HomeMy WebLinkAboutBLD2000-00420 A
14
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 #: BLD00-00420 Received Date 06/22/2000
SITE ADDRESS: 51 MARIETTA LOOP Issue Date 07/20/2000
PORT TOWNSEND, 98368 Expiration Date 07/20/2001
APPLICANT: D W SPICKELMIRE PHONE:
LORETTA SPICKELMIRE
61 GAMBLE LN
PORT LUDLOW WA 98365
SUBDIVISION: OLYMPIC COUNTRY ESTATES Block: Lot: 4
PARCEL NUMBER: 978500004 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441
PO BOX 417
PORT HADLOCK WA 98339
Contractor's License: BISHOBC093D6 Expires: 12/14/2000
LOAN LENDER/ RALSTON RALSTON
BOND HOLDER:
PORT ANGELES WA 98362
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks):• 1.i( d. . [" ( �(l /,i
p07
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
Shear Wall:
[ Framing/Plumbing: (9/< (17 2Z_--
[ Propane Tank/Lines: j> L-tp 3c) Pit ))o i t L,..s , r �*0)"t ott-k
Insulation: (ii.A.A- &rn,06Ciu4- C!)i< /.4-5-
-13-L.:
[. final/Occupancy Approva+:, c., K c7./ ,4/
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.
L cKJ � 40 PS )Z a)-aa:9--K 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 #: BLD00-00420 Received Date: 6/22/2000
SITE ADDRESS: NW II X L..c i
PORT TOWNSEND, 98368
APPLICANT: BISHOP-SWALLOW PHONE: (360)385-2441
PO BOX 417
PORT HADLOCK WA 98339
SUBDIVISION: OLYMPIC COUNTRY ESTATES Block: Lot: 4
PARCEL NUMBER: 978500004 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441
PO BOX 417
PORT HADLOCK WA 98339
Contractor's License BISHOBCO93D6 Expires 12/14/2000
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,881
VALUATION 110,353.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 624 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Flood Plane
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
` 1-'r xlmltyy - flat G ditlons
Type Amount Paid By: Date: Receipt: ApprovedR ate
Permit $1,055.35 MAM 06/22/00 32006 APPROVED
Plan Check $316.61 MAM 06/22/00 32006
State Building Code $4.50 MAM 06/22/00 32006 '(. 111.7? ZQQD
Potable Water Application $30.00 MAM 06/22/00 32006
Total: $1,406.46 Jefferson Cnunty Planning
& B;:ilt'ing Dep rtment
I:\F BLD_App_Bld.rpt 10/29/99
Jefferson County r: !ailment of Community Development
wAil sON coGi, 621 Sheridan Street,Port Townsend WA 88388[360]373-4450
Permsy o.� 00 oa (oS
Project Description:
Bu' g Type: Project Type: Frame Type:
_ S..:e Family mod
:e62ched/Detached = Addition 2 Steel
2 Modular 2 Alteration/Remodel 2 Concrete
Commercial 2 Repair 2 Masonry i
Multi-family/#of Units = Demolition = Other.
Industrial I
Other.
il Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: 2 Sew =Community System ❑ Electricity 2 Oil
Proposed: Proposed: e/Individual System 1 Woodstove 2'Propane
Total: Total: If not se er,fill out the following: = Heat Pump
onventional 2 Allernative 2 Other j
Permit# SEP -- 'i.k,y
Water Supply: P lA i)
Private well = Two Party Well 2 Public:Name of water system:
Square Footage: ' For Office Use Only
Main Floor /5tJ-/ 10,41t3 UBC OCCUPANCY GROUP
2ND Floor Base fee (U SS•3C-.° ,
3rd Flcor Plan Check fee 3"Q. 1
Htd Basement State Surcharge fee 4.SD
U.• • Basement Subtotal I ?. ---1 jr).46
1 . (_ u
:e/Carport 6 V/? y T 0 Pot Water Review fee W ��
Decks 911/Rd Approach fee �� •,
Commercial TOTAL (�Sc•`i ,
Industrial Receipt # J 2tk)co
Other Cash/Check# Z. -"1 S 2
Total Valuation: II C)S Initials V.^... �,_\
Or Date (a - Z.Z.-CO
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 correct to the best of their knowledge. Any material falsehood or any
omission of a material fact mad,.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 entry to the applicant's roperry or structure shall be requested and shall occur during regular business hours.
Sib azure: r/ J�_ ?e Date: &,r'Z 2-2-00D
BUILDING PERMIT APPLI
CATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00420 Received Date: 6/22/2000
SITE ADDRESS: PAN-IETf7 Li,�10
PORT TOWNSEND, 98368
APPLICANT: BISHOP-SWALLOW PHONE: (360)385-2441
PO BOX 417
PORT HADLOCK WA 98339
SUBDIVISION: OLYMPIC COUNTRY ESTATES Block: Lot: 4
PARCEL NUMBER: 978500004 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441
PO BOX 417
PORT HADLOCK WA 98339
Contractor's License BISHOBCO93D6 Expires 12/14/2000
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE: O '
TYPE OF IMP NEW MAIN: 1,881
VALUATION 110,353.00 ADD'L: HEAT TYPE: PROeci8-°:)
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: r
CONST TYPE: 5N GARAGE: 624 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIG
SEWAGE DISPOSAL: CON i ` )
WATER SYSTEM: PUD PARCEL TAGS: YES' 4iir NO _
BEDROOMS: BATHROOMS: STORMWATER: YES NO / AREA
Exist: Exist: Wetland 0 / Erosion AM
Prop: 3 Prop: 2 Seismic Streams NO
Total: 3 Total: 2 Flood Way iJD Flood Plane i0
F&W NYQ Landslide
Routing Date: (n Shoreline C� Aquifer
"` ��� ti1 Forest: Commercial
1v(4) Rural if
—Proximity - Hat C: nd Ions
Type Amount Paid By: Date: Receipt:
Approve/Uae
Permit $1,055.35 MAM 06/22/00 32006 , ' r
4
Plan Check $316.61 MAM 06/22/00 32006
`t State Building Code $4.50 MAM 06/22/00 32006 ` orN &12.2(zzo r
Potable Water Application $30.00 MAM 06/22/00 32006
Total: $1,406.46
. 6 0-1) (MIX
Lii
I:\F_BLD_App_Bid.rpt 10/29/99
STORMWATER CALCULATIONS
Owner/Applicant: ,(�/s/f0,0 Ageos-
❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: ,ig'tjii ' Drainfield area cleared sq.ft.
Driveway Length 65 ft.
X Width ft.
9 Digit Parcel Identification No.: 97t,s"00 00 5i = Total Driveway S,ZO sq.ft.
Permit Number: Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
coo sq.ft.
INDICATE the following information. Total Land Disturbance 7 f20 sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals 3ci' ❑ IMPERVIOUS SURFACE
Proposed Structures (all roof area) .27600 sq.ft.
❑ 1. North arrow Existing Structures (all roof area) & sq.ft.
❑ 2. All property boundaries and dimensions Sidewalks O sq.ft.
• 3. Names of adjacent streets Concrete Patios .q0 sq.ft.
O 4. Driveway/s & parking spaces Proposed:
❑ 5. Major features such as ravines, Driveway Length 65- ft.
seasonal creeks, bodies of water, etc. X Width f ft.
❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway 3",20 sq.ft.
existing or proposed, and distance to Total Impervious Surface 31267 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:
O 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:
El 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\PLN CNTR\FOR MS\PLOTPLN.FRM9/97
•
JEFFERSON COUNTY
STORMWATER MANAGEMENT ORDINANCE
SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner: di Silo t/S-c LLaF:,--a Telephone: f crc 2 S' '
Address: / J �l',r VI? taa—,4 CGC/.�l�vr� Gt/4' f s 337
Assessor's Parcel Number: 9/' Sck) O.Y
Building Permit or Septic Permit Application Number(if applicable):
Brief Project Description: , cr-iy4
Site Location: 4/e/L i773 l t r/='
Person Responsible for BMP Installation and Maintenance: tavaltf>z.'' s /SAlcs-r1
Address: G. /51)( L//7 / /e /y LUE- 0-4.
Telephone: 3 R S- . VY/
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.
[ 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
a
•
EROSION AND SEDIMENT CONTROL WORKSHEET
[cK Phase clearing so that only areas that are actively being worked are uncovered.
[yy Start 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.
[ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material
approved for this purpose.
[ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads,
and property lines.
[] Place gravel base on roads,driveways,and parking areas after clearing and subgrade
preparation.
[] Protect adjacent properties and water bodies from sediment deposition:
[] Place 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.)
[t]'' Regularly inspect and maintain all BMPs especially after storms events.
[] Describe other erosion and sediment control Best Management Practices. Be specific
as to design and specifications.
71t sir( /S diiL cal /9-7tf C-o0.0 A210nit./f'kr Jirtta
�S_ 9 ,/v X' Di izii 7?i r5 Tff /'r'-rr4 z
fl/t/' ram./ it i? GutVic/4% ,' Z- ' /9/ZiVr ey
SPESC Instructions—Short Form
Revised June 3, 1999
4
EROSION ANT) SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base
to roadways,etc.)
Pi
t /I>zz_ CCt.: �y av�:�/ r.0 iLL / r 7Sc. ,�.�" w%11 /4a.r*J c�- ,Chl/2,w 2�s
/crrit 2 m/J1f i l''c M/'"47 (�f�/1/I G.t1 i� /..,�%� 1�'.G ove: (/f Lev
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.).
/// D/z2.°'j,v.%c t t,AJ/LL /20e.i7T.0 7Z C /�/x,99,
17
SPESC Instructions—Short Form
Revised June 3, 1999
5
EROSION AND SEDIMENT CONTROL WORKSHEET
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.
/'r, 1f .3i7E mw�► k,,P77 1'64 7ox.' ,3,E
i� c7i.L1. F"%ru L 6 'Ai?iAl , ,7t <AA?7C /c s ,ft 7. /
etvauJ1L'S u�i�� ��1,� fJ SG / s ,4P heo-)vc I S C yloil i1,
The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwater runoff.I will notify the Permit Center for inspections as required.
�,. -2,2-C.C?
a e of Owner/Agent Date
SPESC Instructions—Short Form
Revised June 3, 1999
6
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
cc-o.o� CRITICAL AREAS QUESTIONNAIRE
Applicant Name � % ,. Y.c/fit- 2
wilding 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:
2. Has any portion of the property or any nearby property ever been _ Yes N o
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present _ Yes _ 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 _"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)
q a g Q a a ❑
,,�
r , , , , ,
/
rr,,,,, i ,' —
(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 ---<.1O
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES
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 /.12
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\pl ncntr\forms\car.doc 1/00
1
a • �\ 11'0,_,�
, 1' 7�7 \ k p �L
)176
c
/ ',„,
,,-\
T.. 7
o v
P
l I
/
h
a
o
I
A/ II
l._ s
P
r I'l
G �`
______ ____J
G/61VEL 0.�'/yA
W
o N.
Z
a _
a
o
\.-.‘
I
ti
loy'
Jefferson County Department of Community Development
e-e-`6°N co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
Gr
I .
w
Y3
'� Universal Plot Plan
A$TN;;`$
Fill in the following blanks as completely as possible :
Project Description:
9 Digit Parcel Identification Number'(from your tax stateme t):
a2.i sz6) O0
Site Address
911#: Road Name: ,.)i) Zip Code: q3.‘
Legal Description
Subdivision Name: (;)2-oj Block: Lot(s):
Section:
o a 7 Townslu� ___. ,0 Range: /
Parcel Size (acres or square footage):
PropertyI Oer•
wn� ; c.)�/ Phone j�l�� ��
Mailing Address: v 9 k &)' /�7 Gt 7t,� 5s".3-.?7
Applicant/Occupant: Phone:
(if different from owner) �G—,,:./�
Mailing Address: G
Authorized Rep: A , lea'ed 4-z, Phone: �S=a 11
Mailing Add s• k /
, 'a.,1/ V/.7 P.oW1-- )1-7 40*. C613,-?,
General Contractor: ,
Or Manufactured Home Installer: �oL Phone: . ?f1:1S" y
Mailing Addres •
Contractor's State License Number.g/s-R)g z 9? • / Expiration D`at _/ y a
Septic Designer: (-)e.V Phone:
6PS -
Mailing Address:
Architect:/Engineer: Phone:
I
Mailing Address:
Loan Lender/General Phone:
--
Contractor's Bond Holder: --/ ,7-4-yzs
Mailing Address: e 4-
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan