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HomeMy WebLinkAboutBLD2000-00287 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 #: BLD00-00287 Received Date 05/4/2000 SITE ADDRESS: LARSON LAKE RD Issue Date 06/8/2000 PORT LUDLOW, 98365 Expiration Date 06/8/2001 APPLICANT: ROBERT KEN DE WITT PHONE: (360)732-7148 3851 LARSON LAKE RD PORT LUDLOW WA 983659754 SUBDIVISION: BEAVER POND ESTATES Block: Lot: 1 PARCEL NUMBER: 933700001 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION CONVERT EXISTING STUDIO TO RESIDENCE (GROUPED TO SEP00-00097) REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall [ ] Framin /Plumbing.: 2) Pe C Zy/0V [ ] Propane Tank/Lines: '1, 7/19 [ ] Insulation:5l� 73 Oq7 -t [ ] Sheetrock: e J- 7/6(J? (`I- [ ] Final/Occupancy Approval:, 2_0. I/v' 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 . * s‘ BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00287 Received Date: 5/4/2000 SITE ADDRESS: LARSON LAKE RD PORT LUDLOW, 98365 APPLICANT: ROBERT KEN DE WITT PHONE: (360)732-7148 3851 LARSON LAKE RD PORT LUDLOW WA 983659754 SUBDIVISION: BEAVER POND ESTATES Block: Lot: 1 PARCEL NUMBER: 933700001 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: CONVERT EXISTING STUDIO TO RESIDENCE (GROUPED TO SEP00-00097) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 768 VALUATION 10,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R- UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 220 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 1 Seismic Streams Total: 2 Total: 1 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Pr xlm.lty Hat C• .d bons Keceip : t Permit $181.25 MAM 05/04/00 30721 , - lti ' _ ED • Plan Check $54.38 MAM 05/04/00 30721 1 - W o-0-•- State Building Code $4.50 MAM 05/04/00 30721 g e 8 Q Potable Water Application $30.00 MAM 05/04/00 30721 Total: $270.13 jitowi pounty.if',Viti I:\F_BLD_App_Bld.rpt 10/29/99 i1 Jefferson County Department of Community Development �4e.,.90N 'O 621 Sheridan Street,Port Townsend WA 08368[360)370-4450 w kT `fi1-2 e. * o �`!s 0Q GOPpDcfl© 1 Project Description: Building Type: Project Type: Frame Type: X Single Family ❑ New iX Wood ❑ Garage Attached/Detached ❑ Addition D Steel ❑ Modular X Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair LI Masonry ❑ Multi-family/#of Units ❑ Demolition E Other: ❑ Industrial Conyv4RSior) of peRMatied S7h4 eZ ❑ Other. TO Re s I ct e w;r A t- q d r Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 0 Existing: 0 ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Z Proposed: I 'Individual System ❑ Woodstove XPropane 2 Total: _ Total: If not sewer,fill out the following: ❑ Heat Pump Conventional XAltem tive ❑ Other enrtit# SEP .... (� Water Supply: Private well KTwo Party Well E. Public:Name of water system: Square Footage: For Office Use Only Main Floor 7 6' UBC OCCUPANCY GROUP 2i`'n Floor Base fee ` f• ZS 3rd Floor ✓ Plan Check fee 54 .115 Htd Basement State Surcharge fee LI• Unhtd Basement •" Subtotal 2.46 . (-3 Garage/Carport .' Pot Water Review fee 3 Oa-c) Decks 2 20 (co eae& i Not heated Apt 911/Rd Approach fee ,rt`' ' -...--• Commercial TOTAL a-]0. 13 Industrial Receipt # 3 O 12 Ojher Cash/Check # 4l 3 7 Total Val . :on: 0 I/l, Initials Or Date D t.i` Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark N'� ft.Bank Height ft. 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 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 property orstructure shall be requested and shall occur during regular business hours. Signature: Q WAAT prO9 Date: S/`I ?4d-b ! . tt BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00287 Received Date: 5/4/2000 SITE ADDRESS: LARSON LAKE RD PORT LUDLOW, 98365 APPLICANT: ROBERT KEN DE WITT PHONE: (360)732-7148 3851 LARSON LAKE RD PORT LUDLOW WA 983659754 SUBDIVISION: BEAVER POND ESTATES Block: Lot: 1 PARCEL NUMBER: 933700001 Section: 07 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: CONVERT EXISTING STUDIO TO RESIDENCE (GROUPED TO SEP00-00097) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 768 VALUATION 10,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 220 (ya-SETBACK: 0° '7-7 BANK HEIGHT: (0C SEWAGE DISPOSAL: ALT �T WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 1 Seismic Streams Total: 2 Total: 1 Flood Way Flood Plane F&W Landslide Routing Date: ' Shoreline Aquifer — Forest: Commercial Rural Type Amount Paid By: Date: —PrKeceltt Approve dteons — Keceipt: PP ��a e Permit $181.25 MAM 05/04/00 30721 r" CaI Al b Plan Check $54.38 MAM 05/04/00 30721 �V/ � State Building Code $4.50 MAM 05/04/00 3072114 � 3 Wiry__ Potable Water Application $30.00 MAM 05/04/00 30721 0`�/c) Wfr,"/ Total: $270.13 qtornawater f4P`t f 27/ • -•rlittvd_.7:-*7(dt I:\F BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: �.z1 Dett'\ _ ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 3 3.s r 14 RS3rJ 1f & Rd, A��e� y �� �Drainfield area cleared sq.ft. PORT 1-vtAili.4 MJ#9 q136j Driveway Length ft. OLD DRIVerwg% CI X Width ft. 9 Digit Parcel Identification No.: 13 3 76® 00 f = 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 0 IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. V1. North arrow Existing Structures (all roof area) 4 q00 sq.ft. O 2. All property boundaries and dimensions Sidewalks sq.ft. 0 3. Names of adjacent streets Concrete Patios °' sq.ft. O 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length ft. t<''/ls'j i'•'f+ seasonal creeks, bodies of water, etc. X Width ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface < Ji pbp sq.ft. closest structure O 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 O 10. Paved surfaces (patios) Nowt. quarry spalls or crushed rock to minimize the tracking of 0 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned Id"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, 0 13. Easements for access or utilities Recea4 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 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 0 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\PLN CN TR\FORMS\PLO TPLN.FR M 9/9 7 t ' • . R. Kent DeWitt Z.C, 3851 Larson Lake Road Port Ludlow, WA 98365 \y'•\ ,\ 360-732-7148 t� kent@olympicgetaways.com 0 17 _ 11, y 11, 3.0 x 5.0 double 1 4' iqo hung q64) ;vx"4°4 window 1 NI 6.Ox4.Q WA I Resi4 6.0x4.0 6.0 x r: . yp tBATH ______ , window :,, ity A , FT ' =DRM —O _c13EN:•..., 19*°9\) C N \ LL I O j Propane + t; Vf, �/ - Fireplace & I Ob Grw cAwt KITCHEN LIVING I 5.0 X 4.0 _ &DINING i/g,-rT Sliding leo window /61 ocj _—_____L_ 4., , i i ___._-itc., — _ Ev.i.411\ trr 8.0 x 4.0 4.0 x 4.0 6.0 x 6.10 Sliding o Sliding French Window window doors COVERED PORCH 12 27 APPROVED s D , sm,Ae JUN 0 8 2000 Jefferson County Mannino W 2,.I,...V yY;Jz.ri,..w1.• I ! . Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name RAN T De lily ITT 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 k_ Yes _ No property or on any nearby property at any time during the year? If YES, please describe: P(4.444.. Vie. C;Rt'it c/P- ARtiki iNFOkrinATba,-1 S441;tttcl 04:(,4 j,.t))d,'v drz,,J N0 i n1 NA i l f r[%ut• ii) O u (mod love beet.! 1 c rc ine P� (� , AGl.. Gf�C ALi.) Ad&ri's( As Mgt- o1 Q/2cfiiN4L bjw.:Ztr pefoiF7 2. Has any portion of the property or any nearby p(operty ever been k' Yes No — identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present >C' 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) ❑ J o Q q, •, , , ,-o ,' Icii i , , / ,' . i iiiici i„i',,'i' '',�,./.' �•.fl c ,' ,�❑ ic ❑ (Questionnaire Continues on Back) Page 1 of 2 • l • 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 V NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES V 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. /� n_ Date -S cr .2o-t' Signature �o 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 E 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.docl/00 • 11r.F OF WE7WVS • • • ---""- • • • \ • • • • 0ye- 0' WET ND \ f T BUFFER Us ti \ LOT L1.17 AC OT 5 \ \ o510 su7oo�u k \` \',,,o\ roo' WE7LAND 0 \ ' \ BUFFER 20•FIR 1a\ �\ jo. \\G ` 1G 22-FIR\ • . ` `* r u , \...0. \ \ � \ �,\ \ J _````\ -� \ 4\ • ill -•............. ''''.......... --,.. — \ I , \ LOT 4 N ' ' 1.CB AC OS78 C0[ y ? \ I'—_� \ OR'y 414.1 \ \J \ \ — K4. J 190 f OF 2"SCH. 4�� ,Is \ - ,4, PETP. FIE INTO EX/STING \ \ *4•4, 2"PVC IN ROADWAY, +6- wt J J LOT 3 \ \ `�7 \ 1.11 AC \`\ i� ` ` \ 033700003 \�� o`\ I \• +` �� • \ =y / 24R Oz 10' 1.' \ \ / J \ J J £XISIING 2'PVC \ 14"FlRQ / / / 14'CEDARO / JD"AR // N \ I O / I EXISTING WELLS s g° O \\ 18'FlR IB \47 ` / . �q, IB'FlR\ \ /. o� \• ,� ,P \ LOT 2 ti \ 913700002/ / \ 9-°fir \ \ \ \ / / ilf \\,, ------- ------- r \ / EXISTING 2'PVC \ EXISTING \ \ -�,. / WELLS /soeAVsENf I / N ACCURACY NOTE4 \ I SEE ACCURACY NOTE, SHEET 1. I cK 0 25 50 LEGEND V S�� \\ SEE LEGEND, SHEET 5. IL scale 1N FEET N. 110. f00t OF "SCH. 40 PEIP. I7£ �R RY NFL \ 56 �- INTO EXISTING 2"P1C IN ROADWAY. P'S� V. WASy/�` j� , 5 \ 1,000 GALLON P.C. J.aq- \ IIIII 1,250 GALLON TWO r 1.•. COMPAR7X!£NT S.T ��,���- �'�I MAN POND MADE \ • 4'GSTP i11 ...n4 ! I , ess/ONAL ENG\4 LOT1 / 1.02 AC 913700001 / J EXPIRES 34/j e) i I20' 20' O 12 7 0-� _ `�``" n 1 3 18 RSLA ON LAKE ROAD April 27, 2000 11:53:03 am. Drawing: G:\PROD\DWG\O1E28\07\DEW19901\DEWITT, LOTS 1, 5, 6 FINAL SEPTIC.DWG (MSD) m NORTHWESTERN TERRITORIES, INC. 2000 7(28-1 E) SCALE: AS SHOWN DATE: 4/27/00 �- DESIGNED BY: MICHAEL S. DEENEY BEAVER POND ESTATES _ / NORTHWESTERN TERRITORIES, INC. DRAWN BY: MICHAEL S DEENEY Engineers - Land Surveyors - Planners SITE CHECKED BY: PLAN - LOT 1 Vier- Construction Coordination - Materials Testing REVIEW: ENGR. , CONST. 717 SOUTH PEABODY, PORT ANGELES, WASHINGTON 98362 SHEET 3 OF // FOR: KENT DEWITT NT! (360) 452-8491 1.01- b 1...0"1- -5- LT y a�(tl .r L-r 3 R e SF(-DR6(1vb eL 0� SN s Fl. ,,, \\( ` s 1J '\---n-N€l'\.....s..... ,._.,',,: -. ---h--41 _ - i_ fo 2 FAL- r ta+..v i L o r Li1Jas ---o• , IL4120 \ S E Pile. lliNKS \ w i \ oT W� �;' � �tls�,Ntr 6�latCr Iv /#;:‘ 447'/- _ cRem a _ _ _ d 'go'1 < /7?/ OLD CAqi4*% 1 Awe, V For PARkiwo ci 49 LARso4 Mo. 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