HomeMy WebLinkAboutBLD2000-00195 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 #: BLD00-00195 Received Date 03/28/2000
SITE ADDRESS: 94 EDGEWATER CT Issue Date 04/28/2000
PORT HADLOCK, 98339 Expiration Date 04/28/2001
APPLICANT: MICHAEL D CHESLEY PHONE: (425)641-3011
GRETCHEN F CHESLEY
4515 173RD AVE SE
BELLEVUE WA 980066524
SUBDIVISION: VILLAS BY THE SEA Block: Lot: 25
PARCEL NUMBER: 997900025 Section: 01 Township: 29 N Range: 01 W
CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501
PO BOX 65437
PORT LUDLOW WA 98365
Contractor's License: LANDECDO22JT Expires: 03/12/2001
LOAN LENDER/ HOMER SMITH INS
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED 2-CAR GARAGE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks ('horeline Setbacks):
[ l • ••-tion: 0 ,_
[ ] Ly nderground Plu�ndergro' uund Ins lu atio • -'r� 00(17.
[ ] Shear Wall: 6-c) 3-ii / 0 /
[ ]-- Framing/Plumbing:
[ ] Propane Tank/Lines:
[ ] Insulation: 13ecF:: �-.r' nn/(4f Dtr 7°'3r •e:e. U,, /';t`J Cam(`( OK? g-1-0 , P111G.,'t4-
[ l''�`-•1 a to rock. HO05L 7d- -.4 �� AND t=i/?t—�cS/7z.r 6 IC Wee,
[ Final/Occupancy Approval: %� � f��
) ,lr _ ,/,� _ S r7 �)Nr'- �, , ;B
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
t� HOT LINE AVAILABLE 24 HOURS A DAY
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BUILDING PERMI1- APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00195 Received Date: 3/28/2000
SITE ADDRESS: ALCOHOL LOOP RD
PORT HADLOCK, 98339
APPLICANT: MICHAEL D CHESLEY PHONE: (425)641-3011
GRETCHEN F CHESLEY
4515 173RD AVE SE
BELLEVUE WA 980066524
SUBDIVISION: VILLAS BY THE SEA Block: Lot: 25
PARCEL NUMBER: 997900025 Section: 01 Township: 29 N Range: 01 W
CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501
PO BOX 65437
PORT LUDLOW WA 98365
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Contractor's License LANDECDO22JT Expires 03/12/2000 -
ARCHITECT/ KIRK PATRICK&ASSOCIATES, INC
ENGINEER : 3923 PALOMINO DRIVE NE
BAINBRIDGE ISLAND WA 98110
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED 2-CAR GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,196
VALUATION 189,846.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: 1,016 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 120 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 569 SHORELINE:
CONST TYPE: DECK: 665 SETBACK:
BANK HEIGHT: 65
SEWAGE DISPOSAL: CMY
WATER SYSTEM: CITY STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: Exist: Seismic Streams
Prop: 3-'12- Prop: 3 Flooding Landslide
Total: 3 a- Total: 3 F&W Plat Conditions
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,497.75 MAM 03/27/00 25528 APPROVED
Plan Check $449.33 MAM 03/27/00 25528
State Building Code $4.50 MAM 03/27/00 25528
Potable Water Application $30.00 MAM 03/27/00 25528
APR 2 8 2000
Total: $1,981.58 Jotisrson County Planning
Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Departtrrnt of'Community Development
4,4gO1V coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
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Universal Plot Plan
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Fill in the following blanks as completely as possible:
Project Description:
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9 Digit Parcel Identification Number (from your tax statement):
991 quo oLS
Site Addres 02-
911#: JA \_-1 (L L ad Name: Zip Code: $3 6 S
Legal Description
Subdivision Name: U, L(-5 dy —La_ Sect Pri4- 14a.C)ockBlock: Lot(s): ?_C
Section: Township: Range:
Parcel Size (acres or square footage): 3 a . r 4 aJ F
Property Owner: Phone:
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Mailing Address: ?
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Applicant/Occupant: Phone:
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Mailing Address:
Authorized Rep: Phone
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Mailing Address:
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Contractor's State License Number. Expiration Date:
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Loan Lender/General Phone:
Contractor's Bond Holder: I-{-o 1,,,1e ;r 1 vS u�� �, 335- -3) 1
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
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BUILDING PERMIT APPLICATION
, f
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00195
SITE ADDRESS: ALCOHOL LOOP RD Received Date: 3/28/2000
PORT HADLOCK, 98339
APPLICANT: MICHAEL D CHESLEY
GRETCHEN F CHESLEY PHONE: (425)641-3011
4515 173RD AVE SE
BELLEVUE WA 980066524
SUBDIVISION: VILLAS BY THE SEA
Block: Lot: 25
PARCEL NUMBER: 997900025
Section: 01 Township: 29 N Range: 01 W
CONTRACTOR: LANDER CUSTOM DESIGNED HOMES
PO BOX 65437 PHONE: (360)437-2501
PORT LUDLOW WA 98365
Contractor's License LANDECDO22JT Expires 03/12/2000
ARCHITECT/ KIRK PATRICK&ASSOCIATES, INC
ENGINEER : 3923 PALOMINO DRIVE NE
BAINBRIDGE ISLAND WA 98110
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED 2-CAR GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 189,846.00 MAIN: 2,196
CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO
HEAT BASE: 1,016 HEAT TYPE:
OCCUPANCY: R_3
OCCUPANCY: UNHEATED: 120 #OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 569 SHORELINE:
DECK: 665 SETBACK:
SEWAGE DISPOSAL: CMY BANK HEIGHT: 65
WATER SYSTEM: CITY STORMWATER: YES NO Sk"A AREA
BEDROOMS: BATHROOMS:
Exist: Wetland 0Erosion
Exist: Seismic
Prop: 3 Prop: 3 Streams
Total: 3 Flooding Landslide
Total: 3 F&W Plat Conditions
Routing Date: Shoreline_/5/ Aquifer 0
Forest: Commercial " Rural /o
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,497.75 MAM 03/27/00 25528 Crftjca
Plan Check $449.33 MAM 03/27/00 25528 Area
State Building Code $4.50 MAM 03/27/00 25528 Potable Water Application $30.00 MAM 03/27/00 25528 Review,
Total:
$1,981.58
Stormwa J .Fos.
of
I:\F_BLD_App_BId.rpt
10/29/99
t k Jefferson County Department of Community Development
. r 621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name t/, : lL6 CIA es le y
X 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
—
property or on anyYes No
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 X No
identified as a wetland or swamp? — —
If YES, please describe:
•
3. Are any willows, skunk cabbage, alders, or cottonwoods present Yes
on your property or adjacent properties? — X No
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)
g g 4 Q ❑ ❑ ❑
/ / / / /
, ,
/ / / i , , .�
, , , / / , , ,, ,,
/ / ; ig
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—±---113
(Questionnaire Continues on Back)
Page 1 of 2
6. Doe's the site have steep slopes with little to no vegetation? YES X 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 Xi NO
surface of the ground?
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 c7/, kC" Fo r t1< k e Cie SJe Date —Z
Y
FOR OFFICE USE ONLY
❑ 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
72 Erosion ❑ Landslide
:Seismic ❑ Commercial Forest
Section Township North Range
Parcel Number: Parcel Size:
•
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
Page 2 of 2
h:\home\pIncntr\forms\car.doc 1/00
1
•
• AA', STORMWATER CALCULATIONS
Owner/Applicant: /K k._ £_Ir ' t ems/
1 ( ❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: (,0+ ZC .-i',rP,e+ 4 Drainfield area cleared Ai/At sq.ft.
11 1145 j3 ) Tile Sect. yPc;J't S 10C 14— Driveway Length 2-0 ft.
X Width 25 ft.
9 Digit Parcel Identification No.• rc qCi 7 —'V!O BLS "�
= Total Driveway SC.)0/ sq.ft.
Permit Number: Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
3 q L sq.ft.
INDICATE the following information. Total Land Disturbance Li gf ZC sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
' One inch equals ❑ IMPERVIOUS SURFACE
I
Proposed Structures (all roof area) COCO sq.ft.
North arrow Existing Structures (all roof area) — 0 - sq.ft.
T/ 2. All property boundaries and dimensions Sidewalks t 5 0 sq.ft.
3. Names of adjacent streets Concrete Patios S.O 0 sq.ft.
14. Driveway/s & parking spaces Proposed:
5. Major features such as ravines, Driveway Length Z O ft.
f seasonal creeks, bodies of water, etc. X Width ZS— ft.
J 6. Septic tank, drainfield and reserve area location, = Total Driveway rt)(7 sq.ft.
existing or proposed, and distance to Total Impervious Surface 7 I 'a sq.ft.
closest structure
7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
Minimum Requirements:
tr.a8. Wells and/or water lines • Construction Access Route Stabilization:
. 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
V11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
V12. 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.
land shorelines) • Stabilization of Exposed Soil:
la. Easements for access or utilities All exposed and unworried soil shall be stabilized by sodding,
seeding, mulching, plastic covering, application of gravel base
V4. 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
NDICATE: Management Practices (BMPs).
• Maintenance:
115. Ordinary high water mark All erosion and sediment control BMPs shall be regularly
6. Top of bank, if over 10 feet high inspected and maintained to ensure continued performance of
their intended function.
r 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson
County to mitigate the effects of increased runoff shall be
applied.
':1HOMEIPLN CNTR\FORMS\PLOTPLN.FRM9/97
EROSION AND SEDIMENT CONTROL WORKSHEET
--. I 1 phase clearing so that only.area_s_that are actively being worked are ur&goy red.
JEFFERSON COUNTY
STORMWATER MANAGEMENT ORDINANCE
SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner: 01 t �L.e C S I E �/ Telephone: ( Z S) i 1 —3C 1
Address: I- 5 ,5 — ( 7 3- il-U e S c 1 e ii W t4 G/ y c L7
Assessor's Parcel Number. G/ci 7 G�C'—C J 2-
3--Building Permit or Septic Permit Applicationc Number(if applicable): /�
Brief Project Description: et.�G'�,' S 5I .Tc, \;. y tCES� P��cr? ed
Site Location: L04- 2 C S+.rce+ U t l E4 s v - t Se et �j�
Person Responsible for BMP Installation and Maintenance: �C 0 H �✓ S 1 '4C S Lie V—
Address: (3DX eS'13 V c,r4 L tOc , / Gi)4 f 6c
TelephoneL3 6O) Lf 7 5 O
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, Iakes, or wetlands) or impacting adjacent property or roads.
PIease 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 more
space is required.
kY Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized construction access by applying quarry spans, ballast, or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from Stormwater
Management ManuaI.) If sediment is transported onto roads, they will be cleaned
thoroughly.
SLY 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.).
March 10, 1997
9
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•
•
EROSION AND SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base
to roadways,etc.)
6e-twee h Exr.,&.4-,`oo. A 6c..k-C'(f — Access Q 4 - be
b✓� v���r! j ►�� ct' 4:evtee r Peace _ P.. le c CpVee'eJ
P4-c.4-ei Acick I( - At( Areas +0 be Se.,JeJ
+ -rk wA.CJG1,_ W/t t 2-13 Cass , 6u''cc cue ( Ctcces5 .17) toe trtf�t.
PE`t+eir Fe(A. b ire v
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.).
e (T fir) (IA k m e i y;u 4 S e,j'e s Lc), I ( t,e C.ovci 1Ied
Uvv nst buJ $ C4-&ctt_ ac,S,. 15 6.0 (AIM lD e
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5oK�L o-� P ra j ,
March 10, 1997
11
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L0'd 1d101
EROSION AND SEDIMENT CONTROL WORKSHEET
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.
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The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwater runoff- I will notify the Permit Center for inspections as required.
-�� —vN —pc)
Signature o er/Agent Date
March 10, 1997
12
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