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HomeMy WebLinkAboutBLD2000-00291 ,. t 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 #: BLD00-00291 Received Date 05/10/2000 SITE ADDRESS: 981 CARL JOHNSON RD Issue Date 07/14/2000 QUILCENE, 98376 Expiration Date 07/14/2001 APPLICANT: JOHN INGEBRETSEN PHONE: (425)392-0516 JEANNE 25156 SE 158TH ST ISAQUAH WA 98027 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 701043003 Section: 04 Township: 27 N Range: 01 W CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: dpre41 . P O BOX 1953 PORT TOWNSEND WA 98368 )04;5- Contractor's License: CAVETCI05ON5 Expires: 07/26/2000 LOAN LENDER/ CBIC BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: m Footings/Setbacks (Shoreline etbac Ex7 F %C © ,,,r CQ I '_4'. / [ ] (Underground Plumbing/Underground Insulation? c2 7 g z e G a l(/ [ ] S a : 771,irmT ir'e 7 7c}75 "/<- %//-//e/4--9e ' [ ] -'amen.rIumbin.. ?Wtr/ "- e, ( / /? CI? ' S' C r' _-0 ' at,ztoe(„c-) . pe.- [��i�ro ane Tan me Al ?► 0prp! ld I [ ] Insulation: c2, /f/7/ 7, ♦., [ 0,- °Sl�r�e roc :��r` ?/�c���t,�'; _ [ anal/Occupancy Api o ® a &. —(1 40 O/C HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED Ili 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 DepartrtEent o`iCommunity Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00291 Received Date: 5/10/2000 SITE ADDRESS: 981 CARL JOHNSON RD QUILCENE, 98376 APPLICANT: JOHN INGEBRETSEN PHONE: (425)392-0516 JEANNE 25156 SE 158TH ST ISAQUAH WA 98027 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 701043003 Section: 04 Township: 27 N Range: 01 W CONTRACTOR: '7 ri�;_.y r -* P/Y\, PHONE: #980jso5-s/ 3 ,0- 9; Contractor's License CAVETCI050N5 Expires 07/26/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 127,764.00 MAIN: 2,086 CODE EDITION: 1997 ADD'L: HEAT TYPE: HTP OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: 140 GARAGE: 578 SHORELINE: CONST TYPE: SETBACK: DECK: 1523 BANK HEIGHT: 75 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 1 Total: 2 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Ruralgrl Type Amount Paid By: Date: �rReceilpt: Applo ed/Dateons Permit $1,150.55 MAM 05/10/00 30783 APPROVED Plan Check $345.17 MAM 05/10/00 30783 B-L,44.. wef-d„ State Building Code $4.50 MAM 05/10/00 30783 J 11 L 1 4 MO Potable Water Application $30.00 MAM 05/10/00 30783 Total: $1,530.22 Jefferson County Pinning & Building Depart-net:: I:\F_BLD_App_Bld.rpt 10/29/99 ��� oiv co Jefferson County Department of Community'Development r. r 621 tiheridan Street,Port Town rid WA 88368[360]378-4450 prm5tAppi - cai. on o0 ��G Project Description: B glg F Pr' t Type: Fri Type. �amily '`'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 ❑ Electricity ❑ Oil Proposed: / Proposed: Vlndiridual System r y ❑ Woodstove ❑ Propane Total: / Total: j If n ewer,fill out th fffowing: ❑ peat Pump nventional C3''Altemative VOther Permit# SEP i- a-_1 Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only / Main Floor 1.20 PC//" fly 3Sk4 UBC OCCUPANCY GROUP 1 , c . 2tvD Floor Base fee \?j c65'15 ! 1 SD SS ,,/ 3rd Floor I ;. Plan Check fee t l�.1) L/S '7\��' L) Htd Basement 4 : �� � - State Surcharge feel `15 Unhtd Basement r v� Subtotal i `j UQ , Z L Garage/Carport / ► //Sig 6 Pot Water Review fee 30 . °D Decks 12 O2 O 911/Rd Approach fee ((ll\ PP N Commercial TOTAL' I S 0 • 2..Z„ \� Industrial Receipt # Other 3 ,li (/� .kik /eioic.14 di cash/Check# s / ) ‘ 5 Total Valuation: ( Initials Chu Or �� 0rDate � 0 -60 ; Estimated Cost: > ` If within 200' of the Shoreline, r 0 t' 'ICP/C Distance to Bank or Ordinary High Water Mark 4 ft.Bank Height w ft. %7 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. u 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 V against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access right of entry to Jefferson Co' —d-it s emp4oyees,representatives or agents for the purpose of application review and any required later inspections. V.. Access and ri t of entry to e plicant's p er4:„..o,r,srettcture sh shall occur during regular business hours. "7 Signature: (� ai (á2 ..c Date: S , Jefferson County Department of Community Development /t.w� soN C 621 Sheridan Street,Port fTownsckad WA 98368 (360) 379-4450 ,;, I , ' 'o Universal Plot Plan `'1`HINa`'. Fill in the following blanks as completely as possible : Project Description 407irl S7/41.97f ( 7- ( G?) fie 9 Digit Parcel Identification Number (from yo4 tax statement): 7 6,. . 1_0 L.t3 _1,03/ 0,4 0 c/3.0k1 Site Address / r.1 car,` ,, ' 911#: 5 Road Name: Zip Code: f, � Legal Description Subdivision Name: 7/4- — �''�c&• Block: Lot(s): / Section: S' %9 � I�4 Townshi yam" p: a1 /r/ Range: Parcel Size (acres or square footage): /] 1 Property Owner: / 4— Igo 4 414 tit Ev-- 2b c t o Phone: ea s - e- 693 Mailing Address: , f 5 6' ( / fr-y,se. ?PO-12P Applicant/Occupant: Pho e: (if different from owner) Mailing Address: Authorized R J /�/ / ��', Phone: ,� 7 /�J Mailing Address:Rep: G�� �� 62.27,d,e____ <',,,l (.,,,,,,, 30 ',..v .7 .. / / 5-1 / 9'13 PZ 77% t rOc e✓ . S23 j General Contractor: Or Manufactured Home Installer: 54.41'', /26 Phone: Mailing Address: Contractor's State License Number: ( /j i I67-670 6.6 N5 Expiration Date: 7 2 .00 Septic Designer: Phone: Mailing Address: / ( nit- g �/ /oil a Architect:/Engineer: r " e�,,e_ Phone: Mailing Address: Loan Lender/General - Phone: Contractor's Bond Holder: r, .. / Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area... School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan ����, BUILDING PERMIT APPLICATION Cert0�' —������ Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00291 Received Date: 5/10/2000 SITE ADDRESS: 981 CARL JOHNSON RD QUILCENE, 98376 APPLICANT: JOHN INGEBRETSEN PHONE: (425)392-0516 JEANNE 25156 SE 158TH ST ISAQUAH WA 98027 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 701043003 Section: 04 Township: 27 N Range: 01 W CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: (360)385-3247 P 0 BOX 1953 PORT TOWNSEND WA 98368 Contractor's License CAVETCI050N5 Expires 07/26/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,086 (7 \% VALUATION 127,764.00 ADD'L: HEAT TYPE: HTP A .// CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES , 7U OCCUPANCY: t CONST TYPE: 5N OTHER: 140 SHORELINE: CONST TYPE: GARAGE: 578 SETBACK: DECK: 523 BANK HEIGHT: SEWAGE DISPOSAL: ALT ,22 I ; j WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWAJER: YES NO AREA Exist: Exist: Wetland ))r; Erosion NV Prop: 1 Prop: 2 Seismic eva Streams NVNg Total: 1 Total: 2 Flood Way. rJ J Flood Plane ci L Routing Date: F&W . 0 / re LandslideN0 �- ( � Shoreline ` Aquifer y/rs Sir I Forest: Commercial P Rural /IV Proximity Plat c dr�ions Type Amount Paid By: Date: Receipt: rove - "` Permit $1,150.55 MAM 05/10/00 30783 r . c ' ..t ; Plan Check $345.17 MAM 05/10/00 30783 9 / , �� State Building Code $4.50 MAM 05/10/00 30783 eI s, r c Potable Water Application $30.00 MAM 05/10/00 30783 Total: $1,530.22 '� 11 /(2F) I:\F BLD_App_BId_rpt 10/29/99 o 1 a JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: _p r -r Q. ] 6Afl.tTelephone: rG?5-37 z -Q1-/ . Address: 25/6 Ca S, 6. Asp 57- -I s. i tX11�� 7 DOc77 Assessor's Parcel Number: 70/'273_D03 7 v/-Oy3-a2 Building Permit or Septic Permit Application Num r(if applicable): Brief Project Description: S-fi 0 /t- r /2af CZ i 74-►C 61/ C)/ifra 16 /44e9/ C4/ ,-- )` -e ,_ 4e5 (., ,,,„,./7-3 Site Location: g // �C N . Person Responsible for BMP Installation and Maintenance: AZ0// (‘I Address: �� / 9 c3 77- L ` Telephone: 3 A c"-- 3 c 2,47 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. VMinimize 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.). c SPESC Instructions—Short Form Revised June 3, 1999 3 1 EROSION AND SEDIMENT CONTROL WORKSF EET []� Phase clearing so that only areas that are actively being worked are uncovered. M Start and complete land disturb' ng een April September 30. Stabilization means that disturbed areavities and s will e t haveewell-established bet 1 and cover or be landscaped to minimize erosion. plant [] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days betwee October 1 and March 31 and within 7 days between April 1 and September 30. n [ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [] Place gravel base on roads,driveways, andpar preparation. p king areas after clearing and subgrade [] 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 Mana ement 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 Mana ement 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. p fic SPESC Instructions—Short Form Revised June 3, 1999 4 r t EROSION AND SEDIMENT CONTROL WORKSHEET P 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) Cs����� 4 4 et /Z-r/L ee,r-eg/i e.ei- G(‘" (A/ 12;4-44 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.). 7 71— • SPESC Instructions—Short Form Revised June 3, 1999 5 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. Ya 72/ ./0 — CO) 6—e `T,‘ � e2 /3 - 020 The Be anage nt proposed above will be implemented to control erosion, sediment, and sto ter noti er for inspections as required. Sign o Owner/Agent Date SPESC Instructions—Short Form Revised June 3, 1999 6 jv•�� 'lOv�. '.11I Ur DELL 1J �� 41002 09 ON Y21/X1.1 6T:ET (MIA 00/ZT/L0 5 a - soya County Department of Community Developmerit July 7,2000 i _-- . Sheridan Street, Port Townsend, WA 98368 7. t•360) 379-4450 s :' - c ,. FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE . " JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE 'Ti':. mot; Applicant: CAVETTE CONSTRUCTION INC *:.• P 0 BOX 1953 ?c``-" PORT TOWNSi_NQ WA 98368 ww I f Critical Area Review Case Number: CAR00-00208 Project Description: SFR16 Parcel lumber. 701043003 S-T-R: 04-27N-01 W ; -� Site Address: 981 CARL.JOHNSON RD QUILCENE WA,98376 , FINDINGS: ..,.4 . ,, =In accordance with the authority provided under subsection 4.101 and the requirements contained in Subseion 5.402 of time Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the "`' referenced application: �` 't.) The application was reviewed by Jefferson County Permit Center staff on 5/10/00 for the potential presence g of critical areas regulated under the provisions of the Ordinance, and the following critical areas were �+* - confirmed as potentially present on the subject property:Wetlands, Fish and Wildlife(Osprey),Shoreline (Conservancy), and Aquifer Recharge(Suseptible). ;2_) Acting upon the above information,Jefferson County staff conducted a site inspection of the subject property on 9/9/94 and confirmed the existence of the following critical areas and/or their associated tu.1tferi on the property: Shoreline, and Aquifer Recharge(Suseptible). 3.) On 9/9/94 Jefferson County Staff conducted a detailed site inspection based upon a triggering applicant an to - 3, .A install a septic system (Permit#SEP94-0329). During the processing and approval of the said application ', the wetland and shoreline were identified and addressed through the Jefferson County interim Critical Areas Ordinance. Based on the information obtained through the triggering septic permit application,the proposed dwelling.and existing septic system complies with the Jefferson County Interim Critical Areas Y Ordinance setback requirements(see CAR File#94-00085). 4.) During the site investigation conducted in 1994,Jefferson County Staff investigated the possibility that a wetland was located on the proposed parcel (PIN#701043003). After a detailed site inspection it was*AWL::: determined that the proposed development is located entirely outside of the designated wetland.and its W.,,,____ associated Fish and Wildlife Buffer. It was further noted that a curtain drain had been previously Installed. 5.) This waiver also includes findings and conditions for evaluation of shoreline areas as regulated under the r, provision of The Jefferson County Shoreline Management Master Program, adopted March 7, 1968, as ' amended. >f _ S.) l'he fish and wildlife habitat area is entirely associated with the shoreline.The minimum buffer for fsh sand , wildlife habitat area along the shoreline is 30 feet as measured from the beginning of the vegetation lire ..44.,.. .' along the beach. The bank height averages roughly 25 feet in height, howevor, the applicant has proposed 4--- to site the dwelling 50 feet from the Identified shoreline. i -A 7.) Aquifer recharge areas in Jefferson County are characterized by porous geologic formations that elllow -4. . � percolation of the surface water into the soils and the underlying zone of saturation Aquifers are georgic 4 "` 0 formations that contain sufficient saturated permeable material to yield significant quantities of water to `.: wells and springs. Aquifers serve as the source of drinking water within most of the rural portions.of ` Jefferson County. ,„ .... _ •n r � ' ,„„ - _" i a l 9 Z 6 r *112 �-+off zu i od ,', 16:34 FAX 4254527882 CITY OF BELL IS ___4_003 a 009 o I i/LLI iT:eT aaii 00/ZT/1.0 Susceptible aquifer recharge areas are those with geologic and hydrologic conditions that promote infiltration of recharge waters to groundwater aquifers. This includes any portion of Jefferson County witha 1 DRASTIC index of greater than or equal to 180 points as determined using the U.S. Environmental '" y Protection Agency DRASTIC methodology: Drastic:A Standardized System for Evaluating Ground Water _ . Pollution Using Nydrogeofoglc Settings(EPA 600/23-87 035), _� This waiver from the provisions-of the Jefferson County Interim Critical Areas Ordinance Is granted subject toeai following can6tlons. Any deviation from these conditions shall result in this waiver being revoked and ale - -.-ate: application becoming subject to further review. ,.,.. �: < CONDMONS OF APPROVAL: ":` - 1,) The shoreline buffer shall be measured perpendicularly from the top of the bank along the shoreline. ' -- 21) Fish and wildlife habitat area buffers shall remain naturally vegetated. Should buffer disturbance occur r " " during construction, replanting with native vegetation shall be required by the Critical Area Administrate:. No alteration shall be made to the fish and wildlife habitat area buffer without prior authorization by the r.-_ - Critical Area Administrator. = _} Vegetation retained on-site following completion of clearing for roadways, utilities and the like, may be cleared only if such clearing is absolutely necessary to complete the proposal(Note:This condition shall ' _ not be construed as allowing removal of native vegetation within a designated critical area or its associated - buffer). , 4) All construction activities, including the storage and preparation of materials,shall not encroach upon the 's• 'hr designated fish and wildlife habitat area,its associated buffer, or any critically important plants and trees identified on the subject property. -5) The proposed development shall be located on the subject property exactly as identified on the Universal Plot Plan, or other Site Plan, approved by the County as part of the triggering permit application. 6) during the review of this application it is specified through the detailed site plan that a 50 foot setback 0 l be maintained along the shoreline(eastern boundry). tc`'qttv.---- (9, X- . .. .,.__. ��;- Warren Hart, AIL Date Criscal Areas Administrator ` .44� -1 understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical • Areas Ordinance is made subject to my complying with the above listed conditions,and that any violation of saki i; - .,„„", condttlorm shall result in revocation of the permit or approval and further review of the project under the Critical ;Areas Ordinance. t Please sign and return to the Department of Community Development_ << &*_ Rt's Signature Date "`' 1 a r -d: File _ _._rr- crib 1 - _ t &T (,AR Waiver W Conds.rpt 12/13/99 (A/4�� ,,,,,,,,,_ rt616L_=' J . ..., .. , ,,,,,,,: .�rop_.,� 7A) ,, �t�y 7 i,_a., i-J ......„ p4-/z..49,Q4,,, ,......:._ Y 1 .1 /.,......„e,,.. i,,.., , p4 4,\)b- iz_ 9‘r . vl - — ‘i ,,,!.,,, =b -.; // / :a y Zet ' Q ZFi I CAC ra+�ir.�a;(�---V/ /, .