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HomeMy WebLinkAboutBLD2000-00513 r 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 #: BLD00-00513 Received Date 07/24/2000 SITE ADDRESS: 130 C ST Issue Date 08/21/2000 PORT HADLOCK, 98339 Expiration Date 08/21/2001 APPLICANT: RONALD L MELHEIM PHONE: (360) 385-9478 PO BOX 988 PORT TOWNSEND WA 983680007 SUBDIVISION: SOUTH PORT TOWNSEND Block: 11 Lot: 5 &6 PARCEL NUMBER: 996401105 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License: BISHOBCO93D6 Expires: 12/14/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ i} Footings/Setbacks (Shoreline Setbacks): 7A ,7—cj 4) [ I Foundation: '2I' - 1 r y -;7- .l underground PluriabingitiM rgr und-insulation: OK r,i, [ ] Shed[Wall: [ TVCFraming/Plumbing: n kt to-.`% [ ] Propane Tank/Lines: I V'J T L ? -;�'y L i� �., [� Insulation: t.JAiW.S UMnx o►< Jc to-n_a, [/ Sheetrock: .(L, to -3a-crc. [ ] Final/Occupancy Approval: -, ;/�b; / 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 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00513 Received Date: 7/24/2000 SITE ADDRESS: C ST 0 , : PORT HADLOCK, 98339 APPLICANT: RONALD L MELHEIM PHONE: (360) 385-9478 PO BOX 988 PORT TOWNSEND WA 983680007 SUBDIVISION: SOUTH PORT TOWNSEND Block: 11 Lot: 5 & 6 PARCEL NUMBER: 996401105 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBCO93D6 Expires 12/14/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 936 VALUATION 55,008.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 320 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 1 Seismic Streams Total: 2 Total: 1 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural --Pm ximity - Niat Uoo dlIdons Type Amount Paid By: Date: Receipt: Approved ate Permit $685.75 MAM 07/24/00 33275 Plan Check $205.73 MAM 07/24/00 33275 A PR E D State Building Code $4.50 MAM 07/24/00 33275 Potable Water Application $30.00 MAM 07/24/00 33275 Uf 2000 Total: $925.98 Jefferson County Pluming & Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County 1 1 artinent of Community II velopment '- cb 621 Sheridan Street,Port Townsend WA 08368[360)378-4450 ' o�ro o ° o ° 0 00 ri . c� o a o0 G�, � 0000 �r o Project Description: Building Type: Project Type: Frame Type: Single Family k New II Wood Garage Attached/Detached L Addition Steel Modular ❑ Alteration/Remodel i Concrete Commercial Li Repair J Masonry _'. Multi-family/#of Units ❑ Demolition I Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: li Sewer El Community System Electricity 7 Oil Proposed: Proposed: 1 71 Individual System Woodstove u Propane Total: } Total: y If not sewer,fill out the following: 1 Heat Pump Conventional Alternative 7 Other Permit # SEP 00" (DU) Water Supply: Private well 17 Two Party Well Public:Name of water system: C.t Ty Square Footage: 1d / For Office Use Only Main Floor 1� (4, 5 p �' K? UBC OCCUPANCY GROUP 2ND Floor Base fee (ot 5 _1 s 3rd Floor Plan Check fee 20'5 . 1-3 Htd Basement State Surcharge fee 1-1 - 5-0C�Q Unhtd Basement Subtotal g95 . c Garage/Carport 3T2co Pot Water Review fee 30- Decks 911/Rd Approach fee -1 1 ° ' Commercial TOTAL 5/`I • 9 g Industrial Receipt # 3 Z Other Cash/Check # 3 0 Total Valuation: 5 CO l� Initials Ors Date � G b Estimated Cost: , 4'a,, ,` `� 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 applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: • STORMWATER CALCULATIONS Owner/Applicant: 9_;2....o.v..e/M c( ""' �)-j c 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: - 2/1 kl- 9 S'33 q Drainfield area cleared sq.ft. Driveway Length ft. X Width f O ft. 9 Digit Parcel Identification No.: el c 6 ` `to/ —1 0 = Total Driveway �S O sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. l .5'c) sq.ft. INDICATE the following information. Total Land Disturbance {L Z�C sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) (LSO sq.ft. ❑ 1. North arrow Existing Structures (all roof area) Q sq.ft. O 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. O 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width l0 ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway s 0 sq.ft. existing or proposed, and distance to Total Impervious Surface ` i 0 0 sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 0 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 ❑ 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 INDICATE: Management Practices (BMPs). • Maintenance: • 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. 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 BUILDING PERMIT APPLICATION , Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00513 Received Date: 7/24/2000 SITE ADDRESS: C ST PORT HADLOCK, 98339 APPLICANT: RONALD L MELHEIM PHONE: (360) 385-9478 PO BOX 988 PORT TOWNSEND WA 983680007 SUBDIVISION: SOUTH PORT TOWNSEND Block: 11 Lot: 5 &6 PARCEL NUMBER: 996401105 Section: 02 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBCO93D6 Expires 12/14/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 936 VALUATION 55,008.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 320 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON 2-l '.c WATER SYSTEM: CITY PARCEL TAGS: YES Lil�.� BEDROOMS: BATHROOMS: STORMWATER: YES / AREA Exist: Exist: Wetland AIV Ero . d Prop: 2 Prop: 1 Seismic /1/0 Streams /00 �^p Total: 2 Total: 1 Flood Way N Flood Plan , — 9.o''� F&W A/D Landslide D 5-3eati Routing Date: Shoreline it/D Aquifer It 0110 8 Forest: Commercial n/ Rural j. / r4xlml y a Ions Type Amount Paid By: Date: Receipt: Approved,ua e Permit $685.75 MAM 07/24/00 33275 i _ _. I'r'�o}� Plan Check $205.73 MAM 07/24/00 33275 State Building Code $4.50 MAM 07/24/00 33275 , i a*.)11 Potable Water Application $30.00 MAM 07/24/00 33275 Total: $925.98 '\ is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development <4,50N co\ 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 //5 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number�(from your tax statement): lr - - i .s Site Address 911#: Road Name: C '1 Zip Code: 6 9 Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): fry, O 044_, i 1 6 C c--> t Property Owner: U_ t m eL.i1 t�'4/1 Phone: Mailing Address: ev X PO Wns C`I-6 Applicant/Occupant: Phone: (if different from owner) 9__s2.6,\,_e,71) 3 7 S A. 7 Mailing Address: 31 C Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: � rL�- - , Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address j C� ® 3 `f 7 —�l�r Ct e 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 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name J '4.7rt/P77—to 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 V 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 i 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) a 4 Q o a ❑ -. r////// , , i/////, /., (Questionnaire Continues on Back) Page 1 of 2 • 6. Does the site have steep slopes with little to no vegetation? YES ram' No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES L'NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES fr 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. Date Signature ;;�Q,.��� ,��/(�-� �7 rl 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 h:\home\pincntr\forms\car.doc 1/00 I:\PROJECTS\TRI-AREA CONTRACTING (00156)\CADD\SHEET FILES\TADF_SIGN.DWG ( r. SCALE: 1" = 20' ___----ca I -_------ r r O O Ur r Ci A --I Chl ALLEY W (rs- --I ,) Z _JC) --I -P. r x c 2 0)..„,„..1 I 10' MIN. 5' MIN. (TYP.) 1,(12) ooO � o ii II:o m o z o 8 83 / I gg 7g + / ' ' b.." DFSBL p 2' r- 7( \\/4 1..• ....‘.2 '.: • ,0, • 1 (-4 40' '� 2 • • I O a .�? o co 40' 2 1 i 1 rn i cnn no O m cn 40' DFSBLrn mm • 40 © O _ � n o• O-inr -0.. II Z vni No 8 9 z w \'''. rn �`� _ »C» STREET o -- -^� -r __ _ O 0 \ Y) C \\\ T...——_ 0 R �''�a S qr;P,L- -. i o IN4At * if....,s-zi co \ I e SEPTIC SYSTEM DESIGN R"^�ONs an i N FOR MORRIS JAMES SITE PLAN o lL..II:1 T ra. ti tt PARCEL NO. 996-401-105 a,` , !; .�. 1