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HomeMy WebLinkAboutBLD2000-00181 I , 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 #: BLD00-00181 Received Date 03/21/2000 SITE ADDRESS: 323 PORT HADLOCK HEIGHTSRD Issue Date 04/6/2000 PORT HADLOCK, 98339 Expiration Date 04/6/2001 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 530 HEATH RD SEQUIM WA 98382 Contractor's License: BUILDBCOLLMG Expires: 07/07/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION 20 X 20 GARAGE REQUIRED INSPECTIONS: CC ff I [ ] Footings/Setbacks (Shoreline Setbacks): i'6S�i 1 o -es `i/7/194�7/��� [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ j Sheetrock: [✓]/ Final/Occupancy Approval: ® K cr�-1 1,+ - 0 L7 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 • BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00181 Received Date: 3/21/2000 SITE ADDRESS: 323 PORT HADLOCK HEIGHTSRD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: VO 33- PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 530 HEATH RD SEQUIM WA 98382 Contractor's License BUILDBCOLLMG Expires 07/07/2000 ARCH ITECT/ ETSI ENGINEER : 27121 469TH AVE TEA SD 57064-8100 PROJECT DESCRIPTION: 20 X 20 GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 400 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 $97.25 MAM 03/21/00 27073 APPROVED Plan Check $29.18 MAM 03/21/00 27073 i5 State Building Code $4.50 MAM 03/21/00 27073 11 c P. 6 2000 Total: $130.93 Jefferson County Planning &Building Department l:W_BLD App_Bld.rpt 10/29/99 Jefferson County Department of Community Development � G �N c� 621 Sheridan Street,Port Townsend WA 08368[3601378-4450 S ,,l` r� O ti ,` , - A O O%,ro o Q o© 0 : cav - oin -1S. _,,,o „. .._ Project Description: Building Type: Project Type: Frame Type: ❑ Single Family KNew :.Wood A 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 I Community System ❑ Electricity i Oil Proposed: Proposed: .Individual System ❑ Woodstove 0 Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ▪ Private well I Two Party Well;,)C,Public:Name of water system: Square Footage: For Office Use Only Main Floor ( 020 LtDob UBC OCCUPANCY GROUP 2ND Floor Base fee 1 4. 25 3rd Floor Plan Check fee 2.. l • 13 Htd Basement State Surcharge fee Li • s' Unhtd Basement Subtotal 13L) • 4 3 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial l TOTAL 13 a • 9 3 Industrial Receipt # 2.'1'O t 3 Other Cash/Check# 2,6 Total Valuation: Initials ---Y\t,g--Q Or Date ,'/Z I /0 6 Estimated Cost: CD 1 - 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 entry to the applicant's property or structure shall be requested and shall occur during regular business hours. i Signa Date: / BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00181 Received Date: 3/21/2000 SITE ADDRESS: 323 PORT HADLOCK HEIGHTSRD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: 4503 OLD GARDINER PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 484itti3� PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 530 HEATH RD SEQUIM WA 98382 Contractor's License BUILDBCOLLMG Expires 07/07/2000 ARCHITECT/ ETSI ENGINEER : 27121 469TH AVE TEA SD 57064-8100 PROJECT DESCRIPTION: 20 X 20 GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,000.00 ADD'L: HEAT TYPE UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 400 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: _3O3tC( SEWAGE DISPOSAL: OSS WATER SYSTEM: PUBLIC STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland 8..-' Erosion I� a Exist: Exist: Seismic Streams 1\J Prop: Prop: Flooding N 0 Landslide ►�I _ Total: Total: F&W NU Plat Conditions Shoreline aa)(, )- Aquifer Lt) L t,'e.,r Pi Routing Date: Forest: Commercial Rural ',JO Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 MAM 03/21/00 27073 5i�l l Area Plan Check $29.18 MAM 03/21/00 27073 !�! /fie�Gl State Building Code $4.50 MAM 03/21/00 27073 Review ew Total: $130.93 tip v�r 3&-(46. `Pit-r I:\F_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: -S ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 3 Z 3 12 4- /4-44-O(.ez-,>- 61-,5 N Drainfield area cleared sq.ft. Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 981 5— J Oti/ = 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 / /5 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) ("Cr sq.ft. ❑ 1. North arrow Existing Structures (all roof area) ei C- 1 sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. O 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 sq.ft. closest structure 0 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 O 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 01 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 9 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 O 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:IHOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 * x * 8 x3 �. _ 1G Y� y+Au, yr. ,.�"..'Y z ♦ � Ey ( ,Le4.%Ja/) 'alb' S1 71'-7/9j7"7/ )/JO C7-(7/ .1.V'd + ��.�� tea.-LSD k� i°z � n o v N 'St.. —--,, --1 .- I ... -\. to y t .(Pi . - o '..' t\• . i ill ( ' _is-. .a. <rr4. ,iti . L .... �A. , , . 1 _ o 0 _. . ! n I o °I* ea'-- r 1, ,-. „..,.., v, N.s• 1 • Q9 : • Jefferson County Permit Center * Department of Conmunity Development k�¢�o c°��, 621 Sheridan Street, Port Townsend WA 08368(3601 379-4450 �sti 0un-versrc 01011, ollfo �&ll c'st de jollooigg Glaue0.a a.Q eosolete4 as Project Description: `ic 2-0 e, 9 Digit Parcel Identification Number(from your tax statement): cf5_00c%,c j Site Address 911#: ` f -l-1 ro%mac-R:- iir5 Road Name: jT)c �t- sJ Wt,:z. I I-J Zip Code: q6'3 Legal Description Subdivision Name: Poy- —' / 4_ iie..-i-5. Block: Lot(s): pZ- Section: Township: Range: Parcel Size (acres or square footage): Property Owner: we Phone: �-�-i k. J� � 2(. o-- 3";zcr- S3—`gib Mailing Address: 1 c;. CIS(o 1)7 /1,747. Applicant/Occupant: Phone: (if different from owner) 13w 1G1 t.puri ,t vo _„,--s- �tik- JJ141S ,j(oQ --Co e S (o 2-1 (p Mailing Address: . 0 . 3031 rJUl 14C/1 g49 3 a Z- Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 3 U/ 1 0 1 47,-e S Phone: 3 47-o-(L&? 6 2-/ b Mailing Address: P o 3 3 1 d -,e-,-r-#7 64.,,i9- `k.,638 Contractor's State License Number: a v,,„ ,,6 I/ ,-- Expiration Date: 7-za 7-2_027ze Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: rs- CsaS- cigs- /2.. o Mailing Address: 2 7-12-l ` Cott fit. PriJ re(' Sa, s`76 (Y-447/07) Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFNCE USE ONLY : Fire District Planning Area: School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name 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 b N0 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 I 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 v 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) Q o o D / I / / / / / / / / / / / / / / / . . r / / / / / / / .' .fl r / / / / / r////// //////,� ----i0 - _ (Questionnaire Continues on Back) 6. Does the site have steep slopes with little to no vegetation? YES JO `If YES, please describe: +hi gh Does the site contain hi h percentages gvery of silt and/or 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: 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. 6 "---- Signature Date 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: N �to \\1.(C: 60 t A .Q a � a % c7 to l� M N 4111 WT00 Ed Na 6Z: T 000Z/bZ/£0 4v T9VV6L£09£T o uioa3