HomeMy WebLinkAboutBLD2001-00058 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 #: BLD01-00058 Received Date 01/26/2001
SITE ADDRESS: 25 PINEWOOD CT Issue Date 02/13/2001
PORT TOWNSEND, 98368 Expiration Date 02/13/2002
APPLICANT: DONALD ALLEN PHONE:
50 FAIRBREEZE
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#10 Block: Lot: 322
PARCEL NUMBER: 965000369 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License: KELLESI150LF Expires: 05/28/2001
LOAN LENDER/ AMVEST SURETY
BOND HOLDER: 5230 LOS VIRGENES RD
CALABASA CA 91302
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS:
[ ] (efbacT horeline Setbacks):()1�. %-/tsi2,n 1,2 /e)/ 4'CED .,
[ l oo mg :40,173 f G ntc y IV( :2 te, 4
[ ] •undato':fritn9. e-` e, V,.rfiwe) �l zl.61eni,<�
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall: O . a,E'•rey re N.AtAewrer 3- 30.-e L 11,..W
[I'-T Framing/Plumbing: 61( - l -e / , it/
[ ] opan Ta es: iixo'c
4'` 7 mac,I 64)
[ Insulation: fin/t)t3d-A.71 J
Pe; Sheetrock: 1 ,5-fro
[ Final/Occupancy Approval:2 -,C' , ' ''' .,,?,-5')
5')
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 APPLY-SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECI CONDITIONS FOR CASE BLD01-00058
.) he applicant shall implement a Small Parcel Erosion and Sediment Control Plan that
applies the Small Parcel Minimum Requirements from the Washington Department of
cology Stormwater Management Manual for the Puget Sound Basin.
0I ' .) Front yard setbacks shall be 25 feet, rear and side setbacks shall be 5 feet
\�� B D_Permit_Buildng.rpt 10/29/19
1
l
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00058 Received Date: 1/26/2001
SITE ADDRESS: PINEWOOD CT
PORT TOWNSEND, 98368
APPLICANT: DONALD ALLEN PHONE:
50 FAIRBREEZE
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#10 Block: Lot: 322
PARCEL NUMBER: 965000369 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLESI150LF Expires 05/28/2001
ARCHITECT/ LINDBERG/SMITH ARCH
ENGINEER :
PORT ANGELES WA 98362
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,512
VALUATION 144,849.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 496 SHORELINE:
CONST TYPE: DECK: 85 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: KALA PT
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
Routing Date: / F&W Landslide
Shoreline Aquifer_
Forest: Comm-r.A-1 a *'
Type —Proximity
Amount Paid By: Date: .it I L:1 . . , T. <A P'
Permit $1,245.75 MAM 01/26/01 37324
Plan Check $373.73 MAM 01/26/01 37324 1 FR 3 2001
State Building Code $4.50 MAM 01/26/01 37324 JEFFERSON COUNTY
Potable Water Application $30.00 MAM 01/26/01 37324 DEPT. OF COM WUNITY DEVELOPMENT
SIGNATURE: . r. L 7-4 r •
Total: $1,653.98 ,.�
,
f
Jefferson County Permit Center * Department of-Community Development
:�``L6 • J r 621 Sheridan Street,Port Townsend 101136111 1 l y3 44 0 :0
0" ems .� -o f App JAN 2 6 2001
,74.3,4ive, 0 0 .. ca .,g n
JEFFERSON COUNTY
DEPT. OF COMMUNITY DEVELOPMENT
Project Description: ').-)eW Cj( wc,� Lvt,L\ \2 167 E.,.) •C...6.
Building Type: Project Type: Frame Type:
9, Single Family New (ill Wood
Li Garage Attached/Detached ❑ Addition 0 Steel
0 Modular Li Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Muki-family/# of Units ❑ Demolition ❑ Other:
Industrial
II Other:
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: / E] Sewer I 'Comniunity System I 1 Electricity ❑ Oil
Proposed: �j Proposed: 2 Cl Individual System L i Woodstove ❑ Propane
Total: 3 Total: 2 If not sewer,fill out the following: 4I-teat Pump
Conventional ❑ Alternative ❑ Other
Permit # SEP 57-OZ.4 4-
Water Supply:
ri Private well ❑ Two Party Well ❑ Public:Name of water system:
Square Footage: / For Office Use Only
Main Floor 512 3 9 0 36i, UBC OCCUPANCY GROUP
2ND Floor _ Base fee t1.95 -TS ,
3rd Floor — Plan Check fee 3 7 3- -7 3
Htd Basement State Surcharge fee 9 r S\D
Unhtd Basement Subtotal I (p 2-3Q
3 , 12
Garage/Carport 4%0 ( 4 910 D Pot Water Review fee 30 , 0 0
Decks 8S O S° 911/Rd Approach fee � �9 . °
Conuiiercial� TOTAL / 2?? , 3 g
Industrial — Receipt # 3 7.� /'7
Other — ff 11Cash/Check # Sam/
Total Valuation: . — I L `1 't Q-I '7-0 Initials 07/l/
Or Date �2(� d
Estimated Cost:
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark Ni p ft. Bank Height ft.
SM Signature: �lt� 0 - V? Date: l
! 2l4" 24001
c
F . '
„soy °t� Jefferson County Permit Center * Department of Convnunity Development
.�, 621 Sheridan Street,Port Townsend WA 88368[360]370-4450
1
Pit
plE-_--. ----ea [
N� a
,}:,_ ; ,:x, 2001
7&i t' a to/44/Kg a eom t old ft, le: DEPT. OFJEFrEPSf1y COUNTY
Project Description:
tl __ S 1 Lam, l'ftiNl\L..`t J 1 LSE 7a3-t;
9 Digit Parcel Identification Number(from your tax statement): OOO 3
Site Address
911#: Road Name: I NL JvoD Cr. Zip Code: gc8 3C e,
Legal Description
Subdivision Name: f p/y,! 7--
I Block: /0 Lot(s): 3 Z 2--
Section: 2.-7 Township: 3 a 4 [Range: 0 t t.1 Es?--
Parcel Size (acres or square footage): 113
Property Owner: —,c)D� 1 '..4. t..l Phone: 33„
S 3..135
Mailing Address: 3-0
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: _ , F , Se i s ) Phone: s il S
Mailing Address:
'Zia a Y4=kcj A- `Pr . O!.- . `Pa 27(`ta
General Contractor:
Or Manufactured Home Installer: ILi✓1..L ,S tti C ) Phone: Sea ---his(, ,
Mailing Address:
Z60 1c%A-t,. . sp/t .
Contractor's State License Number: El.de,.5I t L1_ Expiration Date: 5 /,
Septic Designer: Env rj 9 Phone: +
Mailing Address:
3 —0 Q
ArchitectL:�Erigineer: t....` 0 D 12 �2.C( CjtN .7 ii Ct,i Phone: 18 Jr- _ (2:7 3 O
Mailing Address:
Loan Lender/General -1$ /l I vo l°'® Phone: �
Contractor's Bond Holder: 0-�V T t f t.-'7 7 , 1 6 r/ ' ` z.f!
Mailing Address.
SZ3e Loss U\ r?..-GE►.,.) e. , t -
V1 R dFIIC1. HSl ONLY
Fire District: . Planriing.t\rea: School District: • Zone
4/9 8 H:\home\pincntr\foams\universal plot plan
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00058 Received Date: 1/26/2001
SITE ADDRESS: PINEWOOD CT
PORT TOWNSEND, 98368
APPLICANT: DONALD ALLEN PHONE:
50 FAIRBREEZE
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#10 Block: Lot: 322
PARCEL NUMBER: 965000369 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: 385-7156
260 KALA POINT DR
'PORT TOWNSEND WA 98368
Contractor's License KELLESI150LF Expires 05/28/2001
ARCHITECT/ LINDBERG/SMITH ARCH
ENGINEER :
PORT ANGELES WA 98362
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,512
VALUATION 144,849.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 496 SHORELINE:
CONST TYPE: DECK: 85 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: KALA PT
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATERR YES NO AREA
Exist: Exist: Wetland /✓ Erosion e,--V
Prop: 3 Prop: 2 Seismic '- Streams ore—
Total: 3 Total: 2 Flood Wa /'-d Floodplain '
Routing Date: h // F&W_1G 'A andslide ek
9/U� Shoreline 7 Aquifer DI'
// (% � Forest: Commercial Rural
—I-'r ximaty - Plat Caiu drtions
Type Amount Paid By: Date: Kecelp : Approvea ems. __-----
Permit $1,245.75 MAM 01/26/01 37324 4-/ortia,('
Plan Check $373.73 MAM 01/26/01 37324
State Building Code $4.50 MAM 01/26/01 37324 // /0 7 iffief
Potable Water Application $30.00 MAM 01/26/01 37324
Total: $1,653.98 -#- (/
. PE e vc5 fStomata PIM
Required%7 '
JEFFERSON COUNTY
STORMWATER MANAGEMENT ORDINANCE
SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner: ai.,) Telephone: S �/3
Address: a Pri 1 -."t-4"'"F - -t 6 5�Ca
Assessor's Parcel Number: G 5000
" '
Building Permit or Septic Permit Application Number(if applicable):
Brief Project Description: .) S 1 G " vt t L* �?
' lt 1 2ti),J (:
t " fo/
Site n:Locat o i'‘;& h.! t
Person Responsible for BMP Installation and Maintenance: N,i)Lc S / c 'S ,//
Address: -- 'Q \ - 1Z)i Pe.. .
Telephone: 7B
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.
f 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.
1.J•• 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.).
March 10, 1997 TECE [IWE
9
JAN 202001
JEFFERSON COUNTY
DEPT_ OF COMMUNITY DEVELOPMENT
EROSION AND SEDIMENT CONTROL WORKSHEET
[Phase clearing so that only areas that are actively being worked are uncovered.
[] 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
water 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.)
[r 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.
March 10, 1997
10 _ JAN 2 6 2001
JEFFERSON OF COMMUNITY DEVELOPMENT
t.
EROSION AND SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base
to roadways, etc.)
., ,fit.>L,t,4--wr O .
a,.-,i�,: t.,t,.-atti)1
71
e.,# c_fyiart,44,0 ,
-4,. p..,t--,✓ " ,--„4..." t.. -:r 1.4.;. ./ .%a .' --.r , .14,41.J,,,,/
IA.1) /0/riti) fi Fit--4-44`14,4*-4-i t
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.).
-N r---9 ,
•
ECIEoycoi
March 10, 1997
_ I
_ JEF�_RSnF�COUP�Ty "i
11 L L;r r j r. r 11v1NiUiNI DE/r(_ P tr
•
•
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.
Fe1?.› . 1 5 — LA)
EtP') . 1S - PN. CA74f ISIT ft-aL-
c'ttt k , v
H) Gt µn Ltrr4)3
The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwater runoff. I will
notify theRermit Center for inspections as required.
ve
Signature of Owner/Agent 624ixtt Date
DCEodE
JAN 2 6 2001
March 10, 1997
12 DEPT OFJCO�MUOITI DEVELOPMENT
.
•
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name 1/'U1J t-4.-u•0"`'
'x 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 VNO
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 t/NO
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present YES v"NO
on your property or adjacent properties?
If YES, please describe:
any Are there any indications on any portion of the property or on a y YES NZ
nearby property of rockslides, earthflows, mudflows, or landslides?
If YES, please describe:
5. Please indicate which line best represents the steepest slope found �_� z
on your property. (Check appropriate box) w
a_
ig o
y a 4 Q a ❑ ❑ o >
/� O nO
I / / / / / / CV o}
/ / / / / / / s CO o
/ / / / / / // /� N p Z
I / / / / / / / MA cn�
I / / / / / / / ��
I / / / / / / / /n �� <_. LL
/ / / / / / / /
/ / / / / / / / / - -D wC�
/ / / / / / / /
I / / / / / I / / // [VA O
I I / / / / / / , /
! / / / //
/ / / / / :-:--
� C- L7 cIo-A
I / / / / / / / // // /'-
!///// / / / / //////// /// // // /
/////// // // //� ❑
/I///////////// /
(Questionnaire Continues on Back)
•
6. Does the site have steep slopes with little to no vegetation? YES 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
surface of the ground?
If YES, please describe:
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson
County based in whole or in part on this application may be reversed if it develops that any such statement
or other information contained herein is false.
Signature t/, I Date
I L &L 6iNe
JAN 2 6 2001
FOR OFFICE USE ONLY
JEFFERSON I a
• • DEVELOPMENT
❑ Wetlands -
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
Zone:
Parcel Size: Status:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
t,
N may.
d „fr
le- 15_- I.c- CI'. \-4,,P-
w_ I 1:0 ��, \ \ 6S
--
I i
\
\
/r,j
h.
y
1 �.___
( t a u\
-
J 1 t
* 8-4Th
i` it i\ -------
i 1' 1Y g c:\
-ij 1, / ''' ,__ ,•‘. P L - ,
/
''''J.
' . i--)
{ o r ,, X'1,,,,'
It
cII T .-
6,
E.
0 .,., .„,, 4 p -1 r'.
m ;f
i.
Ind i
C�m , ,/ 7U"�
O-r, a ISD L/
.1 m Z Q
0 N Ind ` �. A�.
Q0 dN7 0 _ \
O
O Ulu J t
rn I- i 1
c)