HomeMy WebLinkAboutBLD2004-00594 •UILDING PERMIT APPLICAPON MLA04-00557
Jefferson County Department of Community Development Review Type:I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00594 Received Date: 9/22/2004
SITE ADDRESS: 503 JOLIE WAY
PORT TOWNSEND, 98368
OWNER: ANTHONY 0 FRANCIS PHONE:
KRISTIN M AXTMAN (360) 379-2609
503 JOLIE WAY
PORT TOWNSEND WA 98368
SUBDIVISION:
PARCEL NUMBER: 001071019 Section: 7 Township: 30 Btock:N Range: 01 W t" +
CONTRACTOR: OWNER/BUILDER
PHONE:
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTION UNHEATED ADDITION TO GARAGE - NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD
VALUATION 7,637.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: 324 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 Dat F&W Landslide
(-EN.a,-t31.\ Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: APPROVED
Permit $153.25 KAS 09/22/04 67711
Plan Check $99.61 KAS 09/22/04 67711 SEP 2 4 2004
State Building Code $4.50 KAS 09/22/04 67711
Total: $257.36 Jefferson County Planning
& Building Department
5,,(i
Se cl
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00594 Received Date 09/22/2004
SITE ADDRESS: 503 JOLIE WAY Issue Date 09/23/2004
PORT TOWNSEND, 98368
APPLICANT: ANTHONY 0 FRANCIS PHONE: (360) 379-2609
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: UNHEATED ADDITION TO GARAGE- NO PLUMBING
REQUIRED INSPECTIONS:
W SETBACKS: - -
X UFFER:
Footing:
AFoundation:
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing: c-oVaCC-44.45r3
r 1 Plumbing: sf
[ ] Propane Tank/Lines:
[ ] Insulation:
r 1 Sheetrock:
[ 1 Septic Sytem Final Approval: -
Road Approach Final Approval:
[ ] Zoning Final Approval:
XFinal/Occupancy Approval:9(C.--- (1,--2;1-0
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 ARE BLD04-00594
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.) Minimum setbcak from Jolie Way right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
6.) 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_Buildng.rpt 1 0/29/1 999
• OWNER BUILDER STATEMENT
The
they will besigner of this sta nt does hereby certify that they arerthe Owners of the parcel referenced herein,that they are not licensed contractors and that
ponsibili the General Con' --• 4�pr the proposed project.
Signature: ,
ti\-: Date: :'2, 0 -
GENERAL CONTRACTOR OR MANUFACTURED •,C , FAX:
ER: n PHONE:
t •
'• ( ' ? ( )
MAILING ADDRESS: '',/, v ( )
.,, j =Jzc,
CONTRACTOR'S LICENSE :?
NUMBER: 2,Z rti,a,< NUMBERS
ARCHITECT/ENGINEER:
, ` PHONE ( 1) ':, ., JEfIC I )
MAILING ADDRESS: , ` .. c
Project Type; ., rame�. 1 r
a ,., k'3 .7.-,r� . rooms: jDisposal:
�"' j 111� wrood '�• -A sting: Shoreline: 0 e : 'a<ge
E�1'Addition • O steel ', ,� Proposed- `❑ Sewer ±
❑ Alteration/Remodel ig 0 Cdrvi i al Systemem
❑ Concrete Total: Height ❑ Individual
❑ Repair ❑ nry
SEP 0 Demolition 0 Other: Bedrooms: Permit#
Existing: Setback: Waatter Supply:
Public
T of Heat: Proposed: ❑ Private well 0 Two Party
;
oAE Total: ❑
MO
Nis of v •m: `
If this is a Commercial Protect you must answer the following: `{w ,.a.wx F,,.:
Number of Parking Spaces: Current Proposed: Number of ADA Parking S
Number of occupants(includes owners,tenants,employees,etc) Current Peres.
IBC Occupancy: Proposed
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:
0 Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 sho71..,in.:7,a,d:l of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildisseptic system components,
ncludin• the reserve area.
S•uareFoots,: ' „ pt� �� ,
Current P • . . ed x.-: * i , te r . -- ' -- ''
lain Floor ..N�� �,, rrTz"> - .: �d" v$- ^`• a�..,,. . f-,,-:x ,{.� .
,:t.`4 `t- " X E`3 c3 F i 3 £��• s 4t ,f 7 ` , y,,y u a� � v „4
Floor f}.1 "f ' s9 '*kg� I, F }. R .. „„,-.>a. f -"` F, ka
e_ y K x �' 1 �'-t,,s, q�ys T nY. ,: $�j 4 Y gV"..'t's� p�
,..1h' ,' ,' ate' 7. .-- ► - ,7,1 ` tS nv '
Floor q� .ii �•, I }o a71: tti �`rP e 2r: .4• 7 "4 pr .'0‘.:-."
�+ l*r +•�t. - .max �"-;. i''.F:sr' .`"
v.}t, a 4 - r.' w, I: `+7236'5'Fy'4 i ;'7 J k°c�s�w0,. .,•�*',4 'F
:zzanine: t < „tea 4�,, ti 4 .• .'4:p f m ���'
rated Basement 4' t '' t `-- `'• ' x _,i •r 2 u `,- ;uy..a
i.r n� r. ,..: __ f .»c;y e. "r',:e , x a t ar d. �,,a 'r ` "�`�:
heated Basement . "v, .:7IfiWiTt ,,.' ` "-- ,� _ ' ' ,
may, +. , a�
ter Unheated r , ,,, k ,�.
} lie 'i.: F r xd t'1 �4v. .� "r',r1:i1S• ` §��1re --.a'oyi3' .i -r"A� N
9 1 y} r�1 1.
'''• ,,t{ -3'l:C a a 7` I Ag . pF B. yy r t a
,IDS 3 - Y k) : Y ' `•�'' .32..awr,a 0 rrp-4- $'�4 g',�.A. .
• Lv � N,z ,r �� .tr.,�. '�..re,;� xr 'r � a°' � fiL}�3 'i"�.+�'�i v,.-,,,
4� �L.
"S! '...,. &' ,v,g., ":-.tl r .e,T-- gf ,w: S+ ,ins.,
1MATEQ,�p, (REQUIRED) � �"
Dr
market value of all labor and D .'.. ,. 21,
�' xa : ▪rat��+ c y if -1 -
/� 77
+. �i-W ti Win .' �'+Y% st k 0 wi�;A�,t:47-A .. 'C ' S�
❑itCenter\FORMS\DAD FORMS\Master Permit Application 7_I-pq.doc l
� oN JEFFERS.COUNTY --- Pavi. \\\11
( °O&
� ' I' DEPARTMENT OF COMMUNITY DEVELOPM
R �d }
`- 621 Sheridan Street • Port Townsend •Washi 8368 � j�r .
SEP 2 2 2004 . - :,. +
360/379 4450 • 360/379 4451 Fax ; !R, v
�� p� www.co.jefferson.wa.us/commdevelopment U `%..i ?
87N t JEF(it:i - Ev OPtAENT
Master Permit Application ;, CI:-N.of c
Project Description(include separate sheets as necessary):
Tax Parcel Property
Number: 00 1 010 b l Q Size: acres/•quare feet)
Site Address and/or Directions to P �.
Property Owner(s)of Record: v1 o w Y �„...., ,e- ,/,147 L \ {vt N. Jar
Telephone: 37 J- -4 C q�� Fax: r--, email:A CC 1L 6 . (S ej_ \'r . 4�IA.,
Mailing Address: 0-0 3 J e,‘‘', C3 L A-240-` Sr (r24w?"••S.454'41:?
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address: —
Wtiat kind of Permit?(Check each box that applies)
lilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
/0 Single Family ❑Discretionary"D•or Unnamed Use Classification
t9'Garage Attached/Detached t,7r►AC 01411"7 ❑Special Use(Essential Public Facilities)*"
❑Manufactured Home ❑ Boundary Line Adjustment
❑Modular ❑Short Plat**
❑Commercial* ❑ Binding Site Plan**
0 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 anyother local,state or federal permits required for this proposal, if known:
ort4.3,
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 Ws 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 access 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 ly du' regular business
hours.
Signature: —4% 5 Date' 2_„ D
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-tra fe e responsibility for adhering to and complying with the ESA. The Applicant has read this di rmer a signs and dates it below.
'
•
Signature: �•, ��►-+tom Cj Date: Z2 fou
G_\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
331.60' •
..4ET ..
1
z
z
i . .
1 .
1
1
..
O�
.rii . . •
.,„ ›... a..
m•"� V
frl ) 3 id ,i., Ts‘
o N 4
co.)
r 0 H
at
t.
i . o
i � i
i \ i
\ .
u -'
. \ • al ''' A
04F ti
F
7r4p
/'
x / \\I,
I .
-§ § - .....,,.„-,, ,.....„)
,,.\,..,. _ ..... ,•, •. . .4\
CL fa) t....4 \ \C.. \ \ / t wa
C�'.r -� v1 au\ \ / q
� ` � i
2":
`fin. /0 it i
A- ,,
UI ; ,, m iii W vt
o 8s,, m ! 0 `, \ � Q., w /
_o n i a \
co I.
83 cnrrlj
M --- Q \j E/ \-
m
• \
�� moo- 1
Q I 4 i
I — Jolle , ay I
PER IT upµ.
4 6Q side road easment . rt: r',';. ' '
k: -. Il it p a Y = • ��-
'l