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HomeMy WebLinkAboutBLD2000-00277 f • • i • ti 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 #: BLD00-00277 Received Date 05/5/2000 SITE ADDRESS: 35 BLUE MOUNTAIN RD Issue Date 05/15/2000 CHIMACUM, 98325 Expiration Date 05/15/2001 APPLICANT: HARLAN BAUMAN PHONE: (360)830-0111 3868 RED WING TRAIL BREMERTON WA 98312 SUBDIVISION: COUNTRY RIDGE Block: Lot: 4 PARCEL NUMBER: 801045004 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [1] , Footings/Setbacks (Shoreline Setbacks): n jC /--G/ ['] Foundation: /- ' yP-c___ i- 3-0/ 5/6- [ ] Underground PlumbinggUnderground Insulation ; z, :,?-l_;-r,0 .may -— SarW �r,�y I r ,,�;, um bin.0.Pc vMl� �i/C S//6�©l '��✓� 2 f/Y/�/v>['� o Je 2 © � [ ] ' Propane Tank/Lines: [vl j Insulation: 1:.-)"q 4.7 Tt,1. i -3n L i p a f< ►a.idt s�Q `i-' 27 c'/ [r Sheetrock: 0 Y Sf2, e/ [ final/Occupancy Approv 7/ .`37? /(7 V HEALTH DEPARTMENT APPROVAL REQUIRED P IOR 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. FAIOttri HeAT+-1N�$ SPECIAL CONDITIONS MAY APPLY - SEE REVERSE y, 4. Zon1ks /�Lu'to i5+--bc-r3-t51 HOT LINE AVAILABLE 24 HOURS A DAY • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00277 Received Date: 5/5/2000 SITE ADDRESS: 35 BLUE MOUNTAIN RD CHIMACUM, 98325 APPLICANT: HARLAN BAUMAN PHONE: (360)830-0111 3868 RED WING TRAIL BREMERTON WA 98312 SUBDIVISION: COUNTRY RIDGE Block: Lot: 4 PARCEL NUMBER: 801045004 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,152 VALUATION 221,856.00 ADD'L: 935 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-1 UNHEATED: #OF STORIES: .34/9OTHER: CONST TYPE: 5N SHORELINE: qCONST TYPE: GARAGE: 960SETBACK: "� DECK: BANK HEIGHT: ( . SEWAGE DISPOSAL: ALT \ WATER SYSTEM: PWELL PARCEL TAGS: YES NO ' BEDROOMS: BATHROOMS: STORMWATER: YES NO '- AREA Exist: Exist: Wetland U 0 Erosion 1J6 Prop: 3 Prop: 3 Seismic f JO Streams t1) : Total: 3 Total: 3 Flood Way ND Flood Plane FJ.) F&W 00 _ Landslide.1 / Uvhonl Routing Date: Shoreline N C) Aquifer P) Forest: Commercial '° Rural ti C) Type Amount Paid By: Date: �rReceilpt: Approved/Date ons Permit $1,676.95 MAM 05/05/00 30775 Plan Check $503.09 MAM 05/05/00 30775 State Building Code $4.50 MAM 05/05/00 30775 GritgReViCieW1176F Total: $2,184.54 Stanrarater R 11714er I:\F_BLD_App_Bld.rpt 10/29/99 I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00277 Received Date: 5/5/2000 SITE ADDRESS: 35 BLUE MOUNTAIN RD CHIMACUM, 98325 APPLICANT: HARLAN BAUMAN PHONE: (360)830-0111 3868 RED WING TRAIL BREMERTON WA 98312 SUBDIVISION: COUNTRY RIDGE Block: Lot: 4 PARCEL NUMBER: 801045004 Section: 04 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,152 VALUATION 221,856.00 ADD'L: 935 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R- 3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 960 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity - Plat Uo ditions Type Amount Paid By: Date: Receipt: •• ow[ d t ,. y r Permit $1,676.95 MAM 05/05/00 30775 A p E� Plan Check $503.09 MAM 05/05/00 30775 j3, - .--}ertk State Building Code $4.50 MAM 05/05/00 30775 MAY 1 5 2000 Total: $2,184.54 Jefferson Count/ Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 4 ON co Jefferson County.Permit,Center * Department of Community`8evelopment 44 G 621 Sheridan Street,Port Townsend WA 08368 MOW 370-4450 LG� '0. , ? rmtd lmti` rol s,,,c1 Piplitai Project Description: At G- 4 L (x Building Type: Project Type: Frame Type: [-Single Family mew Wood • Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial 0 Repair ❑ Masonry ❑ Multi-family/# of Units 0 Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: 3 Proposed: 3 L Yndividual System ❑ Woodstove P-Propane Total: -3 Total: 3 If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alte attve,, ❑ Other ``�Permit # SEP Co Water Supply: Private well ❑ Two Party Well ❑ Public:Name of water system: Square Footage: . For Office Use Only Main Floor 1 .5;.Z t 14 1(17 2 v (c UBC OCCUPANCY GROUP 2ND Floor q 3 5 C)II Z5(0 .—4- Base fee ! t "(D . ci 5 3rd Floor Plan Check fee 503 „ 09 Htd Basement State Surcharge fee Lit . 5.0 Unhtd Basement Subtotal 2_.I . 5 Garage/Carport ci b D C.1, 2T ."Z Pot Water Review fee Decks 911/Rd Approach fee _ Commercial TOTAL ca. 1.?- . .51 Industrial Receipt # 3 Q 17 S Other Cash/Check # �? �/ 3 9 Total Valuati�n: �2 5 Initials Or Date Estimated Cost: 1 c':ep If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Signature: ads,/ /1 -- Date: 5"---S'-,J-en et. a �50 Jefferson County Permit Center * Department of Community Development k, °<:, 621 Sheridan Street,Port Townsend WA 08368(3601 370-4450 .,,c, ...._-.7:t3;:,0-..v fiver a 50vt D,1� v . o ,1/49_11iNo_y Till cu tie jd4evucg 61ai a4 ea Atzte4 as fiaeai&e: Project Description: RE-S ) 9er47`s41-- D(Ew uIE. 9 Digit Parcel Identification Number(from your tax statement): ?4,3 i _ (9 m 5 + 0 0 4) Site Address L.- ,44')WI 4 c err! A J 911#: 35 a w.e. Yh.-r s+ . ti A A Rea4N e: Zip Code: q 8-:,3), Legal Description Subdivision Name: Block: Lot(s): Section: tI Township: L p N Range: Parcel Size (acres or square footage): 5 s ‘ A ce es Property Owner: rl Phone: 4ICL.4-M a5 . v_rn .4-N 3.6B -j13ca - 1t t Mailing Address: 3?tt1( o WA:"c(A` "K DUB, 2eam �Rra "1 V4 9tP3 ) )— Applicant/Occupant: Phone: (if different from owner) ). - T. Mailing Address: Authorized Rep: 7, -,,L x. Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 5-2,ef Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: 1 3-(ii Phone: 6�m c 7- 7 Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OPPICE USE ONl..Y .; :Fire District: Planning Area... School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan e , lifo '-' J G o Al 3p�a f1-i/iXL if l''' .l�j A c i w,4 -0 g 5 2,L. 'J. E 'M1C`Ja � C C %� Acu , J )A qS3 ) 5 ,. /1:' F� / r-�. ::C : ' 8.1::.,- ,i c, i'‘,,,, . ( 1,1 . .. ,: , , s. . 4 4.c\4kc b , ..lik'i.'j op , ,i,„,t,\,,,,,,, „,,, �3> `t1 , ,, _ -57, _::, , . f- Jy ,,, , j� G 0 , STORMWATER CALCULATIONS Owner/Applicant: if ei--./Az m,4 ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 3 5 Ili-U. w►'t-ry If40 Drainfield area cleared sq.ft. C.4Nvy) A WN,f4 q;'3 Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 8'0 1 --le e = 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 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) .1 sq.ft. ❑ 1. North arrow Existing Structures (all roof area) ic'' sq.ft. U 2. All property boundaries and dimensions Sidewalks sq.ft. n 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: • 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface ,3(� 0 c. 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 1 50 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 ❑ 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 0 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 INDICATE: Management Practices (BMPs). • Maintenance: Li 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:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 Jefferson County Permit Center ` Date j 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name g ,¢ }Q L AL At 13 4 tx- V'74/J ✓ 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 O 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 identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbag alder, or cottonwoods present -"YES NO on your property or adjacent proper ies? If YES, please describe: ! "( ,Oi 7- � N 4. Are there any indications on any portion of the property or on any YES L--Ne- 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 a 4 Q o o p I / / / / / / / / / / / / i / / / ,/ / / ,a / / / / / / / , / / / / / / / / / / / / ,/ / / / / / / .. „, / / //i, ,' ,' .'� ''� / / / i / / / / / i/iiii i' , // ''� �''-0—/ // / / / / / ,',' ,'' .'' �,.D.i '. /iiiiii , . /iiiiii /,' .' - - l//iiii„ / --- .-fl//iiiiii'.'.' , 10 /uaii ';''---'___- —" 0 (Questionnaire Continues on Back) a 6. Does the site have steep slopes with little to no vegetation? YES `-NIT If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES -N1i sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES Lae' surface of the ground? If YES, please describe: The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson County based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. Signature ), .0) et,u N- Date $ -.5 - -cnc 8 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 Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: