HomeMy WebLinkAboutBLD2000-00152 •
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 #: BLD00-00152 Received Date 03/6/2000
SITE ADDRESS: 53 N WILLISON AVE Issue Date 03/22/2000
PORT TOWNSEND, 98368 Expiration Date 03/22/2001
APPLICANT: JARED L CRAY PHONE: (360)385-3624
PO BOX 720
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 114 Lot: 33-37
PARCEL NUMBER: 962111406 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION DETACHED GARAGE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval:
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
2
' I BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00152 Received Date: 3/6/2000
SITE ADDRESS: 53 N WILLISON AVE
PORT TOWNSEND, 98368
APPLICANT: JARED L CRAY PHONE: (360)385-3624
PO BOX 720
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 114 Lot: 33-37
PARCEL NUMBER: 962111406 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 5,360.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U 1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 536 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON i J
WATER SYSTEM: CITY STORMWATER: YES ;,Pe - NO AREA
BEDROOMS: BATHROOMS: Wetland CO Erosion
Exist: Exist: Seismic N 0 Streams
Prop: Prop: Flooding k\O Landslide ?UO
Total: Total: F&W N.0) Plat Conditions
Shoreline
Aquifer
Routing Date` �% �,�%
Forest: Commercial 1" Rural Q O
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $125.25 LMB 03/06/00 25408 p
Ar -ai$37.58 LMB 03/06/00 25408 `{'
Plan Check
State Building Code $4.50 LMB 03/06/00 25408
Total: $167.33 1`" lu
ie ,,rye,
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I:\F_BLD_App_Bld.rpt 10/29/99
STORMWATER CALCULATIONS
Owner/Applicant: -J are, ' f 1 c 7 G" &'C r y
❑ PROPOSED LAND DISTURBING ACTIVITY
•
Site Address: ? '3 t V\ Drainfield area cleared sq.ft.
Driveway Length ft.
)I o X Width `' ft.
9 Digit Parcel Identification No.: x . 14 14 01 = 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 41 .. ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) 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 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.
Cl 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft.
existing or proposed, and distance to Total Impervious Surface ;;> 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:
CI 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
CI 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:
❑ 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.
H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97
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BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00152 Received Date: 3/6/2000
SITE ADDRESS: 53 N WILLISON AVE
PORT TOWNSEND, 98368
APPLICANT: JARED L CRAY PHONE: (360)385-3624
PO BOX 720
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE
Block: 114 Lot: 33-37
PARCEL NUMBER: 962111406 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 5,360.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 536 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY 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 $125.25 LMB 03/06/00 25408
Plan Check $37.58 LMB 03/06/00 25408 A P®� I'State Building Code $4.50 LMB 03/06/00 25408 1 U �f Air 11;', 4..
Total: $167.33
�.4 ta A000
arson county Planning
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I:\F_BLD_App_Bld.rpt 10/29/99
JEFFERSON COUNTY PERMIT CENTER, 621.SHERIDAN ST, PORT TOWNSEND WA 98368
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION: ,; .1 , ',
BUILDING TYPE: PR ECT TYPE: FRAME TYPE:
DINGLE FAMILY E NEW WOOD
El GARAGE ATTACHED ETACHED 0 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 EXISTING 0 SEWER 0 COMMUNITY SYSTEM
PROPOSED PROPOSED ❑ INDIVIDUAL SYSTEM ❑Conventional
TOTAL _ TOTAL --r PERMIT # SEP ❑Alternative
WATER SUPPLY: TYPE OF HEAT:
❑ PRIVATE WELL 0 TWO PARTY WELL 0 ELECTRICITY 0 OIL
❑ PUBLIC Name of water system: ❑ WOODSTOVE ❑ PROPANE
0 HEAT PUMP ❑ OTHER:
SQUARE FOOTAGE: FOR OFFICE USE ONLY
MAIN FLOOR UBC OCCUPANCY GROUP /
2ND FLOOR ,
BASE FEE
3RD FLOOR
HTD BASEMENT PLAN CHECK
UNHTD BASEMENT STATE SURCHARGE 4.50
7
CARPORT �t ("-,, SUBTOTAi �� x_.
GARAGE POTABLE WATER
DECKS
911/ROAD APPROACH
COMMERCIAL GRAND TOTAL i � -. ' "
INDUSTRIAL
OTHER RECEIPT # Z „ ') $ ;,
TOTAL VALUATION CASH/CK # #
or
INITIALS i '
ESTIMATED COST DATE 1,,, / / ,„
•
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft
SIGNATURE ei DATE
c).,
NAME (PLEASE PRINT) ja'a r-"0 ,<, ( , ,.,1 H:vHomevPIncntrvFormsvBIdapp.DOC 6/97
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Jefferson County Permit Center, 621, Sheridan St., Port Townsend WA 98368
UNIVERSAL PLOT PLAN
Fill in the following information as completely as possible.
Project Description:; .0 C ';
f._ v
9 Digit Parcel Identification Number (from your tax statement) 9602 ?On': (J(C 1 1(c ( a � . i
Site Address:
91 1# & Road Name ; i s' Zip Code
Legal Description:
Subdivision Name °; k Block I Lot(s) 144 33-37
Section 3tal Township <. North, Range CO / WM
Parcel Size (acres or square footage)
Property Owner . , .l v .yam Phoned 5 ,
Mailing Address , ,` —Tit) ~ , * 4.4 147A /
Applicant/Occupant Phone
(if different)
Mailing Address
Authorized Rep Phone
Mailing Address
General Contractor I� Phone y
f
Manufactured Home Installer Phone
Mailing Address
Contractor's State License Number Expiration Date
Septic Designer Phone
Mailing Address
Architect Phone
Mailing Address
Loan Lender/General Phone
Contractor's Bond Holder
Mailing Address
FOR OFFICE USE ONLY
Fire District Planning District School District Zone
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name 1 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 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 0 Q 1 '❑
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pg, „
„,„„„.„.„,„
- -
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(Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? YES A 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, ple
ase ase 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 ?i,u2,44VDate
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1
IMMEDIATELYADJACENTTO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2
❑ Erosion
❑ Landslide
Zone:
Parcel Size: Status:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
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