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BLD2000-00336
* 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 #: BLD00-00336 Received Date 05/30/2000 SITE ADDRESS: 223 SCENIC VIEW Issue Date 06/15/2000 PORT LUDLOW, 98365 Expiration Date 06/15/2001 APPLICANT: JERROLD GAMER PHONE: (360)437-0296 223 SCENIC VIEW LN PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 79 PARCEL NUMBER: 821334087 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985 231 BELFRAGE RD PORT LUDLOW WA 98365 Contractor's License: HANSVC*198MG Expires: 08/01/2000 LOAN LENDER/ WILSON INSURANCE BOND HOLDER: OHIO CASUALITY PROJECT DESCRIPTION RESIDENTIAL ADDITION & REMODEL REQUIRED INSPECTIONS: [t.I-- ootir Seth k -`horeline Setbacks): e 'f i : ( ep4 [ Found' erf ; / . -t- 71-Agij Aft, c-4,.. /4 / 5 0 j [1 `r!ieroround Plumbing/Underground Insulationj4 [ ] Shear Wall: [ ra . ' um bing:,j'1JN/C of- Gcr /,//�/E'Y �� Slls4/0l vcapirz,..z,ecfA [ ] Propane Tank/Lines: VVV [.% ®VC_ C C. C i gh? TTcS.) .S/t i7c [ Sheetrock:0� -(5— [ Final/Occupancy Approval: QiC -7- -SJ-'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. 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 #: BLD00-00336 Received Date: 5/30/2000 SITE ADDRESS: 223 SCENIC VIEW PORT LUDLOW, 98365 APPLICANT: JERROLD GAMER PHONE: (360)437-0296 223 SCENIC VIEW LN PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 79 PARCEL NUMBER: 821334087 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985 231 BELFRAGE RD PORT LUDLOW WA 98365 Contractor's License HANSVC*198MG Expires 08/01/2000 ARCHITECT/ RICHARD PRINE ENGINEER : PO BOX 955 POULSBO WA 98370 PROJECT DESCRIPTION: RESIDENTIAL ADDITION & REMODEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 256 VALUATION 29,119.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 495 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Prooecm tv - Plat C .d ions Permit $441.75 MAM 05/30/00 31550 � Plan Check $132.53 MAM 05/30/00 31550 ��. _�•-Sr�rQ _ State Building Code $4.50 MAM 05/30/00 31550 J U N 1 5 2000 Total: $578.78 Jefferson County Planning & Building Department I:\F_BLD_App_Bld.rpt 10/29/99 V1.69.,i,-- ' ' Jefferson County Departmentnun of Coimity Development . , ���ON C' 621 Sher tan StreetPort Townsend WA 88388[360]318-4450 p5cfl© 0 0 omily pp_ ocation �xr�v Project Description: i-- , i-A Lik(Lc• y1 \ 4 1 e�%1J\C( . Building Type: Project Type: ' Frame Type: Single Family ' Addition ❑ New ' Wood ❑ Garage Attached/Detached ❑ Steel ❑ Modularys, 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: _� Proposed: •K Individual System ❑ Woodstove ❑ Propane Total: �1 Total: If not sewer,fill the olling: Heat Pump Conventional out❑ Altefrnatiowve ❑ Other Permit# SEP Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: �>>� se Main Floor y '1� a k � 2ND Floor - � 3 g 4 . k 3 3r Floor '� �� x Htd Basement .� ;OS' �� fi Unhtd Basement $ � -y Garage/Carport ' ` _ Pot e l "1�� 9 � Decks `-J 1 r 'fE •• ...�-? Commercial 'TOTAL a Industrial :!''Receipt# � / ! Other •Cash/Check# ;�> ,-: . ' Total Valuation: . j Op C t ) (e sV(X Initials , Q Or Date Estimated Cost •2-C7i i If within 200 Sho , Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the applicatio i form,the applicant/owner attests that the information providedlteccn is true and correctto the best of their knowledge. Any material falsehood or any omicsion of a material fact made by the applicant/owner with respect to this application packet may insult in this permit being null and void I further agree to save,indemnify and hold h •,:1 Jefferson County against all liabilities,judgments,court costs,reasonable attomey�s fees and expenses which may in any way accurate against Jefferson County as a result of or in c•. .uence of the granting of this permit. I further agree to provide arress and right.f 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 plican s..Aropetty or structure shall be requested and shall occur during regular business hours. Signature: !/����' G� Date: ��L L/o L Ter----v\A S BUILDING PERMIT APPLICATION Y Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00336 Received Date: 5/30/2000 SITE ADDRESS: 223 SCENIC VIEW PORT LUDLOW, 98365 APPLICANT: JERROLD GAMER PHONE: (360)437-0296 223 SCENIC VIEW LN PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 79 PARCEL NUMBER: 821334087 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985 231 BELFRAGE RD PORT LUDLOW WA 98365 Contractor's License HANSVC*198MG Expires 08/01/2000 ARCHITECT/ RICHARD PRINE ENGINEER : PO BOX 955 POULSBO WA 98370 PROJECT DESCRIPTION: RESIDENTIAL ADDITION & REMODEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 256 VALUATION 29,119.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 495 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES AREA Exist: 3 Exist: 2 Wetland Erosion / 1D Prop: Prop: Seismic NO Streams ' J4) Total: 3 Total: 2 Flood Way �`1c) Flood Plane / F&W /✓�`) Landslide Routing Date: 6) Shoreline f?/c) Aquifer r/C Forest: Commercial tv10 Rural —Proximity - Plat Conditions Type Amount Paid By: Date: Receipt: Approveaivate Permit $441.75 MAM 05/30/00 31550 Lotiticak Ai bee Plan Check $132.53 MAM 05/30/00 31550 u ) State Building Code $4.50 MAM 05/30/00 31550 Rev1oW -- (� t '4( Total: $578.78 ihnirsto pktp,. 1 0.0 I:\F_BLD_App_Bld.rpt 10/29/99 r STORMWATER CALCULATIONS Owner/Applicant: J 1 ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 'ZZ-3 (`) 1. (Z-4.) t1 -' Drainfield area cleared r-)tISTt 141 sq.ft. W . Driveway Length 21 ft iTE ZI 1 scl�. X Width I S ft. 9 Digit Parcel Identification No.: e3 i 534 r),,, 7 = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 14�ft� ,, 19 sq.ft. INDICATE the following information. Total Land Disturbance i?J�� sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals I f ". ❑ IMPERVIOUS SURFACE (qqc Proposed Structures (all roof area) - sq.ft. ❑ 1. North arrow Existing Structures (all roof area) 32 sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. O 4. Driveway/s & parking spaces Proposed: r��/ ❑ 5. Major features such as ravines, Driveway Length 2- ft. seasonal creeks, bodies of water, etc. X Width 4 ft. Zx (S'ht k ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface 8 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: ❑ 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with O 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 Management Practices (BMPs). INDICATE: • Maintenance: O 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 CN TR\FORMS\PLOTPLN.FR M9/97 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name ..Tefz zz rr bL> V 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 v' 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 V No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present I/Yes _ No on your property or adjacent properties? If YES, please describe: 19- Lau-) Aft, 4. 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: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) l / / / / / / / / / / / / / / / / / / / / / / // i� i' /////// l////// /� �� i� ��❑ /////////i ///////i �_- ___�- ii '_� lZ. (Questionnaire Continues on Back) Page 1 of 2 I► 6. Does the site have steep slopes with Ii:.tle to' no vegetation? — YES V -,�lo , , 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 V 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 try to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later ins ections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature r, D ate /2.y"-- C G iii 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.doc 1/00 'k- --- I 3 03 1 CN'd SNR2G "P.:L�"�t�Md I ,£b