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Home My WebLink AboutBLD2000-00684 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 #: BLD00-00684 Received Date 10/12/2000 SITE ADDRESS: 342 PORT HADLOCK HEIGHTSRD Issue Date 10/17/2000 PORT HADLOCK, 98339 Expiration Date 10/17/2001 APPLICANT: KARRON NEWMAN PHONE: (360)3749-4977 PO BOX 88 PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: 17 PARCEL NUMBER: 901111002 Section: 11 Township: 29 N Range: 01 W 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 RV CARPORT REQUIRED INSPECTIONS: [I,, mgs/Setba Shoreline Setbacks):root �C e_ �"' cc PC [ ] Foundation: // 7 /cr c 1 [ ] Underground Plumbing/Underground Insulation: ,f [ ] Sear Wall: [ o--:ming umbing:y /c /2/7/ %co. �..7t; .ri--' tEe''- - - Propane P ...� ane Tank/Lines: [ [ ] Insulation: [ ] Sheetrock: [ v 1 al/O ► pancy Approval: /C /Z/Veie7 2,---t-- HEALTH DEPARTMENT APPROVAL REQUIRED RIOR TO FINAL INSPEC N. 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 #: BLD00-00684 Received Date: 10/12/2000 SITE ADDRESS: 342 PORT HADLOCK HEIGHTSRD PORT HADLOCK, 98339 APPLICANT: DICK BRODERS PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: 17 PARCEL NUMBER: 901111002 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 530 HEATH RD SEQUIM WA 98382 Contractor's License BUILDBCOLLMG Expires 07/07/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: RV CARPORT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,480.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 348 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUBLIC 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 Routing Date: /0 `/6 )0 Shoreline Aquifer Forest: Commercial Rural —Proximity - Hlat c di�ttlons Type Amount Paid By: Date: Receipt: Approvecivate Permit $97.25 MAM 10/12/00 34663 APPROVE- Plan Check $29.18 MAM 10/12/00 34663 M145�C State Building Code $4.50 MAM 10/12/00 34663 ` OCT 1 2010 Total: $130.93 ‘;;elifirsErn County F°:] riing & Buileing Department • i:1F_BLD_App_Bld.rpt 10/29/99 F Jefferson County Department of Community Development e4SON °�� - 621 Sheridan Street,Port Town;;nd WA 88368(360]378-4450 , ..,: „,,. \. Y3 Q ti ? rm on ..,„ , ,,:-..,,..---,--_,,,, •eqsHr Project Description: Building Type: Project Type: Frame Type: • Single Family i New i Wood Garage Attached/Detached C .=2/ ,,.' ' Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel I Concrete I Commercial I Repair I Masonry ❑ Multi-family/#of Units I Demolition I Other: ❑ Industrial I Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System I Electricity I Oil Proposed: Proposed: I Individual System I Woodstove I Propane Total: Total: If not sewer,fill out the following: I Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: • Private well I Two Party Well I Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee / -• as 3rd Floor f Plan Check fee t 9 ' t O ! 4i . 5 0 Htd Basement State Surcharge fee Unhtd Basement Subtotal 133 0 , 9 3 Garage/Carport 3 c/ ) � ( ;--Li'?"0 Pot.Water Review fee `� ` _ Decks 911/Rd Approach fee ``�C 'Q 2 Commercial TOTAL / 30 3< -!( Industrial Receipt # fp G 3 Other Cash/Check# 3 Z Z. Total Valuation: 5370 ' `Y1-2 Initials Or Date /o G0 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 enuy to the applicant's property or structure shall lrequested and shall occur during regular business hours. 11 Signature. Date: f 0 - T �� SYSTEM INSTtt.LLED BY t.). ( Q t..103t . { ABSORPTION'AREA: 1 1 .1 DRAINFIELD TRENCH TRENCH TANK NUMBER LENGTH M A WIDTH Ni. A DEPTH A SIZE 1000 BEDROOMS oi PRESSURE TEST OBSERVED Ilk APPROVED '-^ )`) SPECIALIST ,r��:G tom--/ f\ DATE !�--7-(,,� COMMENTS: �o �+ s to ' �� sz,f, 4S - nag() I pDrawing Not To Scale r 1 t , R s.e i S 40 l =�"= cd.Q C>V� a..�, �xs rtS . o w-k AAA- ,b A -c (' C. tt ex. , n p (c. L . re\Q*e t- I no do•-e c c __ -ex" T 01 n �s� O rwtAti \ .- . N I ' ' l N t) ljti ,f. • NAME 3 rod ,P,cc 5 cc)i cx, PERMIT NUMBER Mhoms\pkwnMlnlohkh\asbulkfnn 1 A `a 1 etS � c Jefferson County Department of Community Development 4 4 oN cp 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 't'" Universal Plot Plan ‘1`NING 9 Fill in the following blanks as completely as possible: Project Description: / /7 7 -. 9 Digit Parcel Identification Number (from your tax statement): c 4 .. Site Address For tea 146 911#: Road Name: Zip Code: Cl` a Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): . , P 1 0 t' 2, Property Owner: 1 Phone: 1 r l' ,7 7 Newer `1 Mailing Address: Applicant/Occupant: Phone: (if different from owner) 1\c;� I Cop I?i Mailing Address: c� �j 7 C, VA) X S .5`i lJi vv‘ a WlG- 1 G{ D Jd L Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: bt) b- Phone: (i`o 3 (.02itii Mailing Address: �� +U, 5%3` SeGJiJI f.J6L t3 xL- Contractor's State License Number: n 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 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00684 Received Date: 10/12/2000 SITE ADDRESS: 342 PORT HADLOCK HEIGHTSRD PORT HADLOCK, 98339 APPLICANT: DICK BRODERS PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: 17 PARCEL NUMBER: 901111002 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 530 HEATH RD SEQUIM WA 98382 Contractor's License BUILDBCOLLMG Expires 07/07/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: RV CARPORT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 3,480.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 348 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUBLIC 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 Date: F&W Landslide /�i`��/o0 Shoreline Aquifer Forest: Commercial Rural —Proximity - Plat uor�da�ttlons Type Amount Paid By: Date: Receipt: A pproved/Date -.,.. Permit �. , �, $97.25 MAM 10/12/00 34663 �' �' Plan Check $29.18 MAM 10/12/00 34663 "` State Building Code $4.50 MAM 10/12/00 34663 `' . Total: $130.93 1 ,,,,,e_,,o,Atlir .,..,,,, is\F_BLD_App_Bld.rpt 10/29/99 • • nt , STORMWATER CALCULATIONS Owner/Applicant: G0,-(ov\ tVU.)Y / lo,JY\ � 1 ` _ l''` i 1 !-�. a PROPOSED LAND DISTURBING ACTIVITY Site Address:.3''Ip� l( - 11(�C}t�}(,� (1e Cjk) 9 Drainfield area cleared sq.ft. 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 IMPERVIOUS SURFACE Proposed Structures (all roof area) i<< .,`.( sq.ft. O 1. North arrow Existing Structures (all roof area) sq.ft. 2. All property boundaries and dimensions Sidewalks sq.ft. i 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 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: 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 0 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 INDICATE: Management Practices (BMPs). • Maintenance: D. 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of u 1 6. Top of bank, if over 10 feet high their intended function. D. 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 A'A/,'t`�/tif �°��C <� t'-/ 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 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 cottonwoodspresent _ 9 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) ❑ 4 Q ❑ ❑ ❑ iiiiii i./ �i� �,❑ iiiiii i / - ///iiii i /iiiiii i�� _-❑ ----- _—____ -- (Questionnaire Continues on Back) Page 1 of 2 ' r , 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 - s' 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. Signature Date j®— ( -er0 FOR OFFICE USE ONLY E Wetlands ❑ Seismic CRITICAL AREAS ON OR E 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 h:\home\pincntr\forms\car.doc 1/00