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Home My WebLink AboutBLD2000-00132 • 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 #: BLD00-00132 Received Date 02/25/2000 SITE ADDRESS: 10168 CENTER RD Issue Date 03/22/2000 QUILCENE, 98376 Expiration Date 03/22/2001 APPLICANT: MICAH STROM PHONE: (206)842-8053 REBECCA STROM 9270 MILLER RD BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801322017 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: ADAIR HOMES INC PHONE: (360)352-7641 1111 SW 170TH BEAVERTON OR 97005-4299 Contractor's License: ADAIRH*262RZ Expires: 12/15/2000 LOAN LENDER/ Q-POINT MTG BOND HOLDER: 100 W FIRST ST ABERDEEN WA 98520 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [(,}/Foo ngs/Setbacks oreline Setbacks): /< 5/7 p0Nri [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] She. [ ] Framir( Iumbing: . el /— cl d [ ] P.ropanee Tank/Lines: [ ] Insu .on 0 / '- - b . _t,i [ ] Sheetrock:_ Q' cil-/0 — Dd • [ ] 7"-*/ cupancy Approval: r �/ t ( 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 #: BLD00-00132 Received Date: 2/25/2000 SITE ADDRESS: 10168 CENTER RD QUILCENE, 98376 APPLICANT: MICAH STROM P NE: (206)842-8053 REBECCA STROM 9270 MILLER RD BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801322017 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: ADAIR HOMES INC PHONE: (360)352-7641 1111SW170TH BEAVERTON OR 97005-4299 Contractor's License ADAIRH*262RZ Expires 12/15/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,920 VALUATION 110,085.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 4 Prop: 2 Flooding Landslide Total: 4 Total: 2 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,055.35 MAM 02/25/00 25377 Plan Check $316.61 MAM 02/25/00 25377 O State Building Code $4.50 MAM 02/25/00 25377 AP ROVED Water Application $30.00 MAM 02/25/00 25377 Total: $1,406.46 M R 2 22 0� 4 Q effe so [Aunty Planning iitilding Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County I': I artment of Community Development 4es°N c°el. 621 Sheridan Street,Port Town :nd WA 08 368[360J 370-4450 w7 Actho Per m o 7 A 2 0 0 .,, 4.. 3-r7.----,,,, ,,......* 0 ,i,-_, ... , cal,(I 0 n ....is,,itic„...., Project Description: Bu ding Type: Project Type: Frame Type: Single Family 8-'1Gew `Uood ❑ Garage Attached/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: Existing: ❑ Sewer ❑Community System XElectricity ❑ Oil Proposed: Proposed: -Individual System ❑ Woodstove ❑ Propane Total: Total: 2. If not sewer,fill out the following: ❑ Heat Pump `Permit#ntional 0 Alte� ❑ Other Permit# SEP iftl Water Supply: X Private well ❑ Two Party Well❑ Public:Name of water system: J Square Footage: ,Li For Office Use Only nn Main Floor "1 X) T\1052. -1. UBC OCCUPANCY GROUP 2ND Floor Base fee `` 1 ,; 3rd Floor � Plan Check fee -( £ b( Htd Basement State Surcharge fee `—C Unhtd Basement t ' � Subtotal Garagepert "t Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL Industrial Receipt# , Other Cash/Check # ', ., , Total Valuation: • Initials Or \ / I DD Z 5 - Date Estimated Cost`N l �� If within 200' of the 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 applicant's property or structure shall be requested and shall occur during regular business hours. / 45LSignature:C5\ Date: a' `2 �O C ) T�r. Vo,,g- tr\c__ �. Y cyrrzoo- crac( .-- --.‘ BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00132 Received Date: 2/25/2000 SITE ADDRESS: 10168 CENTER RD QUILCENE, 98376 APPLICANT: MICAH STROM PHONE: (206)842-8053 REBECCA STROM 9270 MILLER RD 1 BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: W 3 �S PARCEL NUMBER: 801322017 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: ADAIR HOMES INC PHONE: (360)352-7641 1111 S W 170TH BEAVERTON OR 97005-4299 Contractor's License ADAIRH'262RZ Expires 12/15/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,920 VALUATION 110,085.00 CODE EDITION: 1997 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 484 SETBACK: DECK: 1 BANK HEIGHT: SEWAGE DISPOSAL: CON V WATER SYSTEM: PWELL STORMWATE : YES NO AREA BEDROOMS: BATHROOMS: Wetland A) ' Erosion Exist: Exist: Seismic ►\} A Streams Prop: 4 Prop: 2 Flooding t)J it Landslide Total: 4 Total: 2 F&W iV Plat Conditions Routing Date: Shoreline Ft Aquifer 0 Z Z� Forest: C...---i_ ;;rz.,::: . Rural .I%ledta im. Proximit c..,=--- _ . :Gv-. I Type Amount Paid By: Date: Receipt: '3 ?Appr /Date Permit $1,055.35 MAM 02/25/00 25377 yet ' �' C I`_J `� tit Plan Check $316.61 MAM 02/25/00 25377 State Building Code $4.50 MAM 02/25/00 25377 StO I . A . nviater Potable Water Application $30.00 MAM 02/25/00 25377 , ' !// Total: $1,406.46 Reci Revi -) 1 co ewm\!\: , VU I I:\F BLD A.. Bid.r.t 10/29/99 Jefferson County Department of Community Development March 22, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: t,,,,\ A sl-_G` � -Th Applicant: Critical Area Review Case Number: CAR00-00089 Project Description: Single family residence Parcel Number: 801322017 S-T-R: 32-28N-01W Site Address: 10168 CENTER RD QUILCENE WA, FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. tj Depa ent of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 RE: BUILDING PERMIT APPLICATION NO. BLD00-132 PROPERTY OWNER(S) (Please Print) Micah William Strom LEGAL DESCRIPTION • See Attachment SITE ADDRESS 10168 Center Road Quilcene, Washington 98376 CONSISTENT WITH THE REQUIREMENTS OF JE1-1-IrRSON COUNTY INTERMIN FOREST LANDS ORDINANCE (ORDINANCE NO. 01-0121-97), I AGREE TO PROVIDE ADEQUATE ACCESS FOR FIRE VEHICLES TO THE AFOREMENTIONED PROPERTY. SIGNATURE OF E H PROPERTY OWNER Micah William Strom This form does not need to be notarized Please return to: Jefferson County Permit Center, 621 Sheridan Street, Port Townsend, Washington 98368 r APPROVED BY JEFFERSON COUNTY • / JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE Ate' 7 SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Micah william Strom 360-301-0774 Property Owner: Telephone: Address: 10168 Center Rd. Qthilcene, WA 98376 Assessor's Parcel Number: Tax Parcel #38 Jefferson Co. # 801• 322 017 Building Permit or Septic Permit Application Number(if applicable): BLD00-132 Brief Project Description: Build a house with garage, agricultural building & a small pasture area. Site Location: Tax parcel #: 38 Person Responsible for BMP Installation and Maintenance: Micah William Strom (Owner) Address: 10168 Center Road Quilcene, Washington 98376 Telephone: (360)301-0774 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more space is required. [xf Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. [x] Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). SPESC Instructions—Short Form Revised June 3, 1999 3 :0'1/ EROSION AND SEDIMENT CONTROL WORKSHEET [ Phase clearing so that only areas that are actively being worked are uncovered. Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. c] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. pi Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. lc] Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. Protect adjacent properties and water bodies from sediment deposition: i] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) ] Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. SPESC Instructions—Short Form Revised June 3, 1999 4 r/2. EROSION AND SEDIMENT CONTROL WORKSHEET Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) We have purchased 56 Douglas Fir trees $ Roses, and will incorporate various other ground covering and holding plants including Rhodidendrens in our landscaping. Remaining exposed soil will be covered with a hardy grass. . . To maintain BMP and retain the natural appearance and function of this property. Roadway is composed of a packed course crushed rock by previous owners since the early 1990's. 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well, infiltration trench,route runoff to existing drainage facilities, etc.). We will be installing a curtain drain around the house, and runoff from gutters will be directed into the curtain drain, andthis toward the natural vegitation to the south of the property. SPESC Instructions—Short Form Revised June 3, 1999 5 !r:: EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices.Describe proposed maintenance of BMPs. The building was cleardd, well drilled, and septir- and road installed by previous owner nine years ago. We will be at the site during the entire construction process to monitor it and maintain stabalization of our BMP. When the building project is completed, we wil landscape the property with natural vegitation an d ground cover grass. The Best Management Practices proposed above will be implemented to control erosion, sediment, and sto a runoff. I will notify the ermit Center for inspections as required. 3-13 06 ignature of Owner/Agent Date SPESC Instructions—Short Form Revised June 3, 1999 6 l Fdres-I rctrid l ?\[ l - 1.‘ ,, ce cI aV e-li , t qi 1 1 51o� Ftv !,✓esf f41 Fat �--' /0 ` drop -Frog.•% Cves71 4 EaS77- I i I i I r s k j • r► ' i 44 ' /s r.. � � �7 . I II 1 r. i ,� , t .,.,, Q, 4 a4vil\ _.„ 0 , 4 41 propose-d j tv �'� I f9 0ld9. c3 c cm 1114 ec.4( ' \ 1.0 40, i i# !; rsoc•orr"., o�� i vi "' A �`'1 S � 30XY0 T SKr ,x�,� j i w 4, , _ ,,ate, we;1 o, nes.c 4 _ y4 Sr�, LoCetr-EJ4o ' C �- ti Fta+H aR.�,.N�'�o w�ec` I a CO B�1 FEB 4 2000 LJ JEFFERSON COUNTY DFPT nr ^nAikc imt-v n_„cr np,4pk,' � o Jefferson County Permit Center * Department of Community Development k4, �. , 621 Sheridan Street,Port Townsend WA 98368(360]379-4.450 tiCei -0 �C a \` J D.&,,r,-;_N--cA-, U :vd J C . � ''a ea r!C iolloevig9 Gla«&a 44 cakeleeelf as,Wile: Project Description: -60`► c ) 5F- CAn 51 9 Digit Parcel Identification Number (from your tax statement): so i 0 1 Site Address `r,r 911#: I C( (p g' l___e ,�7C.Y ej Road Name: CIO r\ Jr Zip Code: _I g ?j-3•-c Legal Description Subdivision Name: Block: Lot(s): 2 Section: `7,� Township: a N Range: I w Parcel Size (acres or square footage): 6 ,rCS Property Owner: rn`c.,.(^ 1ev)r-x.ccc , ,.ti z iryzP• u Mailing Address: / Applicant/Occupant: hone: (if different from owner) Mailing Address: Authorized Rep: A_ ^�; r ",y n n / ( vic Ne6) .S.-e--4 I ' f M4iliydui el itic ° SV.�J / C') WL 1 / , —1-- �- General Contractor: er: Phone: Mailing Addresmv\a •S o�brut_ Contractor's State License Number: l/4 .{ (� ,n �� Expiration Date: if.;•_ 1,? (, • Septic Designer: ,.-e3bbRecce 6) j 1 cis Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General _ Phone: b...-� Contractor's Bond Holder: �►f� , Mailing Address: (0 Q w , CL+ii-'.2" .. it text lJC a ,JJA qU ✓r FOR OPPICE USE ONLY Fire District: Planning Area: School District Zone: 4/98 H:\home\pincntr\fomms\universal plot plan