HomeMy WebLinkAboutBLD2000-00263 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 #: BLD00-00263 Received Date 05/1/2000
SITE ADDRESS: 20 FOSTER LN Issue Date 08/28/2000
PORT LUDLOW, 98365 Expiration Date 08/28/2001
APPLICANT: WILLIAM R D WILSON PHONE: (206)547-6245
ELIZABETH B WILSON
4343 ROOSEVELT WY NE#604
SEATTLE WA 981054781
SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 57
PARCEL NUMBER: 990600357 Section: 09 Township: 28 N Range: 01 E
CONTRACTOR: MCCLANAHAN CONSTRUCTION PHONE:
1280 LINGER LONGER RD
QUILCENE WA 98376
Contractor's License: MCCLACC174NA Expires: 06/30/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ATTACHED GARAGE
REQUIRED INSPECTIONS:
(Cc �� r[ Footings/Setbacks (Shorelne S tbacks :� I
[t Foundation: g� �Cij1(
[ ] Underground Plumbing/Underground Insulation:
e Wall1 PC 1"/
[ ] raming/ lumbing: Q /C-
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] yheetrock:
[` Final/Occupancy Approval: W-27— '/
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 #: BLD00-00263 Received Date: 5/1/2000
SITE ADDRESS: 20 FOSTER LN
PORT LUDLOW, 98365
APPLICANT: WILLIAM R D WILSON PHONE: (206)547-6245
ELIZABETH B WILSON
4343 ROOSEVELT WY NE#604
SEATTLE WA 981054781
SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 57
PARCEL NUMBER: 990600357 Section: 09 Township: 28 N Range: 01 E
CONTRACTOR: OWNER PHONE:
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: ATTACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,840.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 484 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: 4 Exist: 3 Seismic Streams
Prop: Prop: 0 Flooding Landslide
Total: 4 Total: 3 F&W Plat Conditions
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
APPROVED
Permit $111.25 MAM 05/01/00 30755
Plan Check $33.38 MAM 05/01/00 30755 ( � ,►� - 9
State Building Code $4.50 MAM 05/01/00 30755 -'AUG 2 8 2000
Total: $149.13
JEtterson County Planning
is Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
Jefferson County Department of Community Development
��01.1 �C 6213Cp lan 3tree Port Town :nd WA 88308[3001318-4A50
W `=e o
>, Dermov ApI-3
Goo - cacaon
Project Description:
Building Type: Project Type: Frame Type:
• Sin: • ._ .. i New X Wood
X Gara••Attached/b etached E Addition ❑ Steel
❑ Modular X Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition E Other:
❑ Industrial /ZE-Pc.•4c iva G�-/2 Pogr
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one: (t k/Sr/eve)
Existing: 4- Existing: .3 x Sewer ❑Community System X Electricity ❑ Oil
Proposed: Proposed: U iIndividual System X Woodstove Propane
Total: 4- Total: .3 If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Pemut# SEP
Water Supply:
❑ Private well E Two Party Well Public:Name of water system: /ACC/ r.' Le/Di-0kl0
Square Footage: For Office Use Only
Main Floor i�c/a UBC OCCUPANCY GROUP
2ND Floor Base fee - 2-
3rd Floor Plan Check fee F36
Htd Basement `!,/ �a State Surcharge fee 1 t--
-" )
Unhtd %Subtotal 1 1 ` �
,D
Garage/Carport 4L f 4- /41 U,'54 ) Pot Water Review fee
Decks f, 911/Rd Approach fee !
Commercial TOTAL A LA..cl _ --
Industrial eceipt'# : :':-SC,. -)
Other ' ash/Check# /A C
Total Valuation: Initials r +-
Or Date /—O C
Estimated Cost: :' r-0-0 'We fO.SE 7J
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 tare 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 tight of entry to Jeffe on 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 prope cture shall be requested and shall occur during regular business hours.
Signature: Date: �Z z l/f/
- BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00263 Received Date: 5/1/2000
SITE ADDRESS: 20 FOSTER LN
PORT LUDLOW, 98365
APPLICANT: WILLIAM R D WILSON PHONE: (206)547-6245
ELIZABETH B WILSON
4343 ROOSEVELT WY NE#604
SEATTLE WA 981054781
SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 57
PARCEL NUMBER: 990600357 Section: 09 Township: 28 N Range: 01 E
CONTRACTOR: OWNER PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: ATTACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,840.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 484 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW i lj Pli-.- - ,//'
WATER SYSTEM: LUDLOW STORMWATER: YES NO `� AREA
�Y,.
BEDROOMS: BATHROOMS: Wetland Erosionv _
Exist: 4 Exist: 3 Seismic l Streams t3 -1
Prop: Prop: 0 Flooding t Landslide I.)
Total: 4 Total: 3 F&W )) Plat Conditions fib
Routing (4Shoreline 00 Aquifer k) 0
Date:
06 Forest: Commercial MO Rural N 0
Proximity
Type Amount Paid By: Date: Receipt: , Approved/Date
Permit $111.25 MAM 05/01/00 30755 `z
Plan Check $33.38 MAM 05/01/00 30755 --
State Building Code $4.50 MAM 05/01/00 30755 n Jp
`d in "
Total: $149.13
1:1F BLD_App_Bld.rpt 10/29/99
STORMWATER CALCULATIONS
Owner/Applicant: WILL/4#44 j2. .0 1iJ/L50/0
0 PROPOSED LAND DISTURBING ACTIVITY
Site Address: ZO CIS E Drainfield area cleared sq.ft.
, tog T G.L/DL ai/ 9 g'J Driveway Length ft.
X Width ft.
9 Digit Parcel Identification No.: _9.9 co s-7 = 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 2.0 ' ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) £ O sq.ft.
❑ 1. North arrow Existing Structures (all roof area) /6 CrOsq.ft.
❑ 2. All property boundaries and dimensions Sidewalks 0 sq.ft.
Ei 3. Names of adjacent streets Concrete Patios (j sq.ft.
O 4. Driveway/s & parking spaces Fr- pesed:
O 5. Major features such as ravines, Driveway Length j-® ft.
seasonal creeks, bodies of water, etc. X Width /Z ft.
O 6. Septic tank, drainfield and reserve area location, = Total Driveway1-O sq.ft.
existing or proposed, and distance to Total Impervious Surface 2 -7go sq.ft.
closest structure
❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
Minimum Requirements:
O 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
❑ 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,
❑ 1 3. 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
❑ 1 6. 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:\HOME\PLN CN TR\FORMS\PL OTPLN.FR M 9/97
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name W, LL ♦,4 M J D /iA L SOi )
V 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 X 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 X 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:
jcls'l E 141_,0t/2 0.a/ 4,t�:J4c-z-7L/7" i`?,22/i4-77r1'
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 rJ 4 Q (] 0 ❑ Sarie 'TEE,aE72
, / I , ; ; /4/o rho /� 4/7vo♦t/6-
i i / i i i i' i' °
i / i i / / / ,/ /'
0 rr , ii ♦ ♦ . �.fl
r , , i ♦ ♦ ♦ �♦�.
iiii
r„///
mi.♦♦ ♦.�.� _ _-fl
r„ii♦/�/. . ..
unii�/ .----------------
(Questionnaire Continues on Back)
Page 1 of 2
6. Does 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 X NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES 3( 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 2 0-0
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
: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\pl ncntr\forms\car.doc 1/00
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