HomeMy WebLinkAboutBLD2000-00446 • BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00446 Received Date: 7/7/2000
SITE ADDRESS: COOK AVE EXT
PORT TOWNSEND, 98368
APPLICANT: NEIL CAVETTE PHONE: (360)385-3247
BOX 1953
PORT TOWNSEND WA 98368
SUBDIVISION: TIBBALS LAKE PARK Block: 76 Lot: 2-10
PARCEL NUMBER: 999007603 Section: 04 Township: 30 N Range: 01 W
CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: (360)385-3247
P O BOX 1953
PORT TOWNSEND WA 98368
Contractor's License CAVETCI05ON5 Expires 07/26/2000
ARCHITECT/
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ENGINEER : la MileVi -7 I 7/ °,,,,q
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PROJECT DESCRIPTION: GARAGE/SHOP BUILDING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,500 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT RR, ? :1
WATER SYSTEM: CITY PARCEL TAGS: YES NO , ,�
BEDROOMS: BATHROOMS: STORMWATER: YES NO I/ / AREA
Exist: Exist: Wetland l Erosion f'
Prop: Prop: 1 Seismic /", Streams 1rt'
Total: Total: 1 Flood Way if Flood Plane
F&W ;i •; Landslide
Routing Date: —7 -3 Shoreline 1'` Aquifer 4 i
Forest: Commercial ;'�� Rural /1
` PrQxim t - N
lat Conditions
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $251.25 LMB 07/03/00 32076
Plan Check $75.38 LMB 07/03/00 32076 '"`
Al tWW ir c
' ` I" /
a
State Building Code $4.50 LMB 07/03/00 32076 , / -, --
Total: $331.13
i:1F_BLD_App_Bld.rpt 10/29/99
STORMWATER CALCULATIONS
Owner/Applicant: dee'/ 67ff(j///‘.
� � 44--e..g.ta ❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: f!cr Z. ' Drainfield area cleared 1 I ,50 sq.ft.
Driveway Length 4.4Q0 ft.
e3 X Width ( 0 ```.yft.
9 Digit Parcel Identification No.: 602 = Total Driveway _t� sq.ft.
Permit Number: 50z Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
sq.ft.
INDICATE the following information. Total Land Disturbance 0 sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals 0 IMPERVIOUS SURFACE - ''•
Proposed Structures (all roof area) /.q,0-S`q.ft.
VIl
North arrow Existing Structures (all roof areal L/ sq.ft.
property boundaries and dimensions Sidewalks [� sq.ft.
k7 3. Names of adjacent streets Concrete Patios 0 sq.ft.
❑ 4. Driveway/s & parking spaces Proposed:
❑ 5. Major features such as ravines, Driveway Length •t-t ".... ft. �(��
, ,(k
asonal creeks, bodies of water, etc. X Width ft.
t�' 6. Septic tank, drainfield and reserve area location, = Total DrivewayDriveway (4,0er sq.ft.
existing or proposed and distance to Total Impervious Surface -5 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
❑ 1/0. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of
2"1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
Ev‹. 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
K . 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
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Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name /�, / e/le/e-1/4-
Viuilding 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
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 ✓ No
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 /V°
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)
ii '
ii� �i' '❑
r r i i i i i '
„„„
(Questionnaire Continues on Back)
Page 1 of 2
Jefferson County Department of Community Development
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ON oy 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
7'
4 ' '$ Universal Plot Plan
'<1sH1N C°
Fill in the following blanks as completely as possible:
Project Description:
/0 ofeleli - e e —/-
9 Digit Parcel Identification Number (from your tax statement): q 9 y On? c3 _Co
Site Addresssee
911#: Road Name: 6,C/ ,'4 ‹ Zip Code: 9fg:(55
Legal Description 7 i 0-9
Subdivision Name: /, (y®is �4I4. ' -/vAre f Block: �t. ' Lot(s): t
Section: f L/ Township: Range: / -to
Parcel Size (acres or square footage): 4 a 3, r.4_s
Property Owner: f a e,!% C 6 Phone:.36 0 r �s, J02�7
Mailing Address: / `J ;)`)'/ terCeleje la LC/� 9e3 e
Applicant/Occupant: 7 Phone:
(if different from owner) ,}v2271Z-,
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: 64,6%%G ecjit,g/- 7-v t Phone: d y7
Mailing Address: /9 S3 p/.1 // G L
Contractor's State License Number. Ex iration Date: On
�/�(/C ...� 0 5'0 /V5 p g'',
Septic Designer: . C Phone: g ��/o
Mailing Address: g;:r /OR a 1 foci,/,c_ , c(.,./4 9 F3C g
/
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General / /L 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
.
AT Jefferson County Department of Community Development
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621 Sheridan Street,Port Townsend WA 08368(360)370-4450
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stici� AscipLegt: on
Project Description:
Building Type: Proje e: Frame Type:
Single Family ew Wed
Garage Attached/Detached Addition Steel
2 Modular 2 Alteration/Remodel 2 Concrete
• Commercial Repair ❑ Masonry
• Multi-family/#of Units 2 Demolition E Other:
• Industrial ��'"7'`
• Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: 2 Sewer E Community System 0 Electricity G Oil
Proposed: Proposed: _1— dividual System ❑ Woodstove i= Propane
Total: Total: —1— If not sewer,fill out the ollowing: ❑ Heat Pump
2 �
Conventional Alternative ❑ Other NO/1/�
Permit# SEP 91-00,33Y
Water Supply: �`
/�• Private well ❑ Two Party Well C Public:Name of water system: C�!/y di J I o e'/ij F,''r`
Square Footage: For Office Use Oicly
Main Floor ` I i OnUBC OCCUPANCY GROUP
2ND Floor / Base fee 2`j i.IS
3rd Floor Plan Check fee 15 3
Htd Basement State Surcharge fee 4
Unhtd Basement i Subtotal .; 1 . 1
Garage/Carport --ISOOO Pot Water Review fee 3 U
Decks 911/Rd Approach fee Lq O�
Commercial TOTAL ')<1 0 • 1 >
Industrial Receipt # 5 2.o-76
Other Cash/Check# 2SZ
Total Valuation: ( .- --IS-0 OV Initials kt\ iN,
Or It f tea. Date 1' 3'00
Estimated Cost: / SQCOO o0
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
1
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 Co .• ..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 pro or . -s.all b`� ` shall occur during regular business hours.
Sign ature: -111411 Date: 7 -I rC
BUILDING PERMIT APPLICATION
f
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00446 Received Date: 7/7/2000
SITE ADDRESS: COOK AVE EXT
PORT TOWNSEND, 98368
APPLICANT: NEIL CAVETTE PHONE: (360)385-3247
BOX 1953
PORT TOWNSEND WA 98368
SUBDIVISION: TIBBALS LAKE PARK Block: 76 Lot: 2-10
PARCEL NUMBER: 999007603 Section: 04 Township: 30 N Range: 01 W
CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: (360)385-3247
P O BOX 1953
PORT TOWNSEND WA 98368
Contractor's License CAVETCI05ON5 Expires 07/26/2000
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: GARAGE/SHOP BUILDING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,500 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY 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 - flat C; d dons
Type Amount Paid By: Date: Receipt: Approved) ate
Permit $251.25 LMB 07/03/00 32076
Plan Check $75.38 LMB 07/03/00 32076
State Building Code $4.50 LMB 07/03/00 32076
Total: $331.13
is\F BLD_App_Bld.rpt 10/29/99
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