HomeMy WebLinkAboutBLD2000-00175 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 #: BLD00-00175 Received Date 03/17/2000
SITE ADDRESS: 30 AZALEA LN Issue Date 02/2/2001
BRINNON, 98320 Expiration Date 02/2/2002
APPLICANT: DAVID K CREMER PHONE: (520)684-9147
30 AZALEA LN
BRINNON WA 98320
SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 2
PARCEL NUMBER: 988600002 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: TOM NUNAMACHER PHONE: (360)796-4024
PO BOX 376
BRINNON WA 98320
Contractor's License: CANALRE035C8 Expires: 11/22/2000
-Euile,n- b0; * w 4.00k oermcc. CDw)CCO.0 Or was in \oJS'i+ns5
LOAN LENDER/ WI�-r v"\ -e Joo,5 ]ov I \*. T1'��s p-e -n W ways Issvecl So we--
BOND HOLDER: ar,, �n see dr-Jck,ndg rest,tve.d, /fJ
PROJECT DESCRIPTION CAPORT
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ ] Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock:
pi Final/Occupancy Approval: Per c cttrtc-1-iorJ .6 6 6 3
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.
HOT LINE AVAILABLE 24 HOURS A DAY
is\F_BLD_Permit_Buildng.rpt 10/29/19
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00175 Received Date: 3/17/2000
SITE ADDRESS: 30 AZALEA LN
BRINNON, 98320
APPLICANT: DAVID K CREMER PHONE:
30 AZALEA LN
BRINNON WA 98320
(520)684-9147
SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 2
PARCEL NUMBER: 988600002 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: TOM NUNAMACHER PHONE: (360)796-4024
PO BOX 376
BRINNON WA 98320
Contractor's License CANALRE035C8 Expires 11/22/1999
ARCHITECT/ MARTIN DRAFTING
ENGINEER :
PROJECT DESCRIPTION: CAPRORT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 6,500.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 560 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUBLIC 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 MAM 03/17/00 27058 APPROVEDCode Violation $125.25 MAM 03/17/00 27058
Plan Check $37.58 MAM 03/17/00 27058
State Building Code $4.50 MAM 03/17/00 27058 FFR 0 1 2001
Total: $292.58
DEPT.OF C JNR I MENT
SIGNATUR
/
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community 1 velopment
g ON °b 621 Sheridan Street,Port Townsend WA 88368[3601378-4450
A, "Z
prmrt
4. o
Project Description:
Building Type: Project Type: Fri Type:
• Single Family 1--ISlew ''Wood
• Garage Attached/Detached ❑ Addition ❑ Steel
0 Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
Li Multi-family/#of Units ❑ Demolition ❑ Other:
LII Industrial X Other: C �7
APi R r( F_ •ilv ) _
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: 0 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 A!al/_
Permit# SEP
Water Supply:
1
• Private well ❑ Two Party Well EK Public:Name of water system: PA A AAST 7 O
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee : 'A 0 : 'J
3rd Floor Plan Check fee 01, 6 s
Htd Basement State Surcharge fee 'Lr� i ' SO
Unhtd Basement r� h Subrrtal V i( to-tout �� �l o c J'
Garage/Carport ,7 . V Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL , CI,Q y bg
Industrial Receipt # 2A-o 5
Other Cash/Check # (01 C((,; ci = C�
Total Valuation: 6) U O Initials
Or Date 5i17-10O
Estimated Cost:
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height 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 required later inspections.
Access and right of to the applicant's property or structure shall be requested and shall occur during regular business hours.
//5/o(T)Signature: I /1 Date: E
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00175 Received Date: 3/17/2000
SITE ADDRESS: 30 AZALEA LN
BRINNON, 98320
APPLICANT: DAVID K CREMER PHONE:
30 AZALEA LN
BRINNON WA 98320
(520)684-9147
SUBDIVISION: PLEASANT TIDES DIV 2 Block: Lot: 2
PARCEL NUMBER: 988600002 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: TOM NUNAMACHER PHONE: (360)796-4024
PO BOX 376
BRINNON WA 98320
Contractor's License CANALRE035C8 Expires 11/22/1999
ARCHITECT/ MARTIN DRAFTING
ENGINEER :
PROJECT DESCRIPTION: CAPRORT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 6,500.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 560 SHORELINE:
CONST TYPE: DECK: SETBACK:
�pf r BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland /UO Erosion
Exist: Exist: Seismic &J') Streams
Prop: Prop: Flooding Landslide
Total: Total: F&W Plat Condit! s _
Routing Date: Shoreline Aquifer
�- Forest: Commercial Rural
t
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $125.25 MAM 03/17/00 27058
Code Violation $125.25 MAM 03/17/00 27058 Cnitical it
Plan Check $37.58 MAM 03/17/00 27058
State Building Code $4.50 MAM 03/17/00 27058 Review voF
Total: $292.58
I:\F_BLD_App_Bld.rpt 10/29/99
•
• STORMWATER CALCULATIONS
Owner/Applicant: e.
❑ PROPOSED LAND DISTURBING ACTIVITY
r
Site Address: �j� �t'`2C� �, J . Drainfield area cleared sq.ft.
j}\Ywk.) LU A Driveway Length ft.
C� X Width ft.
9 Digit Parcel Identification No.: 9 ( (000 000— = 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 ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) 5(o 0 sq.ft.
❑ 1. North arrow Existing Structures (all roof area) sq.ft.
O 2. All property boundaries and dimensions Sidewalks sq.ft.
0 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.
❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft.
existing or proposed, and distance to Total Impervious Surface 5100 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:
O 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:
O 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly
inspected and maintained to ensure continued performance of
O 16. Top of bank, if over 10 feet high their intended function.
O 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
�$o � Jefferson Counfy Permit Center * Department of Community Development
621 Sheridan Street,Port Townsend WA 88368[3601370-4450
ti � �e
a
�- unovergrd p n D
0 r
•v J .�
Till lac t(cc jolloevucg auala 44 eaxkiee4 as w cGle:
Project Description:
C' n (lc)S ( pe) -- I ` 2 ,)/A/6
9 Digit Parcel Identification Number(from your tax statement): 9, 55 _ odz
Site Address
911#: „' () Road Name: A, 6/9 /AJ Zip Code: c7'50 0
Legal Description
Subdivision Name: 5 A p// j Block: sat': Z Lot(s): , -
Section: , Township: 5 Range: R.-N,Dtic,
Parcel Size (acres or square footage):
Property Owner: i Phone:
L�f3v9l l> j //,l �L�� /mil t �� 1'7i7
Mailing Address. I
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: pN �,((;l / /'/‘ l} /¢ I�. Phone:36e9 7 --,://Q,1{
Mailing Address:p ) 3.76 .8 g kt,i
Contractor's State License Number: ,4 -r� gE 0 3 cs Expiration Date: '7
Septic Designer: fY Phone:
Mailing Address:
Architect:/Engineer: Phone:
mfQ 11 (1 a 4 ! — �� a 12— fi n 0 (I 4.1(04
{5
Mailing Address:
rnQ, Sc l ri?C — n o cioA . 3 ED i) 75 19a3�'i
Loan Lender/General Phone:
Contractor's Bond Holder: l �. P 7 ,,U L
Mailing Address:
.......................... .
Fuse Distr+ct 'am mg urea. Soho l Dist ct Zone .
4/98 H:\home\pincntr\forms\universal plot plan
„ aa
,{•r,
y,
{t1y
AN /
A,N--./ /
.... .. , /4,.,_, .
. _„.. _
E.,13%
/ .,,
...1s.. N
w �� `^ / 0 S?
•
U ti%0 V 1/A? S4
co pi
/ / tr r
\ to _
ni
ni
/
Nir7i / 1* ,\)
• zs i ;
\ -• A
, ✓ °
o \ ,s,
o
''..:
-23\--"---- --- / --I li-n— m t cl
Z 03 w 0 \ I->)? A
C. b 7-i Y 4 -. .
Z \ P L n r
c''.... \ 4,.
3?) m �,-
Z \ FFFj oIn13 m I\ D ,U) r —
1 r,
O
.
1
”1
G.1 4: C) VIIIIIIIIIimum....—____
CD ll
rrl
—I k
• k$.. t
I ,7 c) ,,,,,p,,4 ,io
..'%.-- /.'A
riii
k p
•
� I
U'S I
Z CO
r 1 e`<R
O
0 0 cn
Sm Z t 4,
V
o6°I)FNDRDN Ag
4.1
,
D
6. Does the site have steep slopes with little to no vegetation? YES VNo
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES O
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:
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 '1/ / ! C1'' 1 Date /5/00
FOR OFFICE USE ONLY
E 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
Seismic ❑ Commercial Forest
Section 5 Township North Range
Parcel Number: vl 7 U (000 009- Parcel Size:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
Page 2 of 2
h:\home\pincntr\forms\car.doc 10/99
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name VPil/D / ( s/�i E. E/`
1/ 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 17 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 k" 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)
g o q q q q
/ I /
I I
I / I / I / /
I / I / / / / / 17
i I/ / / / / /
/ �' ''
I I I
I I / I / I / /' _'IJ
I//Till i i' -'
I/II///,,' .- -----
---{]
(Questionnaire Continues on Back)
Page 1 of 2