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HomeMy WebLinkAboutBLD2000-00243 • f k 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 #: BLD00-00243 Received Date 04/17/2000 SITE ADDRESS: 464 BACHELOR RD Issue Date 04/20/2000 GARDINER, 98382 Expiration Date 04/20/2001 APPLICANT: GORDON ANDERSON PHONE: (612)940-8791 2445 ARONA STREET ROSEVILLE MN 55113 SUBDIVISION: WM H THOMAS SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 002341012 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: HINES CONSTRUCTION INC PHONE: (360)681-4458 PO BOX 3336 SEQUIM WA 98382-3336 Contractor's License: HINESCI034N6 Expires: 10/09/2000 LOAN LENDER/ DEVELOPERS INSURANCE CO BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE REQUIRED INSPECTIONS: ["/, CFoot g/ etbacks (Shoreline Setbacks): oft.t<og r.,0141 � [./ [ Underground PlumbihiUnderground Insulate: e)K_ trr‘ vv,;s - '1 Ti [4 Shear Wall: O IC - •t. a;,NA cal [�] Framing _.lumbing: Qt % S��c �i�ync-01)0c [ J Propane Tank/Lines: [L] Insulation: „2�a 2 e> l Cam! [ Sheetrock: t K <T C' [Y] al/Occupancy Approv C-)K i ok. 0 -'N) .- % -t L°L'e 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 R BUILDING PEWIT APPLICATION A. Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00243 Received Date: 4/17/2000 SITE ADDRESS: 464 BACHELOR RD GARDINER, 98382 APPLICANT: GORDON ANDERSON PHONE: (612)940-8791 2445 ARONA STREET ROSEVILLE MN 55113 SUBDIVISION: WM H THOMAS SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 002341012 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: HINES CONSTRUCTION INC PHONE: (360)681-4458 PO BOX 3336 SEQUIM WA 98382-3336 Contractor's License HINESCI034N6 Expires 10/09/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 564 VALUATION 39,558.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 300 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIG T: SEWAGE DISPOSAL: ALT f J t C WATER SYSTEM: PUD STORMWATER: YES tip, NO REA BEDROOMS: BATHROOMS: Wetland J%;0 Erosion Exist: Exist: Seismic k..) Streams k, Prop: 1 Prop: 1 Flooding t3 C) Landslide Total: 1 Total: 1 F&W NU Plat Conditions ' Shoreline t ) Aquifer ;" v Routing Date: Forest: Commercial 1;,' Rural C» 0 Proximity _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $542.75 MAM 04/17/00 27233 tea AMC, Plan Check $162.83 MAM 04/17/00 27233 State Building Code $4.50 MAM 04/17/00 27233 tieview ) '�/J/] / Potable Water Application $30.00 MAM 04/17/00 27233 i 6 '6 Total: $740.08 I:\F_BLD_App_Bld.rpt 10/29/99 11111VO 66 Ni6t---- -'''-:--. T a STORMWATER CALCULATIONS Owner/Applicant: Cc . & e do-f c yC j 0 PROPOSED LAND DISTURBING ACTIVITY Site Address:17i i4 UI t7 . 49 Drainfield area cleared 2 7 7 / sq.ft. Driveway Length 29 ft. X Width 13 ft. 9 Digit Parcel Identification No.: L-' 2`4) C 7 (,0(2._- = Total Driveway u�� sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 00 ' ` 2 poo. 40cr l '/Oa sq.ft. INDICATE the following information. Total Land Disturbance 7 . /I sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 12 0 G sq.ft. ❑ 1. North arrow Existing Structures (all roof area) � sq.ft. Li 2. All property boundaries and dimensions Sidewalks sq.ft.. 3. Names of adjacent streets Concrete Patios sq.ft. E. 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length_ ( ft. seasonal creeks, bodies of water, etc. X Width 2-1-/- ft. 0 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 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 ❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 0 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. 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: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of • 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\PLN CNTR\FOR MS\PLOTPLN.FRM9/97 Jefferson County Department of Community Development ����uN co! . t i . al S eridan Street,Port Townsend WA 98368[360)379-4450 G ppfl5c © Project Description: tSB ding Type: Project Type: Frame Type: ingle Family New Wood ❑ 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 ❑Community System etlectricity ❑ Oil Proposed: 1 Proposed: eIndividual System ❑ Woodstove ❑ Propane Total: I Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well Pu die:Name of water system: 4 IA 6 Square Footage: For Office Use Only Main Floor S( 0 1 \`' UBC OCCUPANCY GROUP 2ND Floor Base fee } �4� 3rd Floor Plan Check fee ( G ai -•3 Htd Basement State Surcharge fee ^� f,� 1-S ys Unhtd Basement Subtotal f v 4!J Garage/Carport OO / Pot Water Review fee t - 60 Decks 911/Rd Approach fee c '? CI Commercial TOTAL ? 7 .s 0 Industrial Receipt # e ~7- 3 3 Other ,�0.. ,e u v`�� c: `7(n1-1 Cash/Check# 4.-(`�`�—J • y_Total Valuation: b'tials Or FA ate '— / ! `00 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 rovided 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 applicati n packet may result in thisopermir 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 e)n ��try to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: H( Cerk .. e94A,c1 /�, Date: `/ `—/0 0 O c7 4 141''fr.s-----) ! , . BUILCI-NG PERMIT APPLICATION ION ' " ' Jefferson County Departiiner c'l; C2mmunity Development 621 Sheridan Street Ftrt Townsend, WA 98368 PERMIT #: BLD00-00243 Received Date: 4/17/2000 SITE ADDRESS: 464 BACHELOR RD GARDINER, 98382 APPLICANT: GORDON ANDERSON PHONE: (612)940-8791 2445 ARONA STREET ROSEVILLE MN 55113 SUBDIVISION: WM H THOMAS SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 002341012 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: HINES CONSTRUCTION INC PHONE: (360)681-4458 PO BOX 3336 SEQUIM WA 98382-3336 Contractor's License HINESCI034N6 Expires 10/09/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 564 VALUATION 39,558.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 300 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 1 Prop: 1 Flooding Landslide Total: 1 Total: 1 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $542.75 MAM 04/17/00 27233 APPROVED Plan Check $162.83 MAM 04/17/00 27233 State Building Code $4.50 MAM 04/17/00 27233 ��'�` 'I _.-.1 `��.Q_ Potable Water Application $30.00 MAM 04/17/00 27233 APR2000 Total: $740.08 Jefferson County Planning & Build;nq Department 1:1F_BLD_App_Bld.rpt 10/29/99 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: 6--cUe {D Avetifcgde) Telephone: G (2-- o ` 7 19/7 Address: 7 3 4"kOiJA sr, �-t.)`C'E ()fa E M lv /1u Assessor's Parcel Number: C ('j Z,; 4701?--- Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: ,3 L(/L,(Q )O U LUA-G f� A iy),-f 1 5D ' c, &k i A 2 f)1 3 c e ct L.D (A)(,- ® _0 I G A -P \E N C /4 / c9 T Zoo ' 4611)6- rcx. 4 LOA--Tt-74 e Site Location: y c C Person Responsible for BMP Installation and Maintenance: J�-?2 cFZ j U/ Address: 9, 0 r 3& 3336 ("Jk Telephone: 3 - ( 71 ` cticia3 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, lakes, or wetlands) or impacting adjacent property or roads. Please 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. Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock —to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. 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.). SPESC Instructions—Long Form Revised June 3, 1999 9 EROSION AND SEDIMENT CONTROL WORKSHEET Phase clearing so that only areas that are actively being worked are uncovered. Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. VI Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. M Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. jxf Place gravel base on roads,driveways, and parking areas after clearing and subgrade preparation. [] Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) Regularly inspect and maintain all BMPs especially after storms events. [ Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. SPESC Instructions—Long Form Revised June 3, 1999 10 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways,etc.) Pnr ve?t)A - ,ppL y ,_G- e- iRvw Nell) 6ariotr- Ater 19/1-0 c- c, 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.). PZu ry p F F -F o ew /f-y WILL atse k (a) oFr fY tit koz (tC 6 Q €rev kei-3 Re-A. D w -t"i+e A `mil SPESC Instructions—Long Form Revised June 3, 1999 11 r , 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.,SUPA,PC solo R.6v� to,' i j6,oc dray pig foW eci ,0trait (GA-J VI( 6U. I[_D I NL-- s/ 4'GK rl L l'nr.) kl7` /NS7A-CL St-j 7"/L ,_s7t4 -PfcK fl LI4-telacacii cgct i L one c- a, Sew 6-�QfioAs, 1 N ,0 s 7 ,06 06 € LkP 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. Signature of 0 er/Agent I' Date S2AV IQ_ SPESC Instructions—Long Form Revised June 3, 1999 12 • Jefferson County Departtmerit of Community Development 621 Sheridan Street, Port'Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name } IUc\ ( iv [7J 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 j 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) o 4c.Da o ❑ .' .i] / , ,�',�' fl r// / / / / ////// , , //////, ' -- !/////,,, 5- (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. 4 Signature ' P c ciAt Date —% t:`a 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 ❑ Erosion ❑ Landslide ESeismic ❑ 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 T ► ns = ,, / 31V-73 jr....________f__________. .__._____________,___ ► OZf b _ , y i t f i 4 { i i S 00 1 F------ I v... ),,,, t V \\\\\\\ I 1 \\\\ 1 p b c i \\,,,cc2:0 } m 1 S \ . ... 1 ir \ \ 1 . ia _ . , \ .. \ \ ., I (A) 0 ,?.. \\,\, .. .! , , ------,, , , .. .___ _ \ , _ _ ___ , \ \ , __...___ _ __ _ _., \ ____ _ __ - . ._____________------,, _ _ . _ ___ ,0, ,,,-)wa 'IN''' -'3'n\°:3 _ _ ±........._,_ ____ ______ 1 I oC NJ M 0 ' �r (13 4 ` d ai ` ) v J ,-sf .'' �) I v -1- 4 U o , i o 0 o w a o 0 0 M - 0 rn tt IN'i f ...,... •EL,' o , „I U •• • o ", 1 N o ,� �2 �' I fl �, o z t a�,N ,y o .o 0 �1 oc z ' 1; 4a v c� v cu aJ > z 0 r ; 0 v o o a {--) CJ ' 0 n IV4 l �;a ea 'Z 'Z j 15 :� o �i v ii50 M V ; c • z $, 4-1 .�d iNri ^ O + v3 5V v ylull I h-,� ".-1-1 U .� aj. 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