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HomeMy WebLinkAboutBLD2004-00600 MLA04-00561 UILDING PERMIT APPLIC . ,ON Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00600 Received Date: 9/22/2004 SITE ADDRESS: 73 MOUNTAIN VISTA CT PORT TOWNSEND, 98368 OWNER: STEVEN D BROWN PHONE: (360) 379-9921 (V L RENE BROWN 1435 LOGAN ST PORT TOWNSEND WA 98368-8235 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 23+ PARCEL NUMBER: 999900123 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR ALSO A 250 GAL A/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: I��o TYPE OF IMP NEW MAIN: 1,450 0 VALUATION 274,821.00 ADD'L: 3;57+ HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 646 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD PARCEL TAGS: YES _NO_ BEDROOMS: BATHROOMS: STORMWATER: YES_ NO___AREA _ Exist: Exist: Wetland_ Erosion Prop: ,2'3 Prop: 4 Seismic _ Streams Total: 1 3 Total: 4 Flood Way _ Floodplain Routing Date: (z . iy ( F&W Landslide OP-f2 Shoreline _AquiferCommercial Rural Forest: Com Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,973.75 KAS 09/22/04 67715 Plan Check $1,282.93 KAS 09/22/04 67715 State Building Code $4.50 KAS 09/22/04 67715 Potable Water Application $52.00 KAS 09/22/04 67715 Total: $3,313.18 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Received Date 09/22/2004 PERMIT #: BLD04-00600 SITE ADDRESS: 73 MOUNTAIN VISTA CT Issue Date 11/30/2004 PORT TOWNSEND, 98368 APPLICANT: E BROWN PHONE: (360) 379-9921 (W L RENEBROWN 1435 LOGAN ST PORT TOWNSEND WA 98368-8235 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 23+ PARCEL NUMBER: 999900123 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR(2 BEDROOMS)W/ADU (1 BEDROOM) ALSO A 250 GAL PROPANE TANK CALL IN FOR THE REQUIRED INSPECTI' THAT APPLY TO YOUR PROJECT. SETBACKS: AK 1 �r UFFER: 0 £M4cclt VOW leiL Wit-A.0O ,�0 Footing: ,�Q,sb,�'2E.Ayr /�A-Vtc4 �1� /3//:!›,t; vU Foundation: uis(aok-+41-'11-145- gerYA f `h-9/ (:)� Stormwater FINAL Approval:, Underground Plumbing: c 3 /`!Os Underground Insulation:j Km CiK 3�4r Shear Wall : Framing: J, G 20 4540 - dzoJ,s f l l��D/: Plumbing: SA5 S 1 �- -l- ri O)4 �o-6'°S c,c9PPP#- 6 �o l b b Propane T / Lin : ( i&-rnrs t.'�+f.,11,.1,g 6 �o'tG--oe /Aar" o i/ Insulation: 7 Sheetrock:,Nf WO (u I004f, -flti'` -, Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 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 CA# BLD04-00600• • 1.) The road approach permit(RAP04-00193)must be inspected and finalled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff at 360-385-9159 for the road approach inspection. 2.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 3.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 4.) 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." 5.) 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. 6.) The project shall adhere to the Best Management Practices (BMPs)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. 7.) A Medium Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Setback from Mountain Vista Court right-of-way is no less than 20 ft., side setbacks are no less than 5 ft. and the setback from SR 19 right-of-way is no less than 35 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 13.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in height from the finished grade. 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. 14.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from cutside 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. 15.) The subject property is locate the proximity of the Jefferson County Interrfiational Airport(JCIA). The JCIA is a public, general aviation airport with a hard surfaced 3,000-foot, 12,500-pound weight bearing capacity runway. JCIA experiences frequent landings and take-offs. Structures located in the proximity to the airport will, to varying degrees, be subject to noise and vibration from aircraft during take-off, landing and approach activities 16.) Wetland buffers shall remain naturally vegetated except where the vegetation has been disturbed. Invaded by highly undesirable species (e. g., noxious weeds). or would substantially benefit from the increased diversity of introduced species. Where buffer disturbance has occurred during construction, replanting with native vegetation shall be required. Minor pruning of vegetation and removal of undesirable species (e. g. alders) may be permitted by the administrator on a case-by-case basis. 17.) A minimum of two (2)on-site parking spaces is required for each single-family residence (total of 4 parking spaces required for this project). I:\F_BLD_Permit_Buildng.rpt 10/29/19 -isON 4en e06, JEFFERSON �JNTY _ kiiit '''l DEPARTMENT 01- COMMUNITY DEVELOPMENT a-_^ �;; 621 Sheridan Street • Port Townsend •Washington 98368 ` 9 �y 360/379-4450 • 360/379-4451 Fax ,,f' qS, N��O www.co.jefferson.wa.us/commdevelopment 1 o 9 1 Master Permit Application MLA: LACYk'� / r Project Description(include separate sheets as necessary): ` ` - - s litiGL,E- "e1,(1/GY , /.O -NG� Tax Parcel Property Number. 9 9 9."9©o */ � 3 _ Size: ...,A8¢ square feet) • Site Address and/or Directions to Property: 73 /y4904✓7 /.tr 1' `t C- el/2-7- Property Owner(s)of Record: 57 VE rr ,2eAi �,eesuJiy Telephone: 360. 3'B5 • 386,�. Fax: email: Mailing Address: /435 L.06.4N 57 ,OO/ZT' x-ai/VSi/0 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Pr Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑Demolition Permit X Single Family ❑Conditional Use[C(a), C(d),or C]** ❑Garage Attached/Detached D Discretionary"D"or Unnamed Use Classification ❑Manufactured heHo / ❑ Special Use(Essential Public Facilities)** ❑Modular 0 Boundary Line Adjustment ❑Commercial* ❑ Short Plat 0 Change of Use ❑Binding Site Plan** ❑Address 0 Long Plat** ❑ Road Approach ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Propane 0 Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/permit Revisions** XI Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* D Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference Please identify any other local,state or federal permits required for rth s proposal,uires a c if known Conferencealion 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. • Signature: Date: i/cir"�l _ The action or actions Applicant will undertake as a result of the issuance of this perrut 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 ttie 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-transfe e esponsibility r adhering to and complying with the ESA. The Applicant has read this disc ' er d d si s and dates it below. • Signature: 5 p Date: G:\PecmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc o. OWNER BUILDER STATEMENT rice. `( r I �, The signer of this statement does hereby certify thall are the Owners of the parcel referenced herein,tt>iley are rnsed contractors and that E they will be assu ' e responsibili of the General Contractor for the proposed project.je ..r Signature:���I i{J1tif Date: L L� (6) GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FjAX: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE . WAINS NUMBER: � NUMBER ., ARCHITECT/ENGINEER: won/dex vs..45w{/O,pKs ,Co/,CE,¢•eC.#.073/�'pHONE (Yee) -)3g�'59' FAX:(NO Mil 46 Da MAILING ADDRESS: 2 ge5,/EA/40k/r—ie /7/- of rt/SE7[so .EMAIL !J/jiDL.0 @c'l 6M,, i.ceia. Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: pil New jif Wood Existing: -62' 0 Sewer ❑ Addition 0 Steel Proposed: e•°5 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: e•S Heigh : VC Individual System CI Repair ❑ Masonry ^' SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 19' Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 2 X Public Total: 2 Name of System: a-C• vDAID, / 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 Er-Above ground Tank Size of Pr9pane Tank: ,2`j d C•. ❑ Heat Stove 0 Cook Stove ElWoodstove Fireplace Insert of Water Tank ❑ Pellbt Stove ❑ 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 i yA �,r 4 r, Square Footage 'For Office'"Us y 4 4 �' Current Proposed 1 �� + =S \ o�onsistency Review: Main Floor //'�'Jr D Ff3. 'r ''` `�"� `k��. '' ?ae'�r�''£� ,+�ty fee « � y2"1"F_Ii_oc:$r Loi yf eivelpt 52/.2.5' 44,1 ICI .411-i, j,- ti,: . -',% '' - ,, tli,t ',1-4.:- ,r%. 1%1 (d Yr Floor AMdfi_oraf' on: y• �k ti w , Mezzanine: N�� • Plan Checkfee ,:Y� ` F f *_, '- —_ Heated Basement State Surcharge fee:'`' ?r �..�y ` ,,,� `,,3Q t, ; ' F Pot Water Review fee �, - � m . 6 Unheated Basement N/9 f M , ,� �,F ak l ' ,�' " try ;:; > r. Other Unheated 911/Rd Approach fee: E: : � b ri *y �fti. �c 9 � - cl Garage/Carport TOTAL $ `" ,i .."� 44, icy%A I N' Decks .5 Z g I Number: Y' ° ' "1 r, ;,76 N- Other • . Check Number _ r A 31 0 7- ESTIMATED COST(REQUIRED) A 4 1I `_ • r i 'i t s ' r I f GF�' •Fair market value of all labor and materials foundation • fir i� r, 4 ~s . , I 6 0 / nitials 7ir ,< 1N•• y _` �R y� li , , '' ::' . '' m. `. , 0 ,tli t Olt G:\PemtitCenter\FORMS\DRD FORMS\Master Pewit Ap 7