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HomeMy WebLinkAboutBLD2000-00737 . A 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 #: BLD00-00737 Received Date 11/13/2000 SITE ADDRESS: 1043 OLD GARDINER RD Issue Date 11/29/2000 SEQUIM, 98382 Expiration Date 11/29/2001 APPLICANT: J W LEVINE TRUSTEE PHONE: (360)797-7471 JW LEVINE TRUST 1043 OLD GARDINER RD SEQUIM WA 983828744 SUBDIVISION: LEVINE SHORT PLAT#1 Block: Lot: 3 PARCEL NUMBER: 002342042 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION TO GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): 'aK`j C_ I,.-(0-0a [jr--- Foundation: t A /L -- - .-, 6,.c.u�'' [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: C-, - CD \ 'CZ ; . . ( ] Propane Tank/Lines: [-] Insulation: 6A)'1"ZL.S i-/y oK . /-/�.-a / ( ] Sheetrock:O 1L- 1- tat, - ," [ final/Occupancy Ap_provaf:"c k- J 'w. ( j . I C ) 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 #: BLD00-00737 Received Date: 11/13/2000 SITE ADDRESS: 1043 OLD GARDINER RD SEQUIM, 98382 APPLICANT: J W LEVINE TRUSTEE PHONE: (360)797-7471 JW LEVINE TRUST 1043 OLD GARDINER RD SEQUIM WA 983828744 SUBDIVISION: LEVINE SHORT PLAT#1 Block: Lot: 3 PARCEL NUMBER: 002342042 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 6,720.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 672 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD 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: //' / / 6) 6 Shoreline Aquifer Forest: Commercial Rural -1-'roximit - Feat C;ornd Ions Type Amount Paid By: Date: Receipt: Ap roved/Date Permit $139.25 MAM 11/13/00 34641 /\R R O E LD Plan Check $41.78 MAM 11/13/00 34641 State Building Code $4.50 MAM 11/13/00 34641 NOV 2 9 2000 Total: $185.53 Jefferson County Planning & Building Department i:\F_BLD_App_Bld.rpt 10/29/99 • Jefferson County Department of Conaway Development ,..,4- 6- 621 Sheridan Streetperm : 1, A ,Port Townsend WA 88388(3601 378-4450 0 0 pUc © Project Description: Building Type: Project Type: Frame Type: Single Family : New Wood Garage Attached/Detached Addition 7. Steel Modular = Alteration/Remodel Concrete Commercial Repair i Masonry Multi-family/#of Units 1 Demolition 1 Other. dustrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: LIT Sewer :Community System LE Electricity 1 Oil Proposed: Proposed: zZ Individual System 1 Woodstove 1 Propane Total: Total: 6 If not sewer,fill out the following: E Heat Pump Conventional ❑ Alternative Other Permit# SEP Water Supply: E Private well 1 Two Party Well Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 1)9 . 2-s 3rd Floor Plan Check fee 1-I , 7�-8 Htd Basement 0 State Surcharge fee cAl- • .� ) U td Basement Subtotal I p 5 . s� Garage Carport it`l — �f'f q,/ r (/P Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL ( g S.. Industrial Receipt # ' I t Other ��� .•i. Check# 3 C�.0 Total Valuation: ' Li ZD J Initials Or Date l( t Z0bO Estimated Cost: 6 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 voicL 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 pliicantt's prop or structure shall be requested and shall occur during regular business hours. / Signature: !�f/ �( Date: /I J Ve>0 Jefferson County Department of Community Development 4$ON Cps 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 'tip '' Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: ,DO CT(0 c- "TO &A c 9 Digit Parcel Identification Number(from your tax statement): v Z 3 4 Z v 4 ---2_,, Site Address 911#: /of 3 Road Name: .)G/}tzAvV i!iR act Zip Code: ei r 3 rZ Legal Description Subdivision Name: g i=✓' N t-- S 11-o 2 r I)L,A- i 'I Block: Lot(s): 3 Section: Township: Range: Parcel Size (acres or square footage): Property Owner: Phone: r w . k'_t,r ,•/= i- 36U .- , 7q7/ Mailing Address: U ,.4 3 v Lb G-A-2 D . ry ei•/2 i2 b 5r-4 cit4 a„t_ lr/ - 9 7-3 2— Applicant/Occupant: Phone: (if different from owner) L -36° r 7? —7471 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 1/00 H:\home\pincntr\forms\universal plot plan i\,/ '....,71-41. , ,,,, ,., -,,.. .,, ,.. .,.- • A„ ;:, - ..) , -5-4.1-6 r - • ..S1 ' `` \ I r .- Lo �. 3 -5,.. t,\I V • 1 ,sep,'f /6 I \It 4 :;_ki..4 60' �° �1 ; 'ac, , l f" , r$2"'a IQ ,9b of pip Al Say L f., Sc:rti.e. /J / P BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00737 Received Date: 11/13/2000 SITE ADDRESS: 1043 OLD GARDINER RD SEQUIM, 98382 APPLICANT: J W LEVINE TRUSTEE PHONE: (360)797-7471 JW LEVINE TRUST 1043 OLD GARDINER RD SEQUIM WA 983828744 SUBDIVISION: LEVINE SHORT PLAT#1 Block: Lot: 3 PARCEL NUMBER: 002342042 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 6,720.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 672 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS !�n- ` WATER SYSTEM: PUD PARCEL TAGS: YES NO ,^�, BEDROOMS: BATHROOMS: STORMWAT R: YES NO It AREA Exist: Exist: Wetland Erosion i � Prop: Prop: Seismic Streams _ Total: Total: Flood Wa Flood Planet Routing Date: F&W Landslide N // / d Shoreline - Aquifer Forest: Commercial h ) Rural --�1r4xlm,lty - Ylat Conditions Type Amount Paid By: Date: Receipt: Approved/vote Permit $139.25 MAM 11/13/00 34641 " ' Plan Check $41.78 MAM 11/13/00 34641 . tita X �~ State Building Code $4.50 MAM 11/13/00 34641 Total: $185.53 - 0,VP -: r % \` i:\F_BLD App_Bld.rpt 10/29/99 \` STORMWATER CALCULATIONS Owner/Applicant: 7.w • 6 ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: /0 '1 3 DLD6 _R b l^% 42- R.'11 ' Drainfield area cleared sq.ft. /F6$Vi vrn 4 . 11377-- Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 0 D 2 9j4{22 6 efv = 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) (71 v sq.ft. ❑ 1. North arrow Existing Structures (all roof area) `27(Z%sq.ft. ❑ 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 ft. seasonal creeks, bodies of water, etc. X Width ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface �-7c2� 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 1 50 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 ❑ 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 Jefferson County Department of Community Development • 621 Sheridan Street, Port Townsend, WA 98368 / CRITICAL AREAS QUESTIONNAIRE Ir Applicant Name ci Ui i J`E.-. 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 _1,4Io 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 1 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) 1 % / / / / // / II / / / / / / / / / / / / i / / / / / / / / / / / / / // / / / / / / / / - �. r / / / / / / /// / / / / / ///// / / ////////7 _'--� ----_ _ ------------- (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? YES 4 Nc* 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 X10 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 far the purpose zr application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested arc shall occur during regular business hours. Signature (/V Date / (/( Vey a FOR OFFICE USE ONLY Wetlands E Seismic CRITICAL AREAS ON OR C Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: = Frequently Flooded Area E 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 2of 2 h:'homeipincntr\forms\car.doc 1/00 Svc III" � MW ,3 0 D DEPT. OF COMMU