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HomeMy WebLinkAboutBLD2000-00322 • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00322 Received Date: 5/24/2000 SITE ADDRESS: 395 BACHELOR RD SEQUIM, 98382 APPLICANT: KATHLEEN B COOK PHONE: (614)855-9263 6799 HAVENS RD BLACKLICK OH 430049727 SUBDIVISION: Block: Lot: T 5 PARCEL NUMBER: 002341005 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/1999 ARCHITECT/ L. HOLLAND ENGINEER : LINDAL CEDAR HOMES 4302 S 104TH PL SEATTLE WA 98178 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,067 VALUATION 117,749.00 ADD'L: 800 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 578 SHORELINE: CONST TYPE: DECK: 863 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD PARCEL TAGS: YES NO- BEDROOMS: BATHROOMS: STORMWATER: YES NO/ AREA Exist: Exist: Wetland r✓O Erosion fit) Prop: 3 Prop: 3 Seismic /1,0 Streams a Total: 3 Total: 3 Flood Way Nr7 Flood Plane F&W /VO Landslide Routing Date: Shoreline '/] Aquifer NJ Forest: Commercial A/c) Rural PO I roxirrvt - Plat Con Ions Type Amount Paid By: Date: Receipt: •.•roveai Permit $1,094.55 MAM 05/24/00 31551 ,� t.iiL' s:.i d t �'' Plan Check $328.37 MAM 05/24/00 31551 fl ! /* iv Building Code $4.50 MAM 05/24/00 315511ird Potable Water Application $30.00 MAM 05/24/00 31551 Total: $1,457.42 AO*"0 I:\F_BLD_App_Bld.rpt 10/29/99 i 1 i f , • 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 #: BLD00-00322 Received Date 05/24/2000 SITE ADDRESS: 395 BACHELOR RD Issue Date 06/21/2000 SEQUIM, 98382 Expiration Date 06/21/2001 APPLICANT: KATHLEEN B COOK PHONE: (614)855-9263 6799 HAVENS RD BLACKLICK OH 430049727 SUBDIVISION: Block: Lot: T 5 PARCEL NUMBER: 002341005 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License: SEAHOSI077KS Expires: 11/17/2000 LOAN LENDER/ HOMER SMITH BOND HOLDER: PORT TOWNSEND WA PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [Vf Footings/Setbacks (Shoreline Setbacks): 0 K -7 -7-0,-') ,,,A, r•.' 'rt` [V Foundation: ()K �M ; }.R:,`1-Vi-•_ [ ] Underground Plumbing/Underground Insulation: 'i,t L„ ; L....:� ' r i*- 0 t` eF=2 •e,, ( _6j [ ] Shear Wall: WI' oK:T'c� Lo -i1.oa r [' aming/Plum . pg.,,rL to.21-0.• [ ] Propane Tank/Lines: i r bI i3 r_y., -,v eel icy Pi- i ;T� 1)_).-ra, [ate' Insulation: t O-17-oo oti..Tc., ./. U'' Sheetrock: 67 ks -T r✓. ; ) -l- T �'Fi. it al/Occupancy Appro : C I,. ,w.. C ors_ 1?,--zL 0- 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. 1.1 NE S op col ,,, ; SPECIAL CONDITIONS MAY APPLY - SEE REVERSE CAS 69(e--' HOT LINE AVAILABLE 24 HOURS A DAY tO-i3-^cam ' BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00322 Received Date: 5/24/2000 SITE ADDRESS: 395 BACHELOR RD SEQUIM, 98382 APPLICANT: KATHLEEN B COOK PHONE: (614)855-9263 6799 HAVENS RD BLACKLICK OH 430049727 SUBDIVISION: Block: Lot: T 5 PARCEL NUMBER: 002341005 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/1.99 ARCHITECT/ L. HOLLAND ENGINEER : LINDAL CEDAR HOMES 4302 S 104TH PL SEATTLE WA 98178 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,067 VALUATION 117,749.00 ADD'L: 800 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 578 SHORELINE: CONST TYPE: DECK: 863 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD 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 Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural l-'r xlmjt - Plat C d tlons Type Amount Paid By: Date: Keceip Approve��ate Permit $1,094.55 MAM 05/24/00 31551 APPROVED Plan Check $328.37 MAM 05/24/00 31551 '3 —. State Building Code $4.50 MAM 05/24/00 31551 j j N 2 0 2000 Potable Water Application $30.00 MAM 05/24/00 31551 Total: $1,457.42 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 c , iie...---0N—cissJefferson County Department of Community Development & 621 Sheridan Street,Port Town,,and WA 08368(3601370-4450 ti ' �»c o pErm o a n . o u5c © • Project Description: Building Type: Project Type: Frame Type: Single Family S. New X Wood X Garage Attached/Detached 0 Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete Commercial 0 Repair ❑ Masonry Multi-family/ft of Units ❑ Demolition ❑ Other. Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: if, Sewer 0.,Community System ❑ Electricity ❑ Oil Proposed: 3 Proposed: Z,S X Individual System Total: 3 Total: Z,5 y ❑ Woodstove Propane If not sewer,fill out the following: ❑ Heat Pump Conventional ';Alternative ❑ Other Permit# SEP Water Supply: 11 Private well ❑ Two Patty Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor /O6'7 05 - 5 UBC OCCUPANCY GROUP 2ND Floor 800 L Lj 2 3© Base fee I U g i . 55 3rd Floor Plan Check fee j 2• 3 3 Htd Basement State Surcharge fee r s Unhtd Basement Subtotal I L+2 9 4. Garage/Carport 578 5 $0 Pot Water Review fee UD Decks 863 Z6 3 0 911/Rd Approach fee ' Commercial 1 TOTAL 19 5 92 Industrial Receipt# Other Cash/Check# Total Valuatio . I (1-Ft if 1 Initials Or / Date _ Estimated Cost. If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and corcec.t to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: r,.,„„,....., , ,� c�..e" / , o7DO0 Date: 7 Jefferson County Department Qf Community Development /� soN coG 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 / ti y:;? -C ' Universal Plot Plan 'o$ Fill in the following blanks as completely as possible: Project Description: S/A/6-6& / 9/yd/L/ �C<S"/ c=/JCG 9 Digit Parcel Identification Number (from your tax statement): 00,z3v/00S Site Address 911#: j 9.> Road Name: ,ls/2 C/-1 EL 02 Zip Code: ? 'J 02 Legal Description ` _Subdivision Name: Block: Lot(s): Section: 0 y Township: do ti1oar7.4 Range: &-' -s 7- Parcel Size (acres or square footage): /9.�.,izoy. 2 /-e2Gj Property Owner: /7/Ec6, / R2,7„,/,,..: ci3O G K Phone:(6l ,) 5 s'' q Z ,,3 Mailing Address: 67,9, //fiG/ / /CD 4/9CKL'/CK 10 ff z-470GV\ Applicant/Occupant: Phone: if different from owner) Mailing Address: Authorized Re p: eOL L e ire, (.i3fylpl3 G',G L Phone:.- 6 _\ 79 7- 77/.2 Mailing Address: .36, '----8F}GHE40X .OA-L,A ''-illeD/A/ER- , LZJI4i 91'38)Pa General Contractor: S f}H Om E s E,re✓t ee s Or Manufactured Home Installer: 746 T.3gy220,✓ Phone(360 765--37`-f cJ Mailing Address: 7`�is" 7//ok'n/El7 yKe Qti,GCen/E i 4ot) 9e3 s7(3. Contractor's State License Number. S E4li0 SZ O 77 M"S Expiration Date: // l!?/L000 Septic Designer: •--!_ Phone- . ..'1 V iC n r. (34,0) MailingAddress: -- Architect:/Engineer: Phone: c l.�jC l C?Jc r ��/�F>l'/ S - l'�a� �ZO&) 7 Z a -oo 7//5/c/2- Z Z t o Mailing Address: 3v z. J-06,f/ /04/44,z. 3-- 4 ff k,, Gt,7 5/e5/78 Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/0o H:\home\pinrntr\forms\universal plot plan • OiN : lieRS k41N6- Cop,: c-5/16- /1'7Z/1A/ "T/9X 607-!' 670Z3 /0o5. e 6 • Acc. 3 f \ 60,6 /1\ N11>'\ J I I 5/ /1/0f6 __ /11/fr 6"ei- tgAizto .j, 501. , --7-(,yrA/6 Q,iIJ Ax. /07- iS -ro 77/ <7 Vv PA ei; AZ/ LA,<JJ Akovra 0 k;- 616 57 C, Loa SAC,LICtok--1,. , Coo& • STORMWATER CALCULATIONS Owner/Applicant: f1ER3 't ,.'4Y tiE COOK 'j PROPOSED LAND DISTURBING ACTIVITY Site Address: 95.-- "5,9 eAter LU1 , RD Drainfield area cleared 1150 sq.ft. 7: A� ,2D71U72 U� .)A [�38oZ Driveway Length 1Z'O ft. V ;) X Width I S ft. 9 Digit Parcel Identification No.: 00 Z3 y/OOS = Total Driveway j80,,D sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 00 sq.ft. INDICATE the following information. Total Land Disturbance Lf.540 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 410/ )( IMPERVIOUS SURFACE Proposed Structures (all roof area) Z74-0 sq.ft. i./ 1. North arrow Existing Structures (all roof area) —0— sq.ft. I All property boundaries and dimensions Sidewalks sq.ft. ,3. Names of adjacent streets Concrete Patios sq.ft. .14. Driveway/s & parking spaces Proposed: 5. Major features such as ravines, 4,/ 'G Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface Z.7`-i 0 sq.ft. closest structure 1 7. Sewer lines Ng The Stormwater Manual sets forth the following Small Parcel l Minimum Requirements: 8. Wells and/or water lines • Construction Access Route Stabilization: 11 9. Neighboring wells within 150 feet 7✓M Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with 1 10. Paved surfaces (patios) ,Uh quarry spells or crushed rock to minimize the tracking of sediment onto public roads. If sediment is inadvertently V11. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned V12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. boundaries, structures, banks, Street washing should only be done after the bulk of the sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, 1 3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base I�14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within i -e;Ci ' ° ` seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one �.,:, r and within two days during the period from October 1 to April lot corner and indicate the other lot T/( � 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 =0R APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best NDICATE: Management Practices (BMPs). • Maintenance: i 15. Ordinary high water mark Alll erosion and sediment control BMPs shall be regularly !` inspected and maintained to ensure continued performance of ) 16. Top of bank, if over 10 feet high their intended function. 1 1 7. Slope of bank in degrees Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. :1HOMEIPLNCN TRIFOR MS1 PLOTPLN.FR M9/97 COOK Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name / / Ek6 KATHc i/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 1/ 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 i/ No on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any YES ii No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) a a Q ❑ ❑ / I / / / / / i i i i i i i I I i aftik — ,„„„ i 1111 (Questionnaire Continues on Back) Page 1 of 2 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 I/ NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES ✓ NO surface of the ground? If YES, please describe: 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. Signature ((iA6-Zza-, /Q. Let Date , 2//( 4,0 FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide ❑Seismic LE Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00