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HomeMy WebLinkAboutBLD2000-00273 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 #: BLD00-00273 Received Date 05/4/2000 SITE ADDRESS: 403 CEDAR Issue Date 05/12/2000 PORT HADLOCK, 98339 Expiration Date 05/12/2001 APPLICANT: STAN SOUTHWORTH PHONE: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License: BLYNCB066CZ Expires: 02/14/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NEW DETACHED GARAGE REQUIRED INSPECTIONS: [t,]---" tings/Setba Shoreline Setbacks): 7/C 2(z /�/ • [4— ou a io 7 1 'c7 3`A9g / D . [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [-] Framing/Plumbing: w,/cdao 9 .iz-o— [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [`] Final/Occupancy Approval: wwA✓,o -C 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 #: BLD00-00273 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 6,970.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 697 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —I'r ximlty - Hat Conditions -' Type Amount Paid By: Date: Receipt: ,droved/Date Permit $139.25 MAM 05/04/00 30773 A ' J E, Plan Check $41.78 MAM 05/04/00 30773 State Building Code $4.50 MAM 05/04/00 30773 MAY 1 2 2000 Total: $185.53 Jefferson County Planning & Building Department 1:1F_BLD_App_Bld.rpt 10/29/99 c , �� co Jefferson County impartment of Community Developmont 621 Sheridan Street,Port Town :nil WA 98368 13601 378 4450 0Pac 0 0 s ,,r . o 0 0 Project Description: Building Type: Project Type: Frame Type: Single Family X New X Wood ,(.Garage Attache 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: I d 1/ 11 Choose one: �▪ f4 Existing: �/ t Existing: / / ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: • Private well �/ ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor �//il UBC OCCUPANCY GROUP ▪ — 2ND Floor /V/!7 Base fee // ) 3rd Floor !q,r d4 Plan Check fee' /. "7 p Htd Basement State Surcharge fee `,t o Unhtd Basement r I � Subtotal / � , _, 3 Garage arport 7 o Pot Water Review fee ' Decks A//// 911/Rd Approach fee ' Commercial /(/// TOTAL /o / �� � 7` Industrial N/4 Receipt # t` I Other - Cash/Check# ' �o :� Total Valuation: Initials (..-, ', Or Date" 5 Ai , C Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water ark �/� ft.Bank Height ft. By signing the application form,the applicant/owner sue ,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 espect 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 pr"oppeertty or structure shall be requested and shall occur during regular business hours. / ' Signature:• 'r�4� Date: - 7 — C' ,.1 7 ao, /. , nevo Sa-t- :Dctc..4 ., 5tv //g , ,Al IOC < ill 1);^i ve 1/2/,4/ • , . • Di-i te 47,4/ --r-•-• / s'• f1C'; ' 1-_ Wade t L i age g',' -I r- Hot (ifi) *566:i...:1c7-13 Sete.er 4 , : P rub 1 17) ;Zof , ____ . .1,,,_ . S. , _7'. roe 1 .. , .6, 2 ----A _ 11-,A D( ' .2.0`t/ j • , Mete,. , 4_,,,„ •—r 121--).1 ci rif see, ---,. 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' irk)dt'tdi a 3a re , e with e c(co #i of/l/onhe '7e 9 Digit Parcel Identification Number (from your tax statement): eig _ Site Address /bt t I*il Lock 911#: 4/03 Ceciai- 4veriwe Road Name:CCUda r4vehue Zip Code: 757.:1:57 Legal Description Subdivision Name: Phi/J ' Addi7/oh to ItOndale Block: /0 Lot(s): 7 g 7 Section: cx Township: 42_7 Range: / w Parcel Size (acres or square footage): /z ,:`3 4,5 FT. Property Owner: Stah eQ M* �o Mary ,Sou th woPrh Phonr3�00.3%� - ®O p Mailing Address: r ID/ /f / f.r i odzot 1r// 9333 (? Applicant/Occupant: S Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: 4/14 Mailing Address: General Contractor: Or Manufactured Home Installer: O vi 01- BGe!e 'l" Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: ZW4 Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General ?� Phone: Contractor's Bond Holder: ,C. yg �j V2ff Mailing Address: // j y 2(4 95 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan ` BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00273 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BLYN CITY BUILDERS PHONE: 683-9522 PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 6,970.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 697 SHORELINE: CONST TYPE: DECK: SETBACK: di4 g7 SEWAGE DISPOSAL: CON ' BANK HEIGHT: C� ' �. WATER SYSTEM: PUBLIC r PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO s /AREA Exist: Exist: Wetland /t,' Erosion P Prop: Prop: Seismic ;Nb Streams (,6. Total: Total: Flood Way Iv J Flood Plane I/O F&W NV Landslide N Routing Date: Shoreline,Nt Aquifer( Forest: Commercial tt,'C, Rural 'C ' —Proximity - Flat C• Id Ions v Type Amount Paid By: Date: Receipt: ■■}• Ap,ro •. /- Permit $139.25 MAM 05/04/00 30773 1 rt1� � �� Plan Check $41.78 MAM 05/04/00 30773 State Building Code $4.50 MAM 05/04/00 30773 Revr / Total: $185.53 _ aterEj Icy Regtliled kl- '?✓& I:W_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant:51Vz r/ t, 5outhri�r t �� AvePROPOSED LAND DISTURBING ACTIVITY r' Site Address: TO3 cedes r!` Drainfield area cleared Pvtr Med tcit k p/,4 33 Driveway Length t 16 ft. X Width®2-O.r '/0 ft. 9 Digit Parcel Identification No.:!3 —9O/—0a5 = Total Driveway, 34 d©X Str Csq.ft. r F sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. a7 5 sq.ft. INDICATE the following information. Total Land Disturbance !aJr sq.ft. Draw entire parcel to scale.ee Indicate scale of plot plan: One inch equals 2 01 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 4;356 sq.ft. North arrow Existing Structures (all roof area) 7 sq.ft. ir-2. All property boundaries and dimensions Sidewalks /020 sq.ft. 11(3. Names of adjacent streets Concrete Patios / sq.ft. 'e4. Driveway/s & parking spaces Proposed: i i-5. Major features such as ravines, Driveway Length /V/,1 ft. seasonal creeks, bodies of water, etc. X Width /1//li ft. r V'. Septic tank, drainfield and reserve area location, = Total Driveway fV/4 sq.ft. existing or proposed, and distance to Total Impervious Surface closest structure �. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: kt. Wells and/or water lines • Construction Access Route Stabilization: V . Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with A.1'0. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of f1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned 112. 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: /14 • 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. ❑ 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:1HO ME\PLN CNTR\FORMS\PLOTPLN.FRM9/97 • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name Sta.Yl -I j ,o t tI 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 )( No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present _ Yes x 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 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) a o Q o a ❑ / / I / / , i / r r / , , i r r r i , cirri „ . t� iiiiii,' � ''��'/ � ' //://// /r/// „'i,/ ' ' .''/ _-D II/ 5 1///://// //' /' (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 X 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 L6 `7 — Cc FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR E 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\pincntr\forms\car.doc 1/00