HomeMy WebLinkAboutBLD2000-00318 x i
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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 #: BLD00-00318 Received Date 05/23/2000
SITE ADDRESS: 3546 THORNDYKE RD Issue Date 06/6/2000
PORT LUDLOW, 98365 Expiration Date 06/6/2001
APPLICANT: RICHARD WELTER PHONE: (360)297-2365
21238 JEFFERSON BCH RD c c.( 360J 734, , v®,3
KINGSTON WA 98346 PAi < < 471.1.5- • go b C
SUBDIVISION: Block: Lot: 2
PARCEL NUMBER: 721194003 Section: 19 Township: 27 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: 360-297-7317
21238 JEFFERSON BCH RD
KINGSTON WA 98346
Contractor's License: SOUNDBS055NP Expires: 08/14/2000
LOAN LENDER/ JRO LONGNECKER
BOND HOLDER:
POULSBO WA 98370
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS:
[ ] Footin s/SetbackW(Shoreline Setbacks): /C �`/� 9 0-7k
7`fie(/CC ' /[ ] Underground Plumbindergrouund1 suia t: IC 2. 6.7CJp
[ ] Shear Wall:
[ ►. umbin' PPriAle 4'C f'1 c/i' !e</r.f- 1Onke j
[ ] Propane Tank/LinesZT . ri f - ✓.. 4 (r rod4111 ,
[ ula VA�1 LJ/10�T-t F , /� C' '-'c
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[� Sheetrock: t .� �. t` ��
inal/Occupancy A_ r9val e),e" `'/l° /rC). T y1 r
HEALTH DEPARTMENT APPROVAL REQUIRE 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
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00318 Received Date: 5/23/2000
SITE ADDRESS: 3546 THORNDYKE RD
PORT LUDLOW, 98365
APPLICANT: RICHARD WELTER PHONE: (360)297-2365
21238 JEFFERSON BCH RD
KINGSTON WA 98346
SUBDIVISION: Block: Lot: 2
PARCEL NUMBER: 721194003 Section: 19 Township: 27 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: 360-297-7317
21238 JEFFERSON BCH RD
KINGSTON WA 98346
Contractor's License SOUNDBS055NP Expires 08/14/2000
ARCHITECT/ EVERGREEN DESIGNS
ENGINEER : PO BOX 491
SILVERDALE WA 98383
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,144
VALUATION 222,794.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: 1,728 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 848 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
_ Forest: Commercial Rural
—Proximity - Flat C d dons
Type Amount Paid By: Date: Receipt:— Approve��ate
Permit $1,682.55 MAM 05/23/00 31529
Plan Check $504.77 MAM 05/23/00 31529 A P P R O
State Building Code $4.50 MAM 05/23/00 31529
Potable Water Application $30.00 MAM 05/23/00 31529 N 0 6 2000
Total: $2,221.82
Jefferson Couniy Planning
& Building Department
I:\F_BLD_App_Bld.rpt 10/29/99
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Jetfcrsm Canty Department of Community Development
r.��4soN °a 821 Sheridan Street,Port Townsend WA 88388[360]378-4450
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Project Description: S - t • ,��_
Building Type: Project Type: Frame Type: j
Single Family VNew !?Wood
❑ Garage Attached/Detached E. 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: 3 Proposed: 1 individual System 0 Woodstove ❑ Propane
Total: 3 Total: If not sewer,fill out the following: ❑ Heat Pump
FE Conventional 'Alternative 0 Other
Permit# SEP 00"`2
Water Supply:
Private well ❑ Two Party Well E. Public:Name of water system:
Square Footage: For Office Use Only
Main Floor A 1 g UBC-OCCUPANCY GROUP
2ND Floor Base fee 16p 2, -'
3rd Floor Plan Check fee SO4- .,
7 State Surcharge fee
I Htd Basement 4. -c7
1 Unhtd Basement Subtotal z j
Garage/Carport Pot Water Review fee' 7
Decks gAl 0 911/Rd Approach fee
Commercial TOTAL 2-2-2\ ' 2--
Industrial Receipt # 31 Z
Other Cash/Check# 10 3 7-
Total Valuation: Initials
Or Date c-7. ;= 1O
Estimated Cost:
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
1
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 or structure shall be requested and shall occur during regular business hours.
Signature:, Date:
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00318 Received Date: 5/23/2000
SITE ADDRESS: 3546 THORNDYKE RD
PORT LUDLOW, 98365
APPLICANT: RICHARD WELTER PHONE: (360)297-2365
21238 JEFFERSON BCH RD
KINGSTON WA 98346
SUBDIVISION: Block: Lot: 2
PARCEL NUMBER: 721194003 Section: 19 Township: 27 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: 360-297-7317
21238 JEFFERSON BCH RD
KINGSTON WA 98346
Contractor's License SOUNDBS055NP Expires 08/14/2000
ARCHITECT/ EVERGREEN DESIGNS
ENGINEER : PO BOX 491
SILVERDALE WA 98383
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,144
VALUATION 222,794.00 ADD'L: HEAT TYPE: EEE
CODE EDITION. 1997 HEAT BASE: 1,728 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARA
CONST TYPE: DECKLE 848 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO �0
BEDROOMS: BATHROOMS: STORMWATER: YES NO�` AREA
Exist: Exist: Wetland } Erosion i' 'V
Prop: 3 Prop: 3 Seismic .O Streams HO
Total: 3 Total: 3 Flood Way NO Flood Planes (0
F&W Landslide tw f
Routing Date: Shoreline tl Aquifer :-)
Forest: Commercial '--Rural
Proximity lat Conditions
Type Amount Paid By: Date: Receipt: Approveaiva a _—
Permit $1,682.55 MAM 05/23/00 31529
0.. _ ;,
Plan Check $504.77 MAM 05/23/00 31529 :a C � a
State Building Code $4.50 MAM 05/23/00 31529 r zit
Potable Water Application $30.00 MAM 05/23/00 31529
Total: $2,221.82
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I:\F_BLD_App_Bld.rpt 10/29/99
1
STORMWATER CALCULATIONS
Owner/Applicant:
0 PROPOSED LAND DISTURBING ACTIVITY
Site Address: Drainfield area cleared sq.ft.
Driveway Length ft.
X Width ft.
9 Digit Parcel Identification No.: = 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 ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) A)y1{ sq.ft.
❑ 1. North arrow Existing Structures (all roof area) O sq.ft.
❑ 2. All property boundaries and dimensions Sidewalks 2 sq.ft.
❑ 3. Names of adjacent streets Concrete Patios -foxes sq.ft.
O 4. Driveway/s & parking spaces Proposed:
O 5. Major features such as ravines, Driveway Length -O0 ft. k
S
seasonal creeks, bodies of water, etc. X Width ft. d,`Et
❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway "cr— sq.ft.
existing or proposed, and distance to Total Impervious Surface sq.ft.
closest structure
❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
Minimum Requirements:
O 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
❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of
❑ 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
• 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,
❑ 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base
❑ 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
INDICATE Management Practices (BMPs).
• 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\PLNCNTR\FORMS\PLOTPLN.FRM9/97
•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name
/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 Yes / No
property or on any nearby property at any time during the year?
If YES, please describe:
2. Has any portion of the property or any nearby property ever been Yes // No
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present / Yes _ No
on your property or adjacent properties?
If YES, please describe: 7-h ttre , a, A/iPe_r-s pmpe.rt y
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:
Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
Q Q /C
/ //
r,/ / /,i/i// .,.
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(Questionnaire Continues on Back)
Page 1 of 2
4
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 " NO
sand?
If YES, please describe:
3. Does the site contain ground water seepage or springs near the _ YES ✓ NO
surface of the ground?
If YES, please describe:
signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their
nowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet
nay result in this permit being null and void.
further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees
;nd expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of
pplication review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and
nail occur during regular business hours.
SignatureA4,/,
Date
FOR OFFICE USE ONLY
❑ Wetlands G Seismic
:RITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1
VIMEDIATELY ADJACENT TO SITE: 0 Frequently Flooded Area 0 Fish & Wildlife Area 2
❑ Erosion ❑ Landslide
:Seismic 0 Commercial Forest
Section Township North Range
'arcel Number: Parcel Size:
comprehensive Plan Land Use Designation: Reviewed by:
:ommunity Plan: Date:
Page 2 of 2
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