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Home My WebLink AboutBLD2004-00422 illi BUILDING PERMIT APPLIION MLA04w 00378 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00422 Received Date: 6/24/2004 SITE ADDRESS: 110 2ND AVE PORT HADLOCK, 98339 OWNER: HOWARD M LEARNED TRUSTEE PHONE: (360)385-0630 SUZANNE LEARNED TRUSTEE PO BOX 5807 CAREFREE AZ 85377 SUBDIVISION: IRONDALE Block: 46 Lot: 33-37 PARCEL NUMBER: 961804603 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: BILL ZINGHEIM PHONE: (360)437-2754 6281 OAK BAY RD PORT LUDLOW WA 988365 PROJECT DESCRIPTIOt ADDITION to Single Family Residence - Increase in Bathrooms TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 240 VALUATION 154,667.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1994 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES _NO_ BEDROOMS: BATHROOMS: STORMWATER: YES_ NO__ AREA __ Exist: 1 Exist: 1 Wetland_ Erosion Prop: Prop: 1 Seismic Streams _ Total: 1 Total: 2 Flood Way _ Floodplain Routing Date: F&W C;" 2� � ep+) Shoreline Landslide _Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: PPc c to Permit $265.25 RAC 06/24/04 66453 Plan Check $172.41 RAC 06/24/04 66453 AUG 191001 State Building Code $4.50 RAC 06/24/04 66453 Jefferson County P ,,r Potable Water Application $52.00 RAC 06/24/04 66453 & Building Nov., wr. Total: $494.16 Calks,,,‘ 64-4 ON co • Jefferson Cou lepartment of Community Development 6 621 Sheridan Street,Port Townsend WA 8836813601378-4450 ti 7y. )-4 0 1Prmo1 A QQ 0 0 hTTN Building Type: Project Type: FrameJ � Type: Single Family ❑ New 1- 1, Y�Wood ❑ Garage Attached/Detached dition ` 1` J U N 24 2,:]1. ❑ Steel ❑ Modular ❑ Alteration/ ❑ Concrete ❑ Commercial ❑ Repair -- ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial DEPT. OF Cl.% _w - =- ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: I Choose one: �� Existing: Existing: I ❑ Sewer ❑ Community System fd)✓lectricity ❑ Oil Proposed: I Proposed: v dividual System ❑ Woodstoveopane Total: Total: �If Tot sewer,fill out the following: ❑ Heat Pump ie Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: ace Use For Office Use Only 41.00 Main Floor 4/0 i 1 •Zo Consistency Review 2ND Floor Base fee r21,5- 2 5- 3rd Floor Plan Check fee I 17 . 4 Htd Basement State Surcharge fee `i •St) Unhtd Basement Subtotal 49 0• II, Garage/Carport Pot Water Review fee ftc.00 Decks 911/Rd Approach fee rXl 10&' Commercial TOTAL G/-T S. I b Industrial Receipt# 0- -3 , Other Cash/Check# j^^�, Initials 6CL �% �l// Date c2,(2-9-1 0.`t A ` I /Estimated Cost: / -)t U Q G If within 200' of the Shoreline, _ Distance to Bank or Ordinary High Water Mark /O 5 ft.Bank Height 3L2 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 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 onsequence of the granting of this permit. I further agree to provide access an of entry to Jefferso Cou sty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry t t e is property or struc re shall)be requested and shall occur during regular business hours. / Signature: Date: 4 _ �� OVER ► G:\PermitCentcr\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 00 BUILDING PERMIT ellJefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00422 Received Date 06/24/2004 SITE ADDRESS: 110 2ND AVE Issue Date 08/19/2004 PORT HADLOCK, 98339 APPLICANT: HOWARD M LEARNED TRUSTEE PHONE: (360)385-0630 SUZANNE LEARNED TRUSTEE PO BOX 5807 CAREFREE AZ 85377 SUBDIVISION: IRONDALE Block: 46 Lot: 33-37 PARCEL NUMBER: 961804603 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADDITION to Single Family Residence - Increase in Bathrooms REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: E 1C- ".r 1 —1 0 [ ] Foundation: ,eze /SW, [ ] Stormwater FINAL Approval ,C TL1O ¶reb-,i►,g ikRavi) if_ iz'/�'��','-/1L'°' �i�' �` [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : 1/k' 1/i7 ``� [ ] Framing: Z. ` //zc�//e / C� /1 Plumbing: ', a//`L)/c [ ] Propane Tank/ Lines: [ ] Insulation: IA' itAi G41_ /- f 1 Sheetrock: ak 02-7k ' _ [ ] Septic Sytem Final A proval: 1 Road Approach Final Approval: eZoning Final Approval: //Final/Occupancy Approval: �1//,/6S"" f� HEALTH DEPARTMENT AND PUBLIC WORKS 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. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR CASE'S BLD04-00422 1.) 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. 2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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). 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Mlnimum setback from 2nd Ave right-of-way is 5.45 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks. 10.) The project shall comply with o truction Stormwater Pollution Prevention V Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. I:\F_BLD_Permit_Buildng.rpt 10/29/1999