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HomeMy WebLinkAboutBLD2000-00326 s • 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 #: BLD00-00326 Received Date 05/25/2000 SITE ADDRESS: 114 OLYMPUS BLVD Issue Date 06/14/2000 PORT LUDLOW, 98365 Expiration Date 06/14/2001 APPLICANT: MIKE BELINSKI PHONE: (360)437-9808 PO BOX 1145 PORT TOWNSEND WA 98368 SUBDIVISION: OLYMPUS BEACH Block: Lot: 57 PARCEL NUMBER: 978900042 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SHOP BUILDING WITH HEATED BATHROOM REQUIRED INSPECTIONS: [ ] Fo acks (S reline Setbacks): (L 6 Y J.) [ ] 0 Dk7 lD / [ j Un r round Plumbing/Underground Insulatio • 0 !G 6 /5/ 247� [ ] Shear Wall: !!! [ aming—'7Pfu"} Ding /" - r icet, [ ] Propane Tank/Lines: [y- fis ati /C /741 '/ 1 5,9?w.'rco t 7 aAle,Y) 'net° t i 'O A P/C / / [ ] Final/Occupancy Approval:'� , le) 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 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 #: BLD00-00326 Received Date: 5/25/2000 SITE ADDRESS: 114 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: MIKE BELINSKI PHONE: (360)437-9808 PO BOX 1145 PORT TOWNSEND WA 98368 SUBDIVISION: OLYMPUS BEACH Block: Lot: 57 PARCEL NUMBER: 978900042 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SHOP BUILDING WITH HEATED BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 96 VALUATION 19,713.00 ADD'L: HEAT TYPE: OIL CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 480 SHORELINE: CONST TYPE: GARAGE: 960 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: 1 Seismic Streams Total: Total: 1 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $321.25 MAM 05/25/00 31538 Plan Check $96.38 MAM 05/25/00 31538 R Ilr P - State Building Code $4.50 MAM 05/25/00 31538 41/ Total: $422.13 "MA"%MA t Jefferson County Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson (gON � 6213he1'idell 3 Comity Dop�ttletlt of nlMnty Development �,� Street Port Townson!WA 88368(3601318-4450 4. pU © © Project Description: Building Type: Project Type: Frame Type: • Single Family K New ,g, Wood Garage Attached/Detached 1 Addition 1 Steel I Modular 1 Alteration/Remodel ❑ Concrete • Commercial 1, Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition I Other: I Industrial X Other: c t-I o? Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: . Choose one: Existing: 0 Existing: 6 ❑ Sewer ❑Community System ❑ Electricity .(Oil Proposed: 2' Proposed: _i_— X Individual System ❑ Woodstove I Propane Total: 11S Total: Y If not sewer,fill out the following: ❑ Heat Pump . Conventional `X Alternative ❑ Other Permit# SEP c qq - Oo 9.'-f)- Water Supply: • Private well ❑ Two Party Well K Public:Name of water system: (A-Lij'4J'ut c ,3 -.-v.i 7yL,;C,-(j Square Footage: For Office Use Only Main Floor v Cl S3 i 3 UBC OCCUPANCY GROUP 2i`'D Floor Base fee .y-.L�;.� • ZC 3rd Floor Plan Check fee Cl • 3 c8 Htd Basement State Surcharge fee LI . S ta Unhtd Basement Subtotal _ _ , Garage/Carport 9(0 v •gYEQD Pot Water Review fee ✓ Decks 911/Rd'Approach fee ---- Commercial TOTAL y Z.Z. .-13 Industrial Receipt # 3 I CS Other-AT11 C. 4S0 LI c‘0 D Cash/Check# l-{(,9 Z Total Valuation: Initials Or Date _—ZS - � �1 1 Estimated Cost: 3 If within 200' of the Shore me, 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 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-f+ to saue,-_ a���:fl nd is _ is•emu r- _tr gx�z ell ors—t ent�eem�cosh cease able c eaxs wl• .aa�iasr_Ief4 Con 1^ [ q 4 4.- [ i • el�--�ee5 - 7 e 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 an {ot b y required later inspections. N,kk,�n�' occur Access and right of entry to the applicant's property or structure shall be requested and shall during regular business hours. r►niC o r d OCe_tje ty {:Q- Signature: itk‘ Date• �� vV �1'�v�� P.4 - _ ______________ 0 F AN ftilJti�'QJAcri- T tfrar3i.e. 11111 • • , �� STORMWATER CALCULATIONS Owner/Applicant: 3C, V./ ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 1114 0 i..Li,All/,hu 5 +R L� J� Drainfield area cleared sq.ft. Pa 0:1- L�'�71 o W 1G1 qL 6,c- Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: ' '1 V goo O = 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) IO (p sq.ft. ❑ 1. North arrow Existing Structures (all roof area) 6' sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. Li 3. Names of adjacent streets Concrete Patios sq.ft. O 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. O 6. Septic tank, drainfield and reserve area location, • = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface go 3 - sq.ft. closest structure • 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 8. Wells and/or water lines • Construction Access Route Stabilization: O 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 sediment onto public roads. If sediment is inadvertently❑ 11. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned ❑ 12. 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 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\PLN CNTR\FORMS\PLOTPLN.FR M9/97 , - B DING PERMIT APPLICATIC -- Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00326 Received Date: 5/25/2000 SITE ADDRESS: 114 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: MIKE BELINSKI PHONE: (360)437-9808 PO BOX 1145 PORT TOWNSEND WA 98368 SUBDIVISION: OLYMPUS BEACH Block: Lot: 57 PARCEL NUMBER: 978900042 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SHOP BUILDING WITH HEATED BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 96 VALUATION 19,713.00 ADD'L: HEAT TYPE: OIL CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 480 CONST TYPE: 5N GARAGE: 960 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT P r I : ;! WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion ", Prop: Prop: 1 Seismic 140 Streams e) Total: Total: 1 Flood Way /"JO Flood Plane A/0 F&W ►v'O Landslide f A rI 5'4n/'Il QF'PA Routing Date: Shoreline /✓0 Aquifer ,i Forest: Commercial O Rural Proximity Plat Conditions . Type Amount Paid By: Date: Receipt: Approved/Date. Permit $321.25 MAM 05/25/00 31538$96.38 MAM 05/25/00 31538 Plan Check Critlecal ® r r. q73, State Building Code $4.50 MAM 05/25/00 31538 ReVIOW Total: $422.13 atomism: a 1y I:\F_BLD_App_Bld.rpt 10/29/99 • • .. 24.0- n 8.0 > v o A bi �� xr�pv aD . -r-r v 4 oa. Q m 0 rno W. a II Dn x o 2 — w r v 02 i w 3 x 2 D- rn cn W � n � V o0 x C_ O x 0 O T O 0 0 O 0 O T� -' 2 V W a) COO an) 02 CO x co /� = X IV CD r ' co 00 O x O 0 wl x + P N N :J t-n- = , I ,, o • II Ch 7. < -_-7.0- 1 • • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 1�J CRITICAL AREAS QUESTIONNAIRE Applicant Name W L( 0,-04 R X. 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: `T+ r is f.:.c1 crct-1 `i4A-t C-o,JJ!✓g51-0 GA. c,a Ap pr ox.i ivvx- v.t....f 16 F C,i EAs'r o rr P tto fLT{ +J r- MAp t, . Z. Has any portion of the property or any nearby property ever been Yes X No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present . X Yes No on your property or adjacent properties? If YES, please describe: kct:-(2 Are there any indications on any portion of the property or on any _ YES y 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) 0 Q ❑ ❑ C / / / i ♦' / / / / / / / / / / / / ♦ / / / / ♦ / r / / / / I / / / / / / "kW i / r / / / ♦' --'� rif „ (Questionnaire Continues on Back) Page 1 of 2 • • II' 6. Does the site have steep slopes with little to no vegetation? YES X 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 X. NO surface of the ground? If YES, please describe: ?v 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 lay 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 oplication review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and hall occur during regular business hours. Signature O vi t'''V Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 MMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range 'arcel Number: Parcel Size: comprehensive Plan Land Use Designation: Reviewed by: ;ommunity Plan: Date: Page 2 of 2 home\pincntr\forms\car.doc t/00 it � f S Pro>cit I 4 � f)wNo'ay 150 �" A 7 ; j i c, } "lS t f L y Q�1AJLV•JA. 1 1 4 K • s- e , T s o e z x r# s ? p_14 -( I LA a g% -Po r . .///ti 1 fr' P 1 t ,_ t j ""'� g 4awiwAY is_ 1 i0 3 ),. 1 fi i i ,a c,n tea° W 1 , c i es o 7� f 1 ,,'" 7 40 . / rtLl°N r. r ti •• N ' C3 ry t A sA cis O4-1vs ..� Q o 0 -le 0 4 � b cD .- v a, , 0 ai o 0 0 0 o 0 0 oM ', C7 aon s a w a ...— o. Cd ry ) N °,� c. a.) 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