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Home My WebLink AboutBLD2000-00617 r ` 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 #: BLD00-00617 Received Date 09/22/2000 SITE ADDRESS: 180 BALDWIN LN Issue Date 10/2/2000 PORT LUDLOW, 98365 Expiration Date 10/2/2001 APPLICANT: TERENCE J O'BRIEN PHONE: (360)437-0642 ROCHELLE L O'BRIEN 180 BALDWIN LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 2 AREA 1 Block: Lot: PARCEL NUMBER: 990600129 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)779-6222 PO BOX 65232 PORT LUDLOW WA 98365 Contractor's License: RIGGSC044KF Expires: 05/02/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION TO RESIDENCE REQUIRED INSPECTIONS: [ '" ings/Setbac (Shoreline Setbacks): 6/4 `t////©c Liclif_.0- [t4-J"r Foundation' o(D/C //3/�i</Qkt3 U U M .1"[ ] Underground Plumbing/Underground Insula ion: U [ ] Shear Wall: [t,]--' ram ing/Plum bin•j6-0 44/411'49/ `C; (e'r 7;/I7pa")6/Z c' N ,.J. [ i n ,v - ..,/c _ earl/e le , ./i0 /0 ef,74-i , ['''� Sheetrock: <<"3K I. /.j/ Final/Occupancy Approval: DX /O— -Ui HEALTH DEPARTM)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 } BUILDING PERMIT APPLICATION Jefferson County Dep artment of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00617 Received Date: 9/22/2000 SITE ADDRESS: 180 BALDWIN LN PORT LUDLOW, 98365 APPLICANT: TERENCE J O'BRIEN PHONE: (360)437-0642 ROCHELLE L O'BRIEN 180 BALDWIN LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 2 AREA 1 Block: Lot: PARCEL NUMBER: 990600129 Section: 9 Township: 28 N Range: 01 E ;�_ CONTRACTOR: RIGGS CONSTRUCTION 36�V- �" 6 � PHONE: (366�37-2926 PO BOX 65232 C e t-c 3 6O) 72.9'—3/6 ( PORT LUDLOW WA 98365 Contractor's License RIGGSC044KF Expires 05/02/2000 ARCHITECT/ BONDESON'S HOME & BUSINESS DES ENGINEER : SEQUIM WA 98382 PROJECT DESCRIPTION: ADDITION TO RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 710 VALUATION 41,699.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 240 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 2 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: V9--5. Shoreline Aquifer 41) Forest: Commercial Rural 1-'r ximit - Hat C d dons Type Amount Paid By: Date: Keceipt: 1 4u n) Permit $562.95 MAM 09/22/00 34328 i'` w 4, Plan Check $168.89 MAM 09/22/00 34328 State Building Code $4.50 MAM 09/22/00 34328 OCT- 0 2 2000 Potable Water Application $30.00 MAM 09/22/00 34328 Total: $766.34 Jefferson County iNnning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community DoveMumma foN co er 021 Sheridan Street Port Townsend WA 88388[380l 378-4450 w ti� 0 4. Prmo pa°cfl© � HING- Project Description: Building Type: Project Type: Frame Type: Single Family ❑ New X Wood ❑ Garage Attached/Detached 1B' Addition ❑ 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: '2- Existing: 2- 'Sewer ❑Community System .e Electricity ❑ Oil Proposed: AP' Proposed: t ❑ Individual System jlieWoodstove XPropane Total: .. Total: 3 If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative C Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well C Public:Name of water system: Square Footage: For Office Use Only , Main Floor �t 5 V-i EX t' i al€ 'II %4gp,O‘-1c�J U z' LTBC OCCUPANCY GROUP q 2ND Floor _Zs-- t 29 b'S Base fee ID 60 , ( �r 3rd Floor PlanClrek fee . // �� •. q Htd Basement - State Surcharge-fee --r- '. -' Unhtd Basement ' Subtotal `T (o . 4 Garage/Carport "— e X t Srt Pot Water Review fee Decks 4 Z,p GXti r- 2,4t`a o,—N 4 G(-�A 911/Rd Approach fee —ry t Commercial 2 4 00 TOTAL T' '7 . `f Industrial .4- Receipt # $,i ``` Other -4). Cash/Check# Total Valuation: �� Initials Or Date Estimated Cost: t i -3c� • If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being nutl and void I further agree to save indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in cogsq,�uence of the granting of this permit. I further agree to provide access andd ;;en;entry efferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the�a�p,�p^, s pro r structure shall be requested and shall occur during regular business hours. Signature: - .-,--. ,62-------� Date: Z��Cj a* •4 . BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00617 Received Date: 9/22/2000 SITE ADDRESS: 180 BALDWIN LN PORT LUDLOW, 98365 APPLICANT: TERENCE J O'BRIEN PHONE: (360)437-0642 ROCHELLE L O'BRIEN 180 BALDWIN LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 2 AREA 1 Block: Lot: PARCEL NUMBER: 990600129 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)437-2926 PO BOX 65232 PORT LUDLOW WA 98365 A.0040.0i`-,r '$ 7 /4 Contractor's License RIGGSC044KF Expires 05/02/2000 it( ', 9ri �� U ARCHITECT/ BONDESON'S HOME & BUSINESS DES Uri ,,, ENGINEER : SEQUIM WA 98382 � �V�" Revue "`� PROJECT DESCRIPTION: ADDITION TO RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 710 VALUATION 41,699.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 240 SETBACK: BANK HEIGHT: i F I�� 5 r SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO /AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 2 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer �� " Forest: oQest. Commercial Rural Type Amount Paid By: Date: —ProximityApprove dteons Receipt: pp ��a e Permit $562.95 MAM 09/22/00 34328 Plan Check $168.89 MAM 09/22/00 34328 State Building Code $4.50 MAM 09/22/00 34328 Potable Water Application $30.00 MAM 09/22/00 34328 Total: $766.34 C '# is\F_BLD,_App_Bid.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: + ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: t 8.6 el ...t#..I Drainfield area cleared sq.ft. irk((i i r)Liegr,1 fa Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: = 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 6 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 1 10 sq.ft. [V 1. North arrow Existing Structures (all roof area) _ S 1O sq.ft. Q/2. All property boundaries and dimensions Sidewalks sq.ft. 3. Names of adjacent streets Concrete Patios sq.ft. P'4. Driveway/s & parking spaces Propesad: ar,,flurt- G 5. Major features such as ravines, Driveway Length 4 421 ft. seasonal creeks, bodies of water, etc. X Width -2,G. ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway 1 7.1 4 sq.ft. existing or proposed, and distance to Total Impervious Surface t 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 0 10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of L1 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, 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 714. 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: 0 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of 0 16. Top of bank, if over 10 feet high their intended function. 0 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 „J ,J €J '( Building Application _ Land Use Application Shoreline Application On-site Sewage Application _ Subdivision Application ;}f Other:.O(a►'� � ,^ '� 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 X No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present X Yes _ No on your property or adjacent properties? If YES, please describe: N.vA\ -% (.J - 4. Are there any indications on any portion of the property or on any _ YES h 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) r , , r , , , r r r r i i , .'�' Irv ' ,�.' �_❑ rr,r//, , . �. -. rrrrii,,,/_./ ---- (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? — YES X 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 X 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 lat- • sp= tions. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business t rs. ' _ Date / Z i/ICJ Signature �..� FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) E Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/oo oN Jefferson County Department of Community Development co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 � : W ' '' Universal Plot Plan �sr C`C-o Fill in the following blanks as completely as possible : Project Description: _ kfl 9 Digit Parcel Identification Number (from your tax statement): ACC® _ rz,at Site Address 911#: t Road Name: Zip Code: q8 5 Legal Description Subdivision Name: i't4Z 1 L. L vJ Block: 2 Aezu Lot(s): 2,9 Section: Township: Range: Parcel Size (acres or square footage): „rAp, ` el I Pro Owner;, t. - -a- Phone: p c r Mailing Address F Applicant/Occupant: Phone: (if different from owner) - Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: ---� Or Manufactured Home Installer:�-°a (--*4• r Phone: . 0—` 11 Mailing Address:-.) "00 +-` ftM- C Ci.P641t i (:+. Contractor's State License Number: k sz, 44 0 e -, Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer:-;z9.4 0E54, rjtkoikt j Pone: 1711 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 --€.-- ---_________ _ ,.... --,„_ ----f.. . . ..._. ,_ .. I . . .. . /....N)L.--VI" .,.. 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