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HomeMy WebLinkAboutBLD2000-00590 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development - 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00590 Received Date: 9/14/2000 SITE ADDRESS: E MARROWSTONE RD NORDLAND, 98358 APPLICANT: WAYNE FAVRE PHONE: CHRISTINA HELLWICH 19310 103RD AVE NE BOTHELL WA 98011-2958 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 5 PARCEL NUMBER: 977700019 Section: 04 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONEStan , / Requitet) '3 u '' S, Area ARCHITECT/ PAN ADOBE CEDAR HOMES ENGINEER : 4350 LAKE WASHINGTON BLVD N Review -7 RENTON WA 98056 C �' ,/ I PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE � TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,370 VALUATION 78,550.00 CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: 1 CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 272 BANK HEIGHT. SEWAGE DISPOSAL: ALT -\ *. ; WATER SYSTEM: 2WELL PARCEL TAGS: YES NO iv- BEDROOMS: BATHROOMS: STORMWATER: YES NO f AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: _ `U _ Shoreline Aquifer l Forest: Commercial Rural —Proximityflatve��drrt�ionates Type Amount Paid By: Date: eceipt: Appro Permit $846.75 MAM 09/14/00 34270 Plan Check $254.03 MAM 09/14/00 34270 State Building Code $4.50 MAM 09/14/00 34270 \\kiNN, Potable Water Application $30.00 MAM 09/14/00 34270 Total: $1,135.28 \, i is\F_B LD_App_Bld.rpt 10/29/99 i 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 #: BLD00-00590 Received Date 09/14/2000 SITE ADDRESS: 950 E MARROWSTONE RD Issue Date 10/26/2000 NORDLAND, 98358 Expiration Date 10/26/2001 APPLICANT: WAYNE FAVRE PHONE: CHRISTINA HELLWICH 19310 103RD AVE NE BOTHELL WA 98011-2958 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 5 PARCEL NUMBER: 977700016 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [1 Footings/Setbacks (Shoreline Setbacks): l` / { �nci ti'oPn eCZ-- .5113 O/© ® [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: v " -� 6- /2 [ ] Propane Tank/Lines: 6-xzg 2. Lus O fi 7//7/Dz. [ ] nsulation: d t-c �✓ z r- a,<� /(J,7->2-o-t eetra 4 JC �`/{ /r �✓/ [vf Final/Occupancy Approval: /9 eif/ /6yez ► /// , HEALTH DEPARTM T 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 Lila STORMWATER CALCULATIONS Owner/Applicant: Vla V Q. ra V PROPOSED LAND DI TUR G ACTIVITY Site Address: Drainfield ar a cre •— ( ago Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 417.77 0 O 0 It = Total Driveway -1-4410 sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. ZOO 0 sq.ft. INDICATE the following information. Total Land Disturbance 2 000 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: / One inch equals 2 /1 IMPERVIOUS SURFACE Proposed Structures (all roof area) 13)0 sq.ft. , 1. North arrow Existing Structures (all roof area) sq.ft. 2. All property boundaries and dimensions Sidewalks / 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 :2, C ft. 7.6. Septic tank, drainfield and reserve area location, = Total Driveway (f ix sq.ft. existing or proposed, and distance to Total Impervious Surface 2 6 I 0 sq.ft. closest structure f2` 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 1278. Wells and/or water lines • Construction Access Route Stabilization: ,H 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with ,0'10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of ,Z11 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, 2113. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base Z 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 O 16. Top of bank, if over 10 feet high their intended function. O 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.FR M9/97 I BUILDING PERMIT APPLICATION .. Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00590 Received Date: 9/14/2000 SITE ADDRESS: E MARROWSTONE RD 0400 NORDLAND, 98358 APPLICANT: WAYNE FAVRE PHONE: CHRISTINA HELLWICH 19310 103RD AVE NE BOTHELL WA 98011-2958 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 5 PARCEL NUMBER: 977700019 Section: 04 Township: 29 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ PAN ADOBE CEDAR HOMES ENGINEER : 4350 LAKE WASHINGTON BLVD N RENTON WA 98056 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,370 VALUATION 78,550.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 272 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural —Proximity - Flat Conditions Type Amount Paid By: Date: Receipt Approveate Permit $846.75 MAM 09/14/00 34270 APP El".) Plan Check $254.03 MAM 09/14/00 34270 State Building Code $4.50 MAM 09/14/00 34270 O Potable Water Application $30.00 MAM 09/14/00 34270 / 't 204 Total: $1,135.28 Jef4srson County Planning &Building Deportment is\F_BLD_App_Bld.rpt 10/29/99 4 4 Jefferson son County up Vnent of Conumadty Development �4asoN cba 621 Sheridan Street.Port Townsend WA 88368 13601 378-4450 � t 4 ' Per A � 00 0Io,Nr�S G � ���� fJ _ Project Description: Building Type: Project Type: Frame Type: 7. Single Family ' New Wood Garage Attached/Detached E Addition 0 Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry • Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: E Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: r.77 Proposed: Individual System ❑ Woodstove X Propane Total: e Total: If not sewer,fill out the following: E Heat Pump 71 ❑ Conventional X Alternative ❑ Other Permit# SEP Water Supply: lh ❑ Private well ❑ Two Party W ,`❑ Public:Name of water system: Square Footage: ' For Office Use Only Main Floor 1370 1 1 UBC OCCUPANCY GROUP fie, ,� 2ND Floor 1's Base fee AO . - l 3�Floor i_t Plan Check fee ' .- f 1 I Htd Basement State Surcharge fee Unhtd Basement lci Subtotal "s j 1 Garage/Carport Pot Water Review fee . i -< Decks ,3 P 911/Rd Approach fee Commercial `,'J TOTAL /f if-- Industrial receipt # . , Other / to c h/Check# qt.,. 347 y3 .. ,Total Valuation: .'tials Or �' 4" _ ' ' dr Date Estimated Cost: 'l 1 .3O/ 0 0 0 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 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 unty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en to e plicant's property or e shall be requested and shall occur during regular business hours. Signature: Date: / .006) . . 03 :• . kl-- -!.- I • 11 . — \, 0 , . .._. - , .. . .... 7r .. , 4-- IP if\ Poo, Eio ,;(is.-1-erv) ?K. ( r ,r,renn*f,... (3 P loots r ttt ti ie a ) . u., • I Q1 1 ( estc,i-cifi.' :1,7r...11,1-( i',e1 ) ›.c .._ 1 N _ . ___ 1 32/ -1, ... - ; ,!)' . , , / --, w, . K . .1 ..., ) 01 ___I , drivCWO ((frAlle'l) 'cl- 1- itA ------- L i i N ii 11 ) .1 0 I . i ( l' 11 ,..m 1._ , f c) , ',' {IC-- —• a__ ! 5i' .1 Q.. , • . . . ..._.... , .../..... ......, 4. L .v.. 4,„.., • i / 1 - , 1 I -11 Its. . .. . i 0 0 1 IVI s 1 •:',N H [ tl , ! —1--- IN tr --I %Ss --I (-* 1N,.. (0 k: e) tA ____ . . __c, -......1 , 0 ...-. )0t , \) Z _____L I 0, ou ..„( _ _9 0 . \II - q kni - ---- q") NI — 0 (1) 0 v‘ \t, Jefferson County Department of Community Development ;z5°N coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 b j 0 --5R0 Aso$ Universal Plot Plan fi7NG Fill in the following blanks as completely as possible : Project Description: (20n s-E-iruc:+:i o w o- 1370 etS r, R 9 Digit Parcel Identification Number (from your tax statement): p 77 7 0 © 0 1 L Site Address EQ�+ m4rro stovie ( s I 911#: q5 0 Road Name: Zip Code: Legal Description Subdivision Name:. Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): j ? cop H' Property C+wner: to ja e, Fa u`fie �r J�, iv. ��e J w f c h Phone: Mailing Address:`© l/ �' Ave ,(�i,1 q3 �- , c 0 t-11E 11 .vvQ of $a t Applicant/occupant: Phone: (if different from owner) 52Q''rive_ as be (o Mailing Address: Authorized Rep:13Phone:5 60 .97 I k.6 0 ���-�- i �E' z d� 507 Mailing Address: Pe ks o x 3 7 9 .7�?. C t 1 jp d Wa_ di E s q General Contractor: t Or Manufactured Home Installer: Vl e r / 001 I a e c Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Pan a b od e C€ _G q r h(,0 0 e 5 Pho 5 ,25.5 0 Mailing Address: 3 50 Lake bt ia5I'1 OrNiX4Vit .13 hid ielt-'o 4 ci gd_56 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 A Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 I CRITICAL AREAS QUESTIONNAIRE Applicant Name . '' cc L 6/ESC X 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 iN No property or on any nearby property at any time during the year? If YES, please describe: 7. Has any portion of the property or any nearby property ever been Yes X 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: L. Are there any indications on any portion of the property or on any _ YES X No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) a a 4 Q ❑ ❑ ❑ / / / / / / / / / / , ,L / / / / / / , ,/ / ///// / / /' '!I ' //l///// / , /////// ////// • ' � (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with lithe to no vegetation? _ YES A No • If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES X NO sand? If YES, please describe: 3. Does the site contain ground water seepage or springs near the _ YES ,X NO surface of the ground? If YES, please describe: 3y signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their nowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet -nay result in this permit being null and void. further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees nd 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 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 nail occur during regular business hours. 3i9 nature -t-•— Date !7 %3 0() ) FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic :RITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 MMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area 0 Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range 'arcel Number: Parcel Size: comprehensive Plan Land Use Designation: Reviewed by: :ommunity Plan: Date: Page 2 of 2 :'.home\pincntr\forms\car.doc 1/00