HomeMy WebLinkAboutBLD2004-00615 IIIIII
• BUILDING P ERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-0061 5 Received Date 09/28/2004
SITE ADDRESS: 200 GRIFFITHS POINT RD Issue Date 11/17/2004
NORDLAND, 98358
APPLICANT: KEITH L BROSSARD PHONE: (206)363-7880
DAWN A BROSSARD
200 GRIFFITH POINT RD
NORDLAND WA 98358
SUBDIVISION: NORDLAND Block: 19+ Lot:
PARCEL NUMBER: 976201903 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: DISCOVERY BAY CONST CO INC PHONE: 385-4372
PO BOX 1410
PORT TOWNSEND WA 98368
Contractor's License: DISCOBC090B9 Expires: 9/9/2005
PROJECT DESCRIPTION: ADDITION &ALTERATIONS TO EXISTING RESIDENCE
CALL IN FOR THE SQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: i—6,o," KrtckaJ EArk) 64. 3 f!//D, iv
UFFER: `` �
Footing:w et..„, 2 (-1 uS� (rreJ►Ea L-k-bo OK 3/i/05
Foundation. . 0)5 I pri a �,rt,,j pt 3/„/05�
Stormwat FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing:
Plumbing:
V ?C Propane Tank/Li s:
Insulation:?...? G.p)C�••
Sheetrock: Dg 1,2 6
Septic Sytem Fina A prova'I (If not on sewer):
Road Approach Final Approval:
oning Final Approval:
Final/Occupancy Approval,/O7j28 Or
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
Ampimi
SPECIAL CONDITIONS FOR CE A BLD04-00615 •
1.) 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.
2.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
3.) The building height is not to exceed 35 feet.
4.) Minimum setback from Griffiths Point Rd right-of-way is 20 feet. Minimum side and rear
setbacks are 5 feet.
5.) A minimum of two (2)on-site parking spaces are required for single family residences.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
I:\F_BLD_Permit_Buildng.rpt 10/29/19
4UILDING PERMIT APPLICION MRLA04-00pe573
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00615 Received Date: 9/28/2004
SITE ADDRESS: 200 GRIFFITHS POINT RD
NORDLAND, 98358
OWNER: KEITH L BROSSARD PHONE: (206) 363-7880
DAWN A BROSSARD
200 GRIFFITH POINT RD
NORDLAND WA 98358
SUBDIVISION: NORDLAND Block: 19+ Lot:
PARCEL NUMBER: 976201903 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: DISCOVERY BAY CONST CO INC PHONE: 385-4372
PO BOX 1410
PORT TOWNSEND WA 98368
Contractor's License DISCOBCO90B9 Expires 9/9/2005
REPRESENTATIVE: RICHARD HINER PHONE (200) 103=7h00
5337 BALLARD AVE NW
SEATTLE WA 98107
PROJECT DESCRIPTION ADDITION &ALTERATIONS TO EXISTING RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 192
VALUATION 80,000.00 ADD'L: 166 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 221
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 3 Exist: 3 Wetland Erosion
Prop: Prop: Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: /� F&W Landslide
/ c /Q` Shoreline Aquifer
/// Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $853.75 KAS 09/28/04 67726 APPROVE !'
Plan Check $554.94 KAS 09/28/04 67726
State Building Code $4.50 KAS 09/28/04 67726 NOV 1 7 2004
Total: $1,413.19 Jefferson County Ptannina
& Building Departnyt_erdt
SEP-27-04 NON 04;47 PM DAVID R. GOLDEN AGENT FAX NO. 2063837858 P. 04
Sep--Z7-O4 03:45p re On St...,_tj� —
206
•-• sozv M1t.� 1 l
r i D+EPARTMEW OF COMMIMffY DEVELOPMENT 'Or..
t �Z j ti2i Shari an street•Port Townsend•Washington 98368 s; - L 0 LUn=1
` � �� 3vvro7S-44Jv• 3pv13779-445i Fax i
��YIN� Ili v ruµtssUts.
i7.....1..«ttl.....y..ta A...,Ia_ aa__ - ..
.100,me fY.i•Wiaa RIVeri14tiitlSii i Grl.l., -�} J �} <,�__�_..
t — MLA — -
I Project (include wets ea newsy): Adt t l 1 ; i GtflA A tier 45 h' �}c%77'rie 1
' TAx Paroei 0 -7/n ' t I a A 2 1
i�s:n[1e` 7 ty L u P � � �� t
_ _ Stine `/• Gi #' S c►es/s�uare feet)
I Site Address anther Directions m PrQpe!ty, ZOO 4 i th f'fll fn i'1 t K61, t Nord'L )n w,A Q ,4R
Property O+�+r�l!!(s)�/Rr/owd: l( f 1 r t o "brLt}� rlI
- t
Telephone: U, CO ;r i ` Fax: J
tiaterrar
Malting Address: . .r I art i n i-Ii-! j. 4 ,(. /fir'
Applicant/• •ant different frb�1r Jowner): // /.a%! `f�` ;a
Telephone: ' if f:/L1 0x t !
Mailing Address: 'li'rr il�+,'/�7 U l� ' .r r .� A i r A �r �?/Clili / 1,Yk'
- .t kind of Permit?(Check each box that applies) 0 J
�t;l .Rion Permit n Conditional
yr iteasar►abie 1Eotutorrrlc Use)
Faintly ,at+diGonaf Use rm.^tcfj or e)
❑,^varagt= milt'Attached pitied-hod C7 Disaxetionary'd`or Use Choe /fen
r0.Manufactured Horne
U Special Use(Essential Public Facilities)"
I;Modular I?6vundary Line Adjustment
I)Commercial` ❑Street F
t Change of Use n Binding Site Plan"
PJx"eCh O Long Phit"
f Adrir►5n
t.!Road A 0 Planned Rural Residential Devei
!1 Propanen Prat VacegorVAlteratlon" oprnent{PfiROji{ttrtdrtda y+ts••
VI Mowed"Yes"Use Consistency Analysis n Shoreline Master Program Ex eA
Ii b�'iormwater Management r�'►j evelopt Revisions
'.!Site plan Approval Advance Determination(SPI�AD)` n Sho��� Van 1 Devt�toprt►�ttt"
t i Temporery Use Shoreline Management Variance
U Wireless Telecommunication• ComprehensiveE1!?n1r.fL�,ta Use Nisi. Map Amendment
U Jefferson CountyShoreline "e•,meat"ran
tl Forest Practices Act/Release of Six-Year Moratorium r'r*.ge seat Amendment
'May raqulre a Pre-Appt!caf1 n Core-alpaca _ t1
Please identify any other tocaJ,state or federal rmits.re uired(or this a Conference
-� Pe. proposal,if known:
!hereby desigrit s:) I jr l4 NATION OF AGENT -- ---- - --
1 - to act as my agent to matters re!abng to this
\\\I
V _ /' ppll5on for par+t {s}.
.�1 OWNER SIGNATURE`;ti---cc�..
�t Date: G! -1= '1
c
I ay/junkie t11ts am atjpj tent;then ant Mat tut lnferrrt r ,
iris,her or it's knoyAedge. Any material feisehooii or any omission of it material tad made by
and.n any skids-news,eat%irthreep.e,A hi this
is tare s,xi uoniloation pared
ro eve best of
i
may result in this permit being null and void. otruerl wGPir
i further agree to save.ardernney and fold harndess Jeeer on
a ,p,,.y �y t" rry CAttt�ty against all liabilities,jttdortenfs,court tarts,reasonable y Q im egrist Jst+.eron r.�,un1y es,a result of or in axisequence of the ❑ afhxneyj's fees and
I t;- .,...�.,,�L�aJe.��a:d-+t^•tx of gra »ns}of this permit
entry to Je l ,„n,Cour and its e/ri
review/ any required bier irtspeetions. l Yew.representatives or agents for the soleepp t
and right d entry this apurpose of
hours "gpa•tY She! >r n r••�+.r �. try:,t d�tai in strati
r .r!.r�r„
SiOneitlre:`: :. .
- I Ma atborr or amens?Dc�tt Mii undertake es a rr:3i*of lire taeuaods or mtc perms may _ _._
endaroentel sneriea> d souk,meet*a potential lefre+'el en_...l..,-,a13 ,1�s Moss re impact e in tie federal taw known upon one or more as the
"Endangered Spedes Ad'or"ESJI*lefterapp County mattes on essurences to fie agctcant that the acinrts Ntat wit tie i .l.,t..ten he,.tin
t permit eras been issued wiN not violate Me ESA Any iradMOual.geld,or agency can file a lawsuit on behalf of an
1 /.Mere!.?e..ire N y..,ear+in ... .!is.,ir +-•pit d ' endangered she
ipvdes►resat ivid Your
WI non-hen tale Y Cs -rent tee.T s srµ
iiii-
i Y dtaetirlg to and c fylog with the ESAreed edrje3 that tee,six or Individual
olitir...,,,,,2 ..._..T.7./
i,:to cant--, het\FoRms- s.1.)PORMS\MaarcrPrrros Applicator.7-8-O4.doe
OWNER BUILDER STATEMENT
The sic.;:er of this statement does hereby certify they are the Owners of the parcel referenced hereinat theyare not licensed they will be assuming the responsibility of the General Contractor for the proposed Protect �� and that
.
Signature: Date: f,
i
GENERAL CONTRACTOR OR MANUFACTURED HOME INST •y ^ PHONE: ,'
p V? 4g,k; .(ifits��Y I��C op (' �,,��) �J FAx
MAILING ADDRFSS /�f v 7� D_ � (1 L� �� (O ( i r� ` ^�
�`- i' 'I 4/CJ T� i- Ain C ✓ EMAIL:
CONTRACTOR'S LICENSE I /
NUMBER: WAINS
NUMBER
ARCHITECT/ENGINEER: 1 / /�
MAILINGA : JC�,,��, / ��r,•,r,'-t i (%7-61" /-teem/L PHONE ( ) 2Q0- iZFAX:( c , )' ✓.- x-/
/ ql) Al it be zii .S/C v .GEMAIL c� [y 7
Project Type: F �Q �/
me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X❑ New Wood Existing: S 0 Sewer
Addition 0 Steel Proposed: Bank
0 Alteration/Remodel 0 Concrete Total: .. 7 Height: ❑ Community System
S CE Irldivi System
❑ Repair 0 Masonry P Permit#
❑ Demolition 0 Other: Bedrooms: Waxer Su
Existing: Setback: Supply:
T Heat 1 Proposed:
' Private well ❑ Two Party
��'� iG Total �J�- 0 Public
Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking
Number of occupants(includes owners,tenants,employees, Spaces:
etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will
y have If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:Service? Yes / No
0 Underground Tank 0 Above ground Tank Size of Propane Tank:
❑ Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank ❑ Pellet 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.
Square Footage
ForOf AlsO iy •.> ,, rt.,z , r A TT rCurrent Proposed � ar . t ~ +e rfMainFbOf �j�j Ok t
4.
�^� A •..z ` L 1 n }r t # P c A x
eu Floor 7
3"°Floor � , � �/�
/ yie - S/u
VI itional Sectit �'�i.
• rt
Mezzanine: .:
`hedcfee: ,
Heated Basement „ 0 �/�r for ‘/eri .
Unheated Basement k
a i/l- --c6
Other Unheated 000
Garag
Decks (P3.al Ut'0 :.....-•: • -.::.: '.:11*4***!4) ,
Other
� aaiJ `f11 -
ESTIMATED COST(REQUI. l) \ :.
•Fair market vat of alb labor and , - : foundation to finish
3 ��r
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