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HomeMy WebLinkAboutBLD2000-00715 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 #: BLD00-00715 Received Date 10/31/2000 SITE ADDRESS: 45 LEIGHBROOK LN Issue Date 11/1/2000 PORT LUDLOW, 98365 Expiration Date 11/1/2001 APPLICANT: KELLY KENNEDY PHONE: (360)437-2841 MOLLIE KENNEDY PO BOX 65118 PORT LUDLOW WA 98365 SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: ? Lot: 18 PARCEL NUMBER: 998500018 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ROOF OVER EXISTING DECK& RES ALTERATIONS REQUIRED INSPECTIONS: [ outings etbacks (Shoreline Setbacks)O/,0'4' /tor r-1 _ [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: Plumbing: .-4/2 ,-, [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Final/Occupancy Approval: r3 f r / HEALTH DEPARTMENT 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 r i BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00715 Received Date: 10/31/2000 SITE ADDRESS: 45 LEIGHBROOK LN PORT LUDLOW, 98365 APPLICANT: KELLY KENNEDY PHONE: (360)437-2841 MOLLIE KENNEDY PO BOX 65118 PORT LUDLOW WA 98365 SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: ? Lot: 18 PARCEL NUMBER: 998500018 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ROOF OVER EXISTING DECK & RES ALTERATIONS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,000.00 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: 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 Routing Date: I l/ 1 f# ?oo F Shoreline Aquifer Forest: Commercial Rural 1-'roximit - Hat C; d tlons Type Amount Paid By: Date: Receipt: Approved/Date Permit $83.25 MAM 10/31/00 34625 P Pr R E ED Plan Check $24.98 MAM 10/31/00 34625 / V L� s ( 1 / State Building Code $4.50 MAM 10/31/00 34625 NOV 0 1 2000 `t Total: $112.73 Jefferson County Planning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 t a Jefferson County Department or coimmarty Develomnent (<.--'3.$0N.'es.;`;� C 821 Sheridan Street.Port Townsowl WA 88388[3801378-4450 ,�. o, `$ PErmo7 Ap0 0 0 �S �. _ ocQi)oon Project Description: Building Type: Project Type: Frame Type: ❑ Single Family 0 New dYWood ❑ Garage Attached/Detached 'Addition 0 Steel O Modular 0 Alteration/Remodel 0 Concrete ❑ Commercial 0 Repair ❑ Masonry O Multi-family/#of Units 0 Demolition 0 Other: O Industrial Ocher (bOt OUP X4SrfN'. e--. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Ch e one: Existing: Existing: ewer 0 Community System 0 Electricity ❑ Oil Proposed: Proposed: ' ''b dividual System 0 Woodstove 0 Propane Total: Total: If not sewer,fill out the following: 0 Heat Pump 0 Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: O Private well - ❑ Two Party Well Public:Name of water system: C'.3C y m/a/C Gt..,e e#4() R- Se wC,ct2.. Square Footage: For Office Use Only Main Floor UBCI OCCUPANCY GROUP 2ND Floor Base fee e 3 •2 c.- 3rFloor PlanCheck fee - c`— 9 6 Htd Basement State Surcharge-ffee '. co Unhtd Basement Subtotal ((2 '. 3 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL I I - • -73 Industrial Receipt # 4` 2,5 Other ,-- __--_ Cash/Check'# 3 5' T-O Total Valuati _ 3a�;c A Initials el:3 Or Date IC'' afi� � Estimated C st: 4 © (9 �," If within 200' o me, . 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 iypapections. Access and right of entry to th plicant's roperty or structure shall be requested and shall occur during regular business hours. 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Land Surveyors 0 Civil Engineers o YI<inners Lot 18, Plan 32L Timberton Village 159 Wyatt Way NE Bainl rhlge Island,WA 98110 (.......• r/ pbonc: (206)842-5514 facrimile: (206)780-2408 DRY""s' Din r"°.8AM JUNE 17, 1999 98077 a+Cc]tcD 9. 8AM i'� 1" 20' T 1 a 1 Mir • �-- Jefferson County Department of Community Development coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan S�NG� Fill in the following blanks as completely as possible: Project Description: Re)c,f= c 6-lil ric 9 Digit Parcel Identification Number (from your tax statement): of`I 8 _AJA d/g Site Address 911#: ' 5 Road Name:L6/6.,l->`BF'FJ rc 1,747-;i Zip Code: ` 3 Legal Description Subdivision Name: !irhi3C,cr vJ v�i- —A 2 Block: Lot(s): /g Section: / 7 Township: Range: Parcel Size (acres or square footage): Property Owner: ��] Phone: DELL,' - Ni0L� r- fi�Nt� lac 3t6.- '43 7 - Z8 f Mailing Address: a 4( 6,6(i 8 PGA r f o Loy.: iJ o- 7 03[ --G 1 1 8 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: 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 �/ STORMWATER CALCULATIONS t t Owner/Applicant: / .. 1""/ t%L Ll t Ke 44-;.�D y ,,// ❑ PROPOSED LAND DISTURBING ACTIVITY 7 Site Address: .� L 11-b/`Graft L& _- Drainfield area cleared sq.ft. ioa"F L �C G�-k (,&JCc q6 4"-`c t I& Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: c( 98 0/8 = 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 Zc ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) /Li+f sq.ft. i 1. North arrow Existing Structures (all roof area) sq.ft. 1" 2. All property boundaries and dimensions Sidewalks sq.ft. 2"3. Names of adjacent streets Concrete Patios sq.ft. 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 J.C(L! sq.ft. closest structure .P` 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 2/8. 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. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned e2r12. 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, 3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 4. 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: O 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. 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.FRM9/97