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