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BLD2000-00367
BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00367 Received Date: 6/6/2000 SITE ADDRESS: 10233 RHODY DR CHIMACUM, 98325 APPLICANT: MARK LOPEMAN PHONE: (360)385-3076 10233 RHODY DR CHIMACUM WA 983258709 SUBDIVISION: Block: Lot: T 65 PARCEL NUMBER: 901101000 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUHI133J7 Expires 04/27/2000 ARCHITECT/ TERHUNE HOMES ENGINEER : PO BOX 97 POULSBO WA 98370 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,184 VALUATION 223,000.00 ADD'L: 1,638 HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 812 SHORELINE: CONST TYPE: DECK: 514 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 4 Seismic Streams Total: 4 Total: 4 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural 1-,r xlm.it - Mat C d dons Type Amount Paid By: Date: Receipt: Approve��ate Permit $1,682.55 MAM 06/06/00 31616 Plan Check $504.77 MAM 06/06/00 31616 P ED State Building Code $4.50 MAM 06/06/00 31616 Potable Water Application $30.00 MAM 06/06/00 31616 J 3 IOQO Total: $2,221.82 Jefferson County Planning &f ild 1 I:\F_BLD_App_Bld.rpt 10/29/99 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 #: BLD00-00367 Received Date 06/6/2000 SITE ADDRESS: 10233 RHODY DR Issue Date 07/3/2000 CHIMACUM, 98325 Expiration Date 07/3/2001 APPLICANT: MARK LOPEMAN PHONE: (360)385-3076 10233 RHODY DR CHIMACUM WA 983258709 SUBDIVISION: Block: Lot: T 65 PARCEL NUMBER: 901101000 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License: TERHUHI133J7 Expires: 04/27/2001 LOAN LENDER/ NW INSURANCE BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: ['1 /Footings/Setbacks (Shoreline Setbacks): O s --..f/WI C 00 6/-3 C>0 [1'1 Foundation: 7;14 c,,-,vi 4 -?_C)() [ ] Underground Plumbing/Underground Insulation: [v Shear Wall: O t<.T,nr\ W,r� , 1 a-i6-oo [yjcramin: lumbin• O K J C.. to-ti-oo i 2--,--4. [k]/'ropane Tan //vr- 0 K.1 o,,J / PW .7e/a�o,-oa ,ti( I9 e'f - .� G� OIZ C N] Insulation: voAc,,, c ,)(4,),1.- g., [ ] Sheetrock: ?vNr.-,i,+..4 t'I^ -r,"ri(•i/ 6-m-4,,n19...//6,1Q / or, Jv,A-Ko..,i� 66crt-t,, /7'Ct_: c</� C.; %,, 3-eoc" f t �J'' [ ] Final/Occupancy Approval: 0 CK /, ,1J0) j,I&Y;• J� 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 SPECIAL CONDITIONS FOR CASE BLD00-00367 1.) THE MOBILE HOME WILL BE REMOVED PRIOR TO FINAL INSPECTION. is\F_BLD_Permit_Buildng.rpt 10/29/99 JEFFERSON COUNTY PERMIT CENTER. 621 SHERIDAN ST. PORT TOWNSEND WA 98363 BUILDING PERMIT APPLICATION PROJECT DESCRIPTION: r Y n(\a- -Ae--cr-j(;(mirvL p`-L�l 'Vv t myyt e -4- ci ol -- lGL - coot p_vock_.(_., ,r- c v (4 G CC:. -1 1 BUILDING TYPE: PROJECT TYPE: FRAME TYPE: X. SINGLE FAMILY NE \/00D GARAGE ATTACHED/DETACHED 0 ADDITION C TES c - _ n MODULAR ALTERATION/REMODEL ❑ CONCRETE 0 COMMERCIAL G REPAIR MASONRY MULTI FAMILY/4 OF UNITS G DEMOLITION 0 OTHER CI INDUSTRIAL ._ OTHER 3EDRCCMS: BATHROOMS: TYPE OF SEWAGE DISPOSAL: EXISTING _ EXISTING SEWER C COMMUNITY Y S ST :I PROPOSED _ PRCPCSED INDIVIDUAL SYSTEM „_nt:en;,i TOTAL TOTAL 1 - -C ,`. T T tic .._ PERMIT ., SEPq.. -5 Al:=rnac:ve WATER SUPPLY: �� '�� ` TYPE OF HEAT: - oRIVAT WELL C TWO PARTY WELL 0 ELECTRICITY OIL ,c PUBLIC^^lame of water system: _ WCODSTCVE _ PROPANE . A HEAT PUMP _ OTHER: SODA E FOOTAGE: �� i SCR Or C2: E C.+ F I US `1 MAIN FLOOR at.CO . ' 2ND FL OCR I C HID BASEMENT a �10: ,7 : LI NI1-11-0 EASEMENT I --L__ _...__ I VAiRPOR'. ^ T Z ' 1 ) • - 2.• 1 t ' f Sc^ ti_ r.- OEC:<S �, `t 'S j 00NAMERC:,-L I OTHER \( :NOUSTPIAL I ../ - _ 3 i. � ' -� TOTAL VALUATION ;. ', .. 0143 ESTIMATED COST l IF WATERFRONT PROPERTY, DISTANCE.' TO 3AiNK OR HIGH WATER LINE fT. BANK EIGHT S:GNA.TU DATE Jefferson County Permit Center, 621 Sheridan St., Port Townsend WA 98368 UNIVERSAL PLOT PLAN Fill in the following information as completely as possible. Project Description: al( /- (J ii/Y1I,VL Pe_VIAULin 9 Digit Parcel Identification Number (from your tax statement) l O — t O --CC Q Site Address: I b2�J 3 Qd1 ej NameT3rt U`P> Zip Code CA -jz j Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM Parcel Size (acres or square footage) Property Owner Phone 3� -- O---i(D Mailing Address I O2- 22klect_ 1 Dl.ue, C V 1 -r.G\,LLv l a$325 Applicant/Occupant `3 PrV1/1 Phone (if different) Mailing Address ( CC Authorized Rep 1J2-krl'\,LLVa 7 Yv� I V Phone (®C,��- ?O00 Mailing Address {� 0. {. dx ri I�uLss r33-)0 General Contractor 1=Q[t/ .,U/L .., L V\J1, Phone (c471' 7-70nO Manufactured Home Installer Phone Mailing Address P. Q . B6)6 tiLtSlo o �,•837o Contractor's State License Number T-e V h � (33.y 7 Expiration Date 4-O Septic Designer pcicl 'S Phone Mailing Address �(� Gq_Z I Architect \A_(A__VL_Q _)--C--Tb 12._S � *AC—. Phone (c e --70v0 Mailing Address P. BvX ,kx)1 LcL , Q Loan Lender/General Phone Contractor's Bond Holder Mailing Address 1 FOR OFFICE USE ONLY Fire District Planning District School District Zone 1 . . CA9 00 - 00 i5 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00367 Received Date: 6/6/2000 SITE ADDRESS: 10233 RHODY DR CHIMACUM, 98325 APPLICANT: MARK LOPEMAN ; PHONE: (360)385-3076 10233 RHODY DR CHIMACUM WA 983258709 SUBDIVISION: Block: Lot: T 65 PARCEL NUMBER: 901101000 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUHI133J7 Expires 04/27/2000 ARCHITECT/ TERHUNE HOMES ENGINEER : PO BOX 97 POULSBO WA 98370 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,184 VALUATION 223,000.00 ADD'L: 1,638 HEAT TYPE: HTP CODE EDI-TION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R 3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 812 SHORELINE: CONST TYPE: DECK: 514 SETBACK: �, BANK HEIGHT: SEWAGE DISPOSAL: OSS 04` 1 , WATER SYSTEM: PUBLIC PARCEL TAGS: NO BEDROOMS: BATHROOMS: STORMWATE : Y S NO AREA Exist: Exist: Wetland Erosion-7 Prop: 4 Prop: 4 Seismic Streams 0 Total: 4 Total: 4 Flood Wa '7 Flood Plane Routing Date: F&W Landslide ,K0 ,�0 Shoreline Aquifer , r I Forest: Commercial IJ Rural ,SIa403 —Proximity !ilk Ions 0 Type Amount Paid By: Date: Receipt:" Permit ,-4,. ttir $1,682.55 MAM 06/06/00 31616 ' f ,tvalt . . - '' „r.. 9 10 , . ,,- at Plan Check $504.77 MAM 06/06/00 31616 ,\1 State Building Code $4.50 MAM 06/06/00 31616 Mite* -_= ---''" Potable Water Application $30.00 MAM 06/06/00 31616 v Total: $2,221.82 _` 9• ' ca �. I:1F_BLD App_Bld.rpt 10/29/99 k � JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: / " /4k4k._ L-E) pc"'q.rJ Telephone: 3 6 0"3 gs—3o l 6 Address: I tZ3 3 K l-oim o r. CA-%.:),Askc‘4,r+1 W4S L• 9 3 2-s Assessor's Parcel Number:(4 0 10 O 0 0cJ"e P -b�2 Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: IV Q vJ nr 4) Ds,rhe•)s,►N S 9 9'`r' t N3 Set Site Location: I o Z3 3 KAkNa 113Y• Q Person Responsible for BMP Installation and Maintenance: MA AK, 1.,0e4.en n/ Address: YIN S 1h\-6). Telephone: 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 i Yv t �* %ter EROSION AND SEDIMENT CONTROL WORKSFIEET , [] Phase clearing so that only areas that are actively being worked are uncovered. [] 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 Mana ement 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.) [] 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. SPESC Instructions—Short Form Revised June 3, 1999 4 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) 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.). No ' 4,0(A4sP64z.. B S$P' c4 . 4Lc__ c.r ke5 `1 Au -ate lam , ALL SA_,.J� aN,A, G'vAve 1 1 rJ �v tt.-j 4J A rtv- Silty Se g ;v t rV %vow...A 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. t4$"* 4 S Gross 5ee.d 0 • The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runof.I will noti the Permit Center for inspections as required. Ck 6 -0�-no Signatur of Owner/Agent Date SPESC Instructions—Short Form Revised June 3, 1999 6 Jefferson County Department of Community Development July 3, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: MARK LOPEMAN 10233 RHODY DR CHIMACUM WA 983258709 Critical Area Review Case Number: CAR00-00236 Project Description: single family dwelling Parcel Number: 901101000 S-T-R: 10-29N-01W Site Address: 10233 RHODY DR CHIMACUM WA, 98325 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Department of Community Development St ff c: File is\F_CAR_Waiver_Stand rd.rpt 12/13/99 e I 1 1 1 1 1 •. I • 1 H CA CO1 1 1 1 cc 1 t 1 CD oo , 1 1 1 _____ 41 O„ . , „ .• _• • , ." „,....... I U mil) lJ U m —ir-- n � 73 < -' I -,U I ' I Cyi )3 o - � )3 > �� — Crnj D 0CDJDCisln � omo � = ' � ram- 71 I I -� EXIST I I o O r- r- or � oo � � U U ISHOP I GO 21>C� o - I — CO )7 o 1 II c) 0Nmo7D 1 En c.31 o CO z o _ —1 PROPOSED 4 BEDROOM . RESIDENCE • I m 1 m o x < cn �,��� o --� = p o o 0 KZ 7) ©` O Om V r I Cl- O CDC ' � � " z 220 ""1 QN 1