site Address: 91 1/fi & Road Name ���.• eV-CIO 11""trq �'t"'. Zip Code 66 U 32� P9 RGEL 4, LoT I; t3Lock 2 , g664A14 491M/ /a 1" Legal Description: Subdivision Name Wee/. 8, LOT / ifGoeK 2 " Block Lot(s) Section Township / _ North, Range WM Parcel Size (acres or square footage) ,• lt�I� r /� /5/ 000 J. F Property Owner ) I J A 'J Phone �pp 437 O dl `v1 Mailing Address i 'l l't( 0 1 6r- . C 111,,3t7 wig 7 b 3 9- sJ" Applicant/Occupant M Q`G 1 O s. 0 Phone '2o G ; T't cf +3 (if different) /�, Mailing Address ( -G t ;1'" 15(,Y - %4"Q. -4-0t (� E '��� W 4 . Authorized Rep ` a Phone ailing Address '-t) be. Cw. General Contractor Phone Manufactured Home Installer Phone Mailing Address Contractor's State License Number Expiration Date Septic Designer T606 Q.`,-s'O Phone Mailing Address �JyU p(,}� 6r. ��r W O WA. t f_Architect f A- P Phone ao11 p ;Tf 151S Mailing Address �— .� 1_aQ p 51,01 __ —�tr'F . J v Loan Lender/General _ _ Phone Contractor's Bond Holder Mailing Address FOR OFFICE USE ONLY • Fire District Planning District _ School District Zone • 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 ?c NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES Xl 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 Date 4 7 . 2 a 8 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 Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: r I Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name V\.J ( N 4 G I L'L' KBuilding 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 X 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 X NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES X 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) ❑ ❑ 4 Q ❑ ❑ ❑ / / / /--.:/ / / / / / / / / / // :- / / / / / / // /0 1 / / / / / // // 1 / / : / / / / .❑ / / / / / / / / / / / / / / / // /// / / / / / / / // // ._❑ / / / / / / / / / / / / / / / / . . . i f / / / / %// // 7/ __' i-❑ 1///// / %// i1 ::: ::° /////// /// /� ': ❑ l////// /i i, i.- t7 (Questionnaire Continues on Back) i / - N / / / - 1oo'_o" /' / N / 1/ o - I •0 // N Pi 0s / SO // / i.li Fri (',----.--- o �, s_ 1 ..----- / ' :� / I i 23' l" - m 1 m TO m I m AT GRAPE E FRONT YARD SB.� i 0 ——— —— co w ' z c— 0 0 I''/ —REAR YARD SB.� o 70 \ ....,..... 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