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HomeMy WebLinkAboutBLD2000-00211 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00211 Received Date: 4/3/2000 SITE ADDRESS: 91 W FITCHBERG ST PORT HADLOCK, 98339 APPLICANT: WILLIAM CROOK PHONE: (360)385-9982 JANET CROOK 91 W FITCHBERG AVE PORT HADLOCK WA 98339 SUBDIVISION: WOODLAND ACRES#1 Block: Lot: 3 PARCEL NUMBER: 999501003 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: PHONE: PHONE: ARCHITECT/ AUMOCK DESIGNWORK ENGINEER : 2323 HENDRICKS ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: 16 x 22 ADDITION TO RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 352 VALUATION 19,296.00 ADD'L: HEAT TYPE EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: CITY STORMWATER: YES NO t.-,' AREA BEDROOMS: BATHROOMS: Wetland /O(Q Erosion &) Exist: 3 Exist: 2 Seismic 100 Streams NO Prop: 1 Prop: Flooding i) 8 Landslide i3 ) Total: 03 Total: 2 F&W 1,1, Plat Conditions QC). Routing Date: Shoreline t3 C) Aquifer t3 Forest: Commercial I,;: ; Rural j,J Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $321.25 MAM 04/03/00 27160 Plan Check $96.38 MAM 04/03/00 27160 State Building Code $4.50 MAM 04/03/00 27160 (.1 (Ito ( Total: $422.13 w �Q L I, U f I le I:\F_BLD_App_Bld.rpt 10/29/99 William & Janet Crook � � l5 2 !1 n � lS 2 91 W. Fitchburg Avenue D Port Hadlock, WA 98339 360-385-9982 - Home r jp 1 1 2000 360-379-4999 - Work JEFFERSON COUNTY Building Permits DEPT. OF COMMUNITY DEVELOPMENT 621 Sheridan Street Port Townsend, WA 98368 Re: BLD00-00211 Dear Sir or Madam: We have decided not to put the extension on our home. I called your office and was told that if we didn't go through with putting the extension on our home that we could get a partial refund of the money we paid for the permit. I am asking for that refund at this time. Thank you in advance for your time and attention in this matter. If you have any questions, or I can be of assistance, please do not hesitate to contact me. Sincerely, Janet Crook gsoN co Jefferson County Department of Community Development .., G 621 Sheridan Street,Port Townsend WA 88368[360]378-4450 W , 0 Perm !lz n -iSh7 N0, Project Description: Building Type: Project Type: Frame Type: Single Family = New Wood u Garage Attached/Detached 'Addition ❑ Steel • Modular 7, Alteration/Remodel 1 Concrete • Commercial i Repair = Masonry 117, Multi-family/#of Units ii Demolition 11 Other: -, Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 3 Existing: Z Sewer 1Community System iElectricity Oil Proposed: if- I Proposed: -B' /Individual System 1 Woodstove ii Propane Total: 3 Total: eIf not sewer,fill out the following: 7. Heat Pump Conventional C Alternative 7 Other Permit# SEP Water Supply: 11 Private well 7, Two Party Well 17, Public:Name of water system:di71'0F/0O.4'T 7/PRIA/.. '.vO Square Footage: .vEe I For Office Use Only I Main Floor .3,5Z , �Zq UBC OCCUPANCY GROUP 2ND Floor 4/- Base fee . Z 3rd Floor Plan Check fee 6)1 3 B Htd Basement 0i CID State Surcharge fee Unhtd Basement Subtotal y 2,2 '3 Garage/Carport S Pot Water Review fee Decks 911/Rd Approach fee Commercial not TOTAL ! 7i2-• 13 Industrial I Receipt# ;-1 !W a Other Cash/Check.# 10?,CA Total Valuation: ( I CI Z (//P Initials VS+k Or Date Li• , , 0-0 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark V/4 ft.Bank Height Ar/� ft. By signing the application form,the applicant/owner attests that the information provided herein is true and code'.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 Jeff n 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 e licant's prop e shall be requested and shall occur during regular business hours. Signature: --/ Date: • • STORMWATER CALCULATIONS Owner/Appiicant:GviGUR/y r0.DOG 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: .1/ GUEST Fr 7 c see&,4vE. Drainfield area cleared 18- sq.ft. p ..&r /14.010C-C, W/l 9-8359 - 9544 Driveway Length -64, ft. X Width -8-- ft. 9 Digit Parcel Identification No.: 999 50/420.3 = Total Driveway -A- sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 46-a sq.ft. INDICATE the following information. Total Land Disturbance ¢SO sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 020 IMPERVIOUS SURFACE • Proposed Structures (all roof area q.ft. ''' 1. North arrow Existing Structures (all roof area) 2,¢¢5 sq.ft. ?� 2. All property boundaries and dimensions Sidewalks (ev,sr1NG,) 60 sq.ft. • 3. Names of adjacent streets (I Concrete iesScad 3?6 sq.ft. ?'4. Driveway/s & parking spaces oa Pref}esed:C%/sr1NV .2- 5. Major features such as ravines, Driveway Length //O ft. = /5"4/0 / seasonal creeks, bodies of water, etc. X Width ft. 1" b22. -J/6. Septic tank, drainfield and reserve area location, = Total Driveway 2/li 2- sq.ft. existing or proposed, and distance to Total Impervious Surface J, 4 S sq.ft. closest structure tr 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 3. 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 '10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of sediment onto public roads. If sediment is inadvertently ell. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned 'y12. 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: All exposed and unworried soil shall be stabilized by sodding, ?'1 3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base Yell 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 .4 16. Top of bank, if over 10 feet high their intended function. 217. 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 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name 4v/44-4v ca2ooX- ✓ 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 4 Q / i� , i iiiii i i /iiiii / i . / iiii%i/ /'�'. -' ///iiiii..',' - ------------ (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? _ YES ✓ 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, 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 , 2oca FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR E Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: E Frequently Flooded Area C Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Seismic ❑ Commercial Forest Section Z Township 29 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 • 4 • - - - Pk 'CI t .,, • B (0,),;.*:,41„foirt,, ..c ..›\. .•, ., • 1 • 1, 1(,10/ ifo,ii0cili: . ' -\ 4. 4, :.e0., , k I . 1 , 1 ,. 1 ,......„, �•:: .: . * , c . ,„ 3. . ,. % 1 , I :: 4 c.,,,.. —rroaarry4s , ,,,,,--- '''C\ ' , ,------- \ A, \s„ • ! 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