HomeMy WebLinkAboutBLD2000-00668 y • ,' f
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 #: BLD00-00668 Received Date 10/11/2000
SITE ADDRESS: 61 SCHOONER LN Issue Date 10/13/2000
PORT LUDLOW, 98365 Expiration Date 10/13/2001
APPLICANT: FRANCIS R MC CLELLAND PHONE: (360)437-7776
SANDRA S MC CLELLAND
61 SCHOONER LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 1
PARCEL NUMBER: 990700001 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
530 HEATH RD
SEQUIM WA 98382
Contractor's License: BUILDBCOLLMG Expires: 07/07/2001
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION KITCHEN REMODEL
REQUIRED INSPECTIONS:
[e'] Footings/Setbacks (Shoreline Setbacks): I P051 '1,(. , t-7-
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear W�all'!Y 47,.S .c — l4' IV c 0,7
[ ] Fram Kit P'I ,,,g: ,' 7G`61!'' %l /Z ,. b r
[ ] Propane Tank/Lines:
[ ] sula ion.(71 /l7 t``(C6 -
} iee# ck—' ''/c" :t/l. / ,- ' lVe
jai/Occupancy Approv £/c- _///2 e) i ,/
HEALTH DEPARTMENT APPROVAL REQUIRED PRI R 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 #: BLD00-00668 Received Date: 10/11/2000
SITE ADDRESS: 61 SCHOONER LN
PORT LUDLOW, 98365
APPLICANT: FRANCIS R MC CLELLAND PHONE: (360)437-7776
SANDRA S MC CLELLAND
61 SCHOONER LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 1
PARCEL NUMBER: 990700001 Section: 8 Township: 28 N Range: 01 E
9
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 ,
530 HEATH RD
SEQUIM WA 98382
Contractor's License BUILDBCOLLMG Expires 07/07/2001
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: KITCHEN REMODEL
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 25
VALUATION 22,310.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 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
Routing Landslide
outing Date:
Ri (1Z/OD Shoreline Aquifer
Forest: CVommercial Rural
Type Amount Paid By: Date: �rReceipt Hatdtions
Receipt:
Permit $377.25 MAM 10/11/00 34551
Plan Check $113.18 MAM 10/11/00 34551 aws OV
State Building Code $4.50 MAM 10/11/00 34551 3 �+�
�
Total: $494.93 008
aSLi7} .�1
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Crs n County Mining
&Building Department
is\F_BLD_App_Bld.rpt 10/29/99
I , • . . ,
Jeffersmi County ► I artment of Community Development
�4SON °°� 621 Sheridan Street,Port Town;:nd WA 88368[360]378-4450
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Project Description:
Building Type: Project Type: Frame Type:
• Single Family ❑ New E Wood
Garage Attached/Detached ❑ Addition Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
n Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove E Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
▪ Private well ❑ Two Party Well E. Public:Name of w� system:
Square Footage: _ r_.__..._ . 'J�'1 For Office'Use Only
Main Floor - ,__2--. �.' ' /r UBC OCCUPANCY GROUP
2ND Floor , o Z,
Base fee
3rd Floor Plan Check fee t . l O
Htd Basement State Surcharge fee Li . 5C)
Unhtd Basement Subtotal ti` R Lk 4 3
Garage/Carport Pot Water Review fee -e
Decks 911/Rd Approach fee 'e
Commercial T• AL LA, �'(,Lk,, ( 3
Industrial Rec-ipt #
Other .__..._
-
\\.) Check#
Total Valuation411a,_,q -2-G • c / OD
T r trials
Orate
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 thshermarion 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 applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: Date:
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00668 Received Date: 10/11/2000
SITE ADDRESS: 61 SCHOONER LN
PORT LUDLOW, 98365
APPLICANT: FRANCIS R MC CLELLAND PHONE: (360)437-7776
SANDRA S MC CLELLAND
61 SCHOONER LN
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 1
PARCEL NUMBER: 990700001 Section: 8 Township: 28 N Range: 01 E I
CONTRACTOR: BUILDING BROKERS CONST PHONE: (3Q0)683-6216 .
530 HEATH RD
SEQUIM WA 98382
Contractor's License BUILDBCOLLMG Expires 07/07/2001
ARCH ITECT/
ENGINEER :
PROJECT DESCRIPTION: KITCHEN REMODEL
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 25
VALUATION 22,310.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 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
R
F&W Landslide
Routing Date:
l u I Z 1� Shoreline Aquifer
Forest: Commercial Rural
—1-irQxlmlty - Plat U dl�ttlons
Type Amount Paid By: Date: Receipt: Approve8�ate
Permit $377.25 MAM 10/11/00 34551
Plan Check4
$113.18 MAM 10/11/00 34551 ,E
State Building Code $4.50 MAM 10/11/00 34551 6' ` �`
Total: $494.93 ( kiii:iiI
f_: ./9R/f���
is\F_BLD_App_Bld.rpt 10/29/99
a
STORMWATER CALCULATIONS
Owner/Applicant: 'A-C t ----(- 'vim
❑ PROPOSED LAND DISTURBING ACTIVITY
Site Address: 6 / S C am` Drainfield area cleared sq.ft.
Driveway Length ft.
X Width ft.
9 Digit Parcel Identification No.: Cr l �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 sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals / % el( 2 IMPERVIOUS SURFACE
C
/�� 1 �` " �7� , �roposed Structures (all roof area) sq.ft.
1. North arrow -44- Existing Structures (all roof area) i -- sq.ft.
• 2. All property boundaries and dimensions Sidewalks sq.ft.
• 3. Names of adjacent streets Concrete Patios sq.ft.
El 4. Driveway/s & parking spaces Proposed;_ l.Jj
❑ 5. Major features such as ravines, Driveway Length \ ft.
seasonal creeks, bodies of water, etc. X Wid iX- ft.
6. Septic tank, drainfield and reserve area location, = Tota r• ay sq.ft.
existing or proposed, and distance to Total Impervious urface AA 0'0 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:
C 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
r.
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.
boundaries, structures, banks, Street washing should only be done after the bulk of the
sediment has been removed by sweeping.
and shorelines) • Stabilization of Exposed Soil:
All exposed and unworried soil shall be stabilized by sodding,
1 3. 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:
El 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly
inspected and maintained to ensure continued performance of
u 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
�� oN coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
• "
'` Universal Plot Plan
Fill in the following blanks as completely as possible:
Project Description:
'n r dad
9 Digit Parcel Identification Number (from your tax statement): / o /�
7 0 cc
Site Address
911#: Road Name: < ,hcoy‘0,y- Laju, Zip Code:
Legal Description
Subdivision Name: Block: Lot(s):
Section: Township: Range:
Parcel Size (acres or sgttnre footage):
Property SOwner•, Phone:� _ �.
Mailing Address:
(.L1 1ek\Or,ne�, - 1 -Ct,v i.
Applicant/Occupant: Phone:
(if different from owner) bu.; ` j�,�rj ,r j --10 S
Mailing Address:.0 �Q� 5S A0i)1'Vv
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: Phone: („g —bau,
Mailing Address:
c x \t\\Vmo\ ?Ty c3 LJ4 5
Contractor's State License Number: Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
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
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OCT3 2000
Jefferson County Planning
C &Building Department
7280853A Design: 07/28/00 1�no.
All dimensions&size designations THE This is an original design and must Scale:tl2",t' Date 07/28/00
given are subject to verification on HOME DEPOT not be released or copied unless SANDRA&MAC MCCLELLAND
job site and adjustment to Rio!) applicable fee has been paid or jab Si SCHOONER LANE
conditions. order placed. Designer
PORT LUDLOW,WA —
•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
CRITICAL AREAS QUESTIONNAIRE
Applicant Name
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 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:
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)
E Q 0 0
/ / / / / / ♦'
/ / / / / / ♦
/ / / / / / ♦
I /
/ / / / / / /
/ / / / / / ♦ // ,
/// / / / ♦ / / / -____„
„„/„ , , .. „,
///////,
„u„,,„
_________
.0
(Questionnaire Continues on Back)
Page 1 of 2
•
•
6. Does the site have steep slopes with little to no vegetation? _ YES 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 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.
Signatu Date
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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