Loading...
HomeMy WebLinkAboutBLD2000-00753 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 #: BLD00-00753 Received Date 11/21/2000 SITE ADDRESS: 261 E CASCADE AVE Issue Date 12/6/2000 PORT TOWNSEND, 98368 Expiration Date 12/6/2001 APPLICANT: RICHARD BROBYN PHONE: (206)842-5621 ANNE BROBYN 611 WINSLOW WAY BAINBRIDGE ISLAND WA 98110 SUBDIVISION: IRONDALE Block: 157 Lot: 19-25 PARCEL NUMBER: 962115705 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: M & E TRUCKING INC PHONE: (360)379-0799 PO BOX 524 PORT HADLOCK WA 98339 Contractor's License: METRUI*055MU Expires: 10/20/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION MODULAR HOME INSTALLATION REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): ( [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: b) c- Lac Z,usaL.A4T [ ] Propane Tank/Lines: [ ] Insulation: Cie uupFz Ftaof2 f AZOI [ ] Sheetrock: / [ ] Final/Occupancy Approval: /7/T/ e/No ,g5v/A-& ah.-r f z k 4r -Ctoa.i /b//g/bL 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 INSPECTIOP 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 #: BLD00-00753 Received Date: 11/21/2000 SITE ADDRESS: E CASCADE AVE E AP, PORT TOWNSEND, 98368 APPLICANT: RICHARD BROBYN PHONE: (206)842-5621 ANNE BROBYN 611 WINSLOW WAY BAINBRIDGE ISLAND WA 98110 SUBDIVISION: IRONDALE Block: 157 Lot: 19-25 PARCEL NUMBER: 962115705 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: M & E TRUCKING INC PHONE: (360)379-0799 PO BOX 524 PORT HADLOCK WA 98339 Contractor's License METRUI*055MU Expires 10/20/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: MODULAR HOME INSTALLATION TYPE OF WORK MOD SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,440 VALUATION 37,440.00 ADD'L: HEAT TYPE: EEE 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: ALT WATER SYSTEM: PUD PARCEL TAGS: YES NO 1EDROOMS: BATHROOMS: STORMWATER: YES NO AREA xist: Exist: Wetland Erosion op: 3 Prop: 3 Seismic Streams al: 3 Total: 3 Flood Way Flood Plane F&W Landslide Ming Date: ( ( ( 72(1660 C� Shoreline Aquifer Forest: Commercial Rural F'r4xlmlty Flat C;grldrns Amount Paid By: Date: Receipt: Approvedd�uatte t $522.55 MAM 11/21/00 34647 APPROVED heck $156.76 MAM 11/21/00 34647 ���� uilding Code $4.50 MAM 11/21/00 34647 3,0.4_ Lam .. Water Application $30.00 MAM 11/21/00 34647 rI c r. 0 6 2000 Total: $713.81 Jefferson County Planning & Building Department 91d.rpt 10/29/99 BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00753 Received Date: 11/21/2000 SITE ADDRESS: E CASCADE AVE PORT TOWNSEND, 98368 APPLICANT: RICHARD BROBYN PHONE: (206)842-5621 ANNE BROBYN 611 WINSLOW WAY BAINBRIDGE ISLAND WA 98110 SUBDIVISION: IRONDALE Block: 157 Lot: 19-25 PARCEL NUMBER: 962115705 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: M & E TRUCKING INC PHONE: (360)379-0799 PO BOX 524 PORT HADLOCK WA 98339 Contractor's License METRUI*055MU Expires 10/20/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: MODULAR HOME INSTALLATION TYPE OF WORK MOD SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 37,440.00 MAIN: 1,440 CODE EDITION: 1997 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: .SANK HEIGHT: SEWAGE DISPOSAL: ALT f-d %: 4r WATER SYSTEM: PUD PARCEL TAGS: YES BEDROOMS: BATHROOMS: STORMWATER: YES______ *105 i AREA Exist: Exist: Wetland Eros Prop: 3 Prop: 3 Seismic ,' Streams //+' Total: 3 Total: 3 Flood Way ' '' Flood Plane Routing Date: F&W Landslide Shoreline 11/O Aquifer Forest: Commercial Rural _ 1-'rQxlmlty - Nlat Uond tons Type Amount Paid By: Date: Receipt: Approved/Date Permit $522.55 MAM 11/21/00 34647 .-( 1r Plan Check $156.76 MAM 11/21/00 34647 / State Building Code $4.50 MAM 11/21/00 34647 % f r Potable Water Application $30.00 MAM 11/21/00 34647 ! 4 ,;�' "') � I y Total: $713.81 °� �'' ,""' i }/-' if 7 is\F BLD A Bld. t — — pp— � 10/29/99 • `"WnbrlE^F,p!;car?i:_- 1 r%L7 i J 1 I STORM WATER CALCULATIONS ;GNS I I 0 PROPOSED LAN:. Site Address: t L'tS4iJRBIt�G ACTIVITY I I Grainfield area cleared 1 Driveway �-- '�r S j Length I I 1 X Width ft. I 9 Digit Parcel Identification No.: - Z1 11 f Permit Number: j = Total Driveway Sq_fi_ j i Clearing and Grading-for Site Development PLOT PLAN ± (Well/Structures/Utilities/etc.) sq.ft. NDICATE the following information. 1 sq.ft. • Draw entire parcel to scale. Indicate scale of plot plan: j 1 Total Land Disturbance I cC3c3p ` . l4 .� One inch equals 1 1 j 0 IMPERVIOUS SURFACE f Proposed St,u....turps telf roof areal _ 1, North arrow sq.ft. Existing Structures fall roof areal 1 Z. Ali property boundaries and dimensions I sq.ft. 1 adjacent Sidewalks 3. Names of dja ent streets 1 ( _ sq.ft. j I Concrete Patios 1 4. Drive�rvay,'s & parking spaces sq.ft. I Proposed: j 5. Major features such as ravine. II { I urivpway Length ft• 1 seasonal creeks, ! II Ks, bodies of water, etc. 1 I X Width ft i 6. Septic tank, drainfield and reserve afea location, j 1 I = Total Driveway ` existing or proposed, and distance to sG_ft_ i Total Impervious Surfaces j closest structure y.e - i i I I S.��. lines j I The Stormwater Manual sets forth the following Small Parcel 8. yyeils and/or water tines 1 ` Minimum Requirements_ 1�� ' j w Gortsiruction Access Route Stabilization_ I 4- Neighboring wells "vb',t,itrt �j feet j +( :LonSituction vehicle access shaft be, whenever feasible, �. Paved surfaces (patios) j lim+led to one route. Access points snail be stabilized with 11 Str c t quarry spells or crushed rock to minimize the tracking of feS, e tSitiq are or proposed 1 I sediment onto public roads. if Sediment is inadvertently I j , i 2. Setbacks (distances to ransperted onto public' roads, ro ads Dodo snail be cleaned. d i_s, structures, 1 1 thoroughly at the end of the dad, by shoveling of swee^i j boundaries,n r S, hanks, I I Street washingshould only be Sweeping. n., done aft::' the bulk of the I ( sediment has been removed by sweeping_ and shorelines) 1 1 • Stabilization of Exposed Soil: 13. Easements for access Cr litres 1 j seeding, mulching, plastic covering, application of gravelj I All exposed and unworried soil shall be st 3biltned bysodding, gravel base j 4- Arrows showing direction of slope-- j I on roads and driveways, or other appropriate means within 1 assume an elevation of 100 feet/ at •j 1 seven days during the period from May 1 to September 30 j I and within two days during the period from October 1 to April lot;;;;trier and indicate the other lot j j 30• (.Mulch shall be applied to a minimum depth of two inches. corner elevations in relation to it ! A` Protection of Adjacent l roperties 1 Adjacent properties shall be protected from sediment n d post by appropriate use of vegetative buffer strips,I Ij APPLICATIONS ADJOINING SHORELINES I j sediment barriers or filters, dikes, mulching, c: b a combination of tti Y Q, c,:eSE r' eaaUr�S and other dtDr==C--;:ate ^?5 t tCATF' I I Management Practices (E:MPs'- 1 1 • Maintenance: 5. Ordinary high water mark � ' 1 1 All erosion and sediment control RMPs shelf be reculaoy 1 Top of bank .f over 1 feet high 1 inspected and maintained to ensure continued performance of I Slope7. of bank n degrees1 1 their intended function: � • I I •- Other Aoororrriate BMPs as fenuired by Jefferson I 1 I Count*" tel rnitieare the effects of .- I Jefferson_ County Department of Community 621 Sheridan Street, Port Townsend, WA Q8165 Development s CRITICAL AREAS QUESTIONNAIRr Applicant Name � c „ Building Application Land Use Application K On-site Sewage Application Subdivision Application Otherli���e Application th®r: !s there any standing or running water on the surface of the . property or on any nearby — Yes �,c property at-any time during the year? If YES, please describe: Has any portion of the property or any nearby property ever been identified as a wetland or swamp? — Yes k No If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present on your property or adjacent properties? �'~ _ �` Yes No if YES, please describe: 4. Are there any indications on any portion of the property or on any nearby property of rockslides, earthfiows mudflows, or landslides? YES k No If YES pleaco 5. Please indicate which line best represents- the steepest slope found on your oroperrv, (C'heok box) Y u I /, ! / f / / f / ! [/ / r/ / / / ( / / / / f / I r / f/ I /' /'l/f !/ / / / / I I / j� I , , , / / / / / ( // // / / / // _:- I / i f If , , , II / fl / / / i l� I I/i / f ! 1 I 0 /////// ' �r ►neen'tin_n.►&r �`cr�t:,��.�c .gin Rar k1 Q_.. + nz Does the site have steep slopes with little to no vegetation? YES x. If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine sand? YES if YES, please describe: SiL/-/—.q,—, ai e s p/Qre S. Does the site contain ground water seepage or springs near the surface of the around? YES If YES, please describe: - v signing the application form, the applicant/Owner attests that the information provided herein true correct Co he best. `i c.evle;ge. Any material Falsehood or any omission of a material fact made by the applicant!owner with respect to this apP.icatLonmay result in thisnull and void. a: further agree ;o save, i demnifv and hold harmless Jefferson County against all liabilities, and expfurther t which may -anymil way accrue against Jeffersonm@s' sequence ofs. court grantingcosts, if reasonable aC.ofrteV s '��5 County as a result of or in consequence the of this permit. further agree to arvvd, ,,.,. and "_ r•I 3 applicatioa review and any ec_ss , y r entry to Jefferson County and it's employees, re auired later - sPeCtOnS. Access and ngnt of entry representatives or agentsrh for r ee ^ snail occur during regular business hours. ry to the ap©ficant'S property or structure shall be requested�_r_ Date F _R OFFICE a ESE O L r; CRITICAL A � ON OR Wetlands f?�. Seismic ." Aquifer Recharge Area (zone IMMEDIATELY iADJACENT TO SITE: = Frequently Flooded A ) 2 Fish & Mil-^slt'e C_8 Area Fish & °v4fioiffe Area 2 _ _ Erosion ;Seismic Landslide Commercial Forest Section i _ ownShip = Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed i4.,. T • Community Plan: an. --� Date: , • T t_J'd 101.0l soN Jefferson Comity Permit Center * Department et G ty Develop peat �w4 , 121 Sheridan Street Pert Townsend WA D8368 Mal 379-4450 _.. -,. .--,-. 0Crol A .. 0 0 ,, "INo ppic0I-0 V Project Description: Building Typc: Project Type: Frame Type: 0 Sinec Family IX New OC Wood 0 Garage Attached/Derached 0 Addition 0 Steel ' g Moch,lar 0 Akerauon/Remrl 0 Concrete ! 0 Commercial 0 Repair 0 Masonry ' 0 Multi—family/# of Units D Demolition 0 Orhrr. D Industrial I ❑ Other: _ Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Hear Choose one: Existing: 3 Existing: 3 D Sewer ❑Community-System Xi Elecuioty ❑ Oil Proposed Propose' X] Individual System 0 W oodstovc D Propane Total Total: If not sewer,fill out the following: ❑ Hear Pump ❑ Conventional [ Alternative 0 Other 1 `_l ' Permir # SEP Water Supply 0 Privace well D Two Party Well IX Public:Name of waxer stcm: Piln Square Footage: 1 For Office Use Only 'Main Floor 1440 37 UBC OCCUPANCY GROUP ND Floor Base fee 52 2_-` SS— t Floor Plan Check fee I c-4 . 1 C d Basement State Surcharge fee / 1/ ' CO 4td Bicernent Subtotal lo g 3 " El tge/Carport Pot Water Review fee 30 . 00 s 911/Rd Approach fee 02q• 00 sternal TOTAL i z . g l rial Receipt # 3 q 4F-7 Cash/Check k 3 S aluation: Initials Pr`"� Date /(79- 7-00 1.Cost: z 200' of the Shoreline, Bank or Ordinary High Water Mark ft. Bank Height ft. may: Date- // -C>/?---C' 0 c; 1 JE1'FI.KJUIV LUUt\ 1 Y AJJEJJUI( JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: THIS IS NOTA TAX STATEMENT Richard D . and Anne S . Brobyn • NAME: The purpose of this statement is to obtain information 611 Winslow Way W. regarding either the current location of a mobile home ADDRESS: or the previous ownership and location of a mobile Bainbridge I s . WA 98110 home, This will help our office determine whether the mobile home is already on the tax rolls in Jefferson 2 0 6-8 L 2-5 6 21 `County or if it has been moved to this county from TELEPHONE NO: another area. Please see reverse side for additional I) MOBILE HOME DATA: (A) MAKE ?ht F i e oiu (B) MODEL /4t e7 113 (C) YEAR /� /--- 2p ` ' / (D) LENGTH 6 0 (E) WIDTH /+ (F)SERIAL NUMBER /�e /3! �e,/D\ V (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 3-4/ Jd (H) PURCHASE DATE //f I PREVIOUS OWNER/LOCATION OF MOBILE HOME (-\) FROM WHOM DID YOU PURCHASE MOBILE 5.9 e nu);ye /�/ ADDRESS ,B) \VAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR'? AYES / NO 1F NO,WHAT COUNTY? K1 S a p IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 6:'z 1 //, `!r Sc 4,k,/ WHERE MOBILE HOME IS TO BE LOCATED: (.-A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES N (B) IF LOCATED IN A MOBILE HOME PARK: ��// NAME&ADDRESS OF PARK SPACE NO (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: Richard D. and Anne S . Brobyn Lots 19 to 25 Cascade Aven , Port Townsend LOCATION(ADDRESS) REAL PROPERTY PARCEL NUMBER/DESCRIPTION 962 115 705 Lots 19 thru 25 , Block 157 , Irondale 1,E6 II TANK YOU FOR YOUR HELP! SIGNATURE -J! LLI LARSON, Property Tecluucian • THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATIOv. c¢�orr Jefferson County Permit Center ' Community D]artment of Counity Development 4� ; .1, 621 Sheridan Street, Port Townsend WA 8836813601370-4450 K\ ___ „.419 G ° Uñrd 0d N .10All 01fH ?ell eg the (all1u urg etztiela ae. cakidefelf as Role Project Description: Installation of Modular Home 9 Digit Parcel Identification Number (from your tax statement): 962 115 705 Site Address 911#: Road Name: Cascade Avenue Zip Code: 98368 Legal Description Irondale #6 157 19 - 25 Subdivision Name: Block: Lot(s): Section: SW 1/4 35 Township: 30N Range: 1N Parcel Size (acres or square footage): 17 , 500 sq . f t . Property Owner: Richard D. and Anne S . Brobyn Phone: 206-842-5621 Mailing Address: 611 Winslow Way W , Bainbridge Is . WA 98110 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: M & E Trucking Phone: 360-379-0799 Mailing Address: P . O. Box 524 Port Hadlock, WA 98339 General Contractor: Or Manufactured Home Installer: Kozelisky Home Services Phone: 360-385-3215 Mailing Address: 1112 S . Jacob Miller Rd, Port Townsend, WA 98368 Contractor's State License Number: METRUI*o55MU Expiration Date: Septic Designer: Janet Welch Phone: 385-5910 Mailing Address: p O. Box 1221 , Port Hadlock, WA 98339 Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR O. r70'E:USE Q:n >: Fire District Planing Area. School District . Zone 4/98 H:\home\pincntr\forms\universal plot plan .k:j(.,,, t: o , 6 \ 1 — / To- — 1,-- ci 7--(-- ki ii-c_ • .... 3 r:- E:. r:.. 1,... (.: ‘.: . ,......:: i -I .1 RI r., ri:1 6.„ ,it.....,,, : 1 ..i ,,,,.... ,. . , .,... ....-... ',-, -- ..7 .../._.. z.-} '''' ' 4,) •..„. PI ,,. '., . I, , ;FS) • ,1 U\ / '> S....., R1 n.,. 1/4 ,try ..,. N.,:.J.:, . - - I V, 1 \ .14 RL•-•' ..,$<,, , r / , 1 , 'z q , 1 . . , I • , ' \J\ ....;;% .„.r) 1 1 , (.‘ , 1 , , , 0.\ `-.1. . .-.,.. c_7 I ....-.- o_ 1 i 1 II(°---".--- 1 r‘s In 1 , ( I 1 I .? I i 75 ( I LI i-vi p i c tj, ,--• 0 .....A• T._\,., A (