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HomeMy WebLinkAboutBLD2001-00050I V Jefferson County Permit Center Department of Community Development `.e. c 0 621 Sheridan Street,Port Townse A 0836HMOT 379-4450 '...) �1 ,° ftrm...°t 4 2001 Project Description: L Q N COUNTY �� �., �� DEPT. OFJEFFLIRS COMMUNITY DEVELOPMENT Building Type: Project Type: Frame Type: ASingle Family New Wood E 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: Q Existing: _e)— ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: A Proposed: Z. M" Individual System ❑ Woodstove [ 'f5ropane Total: _49,.._ Total: 2• If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit # SEP 9,' -00y 1 Water Supply: ❑ Private well ❑ Two Party Well ❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 0,62.8 i 3 C 9 2, W • ? UBC OCCUPANCY GROUP 2ND Floor Base fee I Zb S . 15 3rd Floor Plan Check fee 33() - 4 S Htd Basement State Surcharge fee I-4 . SI) Unhtd Basement Subtotal l b 5 3 , 10 Garage/Carport 8 LtC` 1-QQ Pot Water Review fee 30, Decks -6— 911/Rd Approach fee Commercial TOTAL t b S 3 . I D Industrial --- Receipt # 3 13Z1 Other Cash/Check # j?J L Total Valuation:;' • 5 Initials <-247)> Or Date 1 /2— 6/ Estimated Cost: +•0 i%r If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Signature:`----.--2.-7. ,/f.„�,,e.z/v) Date: } ' BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00050 Received Date: 1/24/2001 SITE ADDRESS: WEST RIDGE CT PORT TOWNSEND, 98368 APPLICANT: JOHN MATHYS PHONE: (360)385-3810 PATSY G MATHYS 304 PINECREST PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#6 Block: Lot: 423 PARCEL NUMBER: 965000224 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 01/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,528 VALUATION 148,325.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 840 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: KALA PT PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: f 2 /vil Shoreline Aquifer lForest: Comme «_ l -I Type Amount Paid By: Date: FjrWece'p '1 t: • .. : rI11 VEIV- Permit $1,268.15 MAM 01/24/01 37321 ,,I Plan Check $380.45 MAM 01/24/01 37321 = t) 9 2001 State Building Code $4.50 MAM 01/24/01 37321 Potable Water Application $30.00 MAM 01/24/01 37321 -r• j TDEPT. OF CVJ 1 Total: $1,683.10 SIGNGNATUt1Rg: 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 #: BLD01-00050 Received Date 01/24/2001 SITE ADDRESS: 33 WEST RIDGE CT Issue Date 02/9/2001 PORT TOWNSEND, 98368 Expiration Date 02/9/2002 APPLICANT: JOHN MATHYS PHONE: (360)385-3810 PATSY G MATHYS 304 PINECREST PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#6 Block: Lot: 423 PARCEL NUMBER: 965000224 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractors License: WALTECC012BA Expires: 01/01/2002 LOAN LENDER/ FIRST FEDERAL S & L BOND HOLDER: 1321 SIMS WAY PORT TOWNSEND WA 98368 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [9' Setbacks (Shoreline Setbacks):C?K ✓ �/ [ `} Footings: ��=i-'v ok �r11". _ [kJ-- Foundation: nk —7 -c'i f Q,.), [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: $ -c[ J Framing/Plumbing: Cj /i/6i [ ] Propane Tank/trines: !3� . %S'�`'�� S +. [ Insulation: OK =-7 7 [' Sheetrock:? ♦P - /ij [ ] Final/Occupancy Approval: 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. CIAL CONDI i IONS ^-PLY-SEk. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE BLD01-00050 1.) The building height is not to exceed 35 feet. 2.) Maximum lot coverage is not to exceed 25%. 3.) The applicant shall implement a Small Parcel Erosion and Sediment Control Plan that applies the Small Parcel Minimum Requirements from the Washington Department of Ecology Stormwater Management Manual for the Puget Sound Basin. 4.) Building setbacks shall be 20 feet to the front of the lot and 5 feet on the rear and sides. i:\F_BLD_Permit_Buildng.rpt 10/29/19 t STORM WATER CALCULATIONS Owner/Applican' )\ r\4-V ' y� � U3C� - / - 1' (L" ("' -' 0 PROPOSED LAND DISTURBING ACTIVITY t i f1�= Site Address: ? w � S/ ,Ck . Drainfield area cleared 0,00 sq.ft. VI(;L.L a__ 0-1- Driveway Length -7 4 ft. q /��r� .1. X Width t Cyr ft. 9 Digit Parcel Identification No.: Gam' - -`T' = Total Driveway -7'2 D sq.ft. Permit Number. Cj o,�_ nn,kj) Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. jr)- sq.ft. INDICATE the following information. Total Land Disturbance a 7 7 b sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE ,7 Proposed Structures (all roof area) al °O sq.ft. 1. North arrow Existing Structures (all roof area) 6— sq.ft. 2. All property boundaries and dimensions Sidewalks SO sq.ft. 1(3. Names of adjacent streets Concrete Patios b sq.ft. 14. Driveway/s & parking spaces Proposed: IV5. Major features such as ravines, Driveway Length 7 G. ft. seasonal creeks, bodies of water, etc. X Width ((.> ft. V6. Septic tank, drainfield and reserve area location, = Total Driveway 72-0 sq.ft. existing or proposed, and distance to Total Impervious Surface 31-DO sq.ft. closest structure w � a 17. Sewer lines 1 o The Stormwater Manual sets forth the following Small Parcel �w Minimum Requirements: Er8. Wells and/or water lines o =w •• Construction Access Route Stabilization: `" O� Construction vehicle access shall be, whenever feasible, V9. Neighboring wells within 150 fo t v7J© dr oz limited to one route. Access points shall be stabilized with j10. Paved surfaces (patios) N u) quarry spalls or crushed rock to minimize the tracking of WI cc 1 1. Structures, existing and/or prop orb = ` o w c sediment onto public roads. If sediment is inadvertently Lc�J ,Q� , transported onto public roads, roads shall be cleaned Vl 2. Setbacks (distances to property o thoroughly at the end of the day by shoveling or sweeping. boundaries, structures, banks, a. Street washing should only be done after the bulk of the w sediment has been removed by sweeping. and shorelines) 0 0 • 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 l!e14. 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: 0 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of 0 16. Top of bank, if over 10 feet high their intended function. 0 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.FR M9/97 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner:*`\_j L h n"I ad-al `I,t STelephone: ` (pn-,- -2, c.) Address: _C LA P 1JR1C. 1- 0 \If-e___) f) Assessor's Parcel Number: q t,, C_. or) X,I-I' Building Permit or Septic Permit Application Number(if applicable): .._2e.AP CIS — Ot _` 1 Brief Project Description: -Kalck 06:1-0J • , Site Location: , _ W_LL—M-1--__Llarvt, C -1 ) c- — � Person Responsible for BMP Installation and Maintenance: L.2 fit' ) batty, '` L . Address:,3 C rack _ PG-4--‘1-` l,603..e ' Telephone: t.c>d-3755- (0(O5 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. [e.(. 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. [e 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.). SPESC Instructions—Short Form JAN 2 4 2001 Revised June 3, 1999 - 3 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT EROSION AND SEDIMENT CONTROL WORKSHEET N1 Phase clearing so that only areas that are actively being worked are uncovered. H" Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between October 1 and March 31 and within 7 days between April 1 and September 30. [ ] Cover exposed 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. [] Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. [ 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 wate bodies. (See attached illustrations from Stormwater Management Manual.) [.}'Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) [ Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. (A4) ( ACJAAn Cd LA Diu ck rya SPESC Instructions—Short Form i Revised June 3, 1999 JAN 2 4 2001 LJ OMMUNITY DEVELO DEPT. PMENT OFjCEPMENT EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways,etc.) ili,"4 -1_)K.� A 3;� �.-t_ p -i£-- c,:_pho, bc, p L u t A - cv, 6 aim 0 .ik. _ )\-e LA u ) hie J- c --rt ills ci L A—.1, i-) hct cam- c i Le ;c,1_1 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well,infiltration trench,route runoff to existing drainage facilities, etc.). au. d,,,.. yn k .i.k.) , , , CI -e''^�, Lky( .Li\ -2) pnle i° 01 ilit_iAi to -CPO _ JAN 2 4 2001 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT SPESC Instructions—Short Form Revised June 3, 1999 5 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 Tnagement Practices. Describe proposed maintenance of BMPs. k)A>6 & i )-(I -e.J-) a -o A k a Ab r_Aub LLA6 X.4.1( The Best Management Pra tices proposed above will be implemented to control erosion, sediment, and storrTiwater off.I will n fy the Permit Center for inspections as re uired. A Sty ature wner/Agent D to 1D 2C1EodC _ JAN 24 2001 JEFFERSON COUNTY COMMUNIIY DDEPT. 0 DEVELOPMENT F SPESC Instructions—Short Form Revised June 3, 1999 6 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name 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 f/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) / a 4 Q o o .„ , , , . . , , , _-_,I, ECELlY _E B , , , , , ,' •' ,' JAN 2 , ,, ,:: ,�, ,-- _ f 4 2001 , , , : : ; ,' /' .o i,� ,�',�� JEFFERSON COUNTY 0 1 ' -• . fl DEPT. OF COMMUNITY DEVELOPMENT iI: iiiii,��,-� ��' „/I,, , ' .-' mov ////////,,,,,1/..:1:::: :::- --- (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? _ YES (/fVo If YES, please describe: 1J 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: JAN 2 4 2001 JEFFERSON COUNTY By signing the application form, the applicant/owner attests tR ThgFirCfC i 411 T. 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. Signature Date / 2 3 p 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:\home\pincntr\forms\car.doc 1/00 i • • • IL - - ' • • • • • • ... • • • • • 83 N3 1UN I3d '3'f 4. • o• . Cal • • a' a3A1333a uOgsa. osods1a ;Somas • • • 4 • .t dts • h L • v � • _4110 • • • I 14101100,N1' ' ‘.14•• 4, )3N • k • • 1 • • cr �. w. • J. • -- ,• .� 'o • I• • • !; • �11 IOil o U �.. r _ - 3rn I - -� ; ; l ► t— _ C O_ ND' C� RCf 1— .4 f -- � -._ i l 1 l J Jefferson County Department of Community Development 2 n KaaaON cow 621 Sheridan Street,Port Townsend WA 98368 (360) 379-44 a L5 U W •; N ,3 o Universal Plot Plan S N0< . JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Fill in the following blanks as completely as possible: Project Description: V----)--UJD '"--- k ' (..4'; :-C--t-n I 9 Digit Parcel Identification Number (from your tax statement): C �- Site Address_ 911# 6, g/ : ,. Road Name "�" 0 Zi Code: �� Legal Description , Subdivision Name: ` c -r} i_ Block: Lot(s): ' Section: ---7 Township: 30 9,.s Range: Parcel Size (acres or square footage): Property C+wner4, „� �'1 � n � Phone: Mailing Address: L_,, ,,_:-.3 ) P t ir\l' r ....1-C.54c PribliCie)t:14 n.Cl ta i 1)-. Applicant/Occupant: �') Phone: (if different from owner) -%CIji. -e. )h - ')p ', •d - i_ , , \`.-_ Li m Mailing Address: _-, _'') L_C r---4-1-. ed '-ir`e''. -1- ( &U.y-)_:-.4e.fyl cA..)Pc Authorized R , Mailing Address: „ ) , - t�Cz . i �- . j1). " ()0(ei``' D , ---c Z_au_,_uTh_.L.s,k I,1_,_1 7v,7A\ic,--k?-„-4,0i-,:,-uq<-,,)Ce,ntc,l,_ici General Contractor: 'ai, eh ' Or Manufactured Home Inst er: t Phone: 3 r`' , Mailing Address: - C Lc-4 `) --‘-H--I---T-E,uis_;nef\d i Lk)fk Contractor's State License Number: Expiration Date Septic Designer: Phone: Mailing Address: Architect:/Engineer• ' - - . ''t :a"- .Pt(`-) �.. ,litPhone: - L(C ri 4 Mailing Address: _ -. i\ Loan Lender/General Phone: Contractor's Bond Holder: -... -1.- i _ �k,. _ �',,, , -_ H I Mailing Address: ~, a FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan