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HomeMy WebLinkAboutBLD2000-00395 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 #: BLD00-00395 Received Date 06/15/2000 SITE ADDRESS: 402 LARSON LAKE RD Issue Date 07/11/2000 CHIMACUM, 98325 Expiration Date 07/11/2001 APPLICANT: JOHN HACKO PHONE: (360)732-4457 PO BOX 130 CHIMACUM WA 98325 SUBDIVISION: MT TOWNSEND VISTA Block: Lot: 8 PARCEL NUMBER: 801105008 Section: 10 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: /e- o=- ,, e'er' [ ] Footings/Setbacks (Shoreline Setbacks): U frkR. 6 9/7,-- 407/ /ale Ln/c' 77/i / 401 [ ion. e /< //7/7- ANn ( r-, it c4: 1 ✓;;/„i K.94/A)N7 kieic>y' [ underground 'Iumbin•n•n.erground Insu a I. d 72z. 65/e / a? o -W vG ZSc1G G5/e, [ ] Shear Wall: o i �, [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: r> c�rlsr.m-- c-,- C. [ Final/Occupancy Approval: klAve-.0 2-20-'75 01 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. EX r 44- r\/ SPECIAL CONDITIONS MAY APPLY - SEE REVERSE /9." C-/iVE,s ..- (AN" HOT LINE AVAILABLE 24 HOURS A DAY ©/c <21271042�Jam. BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00395 Received Date: 6/15/2000 SITE ADDRESS: 402 LARSON LAKE RD CHIMACUM, 98325 APPLICANT: JOHN HACKO PHONE: (360)732-4457 PO BOX 130 CHIMACUM WA 98325 SUBDIVISION: MT TOWNSEND VISTA Block: Lot: 8 PARCEL NUMBER: 801105008 Section: 10 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NE ►`1 l6 VALUATION A00 MAIN: CODE EDITION: S� t 19g7 ADD'L: HEAT TYPE: WOD OCCUPANCY: / R-3 HEAT BASE: 1,192 HEAT TYPE: PRO OCCUPANCY: UNHEATED: 203 #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 544 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: (�/_ j i,1_O 0 Shoreline Aquifer / / Forest: Commercial Rural )-'r xlm.it - Plat Conditions Type Amount Paid By: Date: Receipt: Approveate Permit $1,279.35 MAM 06/15/00 31684 Plan Check $383.81 MAM 06/15/00 31684 p ED State Building Code $4.50 MAM 06/15/00 31684 Potable Water Application $30.00 MAM 06/15/00 31684 J u 1 1 0 1 Total: $1,697.66 Jefferson County Planning &Building Department I:\F_BL.D_App_Bld.rpt 10/29/99 Jefferson County l : l artment at of. 1 , 'ty Development �¢s" �`o� 621 Sheridan Street.Port Town :nd WA 38 388[360]378-4450 W ` r ` 0 „ prm : : 0 1 on rr i Project Description: Building Type: Project Type: Frame Type:X Single Family $ New % Wood Garage Attached/Detached .:. Addition Steel Modular .= Alteration/Remodel 2 Concrete Commercial Repair 2 Masonry Multi-family/#of Units Demolition Other: I Industrial . Other Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: N o4 IL— Existing: 1il oNri- Sewer =Community System 2 Electricity 2 Oil Proposed: 3 Proposed: 2`1=- X Individual System a Woodstove X Propane Total: 3 Total: Z.9Z. If not sewer,fill out the following: Heat Pump Conventional ' Alternative Other Permit # SEP at 3-OZ.70 Water Supply: If Private well i T. •Party Well r Public:Name of water system: Square Foota e• i l For Office Use Only I „� •• UBC OCCUPANCY GROUP 9 ' Main Floo -- Q 2ND Floor 7 S aj''.S'' Base fee �` 1�1 -1 4:J l g •4) 55 2 3rd Ficor Plan Check fee ' 3$3 '� 3 �• r 7 I Htd Basement • e 1 )•p,C) State Surcharge fee\ 1.5 a 4. 1 LO 1a-1 . Lo (Q Unhtd Basement • i� •Q t ) Subtotal Garage/Carport Pot Water Review fee .... q.C)'°d Decks 911/Rd Approach fee I Commercial TOTAL Industrial - Receipt # OtherCash/Check# �_._, T.�tal.Valuation: II Initials _ Or Date —f 0 U Estimated Cost: "IP ff within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark __ _ ft. Bank Height —ft. liy 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 ip 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 ri•• of entry to Jefferson Co ty and it's ployees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry e plic property or sent e s all be req and shall occur during regular business hours. Alf / / PO Date: 6' 17`' ' o "--- Signature: ti Jefferson County Department'of Community Development oN c. G 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 �c C ' '\ Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: /V/G-C„? >/ 6%,44/ ., 9 Digit Parcel Identification Number (from your tax statement): 8 O 1 _ / 0 -c D D& Site Address 2__,4725o,-I G.,— , Rip 9 911#: -ilk; Z Road Name: Zip Code: Legal Description Subdivision Name: (,U.I-l7` G ),(164 )O t// G %1 Block: Lot(s): 6 Section: /6 Township: a 8 Range: / ‘,e,i/--5- 7- Parcel Size (acres or square footage): Property Owner. }oi_Lti / Phone: 7 7 Mailing Address: PO 13&x / 3 c C l/v /A L' V/l, ivi4 , ?g 32 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: i General Contractor: s,* /� Or Manufactured Home Installer: 0 w Ju r,- ..-- Phone: Mailing Address: Contractor's State License Number. ' Expiration Date: Septic Designer: S/c- / L, S lz� -1 L/ Ph°S6 d -3 g_s- - 5 /D Mailing Address: I Architect:/Engineer: x/�/G /3 D/./�� 1 Phone: O -3.5 G/io MiilingAddtess: 78 a oxie_ er ` tz)/ti,9�(/v7, ?A',t� g Loan Lender/General [ `a' T. /�G' Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY r Fire District: Planning Area School District: Zone: I 1/00 H:\home\pinrntr\forms\universal plot plan . OO- 00Zt/ .,,�- BUILDING PERMIT APPLICATION - Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00395 Received Date: 6/15/2000 SITE ADDRESS: 402 LARSON LAKE RD CHIMACUM, 98325 APPLICANT: JOHN HACKO ,,\OL- 1,N1 PHONE: (360)732-4457 PCOOACUM WA 98325 ,4L,1 4 k�1- �� HIM SUBDIVISION: MT TOWNSEND VISTA Block: Lot: 8 PARCEL NUMBER: 801105008 Section: 10 Township: 28 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ KIRK BOIKE ENGINEER : 789 QUINCY ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,392 VALUATION 150,894.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 1997 HEAT BASE: 1,192 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: 203 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 544 BANK HEIGHT: SEWAGE DISPOSAL: ALT _L ID WATER SYSTEM: PWELL PARCEL TAGS: YES (11V0-- BEDROOMS: BATHROOMS: STORMWATERE ) AREA Exist: Exist: Wetland sIK Erosion j/P Prop: 3 Prop: 3 Seismic Nt> Streams r Total: 3 Total: 3 Flood Way (40 Flood Plane r✓O Date: F&W )'`/J Landslide /,/ '•, Routing 6 —/ 9_a 0 Shoreline /'/U Aquifer?!r"5 S(%'c Forest: Commercial r10 Rural ± 1 'Proximity Plat C8/6dttions ^ Type Amount Paid By: Date: Receipt: Approve a e _, .ter U Cr cal rea Permit $1,279.35 MAM 06/15/00 31684 .,_ Plan Check $383.81 MAM 06/15/00 31684 ,State Building Code $4.50 MAM 06/15/00 31684 Reel 1 I U 0/0 '-',) Potable Water Application $30.00 MAM 06/15/00 316841 Total: $1,697.66 St0 y «ie / ,^ G , I:\F_BLD_App_Bid.rpt • 10/29/99 Jefferson County Department of Community Development June 30, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE Applicant: JOHN HACKO PO BOX 130 CHIMACUM WA 98325 Critical Area Review Case Number: CAR00-00245 Project Description: single family dwelling Parcel Number. 801105008 S-T-R: 10-28N-01 W Site Address: 402 LARSON LAKE RD CHIMACUM WA, 98325 FIN DINGS: In accordance with the authority provided under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on 6/15/00 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: Wetlands, Stream (type 5), and Aquifer Recharge. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 6/28/00 and confirmed the existence of the following critical areas and/or their associated buffers on the property: Wetlands. 3.) Based upon a site inspection of the property, the Type 5 Stream was not present and a curtain drain had been previously installed. 4.) A site inspection by Permit Center Staff was performed on 6/28/00. 5.) Aquifer recharge areas in Jefferson County are characterized by porous geologic formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 6.) Susceptible aquifer recharge areas are those with geologic and hydrologic conditions that promote rapid. infiltration of recharge waters to groundwater aquifers. This includes any portion of Jefferson County with a DRASTIC index of greater than or equal to 180 points as determined using the U.S. Environmental Protection Agency DRASTIC methodology: Drastic: A Standardized System for Evaluating Ground Water Pollution Using Hydrogeologic Settings (EPA 600/23-87-035). This waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the following conditions. Any deviation from these conditions shall result in this waiver being revoked and the application becoming subject to further review. CONDITIONS OF APPROVAL: 1.) A setback of 25 feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing or other alteration of the wetland or its buffer is allowed. 2.) No alteration shall be made to the wetland or its buffer without prior authorization by the Critical Area Administrator. Buffer enhancement is allowed as long as native species are selected for planting. . Prior to and during approved construction activities,'the perimeter of the wetland buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Wetland and Buffer- Do not Remove or Alter Existing Native Vegetation." 4.) The applicant shall permanently separate the upland boundary of the wetland buffer from the remainder of the subject property through installing and maintaining one of the following; logs, trees, a hedge row, or other prominent physical marking. The separation method identified by the applicant shall be approved by the Critical Area Administrator prior to planting or installation. 5.) All construction activities, including the storage and preparation of materials, shall not encroach upon the designated wetland, or its associated buffer. 6.) Fish and wildlife habitat area buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, replanting with native vegetation shall be required by the Critical Area Administrator. No alteration shall be made to the fish and wildlife habitat area buffer without prior authorization by the Critical Area Administrator. 7.) Vegetation retained on-site following completion of clearing for roadways, utilities and the like, may be cleared only if such clearing is absolutely necessary to complete the proposal (Note: This condition shall not be construed as allowing removal of native vegetation within a designated critical area or its associated buffer). WMAAA 61 e“1— 7//e/C2 0 Warren Hart, AICP Date Critical Areas Administrator I understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is made subject to my complying with the above listed conditions, and that any violation of said conditions shall result in revocation of the permit or approval and further review of the project under the Critical Areas Ordinance. Please sign a return to the epar ent of Community Development. '-, Zap Appli nt's Signature Date c: File i:1F_CAR_Waiver_W_Conds.rpt 12/13/99 V - m N ❑ ❑ ❑ 20 00 00000 0 00000 ovz 6 - -.. -.. - o O) CJ1A D � (aN ROCOCO V O) 01 ? 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