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Home My WebLink AboutBLD2004-00532 BUILDING PERMIT •; Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00532 Received Date 08/17/2004 SITE ADDRESS: 503 JOLIE WAY Issue Date 09/10/2004 PORT TOWNSEND, 98368 APPLICANT: ANTHONY 0 FRANCIS PHONE: KRISTIN M AXTMAN 503 JOLIE WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071019 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: FOUNDATION ONLY-MOVING EXISTING GARAGE REQUIRED INSPECTIONS: SETBACKS: ` ,(L UFFER: 4 Footin . G.- -i p< Found ion: [ ] Stormwater FINAL Approval: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: f 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: f 1 Sheetrock: _ [ ] Septic Sytem Final Approval: f 1 Road Approach Final Approval: [ ] Zoning Final Approval: Final/Occupancy Approval L l2-Al 0� 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 ME t BLD04-00532 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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). 4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) The building height is not to exceed 35 feet. 6.) Minimum setback from Jolie Way right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 7.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) 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_Bu ild ng.rpt 10/29/1999 r ItUILDING PERMIT APPLICASN M Review T0pe498 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00532 Received Date: 8/17/2004 SITE ADDRESS: 503 JOLIE WAY PORT TOWNSEND, 98368 OWNER: ANTHONY 0 FRANCIS PHONE: KRISTIN M AXTMAN 503 JOLIE WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001071019 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI FOUNDATION ONLY - MOVING EXISTING GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,360.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 360 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES_ NO___AREA _ Exist: Exist: Wetland_ Erosion Prop: Prop: Seismic _ Streams _ Total: Total: Flood Way Floodplain Routing Date: /y'f 0� F&W Landslide C? Shoreline _Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /� C�� w Permit $181.25 ZAN 08/17/04 67470 /'1 r ` Plan Check $117.81 ZAN 08/17/04 67470 SEP 1 0 2004 State Building Code $4.50 ZAN 08/17/04 67470 Jefferson County Planninj Total: $303.56 & Building Department ,te 'c- ‘tf51-16 �/ ON JEFFERSOFUNTY J"- _ DEPARTMENT OF COMMUNITY DEVELOP ' `" '1 �' ' 621 Sheridan Street • Port Townsend •Was ington 98368 360/379-4450 • 360/379-4451 Fax L. , ) , ' i i : •gS,�NG,,O www.co.jefferson.wa.us/commdevelopmentj �� ' (' 1t L_ i f Master Permit Application DEPT OF Ct__________,„_._ _ r• k+v real -�c\� Project Description(include separate sheets as necessary): "_ Tax Parcel , ;1 �, rope Number: ) u • Y. Size: 3 (acres/square feet) Site Address and/or Directions to Property: 3 3 ..,—..it, , j i /I y Property Owner(s)of Record: A r r . "' c& I . .- Telephone: '• w ;t : Fax email t 'a MailingAddress: .9r•' " •It ,'! •4. .... Applicant/Agent(if different from owner): n A. Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** t'Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use 0 Long Plat** ❑Address n 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*" 0 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: 1 1 DESIGNATION OF AGENT I hereby designate -------•- -------to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ,kyu ,_,�-kt Date: . I 1 • o Cr 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 attorneys 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 amens and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. r Signature: ,�u�—\ ---A-,,,„„.„:„g Date: 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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: f' '' --. ,_=u_. •..._:- � Date: �' • ' � •.,1)�,. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1111 OWNER BUILDER STATEMENT . ,; . The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they,arc;rMka_io Contractors and.thal they will be assuming the responsibility of the General Contractor for the proposed project. `' Signature: .._1^t_— --4-A- --._c.;.y Date: 1\,r, f,•'\,4._4 4 t l AUG , 7 li !._. w, i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX.— F ` i ( ) _ .P1. LA COM rile ;iTY UtvEL OPM�' '. MAILING ADDRESS: V'` 1 EMAIL: t CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: s, New `IV' Wood Existing: ',•-3 ' 0 Sewer ❑ Addition ❑ Steel Proposed: 0 Bank ' ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: .1 Height: ❑ Individual Systprn, ❑ Repair 0 Masonry SEP Permit# 1 , ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: f,-,'V ` Setback: 'Ei I Private well ❑ Two Party Type of Heat: Proposed: Li Public 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 and/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank I I Above ground Tank Size of Propane Tank: I i Heat Stove I I Cook Stove 0 Woodstove 11 Fireplace Insert Li Hot Water Tank I! 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`Oy Current Proposed Amount Main Floor tIY _ j yy ,�?reConsistency Review: V - 2N"Floor Base fee: I c IS, 3f°Floor Additional Section: N \ 1 Mezzanine: Plan Check fee: I VT' j, I Heated Basement State Surcharge fee: F',�' 1� Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport TOTAL: $ T=? Decks Receipt Number: C'1l ^10 Other Cash/Check.'Numbor. ! O3 J ESTIMATED COST(REQUIRED) Date: Q ) ``J" J 64 •Fair market value of all labor and materials foundation to finish CJ I 1/ , S J Initials: G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc