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Home My WebLink AboutBLD2004-00473 • BUILDING PERMIT APPLIC.ION MLA04-00438 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00473 Received Date: 7/14/2004 SITE ADDRESS: 211 S JACOB MILLER RD PORT TOWNSEND, 98368 OWNER: RICHARD A STAPF JR PHONE: (360) 379-5355 BEVERLY A STAPF 4677 BELL STREET PORT TOWNSEND WA 98368 SUBDIVISION: PARCEL NUMBER: 001054013 Section: 5 Township: 30 Bto N Range: 01 W Lot CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW GARAGE/BARN TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 55,861.00 MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 2,370 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Exist: Exist: Wetland Prop: Prop: Erosion Total: Seismic Streams Total: Flood Way Floodplain Routing Date: //� F&W // G Shoreline Landslide Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $305.21 KAS 07/14/04 66610 State Building Code $4.50 KAS 07/14/04 66610 A P P R O V E ' Total: $309.71 SEP - 8 2004 Jefferson County Planning & Building Department 4111111111.111111 IP BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00473 Received Date 07/14/2004 SITE ADDRESS: 211 S JACOB MILLER RD PORT TOWNSEND, 98368 Issue Date 09/8/2004 APPLICANT: RICHARD A STAPF JR BEVERLY A STAPF PHONE: (360) 379-5355 4677 BELL STREET PORT TOWNSEND WA 98368 SUBDIVISION: PARCEL NUMBER: 001054013 Section: 5 Township: Block: Lot: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW GARAGE/BARN REQUIRED INSPECTIONS• SETBACKS: /4/s/Of/s� UFFER: OK i /S/G1 Footing: QK /d/S/a,�l ] Foundation:W/c4,Jpc /0 7-0 i > _ [ ] Stormwater FINAL Approval T I?r - [ ] Underground Plumbing: -V] Underground nsulat;on• [ ] Shear Wall : VC,- 4,ej Framing: 4 Val— [ 1 Plumbing: [ ] Propane Tank/Lines: • [ ] Insulation: 'St Sheetrock: [ ] Septic Sytem Final Approval: r)41, Road Approach Final Approval: [ ] Zoning Final Approval: � [ia Final/Occupancy Approval: 0 CA 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 COE A BLD04-004 • 73 1.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 2.) 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). 3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 4.) The building height is not to exceed 35 feet. 5.) Minimum setback from S Jacob Miller Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 6.) A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 7.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 ��gSON co�,� JEFFERSON NTY411, DEPARTMENT OF COMMU R1,R i g. 621 Sheridan Street• Port T i' `�Washington-J8868, 360/379-4450 • 360/379-44 �1S4IN619 www.co.jefferson.wa.us/com �eyelop t ! t �; tIVrt 1 4 2004 ,I- Master Permit Application �- i GEisi. OF LurvMUNIlY DEVELOPMENT Project Description(include se arate sheets as necessary): GA'4 Al.;r`_� _ Tax Parcel Property _I Number: 0j ( Ci S i-{d 1. — 5 3 Size: 5— A c =+Z'( es/sq r'cr0 (a�cres/square feet) Site Address and/or Directions to Property: Z i( S- , c:,j IlAt�L ryt Property Owner(s)of Record: " Telephone: 7 9- $-€:)---S Fax: email: S4c:p c- ,. e,l,cZ., •r-1 Mailing Address: I-1(a 7 ELL S - Ph ar ►Z w,;:v. rtiN 7 f ;;iA. 1S,6 3 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building ❑ Variance(Minor, Major or Reasonable Economic Use) 0 Demolition Permit El Conditional Use[C(a),C(d),or C]** 0 Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* 0 Binding Site Plan** ❑Change of Use 0 Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**❑ Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal,jf known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 provi.- access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req .ed ater inspections. •••-ss and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: lk �1►/!1 W%•► Date: cj The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if y.. are in complian 'th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe :blew po sibili f d and complying with the ESA. The Applicant has read this discla' era d signs and dates it below. Signature: ��/ �, Date: 7 /y D G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc OWNER BUILDER STATEMENT -- • �a� r. !i/ rP The signer of this s nt does hereby certify that they are the Owners of the parcel referenced herein,the a4e notenbed bontractdrs a they will be as ii - g responsibility General Contractor for the proposed project. j Signature: Date: �� t� `1 JUL 4 i 200E L GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: L �E FAx: a i.. i ( ) DEPT. OF Cdfv,MUN)1 DEVELOPMENT . MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: cgr New piK Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual Syste O Repair ❑ Masonry SEP Permit# ❑ Demolition 0 Other. Bedrooms: Water Suppl • Existing: Setb k: 0 Private ell ❑ Two Party Type of Heat: Proposed: ❑ Pubf, Total: / Na - of System: i this is a Commercial Proiect you must answer the following: Num f Parking Spaces: Current: Proposed: ILmber of ADA Parking Spaces: Number of occ s(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Pro ane Tank and/or A e Installation rmit mark all items below that apply: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove [1 Cook Stove Li Woodstove 0 Fireplace Inse -- of Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / Imo` `- When applying for a permit to install a propane tank you must also submit a site plan showy of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and se . stem components, including the reserve area. Square Footage For Office Use'Orily Current Proposed Amount Main Floor - Consistency Review: "'— 2NU Floor Base a fee: (nuc_ &c ?Di D v5-tam -�� 3.1 31d Floor Additional Section: Mezzanine: Plan Check f to rn`� c Heated Basement State Surcharge fee: S" CDC) Unheated Basement Pot Water Review fee: ... �/ 911/Rd Approach fee: r , 7n5l60 Other Unheated5fs_____:::„....._____:-9 ��{\- .Garag�arport 27CTOTAL: $ ?j Cr . I Decks Receipt Number: (Q (,(G /C) Other Cash/Check Number: 1156 ESTIMATED COST(REQUIRED) Date: 7 /14/o e' *Fair market value of all labor and materials foundatidn to finish �� ea) Initials: �? 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