HomeMy WebLinkAboutBLD2004-00554 ILDING PERMIT APPLICIPON MRLA04r00p518
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00554 Received Date: 8/31/2004
SITE ADDRESS: 81 MARTIN RD
PORT TOWNSEND, 98368
OWNER: PETER BRADY TRUSTEE PHONE: (360) 385-3964
ALMA TAYLOR TRUSTEE
81 MARTIN RD
PORT TOWNSEND WA 98368-9768
SUBDIVISION: Block: Lot: TX 42
PARCEL NUMBER: 001291008 Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI` EXISTING STUDIO/MODULAR MOVING ON PROPERTY
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 469
VALUATION 30,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: 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: / F&W Landslide
Cf/,;,27 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: /\P PROVE ED
Permit $451.85 KAS 08/31/04 67499
Plan Check $293.70 KAS 08/31/04 67499 OCT - 7 2004
State Building Code $4.50 KAS 08/31/04 67499 Jefferson County Planning
Total: $750.05 & Building Department
C;U"n ,r,a t-9 4
BUILDINGfib
•
PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00554
SITE ADDRESS: 81 MARTIN RD Received Date 08/31/2004
PORT TOWNSEND, 98388 Issue Date 10/7/2004
APPLICANT: PETER BRADY TRUSTEE
ALMA TAYLOR TRUSTEE PHONE: (360) 385-3964
81 MARTIN RD
PORT TOWNSEND WA 98368-9768
SUBDIVISION:
Block: Lot: TX 42
PARCEL NUMBER: 001291008
Section: 29 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION: EXISTING STUDIO/MODULAR MOVING ON PROPERTY
-C7Itir IN FOR TH-RQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS.
UFFER:
Footing: •
Found tionl •e:$
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing:
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Toning Final Approval:
Final/Occupancy Approval: 5
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 APE BLD04-00554 •
1.) The project is located in close proximity to an identified wetland and is subject to the
delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code.
Based upon the proposed location of the project in relation to the identified wetland, the
applicant has agreed to maintain a buffer (setback) that exceeds the standard buffer
requirements by fifty(50) percent. The applicant acknowledges the additional setback
and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland
delineation requirements of the Unified Development Code.
2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
3.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
4.) 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.
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.) Minimum setback from Martin Rd right-of-way id 20 ft. Minimum setback from the
igress/egress easement along the southern boundary is 20 ft. Minimum side and rear
setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks.
10.) 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.
11.) Jefferson County Environmental Health permits no plumbing for this structure without
further review.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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UNTY P A
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DEPARTMENT OF COMMUNITY DEVELOPMENT
- `. _ 621 Sheridan Street•Port Townsend •Washington 98368 l i "'�1�L ,.
360/379-4450 • 360/379-4451 Fax
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www.co.jefferson.wa.us/commdevelopmentL. i AUG J
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Master Permit Application /+�� CV rr
M�:i:EPk-dF�l �r �" _
Project Description(include separate sheets as ary):
:=CIS i 1 i i3e o 0t , C (--; , ..- -E`" `e F--Lii &irvj
nTax Parcel Number: 00(t)-Cr I Q Property
Size: 40:_ C�C,ti (acres/square feet)
Site Address and/or Directions to Property: I �( _.: 1 • iProperty Owners)of�7Rce�cord: I,e',.{ �/ ( Tt L__ ) .�,,,�cz ( r9
Telephone: 3 , `x5,�5" 2214 jC . 1 ` ax: - f email:
Mailing Address: I • I J'4 VG
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
*P 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)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
(I Change of Use ❑ Long Plat**
t_I Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments**
LI 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:
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 attomey'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 acfpcs 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. -----� .,
Signature: 'yL�` ':.,--„° Date: `?';).S C-:. Li-
'
The action or actions Applicant will unde e 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' are in compliance with th Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tran ei le respon i r or dheri o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ._ Date:
G:\PerrmtCenter\FORMS\DRD FORMS\M P t Application 7-8-04.doc
OWNER BUILDER STATEMENT tr.-
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not licensed ca,tractorss and that
they will be ' the aority-of General Contractor for the proposed ' . i 1
The signer of this statement does herebycertify that theyare the Owners of the parcel referenced herein,that the'y�..ar;e
��— \ )Lj
Signature: Date: <3 �, L
1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx
( ) .,..`PT. Ot C1.J;.,`)r. 1 ut4t._Oat
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Prefect Type: ' fie Type: Oathroonis: Shoreline: Type of Sewage Disposal:
V Flew p�Wood Exis'ng: ❑ Sewer
=Addition ❑ Steel P sed: Bank ❑ Community System
O Alteration/Remodel 0 Concrete / Total: Height: 0 Individual System
O Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well 0 Two Party
Type of Heat: P sed ruble
tat__ -ezz - - Total: Name of System:
If this is a Commercial Project you must answer the fofowinp:
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 constriction: 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 u Above ground Tank Size of Propane Tank:
i i Heat Stove LI Cook Stove ❑ Woodstove 11 Fireplace Insert ❑ Hot Water Tank LI Pellet Stove III 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,
includin r the reserve area.
Square Footage ForOffice'Use'lOnly ix:: . 1.,. E.- ��k x
Current Proposed ;a!s,5.,s., - . ;'
Main Floor 41
VVV4 1 0)I ''' A-M''' g , .
y N
2 Floor Y
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3"0 Floor n: • -. . � {
Mezzanine: Plan Check 1 f : �,�`�) '
Heated Basement ` s �# 4.: _
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µt ••tea. L- {�` ; � _ Y� .2� ,--, ��� 1
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Garage/Carport • .: •- #_ k Of
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Decks :•. \,,. ,%4 ▪.� r -. .a -, /
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ESTIMATE, COST(REQUIRE I) '_ f' ° ' Ca ' f
•Fair/narketf)
:lue of all labor and m•terials foundation to finish - / �/
�, r �h c � � r 1 Sra
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G:\Penns er\FO' S'4P FORMS\Master Permit Application 7-8-04.doc
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