HomeMy WebLinkAboutBLD2000-00141 • ♦♦•
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 #: BLD00-00141 Received Date 02/29/2000
SITE ADDRESS: 14 FORESTER LN Issue Date 03/27/2000
PORT LUDLOW, 98365 Expiration Date 03/27/2001
APPLICANT: JERRY PURDY PHONE:
DIANE PURDY
17521 NE 141ST STREET
REDMOND WA 98052
SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 139
PARCEL NUMBER: 990603139 Section: 09 Township: 28 N Range: 01 E
CONTRACTOR: HILL DESIGN & CONSTRUCTION PHONE: (253)853-1414
6869 KIMBALL DRIVE
GIG HARBOR WA 98335
Contractor's License: HILLDCI054Q9 Expires: 05/23/2000
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
REQUIRED INSPECTIONS:
C„-1 Footin•s/Setback (Shoreline Setbacks): OK, O
[ Foundati••: Q 40O(;"eC7 IV
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[( raining/P�um bing 6 /C 6/2
\726/
[ ] Propane Tank/Lines:
[t Insulation: o it 7/2/0 ,\7"Niq
Sheetrock:c
[ final/Occupancy Appr I:
HEALTH DEPARTMENT APPROVAL REQUIRED RIO TO FINAL INSPEC ON.
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
7
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00141 Received Date: 2/29/2000
SITE ADDRESS: 14 FORESTER LN
PORT LUDLOW, 98365
APPLICANT: JERRY PURDY PHONE:
DIANE PURDY
17521 NE 141ST STREET
REDMOND WA 98052
SUBDIVISION: PORT LUDLOW#2 AREA 3 Block: Lot: 139
PARCEL NUMBER: 990603139 Section: 09 Township: 28 N Range: 01 E
CONTRACTOR: HILL DESIGN & CONSTRUCTION
--9461'6RK BA"4`R -- $64 tC 4'I o.`"� ()Attic PHONE:
-PORT Ltl•DLOW WA 98365 .t1'ko.A.bvtiL 98335 2S 3 ' ,S3. 1`11`1'
Contractor's License HILLDCI054Q9 Expires 05/23/1999
ARCHITECT/ BYPOINT CORP
ENGINEER : 1161 SE 1ST STREET STE 100
BELLEVUE WA 98005
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,351
VALUATION 138,951.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 767 SHORELINE:
CONST TYPE: DECK: 240 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: 3 Prop: 3 Flooding Landslide
Total: 3 Total: 3 F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity ,
Type Amount Paid By: Date: Receipt: yipApproved/Date
Permit $1,212.15 MAM 02/29/00 25290
1:)dy
Plan Check $363.65 MAM 02/29/00 25290 "I, -
State Building Code $4.50 MAM 02/29/00 25290 Af,c9 2 47.
Potable Water Application $30.00 MAM 02/29/00 25290 jeffO 1 ,[ `
Total: $1,610.30 4 .rs0n e'`
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I:\F_BLD_App_Bld.rpt 10/29/99
i
I a J Jefferson County 1 :;I artment of Community Development
Q`sON °°C'. 621 Sheridan Street,Port Town,,:nd WA 88368[3601378-4450
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Project Description: S. 1'• 6 WI (t okC ),,,,,,. ,; %,-------
Building Type: Project Type: Frame Type:
Single F. XNew .1 Wood
• Garag (Atrtach d/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
E Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units E Demolition ❑ Other:
• Industrial
❑ Other.
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: _Sewer ❑Community System lectricity E Oil
Proposed: :73 Proposed: -1/2- L Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: XHeat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well ❑ Two Party Well,i<Public:Name of water system:L U i)L G' ' 1(' L-1 it.
Square Footage: For Office Use Only
Main Floor 2Esg 1 UBC OCCUPANCY GROUP
2ND Floor AVA Base fee 12, 12. •
3rd Floor Ar/A Plan Check fee (P , b 5
Htd Basement /fi/h State Surcharge fee c
Unhtd Basement /�/A" Subtotal I S (0• .. c�
Garage/Carport 7 • 'd • o 6
�1/ ��u0� Pot Water Review fee
Decks '1 /�7�z 2l'00 911/Rd Approach fee' S I I . t
Commercial r TOTAL (Q 1 • C)
Industrial Receipt # 2 '`i'n 0
Other Cash/Check# I t C S 1
Total Valuation: i_it$. -z_y Initials Ls
r/--
Or ( �� I i Date Z.-`Z� • Old
Estimated Cost:
\_
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark At l ' ft.Bank Height ft.
By signing the application form,the applicant/owner attests that the in{ormation provided herein is true and coi.ecr 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 applicaron review and any required later inspections.
Access and right of entry to the applic is property or structure shall be requested and shall occur during regular business hours. /
///11 r--. /',' /
Signature: f'l �l Jr<�; Date: 2 /tt)
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LOT 131B FORTLQW 2
JEFFER6ON COUNTY, WA
Jefferson County Department of Community Development
oN pG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
Aso$ Universal Plot Plan
h'7N�
Fill in the following blanks as completely as possible:
Project Description: /
/•Jtes, 6. `'rnd—/ Nl�r/E er114 44& 6%ALL t�AM/4-)' /- 0i14E
9 Digit Parcel Identification Number (from your tax statement): c7,7 b 3
Site Address
911#: Road Name: h'Y2 22. ?"".'�-- .A1, Zip Code:
Legal Description
Subdivision Name: ? /4464 3 Block: Lot(s): 61
Section: Township: Range:
Parcel Size (acres or square footage):
Property Owner: D R Phone:
A.
Mailing Address: 5r
1 ?5 i ,yg /i/— r 1?Ft),10 l a WA- qg
Applicant/Occupant: Phone:
_if different from owner) I-4 tt—L-- C i.&Sri?41 gc 3-- /`L/' /
Mailing Address: ,
Authorized R67.a /171.4,,jecr Phone:
Mailing Address:
General Contractor:OtManufactured Home Installer: #/4- tS— /0M /`�� E5 Phone: 5 3 --,s7s 3- /V
Mailing Address y, )- 9,,b 3 3 s—
g�,�% �/�J �Li Ltd ��� �i4/' f�-- b�✓
Contractor's State License Number: H t L.L. D s 0 5 0c Expiration Date:
Septic Designer: /ir /A Phone:
Mailing Address:
Architect:/Engineer. Ayp014 r (pacePhone: lay_63.7 _Yr-0
Mailing Address: 5 p -
Cr 5-
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/C0 H:\home\pincntr\forms\universal plot plan
a0 14:59 12538531415 HILL CUSTOM HOMES PAGE 02
or
JEFFERSON COUNTY MAR 1 3 20
STORMWATER MANAGEMENT ORDINANCE
1/ : . . t . _ . I . I . OP 1' I IV. J I I'_I i :•. ,
113.1 ,
EROSION AND SEDIMENT CONTROL WORKSI EE
Property Owner: Telep c:
Address:
Assessor's Parcel Number: q 90 6 Q 3 / 3? •
Building Permit or Septic Permit Application Number(if applicable):bra)—"Ub Lk
Brief Project Description: > ,J I S H/ C,L -"044; .r.4-S r- 'I- 64.JioNIAY PpeF/44e
Silt- 70 Ie€ 4J gX,T;Ait,', * k+u,Jc/4r,04 / & A a as-1¢ .4 F
Site Location: 1.440c-off it.4 to-r /3 q frersrec. <..We
Person Responsible for BMP Installation and Maintenance: MILL CL4Srom iiv M6-5
Address: efg Ce feJMa 4c L btejaty 4iter h/41. < kjA 453 3 S
Telephone:41:3 SS3 —' 1-
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
mo space is required.
Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized constriction access by applying quarry spalls, ballast,or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from $tQrmwater
Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
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
1000 14:59 12538531415 HILL CUSTOM HOMES PAGE 03
5
EROS1QN AND SEDIMENT CONTROL WORKSHEET
[] Phase clearing so that only areas that arc actively being worked are uncovered.
Start and complete land disturbing activities and stabilize the site between AprU I and
September 30. Stabilization means that disturbed areas will have well-established plant
cover or be landscaped to minimize erosion.
[] Stabilize exposed soU Exposed and unworked soil will be covered within 2 days between
October l and Much 31 and within 7 days between April 1 and September 30.
[ ) 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.
/PPlace gravel base on roads,driveways,and parking areas after clearing and subgrade
///
reparation.
[] Protect adjacent properties and water bodies from sediment deposition:
[) 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 5tormwater Management Manual.)
iInstall a filter fence down slope from areas of land disturbing activity to filter runoff
lcelfore it leaves the project site or enters water bodies. (Sec attached illustration from
5tormwater Management Mgnu41.)
(] Regularly inspect and maintain ail BMPs especially after storms events.
Describe other erosion and sediment control Best Management Practices. Be specific
as to design and specifications.
fZ 1.T tiCr OA/ WREST t LT. i ' JRoTr Cr ( tJi.v iRr—
r
SPESC Instrucdous- Short Form
Revised June 3, 1999
4
2000 14:59 12538531415 HILL CUSTOM HOMES PAGE 04
IROSION AND SEDIMENT CQNTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped,apply gravel base
to roadways,etc.)
subjpi 4,v, SC").174l4— Sob
• RI-AK
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.).
�1��dt�ff11 Sy1?gCr � sL,o/E 1)Ti ECTs
l 4SL�iy i'N t rtT'- _ 1►jn cr ///$-r1StJITC S
SPESC Instructions—Short Form
Revised June 3, 1999
5
2000 14:59 12538531415 N,ILL CUSTOM HOMES PAGE 05
1l;ROSION AND SFD1MENT CONTROL WORKSHEJT
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.
y O MR) Afi 5-ti v Off c,J -
0 �Akr tin! 0 t tocz
The Best Management Practices proposed above will be implemented to control erosion, sediment. and
stormwater runoff I ' 1 notify the Permit Center for inspections as required.
Si o !Agent Da
•
•
SPESC Instructions—Short Form
Revised luxe 3, 1999
6
._______, ,..... . i CCV00 — coqY L-
�,-- BUILDING PERMIT APPLICATION
, 9 Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00141 Received Date: 2/29/2000
SITE ADDRESS: 14 FORESTER LN
PORT LUDLOW, 98365
APPLICANT: JERRY PURDY PHONE:
DIANE PURDY C.)
17521 NE 141ST STREET
REDMOND WA 98052 0
SUBDIVISION: PORT LUDLOW#2 AREA 3 Block: Lot: 139 �,D
PARCEL NUMBER: 990603139 Section: 09 Township: 28 N Range: 01 E _
CONTRACTOR: HILL DESIGN & CONSTRUCTION PHONE:
9401 OAK BAYRD 2-S3 ' 353• IL} 1'-f-
PORT LUDLOW WA 98365
Contractor's License HILLDCI054Q9 Expires 05/23/1999
ARCHITECT/ BYPOINT CORP
ENGINEER : 1161 SE 1ST STREET STE 100
BELLEVUE WA 98005
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,351
VALUATION 138,951.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 767
CONST TYPE: SETBACK:
DECK: 240
BANK HEIG .
SEWAGE DISPOSAL: SEW I'}l FP.�(,r,Q_ ,
WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland 00 Erosion 1',10
Exist: Exist: Seismic AJO Streams /00
Prop: 3 Prop: 3 Flooding ' Landslide
Total: 3 Total: 3 F&W Plat Conditio
Routing Date: Shoreline Aquifer
Ti— Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Al? rpved/ at
Permit $1,212.15 MAM 02/29/00 25290 CriticalArea ,, (, �--,
Plan Check $363.65 MAM 02/29/00 25290 , '�-���
State Building Code $4.50 MAM 02/29/00 25290 R8VieW14"
1 �
Potable Water Application $30.00 MAM 02/29/00 25290
Total: $1,610.30 /aC ,0 gr `'<t.,�
7
I:\F_BLD App_Bld.rpt 10/29/99