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Home My WebLink AboutBLD2000-00330 BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00330 Received Date: 5/26/2000 SITE ADDRESS: 1640 GARDINER BEACH RD GARDINER, 98382 APPLICANT: PAUL J SOHA PHONE: (360)797-7920 DONNA H SOHA 1640 GARDINER BEACH RD GARDINER WA 983828771 SUBDIVISION: BROWN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 002284014 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION OF NEW KITCHEN, MASTER BEDROOM & BATH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 720 VALUATION 39,852.00 CODE EDITION: 1997 ADD1: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: { CONST TYPE: GARAGE. SETBACK: DECK: BANK HEIGHT:, SEWAGE DISPOSAL: CON MIA- % WATER SYSTEM: PUD PARCEL TAGS: YES ' f1 BEDROOMS: BATHROOMS: STORMWAT R: YES AREA Exist: 2 Exist: 1 Wetland b Eros n b Prop: Prop: 1 Seismic Streams 00 Total: 2 Total: 2 Flood Way NO Flood Plane eif: Routing Date: F&W Landslide IV'' Shoreline Aquifer `j;f Forest: Commercial Rural r 1-'r ximit - i flat U. d Ions thf)Type Amount Paid By: Date: Receipt ri p :ry ,4P to Permit $542.75 MAM 05/26/00 31545 Plan Check $162.83 MAM 05/26/00 31545 ` Vip1' h1) State Building Code $4.50 MAM 05/26/00 31545 �✓ (/V Potable Water Application $30.00 MAM 05/26/00 31545 Total: $740.08 ',I01111Vieg a... l,(tii( itAlifiVit I:\F_BLD_App Bld.rpt 10/29/99 1 • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00330 Received Date: 5/26/2000 SITE ADDRESS: 1640 GARDINER BEACH RD GARDINER, 98382 APPLICANT: PAUL J SOHA PHONE: (360)797-7920 DONNA H SOHA 1640 GARDINER BEACH RD GARDINER WA 983828771 SUBDIVISION: BROWN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 002284014 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION OF NEW KITCHEN, MASTER BEDROOM & BATH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 720 VALUATION 39,852.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 1 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural 1-'r xlmlty - Flat G dltlons Type Amount Paid By: Date: Receipt: ApprovedR ate Permit $542.75 MAM 05/26/00 31545 1 P /E Plan Check $162.83 MAM 05/26/00 31545 / `/ OBI i State Building Code $4.50 MAM 05/26/00 31545 J`�� Potable Water Application $30.00 MAM 05/26/00 31545 2000 Total: $740.08 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 , BUILDING PERMIT ` Jefferson County Department of Community Development w 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 (800) 831-2678 PERMIT #: BLD00-00330 Received Date 05/26/2000 SITE ADDRESS: 1640 GARDINER BEACH RD Issue Date 06/15/2000 GARDINER, 98382 Expiration Date 06/15/2001 APPLICANT: PAUL J SOHA PHONE: (360)797-7920 DONNA H SOHA 1640 GARDINER BEACH RD GARDINER WA 983828771 SUBDIVISION: BROWN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 002284014 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION OF NEW KITCHEN, MASTER BEDROOM& BATH REQUIRED INSPECTIONS: [,.] Footings/Setbacks (Shoreline Setbacks): 6 ; %*,N Citr [ j Foundation: O( ,,.(i v ('" '-)1. * \1,-c`, [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: L ] naming/Plubin 1'C . v 1v-, C ‘./`- [ ] Propane Tank/Lines: [ ] Insulation: 2/k --'i/14 , FZ� , 7 [ ] Sheetrock: ,�,K- iA1 re/ /� ' [ ] Final/Occupancy Approval: �?/C-- t t~ -!((�:!- 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 r Jefferson County Department of Community Development sOr, oci 621 Sheridan Street,Port Town,:nd WA 08368[360]378-4450 4 i `rz. �'"--"' o r o U O o i:s , N4, oo�� o - on o�s � Project Description: Building Type: Project Type: Frame Type: i:! Single Family _ New 4/ Wood 7 Garage Attached/Detached 4/Addition Steel is Modular ii Alteration/Remodel : Concrete Commercial : Repair : Masonry Multi-family/#of Units : Demolition I Other: Industrial 11 Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: a Existing: ❑ Sewer Community System I Electricity Oil Proposed: Proposed: a i Individual System Total: Total: Ci✓Woodstove Propane I.�f/not sewer,fill out the following: m Heat Pup 9f Conventional Ei Alternative _ Other Permit# SEP Water Supply: 11 Private well Two Party Well❑ Public:Name of water system: /Pv.0 6/t,t r `em Square Footage: For Office Use Only Main Floor -7 o? O 3 q g5 z-' UBC OCCUPANCY GROUP 2ND Floor Base fee 942 2 -7 3rd Floor Plan Check fee I (ip'2 ,%3 Htd Basement State Surcharge fee 4( Unhtd Basement Subtotal I {� S Garage/Carport Pot Water Review fee aJ0 , °v Decks 911/Rd Approach fee Commercial TOTAL -7 14 ® O g Industrial Receipt # 1 jt}S. Other Cash/Check# i%0 3 Total Valuation: C. ?q % Initials \.S4 Or - p Date S -2 '00 Estimated Co . 7O �' 5 0o If within 200' of the Shoreline, s 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 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 entryh/applic 's pro erty or structure shall be requested and shall occur during regular business hours. Signature: ! ' «� Date: •.5i / ' Ot7 • • I STORMWATER CALCULATIONS Owner/Applicant: g4u1 it/AM S° J ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: /4r",�� `'4� Drainfield area cleared sq.ft. 5 V/4'1 W A 7' 3 #Z Driveway Length ft. �� X Width ft. 9 Digit Parcel Identification No.: Qd L, 8 ttTb/ = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. q. d 0 f5 sq.ft. INDICATE the following information. Total Land Disturbance goo sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 7 6o sq.ft. ❑ 1. North arrow '2�O Existing Structures (all roof area) / sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 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 U`7 sq.ft. closest structure O 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 0 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 sediment onto public roads. If sediment is inadvertently ❑ 1 1. 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, ❑ 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 ❑ 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 id/ '` lsNthe cJd I'1 A. _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 i/ Yes _ No property or on any nearby property at any time during the year? If YES, please describe: a_ s mQ l/ s..�soio a,( c am- o n� -�-�C 17 QcJSS QAl p it-o, #-/' .P.wi--- °1 O ues 2. Has any portion of the property or any nearby property ever been _ Yes 7No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present 47 Yes _ No on your property or adjacent properties? If YES, please desc ri e: 5 d h1G Al eez.i 4. Are there any indications on any portion of the property or on any _ YES 1.---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) 0 0 4 Q a a ❑ / / / / / ,' , / / / / / , / / / , / / , 1 I / / / ,' ,� , , / / / , / , // / / , , , , , , , ,, , ci. ,' ,'' , , , , , , , .' .' �'� 0 , , / / / / , ,/ ,' ',. �,'❑ ,,,/ / / , . . - - ,,,,,,, ,,. .❑-- mill/i.'5'.-' - - -121 (Questionnaire Continues on Back) Page 1 of 2 • I with little to no vegetation? YES No• 6. Does the site have steep slopes t tt g _ If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES /NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES t/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 Date 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 ❑ 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.docl/00 Jefferson County Department of Community Development °N c°G 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 ,24 Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: A ,i--�a.� o 1)-e- j � -ew � / slot 4,4-71 9 Digit Parcel 'dent' iit• ation Number (from your tax statement): Site Address / c� 911#: /� ,'. Road Name: ,��j,;.,,�,/,� // Zip Code: / c� m a Legal Description / I Subdivision Name: (/Z0 wpt) 8 L e •P"7471— Block: Lot(s): Section: 8 Township: So /U Range: a (• 7 ) �(. J• 0.1 Parcel Size (acres or square footage): a - -7 Ae Property Own / nCo s a g Phone:.56d 7c7 7�Zo Mailing Address: YFJs GAgtedioN/?2 uZete..4 2 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan nn - l— r t 0 NRV 0 ppf1 .) , d ) \(0 1 4'1 Ef!° * . 4 o k‘�