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HomeMy WebLinkAboutBLD2000-00303 ^ b 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 #: BLD00-00303 Received Date 05/15/2000 SITE ADDRESS: 51 PLEASANT RD Issue Date 07/10/2000 BRINNON, 98320 Expiration Date 07/10/2001 APPLICANT: FRANK ENDZELL PHONE: (425)823-6338 13356 NE 134TH PL KIRKLAND WA 98034 SUBDIVISION: Block: Lot: T 23 PARCEL NUMBER: 502142009 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: GERALD HALSEN CONSTRUCTION PHONE: (360)796-3045 PO BOX 398 BRINNON WA 98320 Contractor's License: GERALHCO27MW Expires: 07/15/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ootings/Setbacks (Shored " ac c V— e La oundat' : !k � �/ ' / � '? [f.? er rounciP um ndergro nd Insulati n r [ ] n I. ��v avCA 6t)4 Ccs s ©ic [ ] r.nm r umbin. A, ��.1 y2> � t (` ._ [ ] P_•pane Tank/Lines:: X T L rd— 74 lee D/«0 e/d C.41 s"I ctu,E oac z/�z��u [ Sheetrock:0 r, [w]'' final/Occupy 'Approval: t CJ(Ci 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 AY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY I , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00303 Received Date: 5/15/2000 SITE ADDRESS: 51 PLEASANT RD BRINNON, 98320 APPLICANT: FRANK ENDZELL PHONE: (425)823-6338 13356 NE 134TH PL KIRKLAND WA 98034 SUBDIVISION: Block: Lot: T 23 PARCEL NUMBER: 502142009 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: GERALD HALSEN CONSTRUCTION PHONE: (360)796-3045 PO BOX 398 BRINNON WA 98320 Contractor's License GERALHCO27MW Expires 07/15/200 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW N1 44I MAIN: 1,546 VALUATION 13 4ZLOQ--j ADD L.: 497 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: ' HEAT TYPE: OCCUPANCY: R-3 UNHEATED: S #OF STORIES: 3 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 980 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD 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 —Pr xlmltyv - iat C artIons — Type Amount Paid By: Date: Receipt: Al;prove��ate Permit $1,184.15 LMB 05/12/00 30785 Plan Check $355.25 LMB 05/12/00 30785 APPR State Building Code $4.50 LMB 05/12/00 30785 Potable Water Application $30.00 LMB 05/12/00 30785 J Z0 0 / Total: $1,573.90 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 , Jefferson County I :,1 artment of Community Development ,44SON °� 6213ha'�an Street,Port Townsend WA 88368[3601318-4450 ram $ rm ? Ap5© fl© Project Description: Building Type: Project Type: Frame Type: . Single Family n; New .Wood • Garage Attached/Detached ` Addition Steel O Modular : Alteration/Remodel ❑ Concrete • Commercial Repair Masonry O Multi-family/#of Units E Demolition Other: O Industrial O Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: C7 Sewer E Community System J Electricity 0 Oil Proposed: I Proposed: XIndividual System 2 Woodstove Propane Total _ Total: ._,) If not sewer,fill out the following: E Heat Pump 0 Conventional Alternative : Other Permit# SEP Water Supply: O Private well ❑ Two Party Well Public:Name of water system: �1J �� j j0A-T2pre__3,I, Toy Square Footage: t ��1, For Office Use Only Main Floor /1 ' 'Or' (0.0) - `\UBC OCCUPANCY GROUP q `o ' . S2i"D Floor ! 7 S r �1 Base fee 72•'1C) / / [ L- ' ® o� l �O .-�7 3r Floor \ Plan Check fee 2 3.5 Z 3-J `- 6 aS 37 s, 7--- r Htd Basemen . _ :e+� `3 F aJ 1\ )1 tale Surcharge fee "$_ L 0 "So Unhtd Basement \,3 a Subtotal 1 O I g2_ LIM '3 , C L) i 10 S.82 Garage/Carport P0/14al T Pot Water Review fee o' .°0 Decks got, 911/Rd Approach fee Commercial 'TOTAL � L. s /o 7 3 o 9 0 Industrial J•- Receipt # 13 (' 3C o t�:� Other . '� Cash/Check# / ` o'"� Total valuation: % \� Initials /3/la -' Or 1 �� Date - -CO ��Estimated Cost: /7C, I) If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 3 4,6« ft.Bank Height ,5 , -1-0 7 ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applinnr/owner with rcpca to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of ry to the applicant's property stria re be requested and shall occur during regular business hours. Signature: Date: /pr /g/ orb Jefferson County Department of Community Development < SON coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 ., y Fti 0 Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: C° l5retic /0 Or4 . _, • .-Y / lu/;�&---- A M c .G 9 Digit Parcel Identification Number (from your tax statement): 5o Kg G 0? Site Address 911#: 51 Road Name:- V.N -`- E__Zip Code: 6/e3o ,. Legal Description Subdivision Name: 1117 ' �V Block: Lot(s): Section: 1'�.' Township: 9_5 1,I o Range: E w -j----- Parcel Size (acres or square footage): )2 f'10$ r Property Owner: --re ix ; r _ v�t.., - Phone: 42S� Z� —43 Mailing Address: )�3 56 Hr._ C 3 y-rh ?L ' Ki A <ip \I L 9 O Applicant/Occupant: ;J N / Y.�. Phone: (if different from owner) Mailing Address: Authorized Rep: (2 �� C. ,/ „ / �j�c�� Phone / �`FiJ��/ �j J Mailing Address: a f , w— 5-7- 90- Z7 General Contractor: Or Manufactured HomeInstaller: A ` L J Phone:3(00 -7Z-309: Mailing Address:?Q, ?t,X, 2 i Contractor's State License Number. G z 0 21 M, 7./ Expiration Date: /5- 2coo Septic Designer:--so, " Phone: !l Iv■ ' ►. 1 ISII , s.':_ . // 1W — 4 •• Mailing Address: 120 f' A. ' P ADr , .4 • q Architect:/Engineer: Q(j,/ Phone:Az Mailing Address: ��' [ � ��� O �//'� /-'!/ Lf,r) ! v Loan Lender/General Phone: ' Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan CM0 - o BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00303 Received Date: 5/15/2000 SITE ADDRESS: 51 PLEASANT RD BRINNON, 98320 APPLICANT: FRANK ENDZELL PHONE: (425)823-6338 13356 NE 134TH PL KIRKLAND WA 98034 SUBDIVISION: Block: Lot: T 23 PARCEL NUMBER: 502142009 Section: 14 Township: 25 N Range: 02 W CONTRACTOR: GERALD HALSEN CONSTRUCTION PHONE: (360)796-3045 PO BOX 398 BRINNON WA 98320 Contractor's License GERALHCO27MW Expires 07/15/200 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,546 VALUATION 133,474.00 ADD'L: 497 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 213 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 3 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 980 Y BANK HEIGHT: SEWAGE DISPOSAL: ALT CP WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland ri Erosion V Prop: Prop: Seismic I � Streams Total: Total: F Way r 2 Flood Plane riC Routing Date: -Shoreline YE Landslide Aquifer Forest: Comme cial ,N)Di% Rural rib lr ximity NIat c a�t ions Type Amount Paid By: Date: Receipt: ApproveaR ate Permit $1,184.15 LMB 05/12/00 30785 Plan Check $355.25 LMB 05/12/00 30785 C'9 CO .O I. .--- e State Building Code $4.50 LMB 05/12/00 30785 .\ Potable Water Application $30.00 LMB 05/12/00 30785t4ij•Th- ( i Total: $1,573.90 1 is\F_BLD App_Bld.rpt 10/29/99 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: =,e/k-it)1( j(,) P-(PZ- Telephone: 4 — ::,) — j•=j/ Address: l — 4, i ---- L�GI[ , � ,90 Assessor's Parcel Number: 2) ;T' (- Building Permit or Septic Permit Application Nu ber(if applicable): Brief Project Description: ) • , "- ; . - f' //L , C Site Location: ram/ V L �L,�, , .,1 _ . , '///_2 ) /G Person Responsible for BMP Installation and Maintenance: (/ �� �L5-'t (2,iS Tr"-may Address: /G7 �i)( �qr Telephone: ��/' — 7i -- ? ' 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. 1..z 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 oroughly. Minimise 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.). SPESC Instructions—Long Form Revised June 3, 1999 9 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) 0/ e---2----- 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.). , /?../Z---y--2en----4--J2 'Zi--- Z- --/----‘ 777 tZ"--z',.(..-, ''')/ /:-.;y4 i:Zi"--4— %,'"( (e'Z ' d ,.,,,. /-_-etz-/,(4--)„ ,7_,e.-e._ k--.6( SPESC Instructions—Long Form Revised June 3, 1999 11 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. ��4//�L/ ter a` Ae' r7-/-,4, - , ,_6, 2 ---X-i -;,/,z----,17-7_,/- , -- , ,,,Z71k7/2, ,/__./7.‘ ,, z _:, ,--, / -,-2)//,,, 47:7,,,;7/,. , The Best Management Practices proposed above will be implemented to control erosion, sediment, and stonwater runoff. I will notify the Permit Center for inspections as required. Sign4.:t.t, - e___ - i ' es— ,,/,.),„ ature of Owner/Ag Da 7 SPESC Instructions—Long Form Revised June 3, 1999 12 `Jefferson County Department of Community Development May 25, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: FRANK ENDZELL 13356 NE 134TH PL KIRKLAND WA 98034 Critical Area Review Case Number: CAR00-00211 Project Description: SFD Parcel Number. 502142009 S-T-R: 14-25N-02W Site Address: 51 PLEASANT RD BRINNON WA, 98320 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. De tment of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 EROSION AND SEDIMENT CONTROL WORKSHEET [] Phase clearing so that only areas that are actively being worked are uncovered. kJ Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] 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, and parking areas after clearing and subgrade preparation. [] 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 Management 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 Management Manual.) '/j/ 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. 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