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HomeMy WebLinkAboutBLD2000-00133 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 #: BLD00-00133 Received Date 02/25/2000 SITE ADDRESS: 2562 FLAGLER RD Issue Date 03/10/2000 NORDLAND, 98358 Expiration Date 03/10/2001 APPLICANT: SHIRLEY M METZ PHONE: (360)379-8262 PO BOX 1171 PORT TOWNSEND WA 98368 SUBDIVISION: R B COMPANY SHORT PLAT Block: Lot: 3-4 PARCEL NUMBER: 921063018 Section: 06 Township: 29 N Range: 01 E CONTRACTOR: LE VOSE ENTERPRISES PHONE: (360)876-5055 7635 RAMILLER LN SE PORT ORCHARD WA 98367 Contractor's License: LEVOSE*088NO Expires: 04/20/2000 LOAN LENDER/ SKINNER BONDING BOND HOLDER: 0123 SW HAMILTON PORTLAND OR 97201 PROJECT DESCRIPTION RV SHED AND SHOP AREA REQUIRED INSPECTIONS: [ Footings/Setbacks (Shoreline Setbacks): [;J..r Foundation: /7)c3-. ,r ;ieZ e1 !i —fsC' .G,� ' [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Fra • Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrgck: [ ] Finai/Occupancy Approval: (�*., (T lt)Q\7,47/ 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 #: BLD00-00133 Received Date: 2/25/2000 SITE ADDRESS: 2562 FLAGLER RD PORT HADLOCK, 98339 APPLICANT: SHIRLEY M METZ PHONE: (360)379-8262 PO BOX 1171 PORT TOWNSEND WA 98368 SUBDIVISION: R B COMPANY SHORT PLAT Block: Lot: 3-4 PARCEL NUMBER: 921063018 Section: 06 Township: 29 N Range: 01 E CONTRACTOR: LE VOSE ENTERPRISES PHONE: (360)876-5055 7635 RAMILLER LN SE PORT ORCHARD WA 98367 Contractor's License LEVOSE"088NO Expires 04/20/1999 .la, ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: RV SHED AND SHOP AREA TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 14,400.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: UH OCCUPANCY: U_2 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 1,440 SHORELINE CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD 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: Approved/Date Permit $251.25 MAM 02/25/00 25322 Plan Check $75.38 MAM 02/25/00 25322 State Building Code $4.50 MAM 02/25/00 25322 41 Ib,/� Total: $331.13 I`� I:\F_BLD_App_Bld.rpt 10/29/99 ?�d4,".`�r�3r140� Jefferson County Department of Community Development4,— °°��� 621 Sheridan Street,Port Townsend WA 88368[3601318-4450 Cr, ~LN o ti YPermir o Docatiic CA1 NG1Project Description: Building Type: Project Type: Frame Type: • Single Family I/New VWood it/Garage Attached etach ❑ Addition ❑ Steel C 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 ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional Alternative ❑ Other Permit# SEP '1 , i 3, , Water Supply: • Private well ❑ Two Party Well❑ Public:Name of water system: f + ''. )#/4 6„i Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor , ase fee g-.) , 9 � 3rd Floor C an Check fee `- --',3. Htd Basement / 1 .tate Surcharge fee y s v Unhtd Basement Subtotal r2-) \ . 1 �J Garage/C ort /©S G t 3 g'9 /' ``\ Pot Water Review fee Decks _ \�'�� 911/Rd Approach fee Commercial TOTAL 3 / l • \ 3 Industrial Receipt # S-30-Q Other Cash/Check # 4/, 5 3 Total Valuation: Initials Or Date d— "O�.S-0 U Estimated Cost: f within 200' of the Shoreline, istance to Bank or Ordinary High Water Mark ft.Bank Height ft. igning 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 sion of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. ter 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 Jefferson County as a result of or in consequence of the granting of this permit r agree to provide access and right of entry to Jefferson County and it's employees,re ientatives or agents for the purpose of application review and any required later inspections. rid right of en o the ap licant's property or structure sh be req sted and sh occur during regular business hours. ure: �&144-(11-,—.. 1. Date: 7 Da • STORM WATER CALCULATIONS Owner/Applicant: 45:r Cori✓,41/k reit �' VC 5' CI-AMC/14 5 S ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: .26 (e"2.t6-464 D, Drainfield area cleared Po r / 4r),Loci .. , /..J l 3.7 Driveway Length 35.- ft. X Width ft. 9 Digit Parcel Identification No.: ,2 1 04 3 49/$ = Total Driveway 1122 C sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. z yc> sq.ft. INDICATE the following information. Total Land Disturbance 2r2 0 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) //,/+10 sq.ft. ❑ 1. North arrow Existing Structures (all roof area) sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete•PetiesARK_,1c.. pri sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length 3 5 ft. seasonal creeks, bodies of water, etc. X Width / ''t ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway //2 c) sq.ft. existing or proposed, and distance to Total Impervious Surface ciiI '91 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 ❑ 11. 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. boundaries, structures, banks, Street washing should only be done after the bulk of the 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 0 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 e 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00133 Received Date: 2/25/2000 SITE ADDRESS: 2562 FLAGLER RD PORT HADLOCK, 98339 APPLICANT: SHIRLEY M METZ PHONE: (360)379-8262 PO BOX 1171 PORT TOWNSEND WA 98368 SUBDIVISION: R B COMPANY SHORT PLAT Block: Lot: 3-4 PARCEL NUMBER: 921063018 Section: 06 Township: 29 N Range: 01 E CONTRACTOR: LE VOSE ENTERPRISES PHONE: (360)876-5055 7635 RAMILLER LN SE PORT ORCHARD WA 98367 Contractor's License LEVOSE*088NO Expires 04/20/1999 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: RV SHED AND SHOP AREA TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 14,400.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-2 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 1,440 SETBACK: DECK: BANK HEIGHT: ,, -� SEWAGE DISPOSAL: ALT C,4`7"1��yt=I 1 - 00)3-..3 WATER SYSTEM: PUD 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 1 Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $251.25 MAM 02/25/00 25322 Plan Check $75.38 MAM 02/25/00 25322 j� Cr cal Area State Building Code $4.50 MAM 02/25/00 25322 j/Loto_rnTotal: $331.13 Review I:\F_BLD_App_Bld.rpt 10/29/99 'w, 12 16 vN is _ 6 ia . E!ii r�� Ao ri iM Iz ,`E ' WP BWP ' arw:: o L4"x12" w area ix:i!iii::it• 4161111#6101.424. y�� :<- iis...s £:i33ilE V .,:.,::.:.............:.....................::.:...... .. .. .... ...................... ... .. .. ....:!.:::::::!:::!iii......................... Front Elevation < 24' >< 10'6" > 1- - #2 - - - -- - - - - - #2 - - - - #2 ` 1 I co I IV : — 1 1 2/0x4/0 Skylite 2/0x4/0 Skylite N V 3/0 6/a 1 ( 1 #2 '#2 ! 00 I 1 1 . fa i 1 et, 1 Covered work area 2/0x4/0 Skylite , 0 1 ! .41 r 0 #2 1 N , � I - I =' 3/ois i 00 1� i k X #2 2/0x4/0 Skylite 1 3/0x6/8 Concrete I Parking Pad I—A #2 14'3E1z' #2 V_ 1 L - # _ _ _ _ _ _ _24'- - - - - - - - #2-><- - 12' - - - - > Concrete apron 36' > v Floorplan/Iayout Scale 1/8" = 1' Sa v-, t,t a.-..1 CGS * . Jefferson County Department of Community Development //< $ cow 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 1-4 � ' Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: L`,,h �� I'✓ 5 t g0 A-vim .5/4cia '^A 9 Digit Parcel Identification Number (from your tax statement): 9 _ - L Site Address 911#: 6 . Road Name: 6,1.6.,4et( ,',) Zip Code: `3 ; q Legal Description Subdivision Name: Block: Lot(s): 3 A., ,p 7. Section: 6 Township: (72 q Neerti Range: ii ?- Parcel Size (acres or square footage): 3. .2 3 /. Property Owner: Phone: Mailing Address: AC. , c!) x //f r f if 7— i ".1 C - & i Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: � LIB 5 .fix 6-f,A1/. s Or Manufactured Home Installer: Phone: 6- Mailing Address: evzf. = Contractor's State License Number:.4 u v r f Expiration Date: " ) 7`-,2 a e%z) Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder:S/(',`,,//„ , 0 4 o . 6 /_ , '(i -y 7 3 ,e Mailing Address: 0/.2 3 ,5 4 t /111,ey,i_%e /L19.w i) 7 2- f FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan Plot Plan Scale 1" = 60' To FIa ler ti� g Rd. \ 1 o z i 392.681 1 co Easement\!or in esslegress Cb 30. \ 30' w .3 1 0 1 r+ 331.75. 0 \ ora I CO a �Cennel11) a'. C) c�xi U = s,t;n ,��; . sty g Ho 3 \CDpf, CD me SO' o e s ,� • t ng G rag ps Pro „. r, -`Shed Dr 'bo - - 49'f" `�� ki/a • , + - _ _249,20. 100.501 • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name 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 _ No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present l 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) ❑ 0 4 Q 1 1 (] ❑ / /' i /, „• .'-\ / /'.' /iiii// / 7 /iiii// ice• - _,❑ ////////,•�•;.'' ////////, . . EJ (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 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 V 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 2 5/© ve0;7/:167/054._ 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.doctioo