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Home My WebLink AboutBLD2000-00475 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 #: BLD00-00475 Received Date 07/19/2000 SITE ADDRESS: 110 CHERRY AVE Issue Date 08/15/2000 CHIMACUM, 98325 Expiration Date 08/15/2001 APPLICANT: DANIEL C RASMUSSEN PHONE: 110 CHERRY CHIMACUM WA 98325 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 10 PARCEL NUMBER: 963000306 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION 36 X 36 2 CAR GARAGE/SHOP REQUIRED INSPECTIONS: [/ Footings/Setbacks (Shoreline Setbacks): O 1(_T;wAs C osoe., t U-1 b`az [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [v}' in lumbing:®/< C/t en- [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: Final/Occupancy Approval: €.2/C" /3(/e/ --7- e.....? HEALTH DEPARTMENT APPROVAL REQUIR D 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 f t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00475 Received Date: 7/19/2000 SITE ADDRESS: 110 CHERRY AVE CHIMACUM, 98325 APPLICANT: DANIEL C RASMUSSEN PHONE: 110 CHERRY CHIMACUM WA 98325 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 10 PARCEL NUMBER: 963000306 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: 36 X 36 2 CAR GARAGE / SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,360.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 936 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date. Shoreline Aquifer Forest: Commercial Rural 1-'r xlmlt - Plat G ditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 MAM 07/19/00 32252 D Plan Check $54.38 MAM 07/19/00 32252 State Building Code $4.50 MAM 07/19/00 32252 lit5 01 I Total: $240.13 Jefferson County Planning c.13.,:iitUg Department is\F_BLD_App_Bld.rpt 10/29/99 4So�J oo ' Jefferson Comity Dep[want of Community Revelment �� 621 Sheridan Street,Port Townsend WA 88368[3601378-4450 ar7 .,, . ,1 permeip ..., : ,.„ ._.,..,-,._... --,„ S G`� 0 Apim - cert - on ITN Project Description: Building Type: Pro' ct Type: Frame Type: ▪ Single Family VNew IJ Wood VGarage Attached/Detached = Addition E Steel • Modular 1 Alteration/Remodel 1 Concrete E Commercial I Repair UrMasoruy Multi-family/#of Units 1 Demolition E Other: • Industrial • Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Ch one: � .-" Existing: �� Existing. 0 ewer E Community System :Eelectricity 1 Oil Proposed: Proposed: Individual System 1 Woodstove 1 Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump Conventional E Alternative ❑ Other Permit # SEP Water Supply: 1 Private well ❑ Two Party Well 11 Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP fer.1 2 I) 2ND Floor Base fee 0 3rd Floor Plan Check fee `-; ``f- 3 ic Htd Basement ' ',) 0 State Surcharge fee Unhtd Basement Subtotal —. O . /3 Garage/Carport Ci 3 t- Pot Water Review fee -e, Decks 911/Rd Approach fee _ '-"' i )Commercial TOTAL AtiO f /3 Industrial Receipt # c 3 A o�. .. o� Other /,� Cash/Check# 3`� , fNc)) Total Valuation: Initials " /9 6 Or ,,i Date 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 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 further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the purpose of application review and any required later inspections. cress and right of entry"to tk., applicant's property or structure shall,be requested and shall occur during regular business hours. ;nature: (i' c--- �'`—�� / — Date: 7- J9'— ex__:) BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00475 Received Date: 7/19/2000 SITE ADDRESS: 110 CHERRY AVE CHIMACUM, 98325 APPLICANT: DANIEL C RASMUSSEN PHONE: 110 CHERRY CHIMACUM WA 98325 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 10 PARCEL NUMBER: 963000306 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: sty Req aired 7 o �� ARCHITECT/ ENGINEER : Critical Area Re e l k2)_//te ,.7 PROJECT DESCRIPTION: 36 X 36 2 CAR GARAGE / SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,360.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 936 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: _ SEWAGE DISPOSAL: CON R R c°,5, WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO ✓r BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Pre I A e��donsType Amount Paid By: Date: Rcelp � Approved/Date ate Permit $181.25 MAM 07/19/00 32252 Plan Check $54.38 MAM 07/19/00 32252 State Building Code $4.50 MAM 07/19/00 32252 Total: $240.13 is\F_BLD_App_Bld.rpt 10/29/99 p • STORMWATER CALCULATIONS Owner/Applicant: fD 4 Aj/L-eL C k,15-i/ ,,_5L-,) ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: ! /0 C G 2/L y' it U,- Drainfield area cleared sq.ft. CI iyn4-Ca,trt W i q )3 2C Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: q63 coo 30 = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. nJ �! sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals f—, &MEN` 4 t-I ,W 2tirex) Li IMPERVIOUS SURFACE pllljroy�UfikiVS A/Zi; Proposed Structures (all roof area)/ 3 ¶6 sq.ft. ,,�' /kecue44-e- North arrow Existing Structures (all roof area) / i(ad //All sq.ft. property boundaries and dimensions 2vv2Ncs tircour t--- — 6 0 0 sq.ft. *2 Names of adjacent streets Concrete Patios rCrSTrt,G 0sq.ft. 5� 4 Driveway/s & parking spaces Proposed: 5V 5. Major features such as ravines, Driveway Length ,L'/ ft. / seasonal creeks, bodies of water, etc. X Width 1 �7 ft. 6. Septic tank, drainfield and reserve area location, = Total Driveway // 7C- G�q�t existing or proposed, and distance to Total Impervious Surface -. -..._; sq.ft. / closest structure 1 70 V/Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: S✓y/Wells and/or water lines • Construction Access Route Stabilization: 'V 9 Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with 1(y Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of 6/1 . 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, V13:' Easements for access or utilities seeding, mulching, plastic covering, application of gravel base V 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 � t Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name 04X.)(6L. C i�'C 4,51Mt,S,5L- 'U /'uilding 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 VNO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES rX0 on your property or adjacent properties? If YES, please describe: Z-pErl /,UIZ-LU41/'rrik/C f1�l C tkvesus l3k1%6)4 G'2/335 4. Are there any indications on any portion of the property or on any YES �0 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) J r / / / / / / / / / / / r / / / / / ♦ �, / / / / / / ♦♦ / I /I / / / / ♦ ♦ . . / 1 / / / i ♦ ♦ice, .-. rid / / / / � ♦ ♦ '/' r///♦♦ ♦ ♦ ♦� �''� r////i♦ i,/ lr//////, uaii♦ice ,�.� _ __ �� (Questionnaire Continues on Back) 1 � , 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 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: The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson County based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. Signature _ Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone I ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: ‘.. .,.• I . ._ /, /Et"?Z y .. 7-- • . -,- \ ..• .1. •, _ , 1 -•.. r- - 7.1 1.Y V -a-(''',•Y - `:-,-;;8 , ..... r• ' ::., 2. . -. • ' - - ' - . ...._ .- .. , 1 I # 0 t it , `..• '- • —..._____ I , (OP . ....... ) ., - - , (1 . )1.1.1::)11 t i, : • .-I , C\.'; 1 gi•I \ k \ ' ..,..., . ! a) Pi, i, -v. , ,,,..i - • . I i r - , • . -4 r----, b _ ( r- 1 I . . 1 - ...:7' ' -- . ___. _........ ' . • . ilzorgya , ir',.'1_3cci _al to 9 1- ' .1 , i . , ... :,_,..A ,.. • - ev 1 o A :9.7010,5 0 1/ / I -- I--' 1--) \ • 1i l . ...c. ;,. IJ .•-,t --. -....- ,:.--------4. 2/_ 0,-/2.34f0..41,YL .-.);' 11-7- f!-.5;7,4;:i. 11, ...,.. / . 0 irt ,---„ ....., ,s,t —. -,..._ :i-- - Ns` r, -,-- . 1 , T.- ...... ''...,. ••••._:o r---- ..._•• c.:), •, ..-i.... _. •-• , ‘---.;-, ^...• :A i i I ..•'. / I — . • , • • I r''.... r--- i _._ . . _ .....-.......1 iT1 ‘ , . „..., T r co Jefferson County Permit Center * Department of Community Development 4,4 621 Sheridan Street,Port Townsend WA'0836$(360]379-4450 ", q ,C a • 0 UHVer OsInf PfrO iollduwicg 614 4 a4 ca xgde4y 44 framiile: Project Description: 9 Digit Parcel Identification Number(from your tax statement): 963 000 3 r)6 Site Address 911#: //0 Road Name: C// L✓k 4-LIL Zip Code: ?2 : ? 5 Legal Description Subdivision Name: .Z-koAiD, LC:- D/CC1 -4PO ;i eekcr Block: ,j Lot(s): / 0 Section<.r( 2_01 , s f I Township: t kJ Range: R® 1 (Li Li ny? Parcel Size (acres or square footage): 4/ 5( ( 5'L-Gs4-,fmefto fl p 7 Property Owner: Phone: 65ju, Cho Mailing Address: / / /g3 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: - 13e , r 45,,e165 A•t phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR 01~1-1 . ;;; Fire Distract Manning t ea School<District: Zone. 4/98 H:\home\pincntr\forms\universal plot plan