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Home My WebLink AboutBLD2004-00512 • BUILDING PERMIT APPLICION MLA04-00480 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street PERMIT #: I�' SITE ADDRESS: BLD04-00512 Received Date: 8/5/2004 MARKET ST PORT TOWNSEND, 98368 Port Townsend, WA 98368 OWNER: GLENN E HUGHES PHONE: (360) 385-0441 NITA M HUGHES 1650 CHERRY ST PORT TOWNSEND WA 98368 SUBDIVISION: TIBBALS LAKE PARK Block: 53 Lot: 2-8 PARCEL NUMBER: 999005302 Section: 33 Township: 31 N Range: 01 W CONTRACTOR: WEBER CONSTRUCTION PHONE: (360)385-5204 RAY WEBER 4554 LOPEZ AVE PORT TOWNSEND WA 98368 Contractor's License WEBERC*0330D Expires 11/26/2004 REPRESENTATIVE: ANDREW REECE PHONE: (360) 385-4305 2310 THOMAS ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI NEW SFR ALSO 250 GAL AG PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 200,000.00 MAIN: 1,440 CODE EDITION: 2003 ADD'L: HEAT TYPE: PRO OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: 1 CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY 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 Routing Date: / F&W Landslide g/(P/01' Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: AApprp ilat Permit $1,559.35 KAS 08/05/04 66647 �t..JJ 1L�7��71 V E P Plan Check $1,013.58 KAS 08/05/04 66647 State Building Code $4.50 KAS 08/05/04 66647 NOV 1 7 2004 Potable Water Application $52.00 KAS 08/05/04 66647 Jefferson County Planninc. Total: $2,629.43 C & BBuildin. fls artment e• OWNER BUILDER STATEMENT 4111) The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that t y ae ray cor rac�CIrs ar ftTBaat they will be assuming the responsibility of the General Contractor for the proposed project. ` i `' • ` .'.__ i Signature: Date: I:r I — GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: r FA)( '---1 l MAILING AD ESS: 4/5' 6 Lo6`4�Z '( j, L: y c CONTRACTOR'S LICENSE / WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: / (4 Ere&re.. PHONE (lz.d)) ' j5L;,'y 65( ) MAILING ADDRESS: EMAIL 6 Project Type: Fr m Type: Bathrooms: Shoreline: Type of Sewage Disposal: New L[ Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: — Bank ❑ munity System ❑ Alteration/Remodel ❑ Concrete Total: 1177 VV7. Heigh: U.-individual Sy �^� ❑ Repair ❑ Masonry Bedrooms: r& SEP Permit# I Ley I ❑ Demolition ❑ Other: Water Supply: Existing: Setback: ❑ Private well U.Two PqAv l4 T e of Heat: Proposed: 2. [ ublic tom:/+' qj Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank apd/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank MvAbove ground Tank Size of Pro�e Tank: � e LI Heat Stove Book Stove II Woodstove ❑ Fireplace Insert PYHot Water Tank LI Pellet Stove i i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use'Only P 5 ` Current Proposed Amount Main Floor LG g4ki�;�' Consistency Review: b` 2Nu Floor Base fee: 1 559. 3..E 3m Floor Additional Section: — Mezzanine: Plan Check fee: iat3 , 5g Heated Basement State Surcharge fee: I 1 5d Unheated Basement Pot Water Review fee: 8 5 Other Unheated 911/Rd Approach fee: _ /'t Garage/Carport � TOTAL: $ " Decks t � Receipt lumber: 12 4(11 Other Cash/Check-Number. ' eA (0• MATED-COSTQ �D)- Data: j Aair market value of all labor and materia foundation to finish J V 2.trilort),„ holds: G: er S DRD FORMS\Master Permit Application 7-8-04.doe .i.¢,SON coc, JEFFERSRANTY O. 1j DEPARTMENT OF COMMUNITY DEVELOPMENT !" '—r _.._ _..__.-_____.... �' ' '4 621 Sheridan Street • Port Townsend •Washington 98 ig ', 'q ' 'p 360/379-4450 • 360/379-4451 Fax 41 !� `irs �.0 www.co.jefferson.wa.us/commdevelopment �` i! I j Acc ry L AUG — 5 2004 Master Permit Application 1 Project Description(inclklaiir,ude separate Sheets as necessary: DE I t ' ' ' ii1 � PT. OF CU. r t i,�!1 Y LtL�Ei.GFMz��'i Tax Parcel clGp- Property Number: 4PittaL Size: (.(. Ae --1J (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: (:'L' Telephone: Fax: email: Mailing Address: • Applicant/Agent if different from owner): Telephone: •'% -4-.3n, Fax: email: Mailing Address: �'r1 i � �h Wwldind of Permit?(Check each box that applies) ing ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ demolition Permit ❑ Conditional Use[C(a), C(d),or C]** it'Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment 0 Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ 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, if known: 4 , DESIGNATION OF AGENT I hereby designate ! , �s ,,, to act as my agent in matters relating to this application for permit(s). t/OWNER SIGNATURE -/ (dale Date: ._.3 , UV By signing this applicatioty�orm,the owner/age ests 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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r ire later i ..r.. •ccess and right of entry to this property shall be requested and shall occur only during regular business hours. • NV Signature: _ tJv ,- - 'L Date: � Z 4_ 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 be-- ' ued will no .•ate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)e -n if ye : • �.Z. with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-' -nsf- . .. I,.r adhering to and complying with the ESA. The Applicant has read this discia nker and ' ns and dates it below. r Signatur .4 \� - Date: 'e. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc fa • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00512 Received Date 08/5/2004 SITE ADDRESS: 231 ELMIRA ST Issue Date 11/17/2004 PORT TOWNSEND, 98368 APPLICANT: GLENN E HUGHES PHONE: (360)385-0441 NITA M HUGHES 1650 CHERRY ST PORT TOWNSEND WA 98368 SUBDIVISION: TIBBALS LAKE PARK Block: 53 Lot: 2-8 PARCEL NUMBER: 999005302 Section: 33 Township: 31 N Range: 01 W CONTRACTOR: WEBER CONSTRUCTION PHONE: (360)385-5204 RAY WEBER 4554 LOPEZ AVE PORT TOWNSEND WA 98368 Contractor's License: WEBERC*0330D Expires: 11/26/2004 PROJECT DESCRIPTION: NEW SFR ALSO 250 GAL AG PROPANE TANK CALL IN FOR THE REQUIRED INSPECTI•NS THAT APPLY TO YOUR PROJECT. SETBACKS: e7,(' �iJ CS '- UFFER: / .y ..7 '" Footing: Z/ D.s L Foundation:A�/.i/O> Stormwater FINALIIIIII Approval: Underground Plumbing: 3I44/0->- Underground Insulatiof: / Shear Wall : ;--/ �Di�D�%ry ) o 9i1/1 s Framing: q '1,5, ttsiczk.$ Plumbing: 1 $' tc ..54.1dica,20 Propane T nk/Lines: 74 ff �" vcr. g - ,,d.s,�ru r ,,�..T ,z,� 7/-7- sulation: 15--k—p 5-' Sheetrock: g•l fv'9,5� Septic Syt Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approv </-7 -0 t 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 # BLD04-00512 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.) A minimum of two (2) on-site parking spaces are required for the single family residence. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Setbacks from the platted rights-of-way for Market Street, Elmira St, Sutter Street and Maple Street shall be no less than 20 feet. The setback from the boundaries adjacent to lot 1 shall be no less than 5 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/19