HomeMy WebLinkAboutBLD2003-00764 UILDING PERMIT APPLICA 'iON B Review
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00764 Received Date: 12/9/2003
SITE ADDRESS: 247 OLYMPIC RIDGE DR
PORT LUDLOW, 98365
OWNER: DAVID MYHRE PHONE:
JANICE L MYHRE
247 OLYMPIC RIDGE DR
PORT LUDLOW WA 983659555
SUBDIVISION: OLYMPIC RIDGE ESTATES Block: Lot: 20
PARCEL NUMBER: 821355056 Section: 35 Township: 28 N Range: 01 E
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 09/06/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NO MLA REQ'D - 500 PROPANE TANK (CHANGE OUT)
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: U.-t:S..-
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO )0. AREA
Exist: Exist: Wetland iSc, Erosion No
Prop: Prop: Seismic tall Streams ►J.o
Total: Total: Flood Way po Floodplain 10
Routing Date: F&W ►a3 Landslide t.b
Shoreline tso Aquifer Fctitc.
Forest: Commercial ( Rural
Type Amount Paid Bv: Date: Receipt: Approved/Dat
Propane Tanks/Stoves $47.00 CJZ 12/09/03 60561
Total: $47.00
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JEFFERSON COUNTY COMMUIJEVELOPMENT,621 SHERIDAN ST,PORT TOWN ,WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION "✓646A)
Underground PROPANE TANK* )( Above Ground PROPANE TANK* HEAT STOVE HOT WATER TANK
WOODSTOVE FIREPLACE INSERT PELLET STOVE COOKING STOVE
OTHER(Please Specify)
Is this appliance(htg stove, hot water tank,furnace, etc.)to be installed in a Manufactured/Mobile Home?
YES NO
SITE ADDRESS(911#/Road Name):
a(-/7 yv")/°L 6 ^pr ,4r"
/ ZIP
9 DIGIT PARCEL ID NUMBER 8�/
Legal Description:
Subdivision Name Block Lot(s)
M Section Township North, Range / WM
APPLICANT /"'yre �G{
� , 7/,
/(f/r PHONE 11i3�7/ l!G'✓2
MAILING ADDRESS dy7 d/ l//2 o/6- / /',06t'
P 'r' Lv to /ou/ ZIP
PROPERTY OWNER my/ice I ; PHONE L/3 2#U7
MAILING ADDRESS 9 V7 (P/14 /,O/fC, /"l"oye r
/�� / ZIP M()*�
CONTRACTOR ( /7pp . 9i
PHONE,7(9�'r 7J9'
MAILING ADDRESS �/� Rat3 di.jive G-`Ji:ikkg/G#,-)
ZIP
STATE LICENSE# EXP.DATE
FEDERAL I.D.#
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 roperty or structure shall be requested and shall occur during regular business hours.
APPLICANTS SIGNATURE , DATE /V / 7 / 0)
FOR OFFICE USE ONLY
BASE FEE $47.00 RECEIPT# (O() 5(Q (
CONSISTENCY REVIEW !Q . ' CASH/CK# C_Atfl
TOTAL DATE l / 03
1
Propane Tank applications require additional information to be submitted.
Please contact our office at 360-3794450 if the back of this application is blank. OVER 4 4 4
G:\PermitCenter\FORMS\BLDG FORMS\install-revised 10-30-03.DOC
•
PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD03-00764 Received Date 12/9/2003
SITE ADDRESS: 247 OLYMPIC RIDGE DR Issue Date 12/10/2003
PORT LUDLOW, 98365
APPLICANT: DAVID MYHRE PHONE:
JANICE L MYHRE
247 OLYMPIC RIDGE DR
PORT LUDLOW WA 983659555 20
SUBDIVISION: OLYMPIC RIDGE ESTATES Block: Lot:
PARCEL NUMBER: 821355056 Section: 35 Township: 28N Range: 01 E
CONTRACTOR: C H S PHONE: (360)732-4585
PO BOX 518
AUBURN WA 98071-0518
Contractor's License CHSIN**9790Z Expires 09/06/2004
OWNER, DAVID MYHRE PHONE:
if different: JANICE L MYHRE
247 OLYMPIC RIDGE DR
PORT LUDLOW WA 983659555
PROJECT DESCRIPTION: NO MLA REQ'D -500 PROPANE TANK(CHANGE OUT)
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 12/10/2004.
REQUIRED INSPECTIONS:
'TANK 444 LAL'EMEvr / �VgaAr[ ] Tank/ ine/Appliance:
[ FinalApproval: ,/< �pp Cvta_-/ 001/,
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
•
SPECIAL CONDITIONS FOR CASE#BLD03-00764:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on December 9, 2003 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Susceptible Aquifer Recharge Area, Adjacent Commercial Forest Land.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Jefferson County has determined that the use of real property for agriculture and forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs)and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
6.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk(or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
9.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
10.) This approval is for a propane tank only. Any future permits on this site are subject to
review for consistency with applicable codes and ordinances and does not preclude
review and conditions which may be placed on future permits.
I:\F_BLD_Permit_Propane.rpt 10/29/19c
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