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Home My WebLink AboutBLD2004-00649 •UILDING PERMIT APPLICAAN MLA04-00594 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00649 Received Date: 10/13/2004 SITE ADDRESS: 15 CARTER LN BRINNON, 98320 OWNER: SILAS L SMITH PHONE: (360) 274-7009 CAROLENE S SMITH 812 SI TOWN RD CASTLE ROCK WA 98611-9378 SUBDIVISION: OLYMPIC CANAL ADDITION 2 Block: 11 Lot: 1&2 PARCEL NUMBER: 980401101 Section: 21 Township: 25 N Range: 02 W CONTRACTOR: METAL MILL INC PHONE: (360) 262-9080 146 ESTAP RD CHEHALIS WA 98532 0) Contractor's License METALMI990QH Expires (361/8/zt0 083 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 30,912.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: r \ CONST TYPE: GARAGE: 92 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: 0 J (2-1/ 01 F&W Landslidequifr I V' Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $451.85 KAS 10/13/04 67868 P PR O\ E r" Plan Check $293.70 KAS 10/13/04 67868 State Building Code $4.50 KAS 10/13/04 67868 NOV 1 0 2004 Total: $750.05 Jefferson County Planning n & Building Department C-UL -2coul .,, ..fir • BUILDING PER MIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00649 Received Date 10/13/2004 SITE ADDRESS: 15 CARTER LN Issue Date 11/10/2004 BRINNON, 98320 APPLICANT: SILAS L SMITH CAROLENE S SMITH PHONE: (360)274-7009 812 SI TOWN RD CASTLE ROCK WA 98611-9378 SUBDIVISION: OLYMPIC CANAL ADDITION 2 Block: 11 Lot: 1&2 PARCEL NUMBER: 980401101 Section: 21 Township: 25 N Range: 02 W CONTRACTOR: METAL MILL INC 146 ESTAP RD PHONE: (360)262-9080 CHEHALIS WA 98532 (30) Contractor's License: METALMI990QH Expires: 11/8/2005 262-0083 PROJECT DESCRIPTION: NEW POLE BUILDING CALL IN FOR THE REQUIRED I PELT ONS THAT APPLY TO YOUR PROJECT. SETBACKS: OK I2/e int UFFER: N/A / Footing: OK a/eL nu/J60ns I V'4 -# Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wail ),` Framing: LAY calm, f-4--/--45-- Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: ` '- Final/Occupancy Approval /-/ 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 CIE # BLD04-00649 1.) Truss construction documents shall be prepared by a registered design professional and shall be provided to the building offical and approved prior to installation. Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. 2.) 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. 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.) Minimum setback from Salmon Drive and Carter Lane rights-of-ways shall be 20 feet. Minimum side (south)property setback is 5 feet. Minimum rear(west)shall be 54 feet. This is the boundary adjacent to the commercial forest lands of which the proponent has stated in writing per letter dated October 13, 2004 that they acknowledge the commercial forest lands and will not be aggrieved by such commercial forest activities and noises. 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that ey are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumingsu the responsibility gf the General tractor for the proposed project. Signature:.A �' j � .-e'�/y�ve Date: /(? i Z. 0 11 i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: i/e tieTai r?;li ce,Rpt4 a_rd,c',a (3frc) :z6.z.- 9a?)0 (36o) :zt7z-010?3 (LING ADDRESS: ( Y J re./Int.! c,4 e EMAIL: CONTRACTOR'S LICENSE r�I•S' a�-n ��i `Z WAINS NUMBER: NUMBER 1`?�:T-cc. I..!`!.r ?ye) q f� ARCHITECT/ENGINEER: 1 0 50 iv, i n J z.►1 e o nitpue _ PHONE (Noe )7 br 4„/.] FAX:(3 60 )7i f0 6,/y� MAILING ADDRESS: it25 ./y pug k J Ac,,j I,v c.,nr,° c h•�hai i'S EMAIL 1 ct cjV5-32- Project Type: Frame'Type: Bathrooms: Shoreline: Type of Sewage Disposal: izi New d Wood Existing: ❑ Sewer • ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: '. Height: EA,Individual System O Repair ❑ Masonry SEP Permit# 41"i$ ' i' 0 Demolition @Other: 4/c,r1 Bedrooms: Water Supply: Existing: Setback: p Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: 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: O Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove 0 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, includin r the reserve area. Square Footage For'Office Use`Only _ "' ;.g Y x 4 e 'x > r� Current Proposed I *, `, ; . ' . r�,,y Main Floor �_ Consistency.Review A -k_ -1 'wi F ,, 2""Floor Base fee: 4,,--„f Ai,-'?':...,i,8,;,e1;,.-1„,,,,, % ft„ 3 Floor 3 di tonal Section: .4,, Mezzanine: - 4 � 4 jan..Cck fee: 1 zc "y ' . Heated Basement E, � K� � �:��urcharge fee: ''';;;; Fr 1'+'a ' ' A jw�i ' ',.-.; Unheated Basement dater X, ��` � :: • '�. �+ k �' Other Unheated 911/Rd ' , - - � -- ti :-' 0 Approach fee: � „� �,, � ��,} �, -�`�. Garage/CarportOTAL ` �� a t G � , v,T k. ' .'4 e , 4 Kt '' Decks p 2 u aReceit Number qe � '''' k•ti $ a' I,- / , rOther4 v- „ ,, ,?..,,i ,ii.d.4..1 Vg1314# •:.:A,‘`'itsi':,, 4 i ESTIMATED COST(REQUIRED) p ''"� s � .' ` ,� "rt a,1 ,-, tr' zi,F.: , ',1 *Fair market value of all labor and materials foundation to finish • °- k, �� F.��' ' t�P "•3 000 In 's OCR, r, .A tf -' xm eirfri orii G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc :_i � `'' ` ( 3f 7. G: G4 a fr.t.K�__ _ , �4,.¢ ON cod. JEFFERSONOUNTY III r' 'V DEPARTMENT OF COMMUNITY DEVELOPMENT ' R 621 Sheridan Street• Port Townsend •Washington 98368' :..: 360/379-4450 • 360/379-4451 Fax 4� p www.co.jefferson.wa.us/commdevelopment 1 3 2Jr'-` $INS Master Permit Application .MLA: 0 ., Project Description(include separate sheets as necessary): — --..-- LL Tax Parcel \,...- Property Number: 7 e) Llei 10 j Size: 3 � .2 ..5— (awes/square feet) Site Address and/or Directions to Property: /5 ; rLj'J 4.:} 1 r:):y- Property Owner(s)of Record: ..S r/cc..5 & C.¢/t i�l e ri e SM il., Telephone: 36 d- 2 7 if-7,0e Fax Fax: email: Mailing Address: 'l) Sr [ ' 0 4 ( as Ti a✓c.f<, ,...-tc yin It Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) I'uilding ❑Variance(Minor,Major or Reasonable Economic Use) El Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification rrl'Garage 6 ed-/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address 0 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 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 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 only during regular business hours. Signature - A Z ‘- _-, 4 Date: /Il — L 1.--- r U , 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. .4 ' Date: t f2 • t� tier.. Signature: . 4 �7 -r2n a r G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc PERmlI #. RED -- 04 - 644 i —�-- I 1 ( t ' - -- Ail l7. .ei _.. _. ' "r, j -(. 1. i i ( ! -.._f--i'----�t Sill:--L.d 1r'�r+ f f i , --- 1 /i l:i�?,d, :: DEPT.OF CO 1 �r D: `v ! i I --- + _ SIGNATURE: (� di 5 - _ j i- ,., ;La - f _ n? at ;; , ,• f • t Storm e. ��g Jii.I��, -®� ',� - Q f: j I' f' 't _ 7 - F f . , 14, : 1.4. , .., .' ! , _....,___,__ 7.._________;_. _ • - - --- i.0 • 1 ., `*'- im -�-- S�,_ , - _�rr.i - '. f ` _ w i i \ � G t i .� ; Eg1. •Ii t.:- , : : ' f ! ..i i : el\f. ;; ! \',. -4.:---i-----!------,---L'H --_-___,I____H______L____j_____11,, H J :FF RSGN,C 1 —r— —s__ s 'T — ! • 1 i, ',aka')EVE , --.s F ,