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BLD2000-00333
. . • t 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 #: BLD00-00333 Received Date 05/30/2000 SITE ADDRESS: 472 SENTINEL FIRS RD Issue Date 06/15/2000 PORT HADLOCK, 98339 Expiration Date 06/15/2001 APPLICANT: TODD HARALSON PHONE: (360)437-7678 6720 OAK BAY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 41+ PARCEL NUMBER: 921193018 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ AMERICAN MARINE BOND HOLDER: 9500 OAK BAY RD SUITE A PORT LUDLOW WA 98365 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] ` -ootings/Setbacks (Shoreline Setbacks): [:' undation: (, [ ]/ Underground Plumbing/Underground Insulation: [1] Shear Wall: h �, . '- I D-3)--K70 [ id°'..-- raming/F35-Mng iel ')f e '�Awlet t-e .. 1''f/ (X //i j -/ [ Pr. il •Ex� f iN� 7-, n/e72—At " Zv P i, /� .`. l i [ ,_ t].�nsulation: °! _; (VI- //'�ifr r/ R /V.5 � '( eels 1 s 4 [ -I/O -._ t:1!7!iI.iv' : d7k- .5jz3/c , (---8 a ,N7.FZ✓ if.R+AIP ^ HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. Recite_ GOdeRc=cT/o-I .29' - Ig*.(P/, 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 PERM' APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00333 Received Date: 5/30/2000 SITE ADDRESS: 472 SENTINEL FIRS RD PORT HADLOCK, 98339 APPLICANT: TODD HARALSON PHONE: (360)437-7678 6720 OAK BAY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 41+ PARCEL NUMBER: 921193018 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,437 VALUATION 88,388.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 633 SHORELINE: CONST TYPE: DECK: 252 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: PrReceipt:tA wove artions ` pp ��ate Plan Check $275.03 MAM 05/30/00 31566 State Building Code $4.50 MAM 05/30/00 31566 P eyED7,._ Potable Water Application $3.72 MAM 05/30/00 31566 Potable Water Application $26.28 MAM 05/30/00 31566 J U 20Q0 Permit $916.75 MAM 05/30/00 31566 Total: $1,226.28 Jefferson! Count' Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community'Development .i2s0N c°c. 62131wridan Street,Port Town;:nd WA 88368[360]378-4450 w \>_ 1.4 ° r- iermlii) A n 0 NG pp, ,_- cccD - on Project Description: Building Type: Project Type: Frame Type: E.—Tingle Family New d ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete O Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: d ❑ Sewer ❑Community System ricity ❑ Oil Proposed: 2— Proposed: Zdividual System ❑ Woodstove ❑ Propane Total: Z.— Total: 2 - If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP q 9 —0/23 Water Supply: to well ❑ Two Party Well❑ Public:Name of water system: • Square Footage: For Office Use Only Main Floor 14 3-7 5 j q UBC OCCUPANCY GROUP 2ND Floor Base fee q Q -TS 3td Floor Plan Check fee .2 4, 03 Htd Basement State Surcharge fee LI -�= Unhtd Basement Subtotal I 1 iI . -` Garage/Carport 60 3 3 CO 3`)C Pot Water Review fee C° Decks 2-S Z— ---5-2 911/Rd Approach fee' Commercial TOTAL / "I-2_6 Z 8 Industrial — Receipt # 3 15-6� J 14 Other Cash/Check 7# rl � _0c `3 (� j Total Valuation: g 3/ Z S / Initials Or \ ` Date 5 '3�/t o Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark N( yq-- ft. Bank Height /V)i' 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 cess ' t of to Jeffer n County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en th G is p petty or e shall be requested and shall occur during regular business hours. �Signature: Date: � .,..,------- , ' (-AR-0(7 - Ooii 4- BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00333 Received Date: 5/30/2000 SITE ADDRESS: 472 SENTINEL FIRS RD PORT HADLOCK, 98339 APPLICANT: TODD HARALSON PHONE: (360)437-7678 6720 OAK BAY RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 41+ PARCEL NUMBER: 921193018 Section: 19 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,437 VALUATION 88,388.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: - 7 2i OCCUPANCY: OTHER: • iA 44q r CONST TYPE: 5N GARAGE: 633 SHORELINE: R � r,.c fib CONST TYPE: SETBACK: DECK: 252 BANK HEIGHT: SEWAGE DISPOSAL: OSSL t-S WATER SYSTEM: PWELL PARCEL TAGS: YE BEDROOMS: BATHROOMS: STORMWATER: NO AREA Exist: Exist: Wetland ND Ero on lnkj Prop: 2 Prop: 2 Seismic $° Streams NO Total: 2 Total: 2 Flood Way AD Flood Plane 6p .. Routing Date: F&W Nlt Landslide kip r> S ne ISo Aquifer WO `' est: Commercial S Rural / L rQxi I-'Iat.C;• .dt o.s Type Amount Paid By: Date: Receip : yp eiL, r I 'Plan Check $275.03 MAM 05/30/00 31566 . "�? i ' ` •�G �` State Building Code $4.50 MAM 05/30/00 31566 .... Potable Water Application $3.72 MAM 05/30/00 31566 ie...iev w T. i" _. Potable Water Application $26.28 MAM 05/30/00 3156614,.. 6---0 ''' �s t; Permit $916.75 MAM 05/30/00 31566 Total: $1,226.28900694 I:\F_BLDApp_Bld.rot 10/29/99 s • / JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: T PI' t}A ft oats 00.1 Telephone: S7 7 (.7$ Address: Co 12 c C .4- . ,4-4.7 �J . /prt 7- /- c.,./J/v (Act A 7 13).36 Assessor's Parcel Number: 9 21 ` I 3— a i P Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: CoNs-r2t L-r ,o ..l C, J%,+5 /. ,4.;'»-r• J A0 ivi-e. i' Sepr/c .Sy_5 ricre- t . Lt.) EC.t s PQ's V E(.4)467 leaeO,41? /4-p pa vc 4-f- A f,e eno ti eu Isis- Site Location: 472 S�s'r iNrt_ 1 rzs RJ. /4P OClL Person Responsible for BMP Installation and Maintenance:"Th 6 c.) 4rt.# , ot-� Address: (9-72 0 D 04 K. BA--•' f a. Po Lv-0 t Telephone: 3 COo 437 7 C.7 g 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 thoroughly. _ CoNYrrsw/.--t.i o+N.S Access A}/2eApY Ex457 S [ Minimize 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—Short Form Revised June 3, 1999 3 EROSION AND SEDIMENT CONTROL WORKSHEET [Phase clearing so that only areas that are actively being worked are uncovered. tart 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. [ over exposed soil with a minimum of 2 inches of straw or hay or other material approve for this purpose. [ over soil stockpiles with plastic sheeting and locate away from water bodies, roads, and pr rty lines. [ lace gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. A► ReRD.-T aoa�-- [] Prote djacent properties and water bodies from sediment deposition: [ lace 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.) [4/Regularly inspect and maintain all BVMPs especially after storms events. [►]/Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. 1> A LL G L.CA CON t7C 3 13.4t K F'� L — od.u"..5 O = Se; t_S w 4,L 6 C- Don.e .hc�v.- e i4 pa ' y .> $'pt fib ' k• C—�►0 Eh 1A/ I Tf'Jf' '5) 1✓'q 1-41 t N%.p to � t a C L LA.M. 'J v► rt.s.I4.3 1.Q 0&)-.STO fLv� k rti4s 0.,. rZ � <,r 1E-rr;o o^s J &"r 7 /214 e N Gi•r c L r w' ?S w , 1l bc. c b Se-c..Jec� CC7NST-+4 PTt(7 %p 4-cSc-t!L Pr, b P E/1 Pcrz Fv 2 wn f�N L , SPESC Instructions—Short Form Revised June 3, 1999 4 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) G-2its,u 3 a3 © 4 C-L_ R A; Fit LA_ Oa pa; nN A (•+c-- W'/ ( 3 -t c.. ..S-rrz. U) i T t-t H �i-S i.tJ s 77 6-/-117- L-i t.) er OR 4 i /tJ-S -rcs Dt uJ (� 4 L L. 14.2 4.S -r /6 E- e'T "7/�i4i/tJir AA-r ( oU rL i.e. Co&Asr Ri,oe) Ai6•Gfc> ' .Gfc. `J i42 'A 5 4 4--ww a U rs w1103 w i c.L, f3 e Lo J Q,rc,.c r> 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.). A L-L- 12oo F 5 -ro t}- v'E GrL..T-t &2 S /Jo A/�1 S P o u.Ti C1:11. -r-a Tit t-c- %•••. IZ -..,J , rtc1 L7 w e LL. #�►-c.rt- �q.�; S ( L.L_ 8.t U S ,-4 7-0 C"-re.++- • tJ OFF f412 Q no. Q Q r s'E t.)Ay "4-ie/c•/t �G A S /4F-T C12 Co-J-r it,..��--% r ,J C-0 vvn p I£& 5 • -rt tom:'- /3C bsGRVt.A 5Ti4,nNj;N(7t 13 Scot RGAC f Ji/'c Rpw1 r -t 4 i 5 W tpT e,rz W r L.t_ 8 a U e a rya To t4'-f..ut I I by vV� c o1,►ti.S o LcJ.S 77 6-i-t J- L i oV r JfsQF SPESC Instructions—Short Form Revised June 3, 1999 5 EROSION AND SEDIMENT CONTROL WORKSHY ET 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. L.` ► G . S . 5 T G/v. a A 13 - Li T ✓+-e/ re . 4,2-674-g /v Q.c e s 4 r e C G'v S-rn_[A C.1 S E+,Ts, L . 0;ST LX..n 3 CZ) .4 Ids•} G o L,r a c. w/ .5 7-/2 44.t,, - GA'S P:l E G e%-/ea."e co ,-r t-t Pc 4S-7 I e . Rom.. ,v c r r= C er v 2 u LL. u.d/ sm)4-+4.l "PO • V4-•rtct -lGr'-► LL L . - A-C.L_ Q.iItsTtcRSIC:I>42$'t Se av e ) o 2 5 0 c) o >t 5z-4,��.J (Ai t-r r-1 7 c) .4 S . Ge Ytom' ICU c3•J 6 4 w-rv, vtJ `/ Q The Best Management Practices proposed above will be implemented to control erosion, sediment, and stort eater £ I 11 no the Permit Center for inspections as required. ignature of Owner/Agent Date f-d , ONc. Qoe pt.eti. Cxv`ITen_s w LLr b-e Of2t, ,4., 7 e- -5 • f= 06 As 5 ed"Ts 7`7 CGNT" L.. rnj O.v c.f vv.1".e R v;to tr.. c- �GZ i^ "t'S-C s y s e �--� 5 't v• -5 t h.t 1-t..c) > C t� / /4 ,,, . �✓a-� .��A%.�+ at-C. sTt'w\ Gv; LL 6e d b3ea✓ P D"21ti.k /4"-et..� M It- 2 ..4-‘,(.3 e r'� `f-c) C o i.) r tz i✓l /v T $e.�1;,►�a (_f411.- o /2 tom-N is A v& 9.Tc. elko N T n v+n r9 T/ G A..) c i- S`� S'� �m lick d at �G i n �_ W t t..,t, p� �c a ;di j: c.4111 C,1n ..e (AK rb ►1-%„4.7,e -eT L 7Z' 0-1'1 /'I`-e- /7- f- c.` rL i cT/0 N S t P2 U GGe-y -e SPESC Instructions—Short Form P / Revised June 3, 1999 6 J S-t1, <o -, . n 75 2". I \\-it \ _ \\1 ,. 11 I \*0\\\ \ /\i/\\ kjtill \\\%$k _ fi . \0 \\\ \\*I:\ \ . 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