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HomeMy WebLinkAboutBLD2000-00767 • 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 #: BLD00-00767 Received Date 11/29/2000 SITE ADDRESS: 94 ALDER DR Issue Date 12/20/2000 PORT TOWNSEND, 98368 Expiration Date 12/20/2001 APPLICANT: CHRIS ADAMS PHONE: (360)385-4088 TRUDY ADAMS 94 ALDER DR PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 60-61 PARCEL NUMBER: 940800059 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006 243 KENNEDY RD PORT HADLOCK WA 98339 Contractor's License: DKJOHC*042J2 Expires: 04/19/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADDITION TO MANUFACTURED HOME REQUIRED INSPECTIONS: [tj Footings/Setbacks (Shoreline Setbacks):�V-- ' [LK Foundation: t^ b_ 4.3 [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] taming lumbing: d tv._ ,a. [ ] Propane Tank/Lines: [(' Insulation: c �� [ j Sheetrock: e)/< _ / 6� .. [-K Final/Occupancy Approval: /I d, 74 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 #: BLD00-00767 Received Date: 11/29/2000 SITE ADDRESS: 94 ALDER DR PORT TOWNSEND, 98368 APPLICANT: CHRIS ADAMS PHONE: (360)385-4088 TRUDY ADAMS 94 ALDER DR PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 60-61 PARCEL NUMBER: 940800059 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006 243 KENNEDY RD PORT HADLOCK WA 98339 Contractor's License DKJOHC*042J2 Expires 04/19/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO MANUFACTURED HOME TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 120 VALUATION 3,500.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CAPE GEO PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Flood Plane Routing Landslide outing Date: 1 26/o 6 Shoreline Aquifer c� Forest: Commercial Rural —Proximity - -t '• D Type Amount Paid By: Date: Receipt: A W. I:��•►r_ Permit $139.25 MAM 11/29/00 3552064&, Plan Check $41.78 MAM 11/29/00 35520 DEC 2 State Building Code $4.50 MAM 11/29/00 35520 0 2O0 Total: $185.53 Jefferson County Planning &Building Department is\F_BLD_App_Bld.rpt 10/29/99 ��SON c s, , Jefferson County�artment of Community Development �'Co. 621 Shan Street,Port Town :nd WA 88368[360]378-4450 a 0 S ., pUc © Project Description: Building Type: Project Type: Frame Type: Single Family ❑ New Alf 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: Existing: ❑ Sewer ❑Community System XElectriciry ❑ Oil Proposed: © Proposed: J Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump 'Conventional ❑ Alternvve ,._, , ❑ Other Permit# SEP /,-.,—;,G_ ' Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: ` . 1'o :-!`�� Square Footage: . _ I For Office Use Only �J Main Floor 12 C / , ‘' (e 4f 2- UBC OCCUPANCY GROUP 2�Floor Base fee ' • 1t r. 3rd Floor Plan Check fee g/1 '7p Htd Basement State Surcharge fee 9- S 0 Unhtd Basement Subtotal /0- 't '-- j, Garage/Carport Pot Water Review feel Decks 911/Rd Approach fee F Commercial TOTAL (`' .. Industrial Receipt # + -3 S J Z C Other Cash/Check# (Q l ) U Total Valuation: -.. y oCC) Initials Or Date l tj/LX Estimated Cost: If within 200' of the Shoreline, J 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 l4dharmless Jefferson County 5,a,inst 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 Coun an it's employees,rep sentatives or agents for the purpose of application review and any required later inspections, Access and right of entry to the applican s p.'petty or sh quested and sh cur during regular business hours. /1 Signature: o i/i/ l` (z7/2/� Date: A BUILDING PERIAT-APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00767 Received Date: 11/29/2000 SITE ADDRESS: 94 ALDER DR PORT TOWNSEND, 98368 APPLICANT: CHRIS ADAMS PHONE: (360)385-4088 TRUDY ADAMS 94 ALDER DR PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 60-61 PARCEL NUMBER: 940800059 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: DK JOHNSON CONSTRUCITON PHONE: (360)385-7006 243 KENNEDY RD PORT HADLOCK WA 98339 Contractor's License DKJOHC*042J2 Expires 04/19/2001 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: ADDITION TO MANUFACTURED HOME TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 120 VALUATION 3,500.00 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: CAPE GEO PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: i //36 /03 Shoreline Aquifer Forest: Commercial Rural '1-'rQxlmlty - fiat Uonndrtions Type Amount Paid By: Date: Receipt: Approveaivate Permit $139.25 MAM 11/29/00 35520 ,.1} Plan Check $41.78 MAM 11/29/00 35520 . ' W"` 'r R 114, State Building Code $4.50 MAM 11/29/00 35520 . r ilk i Total: $185.53 0-"44.4 11 (4/ is\F_BLD_App_Bld.rpt 10/29/99 �+ '�" STORMWATER CALCULATIONS Owner/Applicant: Ckrr(S 4 Trod Adefv,,x ❑ PROPOSED LAND DISTURBING ACTIVITY - I Site Address: y Ak4r L I t -- Drainfield area cleared sq.ft. Driveway Length ft. �-+�j X Width ft. 9 Digit Parcel Identification No.: 'W0gJ / = Total Driveway sq.ft. Permit Number: ( /D Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One iae#equals I . ` IMPERVIOUS SURFACE Proposed Structures (all roof area) 12.0 sq.ft. All 1. North arrow Existing Structures (all roof area)Z.(4,$ sq.ft. .0 2. All property boundaries and dimensions Sidewalks 'c'7 sq.ft. ri 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length 50 ft. seasonal creeks, bodies of water, etc. X Width 30 ft. V 6. Septic tank, drainfield and reserve area location, = Total Driveway /50 sq.ft. existing or proposed, and distance to Total Impervious Surface Igi sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: O 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 0 11. 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, 2 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). • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly' inspected and maintained to ensure continued performance of 0 1 6. 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 Applicant Name Budding 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 1 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 / / / / / ♦ r / / / / / / / / / / / / / / / / / / r / / / / / / �. r / / / / / / r / / / / / / / r / / / / / / / r / / / / / / r r / / / / / r / / / / / / / r / / / / / r / / / / / / r / / / / / / r r / / / / / / r////// -- (Questionnaire Continues on Back) Page 1 of 2 t y s 6. Does the site have steep slopes with little to no vegetation? YES ; Nc If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES NC sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES NC surface of the ground? If YES, please describe: i herein and correct to the best of 3v signing the application form, the applicant owner attests that the information providedis true c c ^e:r knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application cac.<et 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 `ees 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 ourocse application review and any required later inspections. Access and right of entry to the applicant's property or structure shall oe requestec 0rc shall occur during regular business hours. Signature Date —/_21 /7C.- 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:mome,.oincntr\forms\car.doc 1,00 Ais c \ /1" \ \ \ / . ( N ' .-... ‘,7.-. -z 7 e9, y , ' \ ‘..-<3 % V , ,.7 \ ,, C.1 . \ z 7 7 s, , z' ,,,- , \ '' 'V ' "/ 7,e1 7 V 17-0 ift$ ..., ,.., j 0 7 Vi :NhV ifra4' p „, \-7 c‹,tri. ..,,, ,,, It ,-/". --- iii,d9' „,„ „,- _ -., ,/, / ,/ -... ,, #4," --/- , ,--7 , „..„,, , .„- , \'y' ../..„.„0„ ,.... 7 7,---- . i / / / _..........., i --, / .., , fo ?....\r, ...., ' ,1 1'...t.' '' .. -..) :kr,•:,--. (t) Z---> fi I I aD .. be a) Q 4'� NA co to Co 0 a ` Q a ( 3 ( 0 0 0 0. N L; p C C C c, 0 p O 5 0; 0 9 U r bA * 3 L-`y -[. - W G am. 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