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Home My WebLink AboutBLD2000-00463 3 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 #: BLD00-00463 Received Date 07/14/2000 SITE ADDRESS: 753 RHODODENDRON LN Issue Date 07/20/2000 BRINNON, 98320 Expiration Date 07/20/2001 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 4 PARCEL NUMBER: 988500004 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION STORAGE BUILDING REQUIRED INSPECTIONS: [']— otings/Setbacks (Shoreline Setbacks)O/�/ - e) [ -oundatio : [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [1,+ Z"amingFPlumbing: �7,9A7 �C ves e ez--)'' � 45(� � � [ ] Propane Tank/Lines: `y' [ ] Insulation: [ ] j Sheetrock: [`� Final/Occupancy Approval: - S- / /7 f HEALTH DEPARTMENT APPRO L 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 #: BLD00-00463 Received Date: 7/14/2000 SITE ADDRESS: 753 RHODODENDRON LN BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 4 PARCEL NUMBER: 988500004 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: STORAGE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,200.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 320 SETBACK: CK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Seismic Streams Prop: Prop: Flood Way Flood Plane Total: Total: F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 LMB 07/14/00 32219 � � I' � • � D Plan Check $29.18 LMB 07/14/00 32219 State Building Code $4.50 LMB 07/14/00 32219 INF A L Total: $130.93 rWW `, 4 2000 Jefferson County Planning &Beil:icy Bapartrterit is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development OP,T c, 74,6. (p 621 Sheridan Street,Port Townsend WA 88368[360)378-4450 rm : pp)� � [IcoIeon $ �GI. Project Description: S t O\C 0 ' e i, , i'1 —J Building Type: P—roject Type: Frame Type: Single Family YN1ew womeod Garage Attached/Detached I Addition il Steel =i Modular I Alteration/Remodel Ti Concrete Commercial I] Repair i Masonry ":-I Multi-family/#of Units = Demolition il Other: Industrial l l Other: S L O Y ac) e 13 K i'Cl r j Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 00 Existing: C3 C Sewer ❑Community System = Electricity I Oil Proposed: p Proposed: U Individual System Woodstove i Propane Total: 0 Total: C If not sewer,fill out the following: I Heat Pump Vonventional I Alternative I Other Permit # SEP 'in__ ---0 es S 0 Water Supply: Ili Private well Two Party Well I. Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee ot- 3rd Floor Plan Check fee 29 .t% Htd Basement State Surcharge fee 4 • gb Unhtd Basement Subtotal i 7C)• CI Garage/Carport 1 lG X •).U s 3 Q.O Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 1 0. 41 3 Industrial Receipt # 3 2 2 i 9 Other , Cash/Check# 0,1 Total Valuation: Initials Or 3 ZO -^ D Date 1`1(4`01) Estimated Cost: �/ 1 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. i 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 entry to the applicant's property or structure shall by requested and shall occur during regular business hours. Signature: J �, Date: 1 - i a _ 0 0 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00463 Received Date: 7/14/2000 SITE ADDRESS: 753 RHODODENDRON LN BRINNON, 98320 APPLICANT: NORMA ROBINSON PHONE: 110 DOGWOOD LANE BRINNON WA 98320 SUBDIVISION: PLEASANT TIDES Block: Lot: 4 PARCEL NUMBER: 988500004 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: r( ARCHITECT/ Review V/9/00 7 fJ ENGINEER : Attekd w / 0c,it/ PROJECT DESCRIPTION: STORAGE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,200.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 320 SETBACK: DECK: BANK HEIGHjT. SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Seismic Streams Prop: Prop: Flood Way Flood Plane Total: Total: F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural ,�� Proximity Plat Conditions !I/ 0 _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 LMB 07/14/00 32219 Plan Check $29.18 LMB 07/14/00 32219 State Building Code $4.50 LMB 07/14/00 32219 Total: $130.93 is\F_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: j 0 0 i N S o I ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 7 5 3 R k c:A' ,c I c-e h d hC Yl Drainfield area cleared sq.ft. B r i n n t n V` 4 CI 3 0 Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 9 5 c U O = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals t ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) L1'6 C) sq.ft. ❑ 1. North arrow Existing Structures (all roof area) nS sq.ft. • 2. All property boundaries and dimensions Sidewalks T: 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 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 ❑ 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 O 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, ❑ 1 3. 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: ❑ 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 NI o r m ek,, R ,`r S 0 h ,/ 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 ✓,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 ✓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 ✓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 4 0 4 ❑ r i / r i / / / / / / i r / / i i ,u r ri i i i i i / � � iiiii ✓ r r / r r i i i i i i3O (Questionnaire Continues on Back) Page 1 of 2 E. 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 ;/NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES ✓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. �r v Signature V�,.,t)-11,-1-A.0,_, Dateii:j4A_ ac O 0 FOR OFFICE USE ONLY ❑ Wetlands E Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area E Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: q k j O0 ON/1 Parcel Size: 16. x iq . Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 i 1 ' --- _ - Si I ,.. . I i . ._f.>1. ; 0 t , opsv_bv,6.1.e..A E.,t1-s 4\01 cl,..i; (\...y, Q ,----t------7 q14 ..— — — — — 1 ... ! , I N-41'2 D 1 t 0 I , 0 \,\ I -. , co 1 , 1 l-c,--- . ,..._ / ..-- N .3 I ..--- i . 3.0 Y ky... \ , , 4 Box es < 7C) ' 4kock 06-e-4"%&P-0 11 L i3• 153 R\'NOCIOCIer\j‘^L)V1 Jefferson County Department of Community Development o1v cod 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): Site Address 911#: Road Name: R h cc°ce i t Y Ott) Zip Code: q Legal Description Subdivision Name: 1 I ;} S Block: Lot(s): `f Section: 5 Township: Range: Parcel Size (acres or square footage): 9 b Property Owner: t Phone: Mailing Address: /A Applicant/Occupant: Phone: (if different from owner) ct a Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 0 W h e r 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