HomeMy WebLinkAboutBLD2000-00654 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#: BLD00-00654 Received Date 10/5/2000
SITE ADDRESS: 84 GOLIAH LN Issue Date 10/16/2000
PORT LUDLOW, 98365 Expiration Date 10/16/2001
APPLICANT: MECHALE BISHOP PHONE: (360)437-9878
84 GOLIAH LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: 77
PARCEL NUMBER: 990600277 Section: 9 Township: 28 N Range: 01 E 1
CONTRACTOR: WOODEN ROOM REMODELERS PHONE: (360)437-9878
113 GOLIAH LN
' PORT LUDLOW WA 98365
Contractor's License: Expires:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION ADD DECK TO SFR
REQUIRED INSPECTIONS:
[ ] Footings/Setbacks (Shoreline Setbacks): ,
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[ aming numbing: 1t: /J/>_ /e?L
[ ] Propane Tank/Lines:
( ] Insulation:
[ ] Sheetrock:
(4] upancy Appro 1: ,,e' > 0-'51C2"� c
HEALTH DEPARTMENT APPROVAL REQUIR 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 Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00654 Received Date: 10/5/2000
SITE ADDRESS: 84 GOLIAH LN
PORT LUDLOW, 98365
APPLICANT: MECHALE BISHOP PHONE: (360)437-9878
84 GOLIAH LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: 77
PARCEL NUMBER: 990600277 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: WOODEN ROOM REMODELERS PHONE: (360)437-9878
113 GOLIAH LN
PORT LUDLOW WA 98365
Contractor's License Expires
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: ADD DECK TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 1,440.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 144 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW 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
l
Routing Date: D 1 1 Shoreline Aquifer
Forest: Commercial Rural
1-'rQximity Plat C di�ttlons
Type Amount Paid By: Date: Receipt: ApprovedR ate
� ems-,;,;� n
Permit $54.00 MAM 10/05/00 34395 Lam_ "' 5, r)
Plan Check $16.20 MAM 10/05/00 34395 ,.-L
il
State Building Code $4.50 MAM 10/05/00 34395
OCT 1 C MO
Total: $74.70
Jefferson County Planning
&Building Department
i:\F_BLD_App_Bld.rpt 10/29/99
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Jeffm'son County Department of Community Development
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� 621 Sheridan Street,Port Town ;nd WA 88368 13601 378-4450
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Project Description:
Bjailding Type: Project Type: Fr pse Type:
21 Single Family ew F'Wood
Li Garage Attached/Detached �ddition Steel
• Modular -2; Alteration/Remodel Concrete
• Commercial I Repair i Masonry
ri Multi-family/#of Units I Demolition I Other:
I Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Cheose one:
Existing: Existing: P!'!Sewer I Community System I Electricity I Oil
Proposed: Proposed: I Individual System I Woodstove IJ Propane
Total: Total: If not sewer,fill out the following: I Heat Pump
Ei Conventional G Alternative I Other
Permit# SEP
Water Supply: ,'
I Private well i Two Party Well Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base feel (,00
3rd Floor Plan Check fee I (c7 2-0
Htd Basement State Surcharge fee LI- S D
Unhtd Basement Subtotal 7 2. -7 D
Garage/Carport ( Pot Water Review fee ,
Decks � Y7 s� 911/Rd Approach fee ` 73
Commercial TOTAL - Lt - 7 0
Industrial Receipt # 314 3 9.S
Other Cash/Check # coos H
Total Valuation: Initials
Or Date 1 •,�Sf al
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 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 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 is pro or e shall be re sted and shall occur during regular business hours.
Signature: cs Date: `7`//
' BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00654 Received Date: 10/5/2000
SITE ADDRESS: 84 GOLIAH LN
PORT LUDLOW, 98365
APPLICANT: MECHALE BISHOP PHONE: (360)437-9878
84 GOLIAH LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: 77
PARCEL NUMBER: 990600277 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: WOODEN ROOM REMODELERS PHONE: (360)437-9878
113 GOLIAH LN
PORT LUDLOW WA 98365
Contractor's License Expires
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: ADD DECK TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 1,440.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 144 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES N.
BEDROOMS: BATHROOMS: STORMWATER: ES C AREA
Exist: Exist: Wetland Erosion -?
Prop: Prop: Seismic Streams
Total: Total: Flood Way Flood Plane
F&W_ p Landslide
Routing Date: ID 1c (CP Shoreline Aquifer _,..,
Forest: Commercial Rural
—Proximity - Feat Uo a�t lor)s
�'?l
Type Amount Paid By: Date: Receipt: pprovep to , 33j
Permit $54.00 MAM 10/05/00 34395 � �
Plan Check $16.20 MAM 10/05/00 34395 a ��l
State Building Code $4.50 MAM 10/05/00 34395 �' OW
Total: $74.70 W .
'WONate‘B*16/ .
Re.°1"4 0 ff tg-76
1 1/
i:\F_BLD_App_Bld.rpt 10/29/99
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STORM WATER CALCULATIONS
Owner/Applicant: e C4(q 4 / 4 y='
! ❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: t Et g c f tet t * ,'', Drainfield area cleared sq.ft.
%� � Driveway Length _ft.
X Width ft.
9 Digit Parcel Identification No.: d= �1 ��' ��° ' = 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 /79' sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals E IMPERVIOUS SURFACE
Proposed Structures (all roof area) //5' sq.ft.
• 1. North arrow Existing Structures (all roof areal 2 DO sq.ft.
2. All property boundaries and dimensions Sidewalks sq.ft.
3. Names of adjacent streets Concrete Patios sq.ft.
2 4. Driveway/s & parking spaces Proposed:
• 5. Major features such as ravines, Driveway Length ft.
seasonal creeks, bodies of water, etc. X Width ft.
• 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft.
existing or proposed, and distance to Total Impervious Surface 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:
2 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible,
limited to one route. Access points shall be stabilized with
• 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of
1 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
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
2 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\PLO TPLN.FRM9/97
• Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name .�G jC, 4-(._. � /�5 ��✓
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 :,"--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 c"' No
on your property or adjacent properties?
If YES, please describe:
4. Are there any indications on any portion of the property or on any _ YES ," 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)
i i
i i i i i i // /'
i / �� /�
, rill i / -tws ' -'
rrri i i / /i /- --
r r r i i i /
/' /' --' -
rrriii / ' --O
,,rill / //,' ---
,,iiii/,9_, --'
(Questionnaire Continues on Back)
Page 1 of 2
6. Does the site have steep slopes with little to no vegetation? -f YES No
If YES, please describe:
4,v e/f /6r/v-e
7. Does the site contain high percentages of silt and/or very fine YES %ENO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES f 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 later inspections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular business hours.
zf
Signature �/:4/ G � Date /C! c_J
���
FOR OFFICE USE ONLY
❑ Wetlands ❑ Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ 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
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