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Home My WebLink AboutBLD2000-00508 BUILDING PERMIT.APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00508 Received Date: 8/1/2000 SITE ADDRESS: 81 SEAFARER LN PORT LUDLOW, 98365 APPLICANT: STEVE MOORE PHONE: PO BOX 65264 PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 185 PARCEL NUMBER: 990603185 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 729 VALUATION 91,344.00 ADD'L: 81 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 729 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 336 SHORELINE: CONST TYPE: DECK: 280 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: GM i SGvs) A4P/4- IC' WATER SYSTEM: PUBLIC PARCEL TAGS: YES N• BEDROOMS: BATHROOMS: STORMWATER: YES 0 AREA Exist: Exist: Wetland 'VP Eros ;al Prop: 1 Prop: 2 Seismic '10 Streams / Total: 1 Total: 2 Flood Way AV Flood Plane , 1 F&W `✓a Landslide Routing Date: Shoreline HO Aquifer , Forest: Commercial /V Rural „/ Type Amount Paid By: Date: Keceipt: ,.,-'11 ,',r se, 0\0.• r.-. Permit $937.75 MAM 08/01/00 33390 t'-,,. /�`1 orQ Plan Check $281.33 MAM 08/01/00 33390 ;� State Building Code $4.50 MAM 08/01/00 33390 "` :/".0 Potable Water Application $30.00 MAM 08/01/00 33390 Total: $1,253.58 StorrnVV of il7'/ - ReqU%t /!-----' is\F_BLD_App_Bld.rpt 10/29/99 • STORMWATER CALCULATIONS Owner/Applicant: STE V E MODR . ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: LOT 185 Stg Ft FARE ft LANE Drainfield area cleared sq.ft. PoRT LwDLow Driveway Length 00 ft. X Width 1 ' ft. 9 Digit Parcel Identification No.: 99 0 603 is5 = Total Driveway 1 100 sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 3000 sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 16 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 133 2 sq.ft. ❑ 1. North arrow Existing Structures (all roof area) b sq.ft. 10 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length 1 00 ft. seasonal creeks, bodies of water, etc. X Width F i ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway 1 1 0 0 sq.ft. existing or proposed, and distance to Total Impervious Surface 3 2. 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: O 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 spalls or crushed rock to minimize the tracking of 01 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, ❑ 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 INDICATE: Management Practices (BMPs). • Maintenanc_e: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of O 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\PLOTPLN.FRM9/97 /6 -- / -00 Plet de„.0.c../ /3 C .v co _ S a 8' "7; 9 9 0 66, 3 /k-S - S/ ( y ) PL_ • BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00508 Received Date: 8/1/2000 SITE ADDRESS: 81 SEAFARER LN PORT LUDLOW, 98365 APPLICANT: STEVE MOORE PHONE: PO BOX 65264 PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 185 PARCEL NUMBER: 990603185 Section: 09 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 729 VALUATION 91,344.00 ADD'L: 81 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 729 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 336 SHORELINE: CONST TYPE: DECK: 280 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY"SEW WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 1 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: �rReceilpt: Appro edR ateons Permit $937.75 MAM 08/01/00 33390 Plan Check $281.33 MAM 08/01/00 33390 State Building Code $4.50 MAM 08/01/00 33390 Potable Water Application $30.00 MAM 08/01/00 33390 Total: $1,253.58 is\F_BLD_App_Bld.rpt 10/29/99 _. Jefferson County Department of Conmulty Development (ii4..sON G� 621 Sheridan Street Port Townsaml WA 88383 C36013 8-4450`�, o tG '�`� perG U J O A O O o - cQ7o ff Project Description: Building Type: Pro ect Type: Frame Type: Vingle Family New Wood = Garage Attached/Detached = Addition = Steel Modular = Alteration/Remodel = Concrete = Commercial = Repair = Masonry = Multi-family/#of Units = Demolition = Other. = Industrial Other. Bedrooms: Bathrooms: ' Type of Sewage Disposal: Type of Heat: Choose one: Existing: D Existing: D = Sewer community System s lect:icity = Oil Proposed: I Proposed: 2 = Individual System 2 Woodstove = Propane Total: Total: 2 If not sewer,fill out the following: , Heat Pump = Conventional = Alternative Other Permit # SEP Water Supply: = Private well = Two Party Well 7r Public:Name of water system: C'#y ,gyp;c \Jc* : S. 4 S a we rr- Square Footage: For Office Use Only Main Floor 7 2"1 1 L 1 o 6O. I UBC OCCUPANCY GROUP . 2ND Floor et' L1-- �-; Li Base fee q 2 3r Floor Plan Check fee '� 3 Htd Basement '7 21 Li I State Surcharge fee 4 , 50 Unhtd Basement Subtotal 1 223 . 5 g Garage/Carport 3 3 3 3 k 0 Pot Water Review fee Decks 2$O' 2-- Q CC) 911/Rd Approach fee ---- Commercial TOTAL I ) 5'3 , 5 6 Industrial Receipt # '3339 0 Other C'ash/Check# � _ 1(3C1�S Total Valuation —I� Initials A1 11 Or Date / Estimated Cost: 60, r 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 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. r'� r Signature: . P' _ .. r f . r°._.,r Date: ,,.-ly, 31 ) Z-ooc, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name 'T6VE M`11009 , ✓ 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) I „ / / i i 1 //// % // , , , ii / i i• i �, , / / / / / i . / „ iiii / / / iiii ,' .' /„iiii i'.' r /iiii// / ' /,/iiii ,u///,,._ � - _ ------------ (Questionnaire Continues on Back) Page 1 of 2 • 6. Does the site have steep slopes with little to no vegetation? _ YES vr'No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES ✓VNO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES V NC 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 ano shall occur during regular business hours. --. Date "Z"--- 1 Y 1 `Z..Dc�O Signature �> L.�,�..,.,. '�,` �!�'�-4 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: . 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