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HomeMy WebLinkAboutBLD2004-00596 °BUILDING PERMIT APPLICSON MRL04 00559 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00596 Received Date: 9/22/2004 SITE ADDRESS: 481 FARNSWORTH PL SEQUIM, 98382 OWNER: MARVIN C HEYWOOD PHONE: (360) 797-0058 BONITA J HEYWOOD 481 FARNSWORTH PL SEQUIM WA 98382-8757 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 1 PARCEL NUMBER: 991900001 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI DECK COVER TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 3,478.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 216 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: t 2 if /ôc ' F&W Landslide / �/ Shoreline Aquifer Forest: Commercial J� nn Rural Type Amount Paid Bv: Date: Receipt: APi1 V E ,,;F Permit $97.25 KAS 09/22/04 67597 Plan Check $63.21 KAS 09/22/04 67597 OCT 1 2 2004 State Building Code $4.50 KAS 09/22/04 67597 Jefferson County Planning Total: $164.96 & Building Department CoL s-e32-4 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00596 Received Date 09/22/2004 SITE ADDRESS: 481 FARNSWORTH PL Issue Date 10/12/2004 SEQUIM, 98382 APPLICANT: MARVIN C HEYWOOD PHONE: (360) 797-0058 BONITA J HEYWOOD 481 FARNSWORTH PL SEQUIM WA 98382-8757 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 1 PARCEL NUMBER: 991900001 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: DECK COVER CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing. ) ) ` p-Di Found ion: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: / f-01.-Dy Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: . )J —Oy 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 P • SPECIAL CONDITIONS FOR CA,t BLD04-00596 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.) 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. 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.) Setback from Farnsworth PI. (C502609) right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 8.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 9.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 10.) A minimum of two (2) on-site parking spaces is required for the single-family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 OWNER BUILDER STATEMENTam The signer of this statement does hereby certify that ey are the Owners of the parcel referenced herein,tha they are not licensed contractors and that they will be assttrisptyof the General Contractor for the proposed project. Signature: ' /20-( 1,)L-1 Date: Q� (-f t/ v GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER iARCHITECT/ENGINEER: PHONE ( ) • FAx ( ) MAILING ADDRESS: EMAIL '\project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New 4 Wood Existing: oc. O Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 03—. 0Z.► ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: -=$ Setback: )6 Private well 0 Two Party Type of Heat: Proposed: O Public Total: Name of System: P-1,.6.Skri /e A / - ',eg,G e If this is a Commercial Protect 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: 0 Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ 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 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 ," ` � ,u r-t.-n ,, tu-yam. Current Proposed '� t. .� . Main Floor Consistency Review. /��+ .;q .. gnu Floor _. ^ fi ,k �1 k. �� [t F 9 f.{- [[ ([+�,1 --il { �" a$@ feP.:." Q e~� F'*it .y.s+ -q t}'F�V }'v ::*.id,,- 3 Floor r'1 _ 1 fitional Section: ;, +' Mezzanine: l t i Ff s.r,; Plan Check fee: / ., , Heated Basement 1 State Surcharge fee: t f v _"fir , r '1 - �42 s Unheated Basement r '< Pot Water Review fee: �r`sc � �a DEFT.nnfCDP. h (Jldt"tI , Other Unheated 911/Rd ., < i. ,�'� r i Approach fee: t Garage/Carport i „c TOTAL: a t= Decks C Receipt Number: 6-T t�9 7 �-� 1 }, Y ` Other 3�.� Cash/Check Number: r -A.`'. k .,., a ESTIMATED COST(REQUIRED) Date: ct i ) • •Fair market value�of all lakor and materials foundation to finish L� t�'` �1 c Initials: ?O. G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc SONG L�; �� .I I --/ (—Of,�w4`' �, JEFT ! 12NITY ERSONUNY 0 =` ' a r DEPRTMENT DEVELOPMENT 1�-1 1 II 621 Sheridan Street• Port Townsend •Washington 98368 Li ,, 360/379-4450 • 360/379-4451 p� www.co.jefferson.wa.us/commdevFax elopment -- - • - .,S'$ING` ,� Master Permit Application MLA. t • `" Project Description(include separate sheets as necessary): OECD:. CO Jc4z_ Tax Parcel i Q Property Number: /1 1 q00 © ( Size: / 6 L e- (acres/square feet) Site Address and/or Directions to Property: 4-74f/ /' e./..%C'(Z)(),e/ 7 Pi • .Sen////Y1 /12,7 Property Owner(s)of Record: /%', /Z-i//./L) `-- ,C?1)/✓./72 /-/C-yzi2,9r+ d Telephone: 3 6 D --79 7- £20 -� r Fax: email: Mailing Address: 1.(--/ /--/?/.77Y5l%/O, 7G, ,'l-. S e'C. v i./7-1 // .r} 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) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family 0 Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home 0 Boundary Line Adjustment ❑ 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 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 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 appcation form,the owner/agent attests that the information provided herein, , nd in any attatments,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 required ter inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours.Signature: tC-G v5 ` -e/Z. 62(7 Date: _ ,,C C 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 lake"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 applicarlt'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-transferabl,responsibifity fo* a`dh�ing and complying with the ESA. The Applicant has read this disclaimer and signs apd dates it below. Signature: N) ?- J 7�c 7�`- --� ?/j`r)C. 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