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HomeMy WebLinkAboutBLD2000-00304 • DEMOLITION 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 #: BLD00-00304 Received Date 5/12/2000 SITE ADDRESS: 51 PLEASANT RD Issue Date 7/10/2000 BRINNON, 98320 Expiration Date 7/10/2001 APPLICANT: FRANK ENDZELL PHONE: (425)823-6338 13356 NE 134TH PL KIRKLAND WA 98034 T 23 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502142009 Section: 14 Township: 25N Range: 02W CONTRACTOR: GERALD HALSEN CONSTRUCTION PHONE: (360)796-3045 PO BOX 398 BRINNON WA 98320 Contractor's License GERALHCO27MW Expires 07/15/2000 OWNER, if different: PROJECT DESCRIPTION DEMO THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 07/10/2001. REQUIRED INSPECTION: Arrpr aL >> 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 is\F_BLD_Permit_Propane.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: (360) 379-4450 DEMOLITION PERMIT APPLICATION SITE ADDRESS:911#/ROAD NAME D / PleQsaiit- fi/aL' e jr thin (J h L°V ZIP is.5'26) 9 DIGIT PARCEL ID NUMBER `:rf A ) `i' A (JU 9 Legal Description: Subdivision Name S% 9 / S /� 2 II' Block Lot(s) 3 Section / `( Township Z c" North, Range WM APPLICANT cJ to l7 k Ja 47 �•e ljJ (Y Z e// PHONE (y)S) r'3 ;3 L.j_?d MAILING ADDRESS /3 3 s(® 22 S /3 4/ C /1,1"/t'/Q (t/(- ZIP ? a3y PROPERTY OWNER e qC / 67/ PHONE MAILING ADDRESS ZIP CONTRACTOR C? ,1a ) J / S r d1 PHONE 360 /fL .,may S MAILING ADDRESS pod 39. a gr/ hhOiy 6111 ZIP 0.'7.. . STATE LICENSE # GF R A L. FIC41.27 M EXP. DATE 7- 02 f" C' 67 FEDERAL I.D. # 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. APPLICANT SIGNATURE DATE j / / FOR OFFICE USE ONLY r BASE FEE f/r (1, RECEIPT# S , STATE SURCHARGE 4.50 CASH/CK# TOTAL / DATE / / ,.1/4 H:\HOME\PLNCNTR\FORMS\DEM010/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00304 Received Date: 5/12/2000 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 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: '1-'r4xlm.ltt - flat Gd)dtttons yp Receipt: Approve atte Permit $48.00 MAM 05/12/00 30788 State Building Code $4.50 MAM 05/12/00 30788 PR AED Total: $52.50 J U [ 00 Jefferson County Planning & Building Department I:\F_BLD App Bld.rpt 10/29/99 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00304 Received Date: 5/12/2000 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: DEMO TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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 Nr ximlt - Nlat G di�ttlons Type Amount Paid By: Date: Receipt: Approveaivate Permit $48.00 MAM 05/12/00 30788 State Building Code $4.50 MAM 05/12/00 30788 Crcat Area Total: $52.50 Relange:,- aiipc-\,c a-,) „„:„ `tonrW Required \c I:\F_BLD_App Bld.rpt 10/29/99 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 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: =eAf J� �k(;) pixP7,t//Telephone: `1 :Q, C� `>v Address: >f�, � JII f--- ?1r �' ',ter NOI[� ��/?� 1 c Assessor's Parcel Number: r ,i . (- Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: /` )'7 . f' l/c�!/ � i� pc /' /' ter Site Location: rj / y / L / ✓Z/4) /) 9,,�.2 U Person Responsible for BMP Installation and Maintenance: (,� L-� 741 �` ''�) ''j�JS Gc/ ..Z Address: / 2 /-2( q Telephone: `' /' -- 7j�*—' ? --' 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 oroughly. /11 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 [] Phase clearing so that only areas that are actively being worked are uncovered. ,/( 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.) 1/ 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. SPESC Instructions—Long Form Revised June 3, 1999 10 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) ,i.ii. ) -cx . ,( ,eGic�- /I1-�-C� --i-- 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.). e a di zi t_i_.-//7.- ,--_--z. ,_e. ._ ,,, kz-,e;( 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. ,-,11. „--/I-e, aa-t-1 iv . -4-&-i-ze-te/.?5,- . ,i4 , „..7.,,,,,„..7r4 ) (H/.77,eery i .-- __ "_,. /e(}', ,(,?,,i/_."-if‘-- _, 41 _�, h The Best Management Practices proposed above will be implemented to control erosion, sediment, and sto water runoff. I will notify the Permit Center for inspections as required. ignature of Owner/Ag Date SPESC Instructions—Long Form Revised June 3, 1999 12