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HomeMy WebLinkAboutBLD2000-00138 ( I , BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00138 Received Date: 2/29/2000 SITE ADDRESS: 940 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: LEO STONE PHONE: (360)437-9102 MARY STONE 940 OLYMPUS BLVD PORT LUDLOW WA 98365 SUBDIVISION: BASALT BEACH Block: Lot: 3 0'4- TL Ti( 0 PARCEL NUMBER: 931500109 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360)385-9028 3222 CLIFF ST PORT TOWNSEND WA 98368 Contractor's License DAVEJC*04400 Expires ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED 2 CAR GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: 136 SEWAGE DISPOSAL: ,c%5 WATER SYSTEM: STORMWATER• YES NO AREA BEDROOMS: BATHROOMS: Wetland 00 Erosion Exist: Exist: Seismic t'J Streams Prop: Prop: Flooding k)C Landslide t Total: Total: F&W OD Plat Conditions /(,SC) Shoreline Ant 6ohufhaiAquifer 1)O Routing Date: -2,29 ` Q. Forest: Commercial Lc) Rural vC) Proximity Type Amount Paid By: Date: Receipt: l Crticat ppro d/ ate Permit $111.25 MAM 02/29/00 25388 Area Plan Check $33.38 MAM 02/29/00 25388 State Building Code $4.50 MAM 02/29/00 25388 Review Total: $149.13 Stan raterBMP' RaqUktIO 11\2CaL I:1F_BLD_App_Bld.rpt 10/29/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00138 Received Date: 2/29/2000 SITE ADDRESS: 940 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: LEO STONE PHONE: (360)437-9102 MARY STONE 940 OLYMPUS BLVD PORT LUDLOW WA 98365 SUBDIVISION: BASALT BEACH Block: Lot: PARCEL NUMBER: 931500109 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360)385-9028 3222 CLIFF ST PORT TOWNSEND WA 98368 Contractor's License DAVEJC*04400 Expires ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED 2 CAR GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: 136 SEWAGE DISPOSAL: WATER SYSTEM: STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: Prop: Flooding Landslide Total: Total: F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $111.25 MAM 02/29/00 25388 Plan Check $33.38 MAM 02/29/00 25388 State Building Code $4.50 MAM 02/29/00 25388 Total: $149.13 I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County 14,1 artment of Community Development �4 °iv °°e. 621 SheriIan Street,Port Town :nd WA 88368 13601 370-4450 ti .$ 0:`, 0 0permeIn App _ Uccil.11, - on4 NG,0 \\,......._____ Project Description: Building Type: Project Type: Frame Type: ❑ Single Family New Wood X1 Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • Commercial ❑ Repair LE Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer Li 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 Water Supply: ❑ Private well P. Two Party Well❑ Public:Name of water system: i Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 3rd Floor Plan Check fee Htd Basement State Surcharge fee Unhtd Basement L/ Subtotal Garage/Carport 'T Z� .7, F 7' Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL Industrial Receipt # Other -%j 9;) 't Cash/Check# Total Valuation: (� ( Initials Or Date Estimated Cost: / g If within 200' of the Shoreline, i> Distance to Bank or Ordinary High Water Mark I ? ft.Bank Height 57,-' 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 requ red later inspections. Access and right of enuy to the applicant's property r st e shall be requested and shall occur during regular business hours. Signature: / ;--e d,,o,.� Date: 2' ` 0' • STORMWATER CALCULATIONS Owner/Applicant: f7,4 i/E t% 0 PROPOSED LAND DISTURBING ACTIVITY I Site Address: 5'ix O - y /13 il) i; s/2 Drainfield area cleared sq.ft. 17 7 /I- ,, Pi- ow 4-t/4 C'f?.J Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals f.62 IMPERVIOUS SURFACE -� Proposed Structures (all roof area) �A') sq.ft. 5 1. North arrow Existing Structures (all roof area) ,f? r sq.ft. j 2. All property boundaries and dimensions Sidewalks sq.ft. 3. Names of adjacent streets Concrete Patios sq.ft. 4. Driveway/s & parking spaces Proposed: 5. Major features such as ravines, Driveway Length % ft. seasonal creeks, bodies of water, etc. X Width / ^ ft. 7 6. Septic tank, drainfield and reserve area location, = Total Driveway T sq.ft. existing or proposed, and distance to Total Impervious Surface `j 2 2 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 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, 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 Management Practices (BMPs). INDICATE: • Maintenance: Li 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of 2 16. Top of bank, if over 10 feet high their intended function. 617. 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 • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name P 4 G'6 © a /-' "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 _ Yes 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) 9 c] Q o 1;1% "� 1,4 , , . ,� i i� i , „ , / / / i' 'ems / / / / / / ice, r , , , , i i r,,,,/i i,7 CI (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 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 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 E Landslide ESeismic ❑ Commercial Forest Section Township North Range / 1 Parcel Number: `31 500 to 4 Parcel Size: 1-3 % 7 F Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 1, 'T o ii x _ r r r d >' 1 b' ' '‘,r'6; t t `'.,s: a o � CA `\ M "'' o N 4, 3 k E 0 , (j V 0 �0 - 0 0 a� 0 0 0 o W o N A , X yN M V - o Q Q pq I\� 1-1 g � .-., a \ 0 3 g, c cd 0 o " 3 4 v v (\ \ \i : „ �� I,O a � �• . c. �` R lip 4 Q v\ 5 .� '� �Y N '� • t, �` ° x O Q � CA0x V o 0 c.., Q u v a� tQ c 5 tA IIII ZNb HI 12w ti j 'b ai a \ v Il v -8 v -d i.T -8�OobtTh v v v N Hed d 2 H v .t 0a - - o - u - i-• o° • o° ti GA w m ino acnvn P, Q � d C7 � C� cn ¢� ►aU LL, w A i to Y ,x .., N (---- _� / . o a Pa PI CI w o 0 pa o Z >- a t O a 3 F a U W o d J 0 = A A a r W Q �, J 3 f LA (n Q I Nt a. 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