HomeMy WebLinkAboutBLD2000-00164 •
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 #: BLD00-00164 Received Date 03/10/2000
SITE ADDRESS: 74 BEATTIE ST Issue Date 04/7/2000
Expiration Date 04/7/2001
APPLICANT: LINDA ANN DRIVER PHONE: (360)379-2723
114 LEWIS ST
PORT TOWNSEND WA 983682524
SUBDIVISION: IRONDALE Block: 103 Lot: 29-34
PARCEL NUMBER: 962110310 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: D K JOHNSON PHONE:
243 KENNEDY RD
PORT HADLOCK WA 98339
Contractor's License: DKJOHC*042J2 Expires: 04/19/2000
LOAN LENDER/
BOND HOLDER:
D
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE WI ATTACHED GARAGE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks): 0 V, J — too = -c �.�/
[ ] o ndativrT: • , j-� --6€y E4 Cf.ck-rU.i�s lcc5 'IL S,l d0�/V
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[,] Framing/Plumbing:
[ ] Propane Tank/Lines: /
[ Insulation: (< 6/ p0V"lt/'
] Sheetrock: Q'.61 d&A, eIL
[�] L, Final/Occupancy Approva: ) 6 K l/ a
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
! -0
1 BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00164 Received Date: 3/10/2000
SITE ADDRESS: BEATTIE ST 'l"�
PORT TOWNSEND, 98368
APPLICANT: LINDA ANN DRIVER PHONE: (360)379-2723
114 LEWIS ST
PORT TOWNSEND WA 983682524
SUBDIVISION: IRONDALE Block: 103 Lot: 29-34
PARCEL NUMBER: 962110310 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: PHONE:
r J
(A) 3 85 - 76"
02.q3 e '-t►vecty, RD e 0, 1$33`t PHONE:
'h
ARCHITECT/ Q V-�cNC A-0)(I 2:3-'2-
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,092
VALUATION 66,423.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 336 SHORELINE:
CONST TYPE: DECK: 320 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: 2 Prop: 2 Flooding Landslide
Total: 2 Total: 2 F&W Plat Conditions
Routing Date: -� Shoreline Aquifer
2.), ��_(� (J Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: roved/Date
Permit $762.75 MAM 03/10/00 25346 APPROVED
p
Plan Check $228.83 MAM 03/10/00 25346 A... 1,State Building Code $4.50 MAM 03/10/00 25346 APR 7 2000at_d_ik `- \
Potable Water Application $30.00 MAM 03/10/00 25346
Total: $1,026.08 Jefferson County Planning
e.1e:l r!;.
L; :::.:!.iron Department
I:\F_BLD_App_Bld.rpt 10/29/99
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Jefferson County Department of Community Development
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oc. 621 SharkIan Street,Port Townsend WA 08368[3601378-4450
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Project Description:
Building Type: Project Type: Frame Type:
X Single Family X New ' Wood
0. 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 C Community System ❑ Electricity 0 Oil
Proposed: A Proposed: X Individual System ❑ Woodstove XPropane
Total: 0'. Total: pZ If not sewer,fill out the following: ❑ Heat Pump
X Conventional ❑ Alternative ❑ Other
ermit# SEP
Water Supply: ��
❑ Private well ❑ Two Party W' ❑ Public:Name of water system:
Square Footage: ,- For Office Use Only
Main Floor /09g- t--,-c\,.Y UBC OCCUPANCY GROUP
2ND Floor Base feed
3r Floor Plan Check fee
Htd Basement State Surcharge fee {Y SO
Unhtd Basement 2 - �,0 Subtotal 9 � -0'
Garage/Carport .:� 'i,� `i �' ° Pot Water Review fee Q •Cl O
Decks ( '-P 911/Rd Approach fee :
Commercial TOTAL _ 7 C'
Industrial Receipt # = 3 y
Other ash/Check# „- I i 9
Total Valuation: 1(i( 'tials 1-
Or Date '�... /(')—n C)
Estimated Cost: 7L0 4"7
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Wate Mark N k- ft.B et t 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 witdt 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 it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to th plicant's property or suu e shall be uested and shall occur during regular business hours.
Signature. �G+Ce .df �i / Date: /c &/"'�
STORMWATER CALCULATIONS
Owner/Applicant: & 4L3.
❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: / ,s Drainfield area cleared g sq.ft.
r
Driveway Length ,`'jx`j ft.
X Width /h ft.9 Digit Parcel Identification No.: q&,72 r//� r3to = Total Driveway , - C�9�
sq.ft.
Permit Number: 6 Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
/(623 sq.ft.
INDICATE the following information. Total Land Disturbance 4gristOR. sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan: 02.1.et:0
One inch equals IMPERVIOUS SURFACE
Proposed Structures (all roof area) 6lcif 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, ALL
Driveway Length ft.
seasonal creeks, bodies of water, etc. X Width ft.
• 6. Septic tank, drainfield and reserve area location, = To Driveway sq.ft.
existing or proposed, and distance to Total Impervious Surface /4,4� sq.ft.
closest structure
O 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
8. Wells and/or water lines Minimum Requirements:
• 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:
1 3. Easements for access or utilities All exposed and unworried soil shall be stabilized by sodding,
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:
D. 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly
inspected and maintained to ensure continued performance of Li 16. Top of bank, if over 10 feet high
their intended function.
0 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
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00164 Received Date: 3/10/2000
SITE ADDRESS: BEATTIE ST
PORT TOWNSEND, 98368
APPLICANT: LINDA ANN DRIVER PHONE: (360)379-2723
114 LEWIS ST
PORT TOWNSEND WA 983682524
SUBDIVISION: IRONDALE Block: 103 Lot: 29-34
PARCEL NUMBER: 962110310 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,092
VALUATION 66,423.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 336 SHORELINE:
CONST TYPE: DECK: 320 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CONS
WATER SYSTEM: PUD STORMWATE YES NO teklEA
BEDROOMS: BATHROOMS: Wetland AjO Erosion /J9
Exist: Exist: Seismic Streams N.
Prop: 2 Prop: 2 Flooding 1 Landslide 10
Total: 2 Total: 2 F&W Plat Condition
Routing Date: , Shoreline Aquifer k)
i�-U 0 Forest: Commercial Rural NO
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $762.75 MAM 03/10/00 25346
Plan Check $228.83 MAM 03/10/00 25346CticW' iii°' reaa
State Building Code $4.50 MAM 03/10/00 25346 t
Potable Water Application $30.00 MAM 03/10/00 25346 view.,
Total: $1,026.08
I:1F_BLD_App Bld.rpt 10/29/99
Jefferson County Permit Center, 621 Sheridan St., Port Townsend.WA 98368
•
UNIVERSAL PLOT PLAN
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Fill in the following information as completely as possible.
Project Description: 2 4��� y�,,�J �
9 Digit Parcel Identification Number (from your tax statement) ?("p — //6)-3 J(Di
Site Address:
91 1# & Road Name
Zip Code
Legal Description:
Subdivision Name I rD Vjo !i Block
Lot(s) ,2 9
Section 0 Township 3z) North, Range 1 it) WM
Parcel Size (acres or square footage) 1 0 G
n" k t5"� — f S) LT/4 � ,�
Property Owner Lin �l'lvu—
Phone 3 - 7a 3
Mailing Address II if Le LS Avet t� 4e `� �,, ! 4. ,
/i12'- wl'j. r'n f �-.
Applicant/Occupant
— Phone
(if different)
Mailing Address
Authorized Rep
Phone
Mailing Address
General Contractor
Phone
Manufactured Home Installer
Phone
Mailing Address
Contractor's State License Number
Expiration Date
Septic Designer E3 .i€i Inc�rn� EClrS:'r �,f`c�� �s��' '°. Phone
Mailing Address 2:3 i . „..15 aS
ap _ V ,
6 r3^.[- 36O2 F Fax 36O-3t�i- 6D3C
Architect .�C?0-v�. . J:iL f c1, �. .C.: ��,�VV
Phone
Mailing Address
Loan Lender/General
Contractor's Bond Holder Phone
Mailing Address
FOR OFFICE USE ONLY
Fire District Planning District School District
Zone
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' Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name 02,/ ;ilaq- 4 ,914 l (,ER _ 7
xBuilding 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 y 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 3i No
identified as a wetland or swamp? `
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present _ Yes x 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 X 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)
4 Q ,
0 I::
/ / / / / / ,' ,.a
' i'
i / / / / , / / '.
0 / / / / / I / , , �.
' �/
/// / / / / ' -t7
uiiiii:#.,_ -
raaa� '__-_-- - -x
CI
(Questionnaire Continues on Back)
Page 1 of 2
6. Does the site have steep slopes with little to no vegetation? • Y.ES )( 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 J( NO
surface of the ground? J
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 �/01-40/ '
9
FOR OFFICE USE ONLY
❑ Wetlands E 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: q(4," //d % /O Parcel Size: /6 0 X /O'
Comprehensive Plan Land Use Designation: , Reviewed by:
Community Plan: Date:
Page 2 of 2
h:\home\pincntr\forms\car.doc 1/00