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BLD2000-00787
r 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 #: BLD00-00787 Received Date 12/8/2000 SITE ADDRESS: 264 CRESTVIEW DR Issue Date 12/18/2000 PORT LUDLOW, 98365 Expiration Date 12/18/2001 APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PHONE: PO BOX 1780 POULSBO WA 983700239 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 15 PARCEL NUMBER: 998700015 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC PHONE: (360)437-2101 70 BREAKER LANE PORT LUDLOW WA 98365 Contractor's License: OLYMPRE010M8 Expires: (33S)1q669522 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE WI ATTACHED GARAGE REQUIRED INSPECTIONS: [ oti g%Setbacks: Shoreline Setbacks):{-- F,t /? 45/t- /' ���n�. ^P; / 26'/ j [ ) Underground Plumbing/Underground Insulation: [� S ea a 3 E'k 7- 5,4/6-i9 ®/C 3/��,/Esl C /iV7 �,Y--elt g ( 0( [tom ra Fming/Plumban � cr: r- ["1 Propane T nk/Lines: e•r- Insulatio C / [N-1—/ Sheetrock: - [(,} final/Occupanc royal:6�.A,(L 7en.A->QA --. 9 (cif- 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 1111111111111111111111111111111.111111.1 • BUILDING PERMIT APPLICATION De artment of Community Development Jefferson County p Port Townsend,WA 98368 621 Sheridan Street 12/8/2000 Received Date: PERMIT #: BLD00-00787 SITE ADDRESS: 264 CRESTVIEW DR PORT LUDLOW, 98365 PHONE: APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PO BOX 1780 POULSBO WA 983700239 Block: 5 Lot: 1 TEAL LAKE VILLAGgection: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC 5 SUBDIVISION:ARC 998700015 (360)437-2101 PARCEL NUMBER: PHONE: 70 BREAKER LANE 3 )437 PORT LUDLOW WA 98365 �j$1120012522 Contractor's License OLYMPRE010M8 Expires ARCHITECT/ ENGINEER : ION: SINGLE FAMILY RESIDENCE WI ATTACHED GARAGE PROJECT DESCRIPTION: SQUARE FOOTAGE: RES TYPE OF WORK TYPE OF IMP NEW 1,818 MAIN: 719 HEAT TYPE: HTP VALUATION 146,798.00 ADD'L: EAT TYPE: 1997 HEAT BASE: H A STORIES: 2 CODE EDITION: R-3 UNHEATED: #OF OCCUPANCY: OTHER: SHOSHO— E. OCCUPANCY: 5N GARAGE: 497 SETBACK: CONST TYPE: DECK: 275 BANK HEIGHT: CONST TYPE: SEWAGE DISPOSAL: SEW LUDLOW PARCEL TAGS: YES_,__—N —AREA_._ WATER SYSTEM: STORMWATER: YES ErosionNO BEDS. BATHROOM : Wetland Streams Exist: Exist: 0 Seismic Flood Plane Prop:ot 3 Flood Way Prop: 2 F&W Landslide Total: 2 Total: 3 Aquifer Shoreline Rural Routing Date: /Z ' Forest: Commercial 'a , ions -- Type -r xi I Approver/a�e Date: Receipt: Amount Paid By: /� ■ P ED ■ . Type $1,268.15 ZAN 12/08/00 35533 /'t I / Permit 12/08/00 35533 Code $4.50 ZAN VIEW 1 C' State Building $30.00 ZAN 12/08/00 35533 � I:I I / Potable Water Application Total: $1,302.65 Jefferson County Planning &Building Department 10/29/99 is\F BLD_App_Bld.rpt i 'E0'd 1Hial SENT 13Y;POPE RF:SOL C:F:S OFNTA. :12- 6- 0 9 02AM : ' 1 360 4372 s22-, 360 379 3451 :# 3/ 3 Mora Comity Paid ear * Npirliint sr Ilanityknliimmt -,...A.. N co e t 121 airlis Witt Art Term al NA NM 8111 MAN 4 ,b * edit 4PJctc© iL STOCK .PLAN 5 Project Description: New Single Family keeidence W/Attaehed Garage, Buildi�jf Tipe Pwjett Type; __ ,• - Frame Type: — g Single Farr 7 1 New 1C1 Wood I Garage ModularA�eDetsched 12 Addition Steel G l _ Concrete Con merriat seamy G Repair r N� Mtn-fan y/I of Uoas C Demolition u! Other :: Industrial 2 Other , ----j Bedrooms! Bathrooms: type of Sewage Disposal: - Type of Herm Choose o Exsstsa 0 Eziat'°g d l0 Sewer =Community System 7 Electricity Q Oil PropTotal accl w ..".. --3.-._ O Individual em 0 oodscove 0 Propane ?oral Total: — I` awt...sewer,all out the fo1lowriag - i-iear Pump 0 Conventional C Alte trstive Other Permit a SEP 'Water Supply: R Private well 1' Two Pony Weft r Public Name of watex system; Olympic Water 5 Sewer Square Footage: —for c+e Use Oxily Main Floor 1818 VBC OCCUPAI4CY GROUP 2ND Floor � 4{> Base fee (2+� . 15" 12-5 h 0 5 3�Floor / 7 J1 1- � c,0- .''-� eMaufm NIA OA Hxd Basement State Surcharge fee 14-. 54 ti- S�, Urnhtd Basement 0 Subtotal 17" , . ( 5 11.is I,4( Garage/Carport. 497 Q '1 Pot Water Rfview fee O . OD 2 5,;c Decks 1 TOTAL — I 7)41 . Cr,cT 2 ST5 Industrial 1t€ `° ipt N, 33 S s Other i ( Cash/Cheek N _ ITT S 4 a Total VaJua (L.f t :c S . I initials Or Dare .J l 2 1 &r Estimated Cost; If within 200'of Shoreline, - Distance to Hank 6a Water Mark _ ft. Barak Height fr., Signature:, . Dart Ee'd iSbb 62.2 09E IN9WdO10(13Q WWO: OD dd91 Ib:60 000E-90-09Q �� oN oo Jefferson Camty Permit Center * Department of Community Development d. 621 Sheridan Street,Port Townsend WA 98368(360]379-4450 1 r1 un.versa imp Dhn ea de kiiiowag9 &aka e s card!etely as amedz. , Project Description: New Single Family Residence w/ attached Garage 9 Digit Parcel Identification Number(from your tax statement):998 700 a ' s_.. Site Address 911#: 2, (p A- Road Name: C.4 t 12) D(. Zip Code: 98365 Legal Description Subdivision Name: Teal Lake Village Block: Lot(s): & IS Section: Township: Range: Parcel Size (acres or square footage): Property Ow Olympic Real Estate Development 360-437-8253 Mailing Address: 70 Breaker Lane, Pt , Ludlow, WA 98365 Applicant/Occupant: Phone: (if different from owner) Same Mailing Address: Authorized Rep: Phone: Jeff Evanger Mailing Address: General Contractor: Or Manufactured Home Installer: Olympic Real Estate Dev . Phone: 360-437-2101 Mailing Address: 70 Breaker Lane , Port Ludlow WA 98365 Contractor's State License Number: Expiration Date: �6 Q 01 OLYMPRE010M8 Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Parker Smith a Feek 1-800-457-022O Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 4/98 fl:\home\pincntr\forms\univenal plot plan 12/07/00 15:29 FAX 206+780-,2408 MacLearnsberry 12 02 IIIIIIIIIL __ 7- 7 1 A ,,... ..6 ,. . N.,,,... . •'....m.m...:',. ',4e' \\....„,... o.., "...., ..kil i.'''''.0 ,r*...:.;.:••:.•.- A, 1 . ,.„.4..!..?;,,!tl!r• :•,1Mr, Kr e‹-7 r15)- .. 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J,AP' . --"',... .16-4 ' 20 0 10 20 40 80 1 INCH -= 20 FEET 11 MACLEARNSBERRY9 Inc. lympic Resource Management La.nal Surveyors a Civil Engineers a Planners wir 159'Wyatt..Way NE Bainbriagc island,WA 98110 ( Teal Lake Village Lot 15, Plan 5R C4A" gr411411 , I'M "a phone: (206) 42.55146 facoimile: (206) 780-2408 8AM DECEMBER 7 2000 97064 cHcocco bY BAm SCALE 1 n = 20' sHEET 1 co. 1 AdiMi . _ C.,1\14---(-1 Li -- Ly(__/ ,.e)o BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00787 Received Date: 12/8/2000 SITE ADDRESS: 264 CRESTVIEW DR PORT LUDLOW, 98365 APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PHONE: PO BOX 1780 POULSBO WA 983700239 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 15 PARCEL NUMBER: 998700015 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC PHONE: (360)437-2101 70 BREAKER LANE PORT LUDLOW WA 98365 Contractor's License OLYMPRE010M8 Expires AS)4E21522 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,818 VALUATION 146,798.00 ADD'L: 719 HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 497 CONST TYPE: SETBACK: DECK: 275 BANK HEIGHT: SEWAGE DISPOSAL: SEW / t f f2- ,F' WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO A.- BEDROOMS: BATHROOMS: STORMWATER: YES NO �AREA Exist: Exist: 0 Wetland `140,, Erosion Prop: 2 Prop: 3 Seismic ^ Streams I Total: 2 Total: 3 Flood Wa W Flood Pla F&W Landslide Routing Date: /2,,/Z �O Shoreline Aquifer /I�1 /� Forest: Commercial Rural f J Fr xlmlty Flat COt1dt-.Ions Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,268.15 ZAN 12/08/00 35533 State Building Code $4.50 ZAN 12/08/00 35533A(' , Crittat A ' '.: Po table Water Application $30.00 ZAN 12/08/00 35533 Total: $1,302.65k _ 1 i:AF_BLD_App_Bld.rpt 10/29/99 t 1 a JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: Olympic Real Estate Dev. , LLC Telephone: (360) 437-2101 Address: 70 Breaker Ln Port Ludlow, WA 98365 Assessor's Parcel Number: qci?) 100 Q1� Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: New Single Family Residence with Attached Garage. Site Location: 2 Co A CASLAtAyi o j j Person Responsible for BMP Installation and Maintenance: Jeff Evanger Address: 781 Walker Way, Port Ludlow, WA 98365 Telephone: (360) 437-2101 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more space is required. [ ] Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. [ I Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). EROSION AND SEDIMENT NTROL WORKSHEET [ � Phase clearing so that only areas that are actively being worked are uncovere d. [] Start and complete land disturbing activities and stabilize the site between September 30. Stabilization means that disturbed areas will have well-established 1 land cover or be landscaped to minimize erosion. pant Pg Stabilize exposed soil Exposed and unworked soil will be covered within 2 October 1 and March 31 and within 7 da sdays between [ ] Cover exposedY between April 1 and September 30. soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [ J Place gravel base on roads, driveways, and parking areas after clearing and sub preparation. grade Protect adjacent properties and water bodies from sediment deposition: [] Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Mana ement Manual.) [ J Install a filter fence down slope from areas of land disturbing activity to filter before it leaves the project site or enters water bodies. (See attached illustrationoff Storrnwater Man ement Manual.) from [ Regularly inspect and maintain all BMPs especially after storms event s. 1.1 Describe other erosion and sediment control Best Management Practices. as to design and specifications. es. Be specific Site is very flat with sandy soils. So I believe the above measures will be sufficient. 9d EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. After excavation the soil piles will be covered and silt fence will be installed. Silt fence will be left in place until we are ready to landscape and all roof drains/catch basins are in. Landscaping will be installed as early as possible on the exterior of the building when all exterior concrete work is completed. The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater o I 11 tify the Permit Center for inspections as required. Signature of er Agent Date (Jeff Evanger) Jefferson County Department of Community Development December 12, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: OLYMPIC REAL ESTATE DEVLOP LLC PO BOX 1780 POULSBO WA 983700239 Critical Area Review Case Number: CAR00-00538 Project Description: Single family residence with attached garage Parcel Number: 998700015 S-T-R: 21-28N-01 E Site Address: 264 CRESTVIEW DR PORT LUDLOW WA, 98365 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County ritical Areas Ordinance. Department of Community Development taff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99