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HomeMy WebLinkAboutBLD2000-00762 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 #: BLD00-00762 Received Date 11/27/2000 SITE ADDRESS: 40 4TH AVE Issue Date 11/29/2000 PORT HADLOCK, 98339 Expiration Date 11/29/2001 APPLICANT: BILLY J TALLEY PHONE: (360)379-7721 PO BOX 873 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 33 Lot: 30-35 PARCEL NUMBER: 961803311 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION REMODEL OF ATTACHED GARAGE REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: , \r [ ] Framing/Plumbing: f V [ ] Propane Tank/Lines: v ' [ ] Insulation: [ Sheetrock: -00 [ - inal/Occupancy Approv- ®/C F6V 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 #: BLD00-00762 Received Date: 11/27/2000 SITE ADDRESS: 40 4TH AVE PORT HADLOCK, 98339 APPLICANT: BILLY J TALLEY PHONE: (360)379-7721 PO BOX 873 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 33 Lot: 30-35 PARCEL NUMBER: 961803311 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: REMODEL OF ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 600.00 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: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 1 Flood Way Flood Plane F&W Landslide Routing Date: //^ 9 ` GO) Shoreline Aquifer Forest: Commercial Rural —1-Proximity - Mat C;O�lditions Type Amount Paid By: Date: Receipt: Apvedo Permit $38.75 MAM 11/27/00 35556 APPROVED Plan Check $11.63 MAM 11/27/00 35556 s(�� �r� State Building Code $4.50 MAM 11/27/00 35556 NOV 2 9 2000 Total: $54.88 Jefferson County Planning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 SON L, Jefferson County Department of i�undty Development ,7 I °� 621 Sheridan Street,Part Towns�d WA 88368[3 i I]378-4450 ..`, 0 Q 0 0 qpUc © Project Description: Building Type: Project Type: Fr3tne Type: r Single Family ❑ New ,2' Wood fl Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular 7'Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ii Industrial ❑ Other: Bedrooms: .Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: I ❑ Sewer ❑Community System Electricity ❑ Oil Proposed: _ — Proposed: — — ZIndividual System ❑ Woodstove ❑ Propane Total: 3 _ Total: l If not sewer,fill out the following: C Heat Pump Conventional ❑ Alternative ❑ Other Permit# SEP 1'5 Water Supply: , J ❑ Private well ❑ Two Party Well I Public:Name of water system: C / 1` y Square Footage: For Office Use Only Main Floor 1 0 5 0 A SS f SSoc, F;&t-r UBC OCCUPANCY GROUP 2ND Floor Base fee 175 3rd Floor Plan Check fee 1 t , i,3 Htd Basement State Surcharge feeLt- , So Unhtd Basement Subtotal Garage/Carport 3 Op Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL - n Industrial Receipt # .' t> J 6+ ' Other C..ash/Check# 1 Total Valuation: Initials Or Date 1. G 4 ..0-- Estimated Cost: 660 If within 200' of the Shoreline, Distance to Bank or Ordinary I sigh 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 applicant's property or structure shall be requested and shall occur during regular business hours. / Signature: j- G J� � Date: 14- 13 0 _ STORM WATER CALCULATIONS Owner/Applicant: Th-f ' CL Ire,' e,' �, ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: L(O ' ALe.. Drainfield area cleared sq.ft. R c' oitcxDrivewa Length X dth ft. qT/- 5o�,-? 11 sq.ft. Digit Parcel Identification No.: = Tot Driv ays ft. Permit Number: Clearing and Grad. g or Site Development PLOT PLAN (Well/Struc res/Utilitie etc.) sq.ft. sq.ft. INDICATE the following information. Total and Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) I `T? sq.ft. ta / 1. North arrow Existing Structures (all roof area) I lc U sq.ft. T 2. All property boundaries and dimensions Sidewalks 7 2, sq.ft. Z 3. Names of adjacent streets Concrete Patios I 0 sq.ft. Vr 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length Po ft. seasonal creeks, bodies of water, etc. X Width I v ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway ?D® sq.ft. existing or proposed, and distance to Total Impervious Surface J 9 9 il sq.ft. closest structure 2 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 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 ❑ 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned cl 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 Management Practices (BMPs). INDICATE: • Maintenance: El 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 b'nk 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 Applicant Name y _ 1(ey Building Application _ Land Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application X Other: A ev-c 1).ec 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 X 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� ❑ Lr ❑ ❑ ❑ % % / / / / /' r / / / / / i r r i / / / / r / / / / / / r-� / / / / / / i r r r / / / i //1_. r / / / / / / ii / i / / / ,/ /'❑ r r i i / / / i r r i i i / / i r r i i i i i ,� �' L____av ,i3iths i' ---------❑ (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? YES x No 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 ' 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 ���� FOR OFFICE USE ONLY E Wetlands G Seismic CRITICAL AREAS ON OR G Aquifer Recharge Area (zone ) G Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: E Frequently Flooded Area G Fish & Wildlife Area 2 ❑ Erosion G 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 . w # ', ® a .4C \ \1 O ci k ' 'I O __ -- __ �_ ___ _. a v -1 1) 0 o rb i. ,a -,;,. : z .e..... F ,,,8., §, __ V , b x 3 x. o a b N. 1 �� .. � F CL c \ . f_er.. . x -,C- 'r r\ "'. 0 I cps t. -7,•„....-1? \ ,11. c(„ CI d . 5 ' X T • r .... 4- U 04 --aa-.1ow , �,, iC-)k tike') ,`'-'.. , . \ r.,..om as T 'Q 't • . S ' Ir./ . . � '1i'\''tr 0 'S g �` C_ /J �• 7 V 1� rb 4 cC � V'► ,r‘ -1" ; T n )-3 utij Y /i ..,. ........ ________ i 7:) 1 1 1 i crl .0o N (c)--) c — r 1 4 -35 ,L7i, ro c 4 ,-- i— , 0 \il 5A > o— c_73C , . i. : r ..,. 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