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HomeMy WebLinkAboutBLD2004-00690 IMPLDING PERMIT APPLICAM MRLA04N00pe624 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00690 Received Date: 11/2/2004 SITE ADDRESS: 96 CARROLL AVE PORT TOWNSEND, 98368 OWNER: JONATHAN D MILLS PHONE: (360) 344-4245 COLLEEN L MILLS 96 CARROLL AVE PORT TOWNSEND WA 98368-9364 SUBDIVISION: GISE'S ADDITION Block: 20 Lot: 1-4 PARCEL NUMBER: 953102001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: ACE CONST ENTERPRISE LLC PHONE: (425) 205-9331 13302 1ST AVE SE EVERETT WA 98208 551l 77 33 Contractor's License ACECOCE976PG Expires(4210/742005 5 1):)114 ceACt�D REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 864 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: /1 � / ,1� F&W Landslide �iG / (J Shoreline Aquifer ` l Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $251.25 BAC 11/02/04 67897 A P p R®V E�► Plan Check $163.31 BAC 11/02/04 67897 State Building Code $4.50 BAC 11/02/04 67897 DEC _ 6 2004 Total: $419.06 Jefferson County Planning & 8wIdAing�Department t)07 )WNER BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that the are npt licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. �t __. Signature: Date: i.:t . t ' NOV - 2 2O', r.. GENERAL.CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ' FAX: 13c i-±41i/r se I L:e e/1 zJ s, igEP (ya0 : P. q33, , (r '7.q eia MAILING,ADDRESS: A/_ ceics Ji. eA/c't/'risF' AAC. EMAIL. CONTRACTOR'S LICENSE WAINS NUMBER: 466 CL)c e 47,61'` NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: T Shoreline: Type of Sewage Disposal: Ly4.,New iR Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# cf20--/Y CI Demolition Water Supply: Demolition ❑ Other: Y: i PP Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: I 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: 0 Underground Tank ❑ Above ground Tank Size of Propane Tank: o Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert 0 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 For Office Use my a't X 4^„ Current Proposed r Main Floor Consistency Review v V'�r 2 Floor ease N� i.ti m',x A s �4 v :t �' .✓mow< 3f0 Floor Mdr lal Section: , , ,�}}'' Plan`C ck fee: F , ',s,. v Mezzanine: 4 AA, I. rcha e f "'� e. �. , Heated Basement SIG! rg �� �v j *�2, �#,£ Z , � x',, Unheated Basement - [Water Review fee '� e ;` �� � ,,,-;y �* Other Unheated 91 /Rd Approach fee: • �▪ : '- `, - " ,,� ' ,�Garage/Carport TOTAL $ Y �yA' 4s : Q'4/ 13Q10 �r - ; - ' 'ice.. . Decks Receipt Number. ,� " �r Other C ash/Check Number 3 '�' 3 ;� .,, ,y k. 4 rF*� axe t 3 �' 1 `H" �. ' ES TED COST(REQ D) Date M ': Y � �� " 4.� aF, a iir��/�(l7]arket value of all labor and m erials f dation to finish - G:\P [Center\FORMS\DRD F Master Permit Application 7-8-04.doc lagON0\� JEFFERSJUNTY ,� DEPARTMENT OF COMMUNITY DEVELOPMENT - �> b 621 Sheridan Street • Port Townsend •Washington 98368 �',. i 360/379-4450 • 360/379-4451 Fax r Nov - 2 4..� O� www.co.jefferson.wa.us/commdevelopment btING Master Permit Application MLA: , '�" eft , Llt.DR Project Description(include separate sheets as necessary): DO S f irt>IjrIN / tc,/lr,i," Tax Parcel Number: T S 3- /Oa —U©/ Property v`�3OJ x r i '' �`lU5 . t"� (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Lfl 4t.4 ' cciic.:,-n 4,/(S Telephone: 060 ivy-y:14,5- Fax: email: Mailing Address: c,,-i t> Applicant/Agent(if different from owner): '%)«,1 Sari.Z�cn /1C--6 C•‘,,,.sf j.✓,C: Telephone: 64/2 2&r.-9 5/ Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ►.Garage Attached( etached) ❑Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 / :0%I -S. «`.-i,�; • to act as my agent in matters relating to this application for permit(s). /f OWNER SIGNATURES ;a --ram J � Date: //' C% By signing this applicatl&i 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 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 later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature.C---7 .25: -.--- -----,.. Date: �l y__. '.---::;2.--� 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- rable responsibili r adhering to and complying with the ESA. The At has read this disclaimer and signs_and dates it below. Signature: /s�3 Applicant /72—cam r G:\PcnnitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00690 Received Date 11/2/2004 SITE ADDRESS: 96 CARROLL AVE Issue Date 12/6/2004 PORT TOWNSEND, 98368 APPLICANT: JONATHAN D MILLS PHONE: (360) 344-4245 COLLEEN L MILLS 96 CARROLL AVE PORT TOWNSEND WA 98368-9364 SUBDIVISION: GISE'S ADDITION Block: 20 Lot: 1-4 PARCEL NUMBER: 953102001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: ACE CONST ENTERPRISE LLC PHONE: (425)205-9331 13302 1ST AVE SE EVERETT WA 98208 (425) 743-0105 Contractor's License: ACECOCE976PG Expires: 10/7/2005 PROJECT DESCRIPTION: NEW POLE BUILDING CALL IN FOR THE,R 9UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. �FTBAC;KS:UUyy- UFFER: Footing. /Z 2/-c Y Founda ion: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : i Framing: 1_1/4 t > Plumbin : Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: I—1�17 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 C*E # BLD04-00690 • 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 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 Eighth Street right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 20 feet. 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 I • • 1 i F,,,...o 2-zoos t.l`.J C.G2. LL.N(.art O.L.C. •4"X4" Ce.-.c. (`�pN. Irl CAST '=.20,..1 l=.aSE G,�.LC. QotilTlon OF S.+raD�CoNE MON, w1?M C3�.aii PlN 1 1 saT th+ 1aa3 To 2e.L,.ce oa14. Cn.L.0. w.TN.aS 1 I. O88e2i I -." ..11 .1' N t{'I�EeP St r< Yo�.t2 of S,C IdYS a POST. Fe 67N 0 (8�l Z.V. �i� Z 643.73 // 0 1 2801.4c- NwCoQ.Cut E / P•'-�.6 2V. `__--_•�_---_-�_ �_—_--_--_ 3aL:7c. s AO�nt, _J I nl /.3S.4.1-a I 1 1 ___ j _ 230.00 D 32 I " CARROLL AVE. /..-- S88'2 ' 12'E --------------- I — ------------------------------- ---------- - • 1 I 13030230.00IS80'22'12"E1f\ Irn �' = in ILOTS1-4 BLK. 11II W = 1WAPN 953-101-101 1 z Z � ;.2 I M < ol PARCEL A 1 w = Z r 22452 SO FT AF ' R BLA I I _W — O to co i Z W c .r I cu I (lj O w 1 3.41 NEY SNORT LINE MOUSE I ` I ' w o a � � Nea•2r 12•u � Z 1 M r 0 30.00 a a3.41 ° J 1 N Q • N h; 0 U ;:... = 230.00 � {N-.NS08'22:12:2 - - I �- LD 8NDI1Y LINE Sf:ELL 1JJW 1 — a ,3b A o . 116.59 I W "� a9 2'12"E t f— Wo Q... _� i—F —/ / 10/ I. / rf 0 15 3}0 5✓ 60 90 = L r I I"� ! I I [n t = rn 10� SCALE: /VI= ,6.0t,f :i. 10 n > I LOTS .5-8 BLK 11kafe) I Z y o Q, APN 953-101-105 w. 5 t o H . 1� • ~ 1 BLK 10 Z z PARCEL B �v� �`�`� 1; � 30076 SO FT AFTER B 1 w 02 /� - { Y W . • N1/2 STAT. VAC STEVENS AVE. I a STEVENS AVE. "' 1 I^_ 230.00 - I � _ /CE1 iTERL L NE VAC. STEVENS AVE m 1 1 f ,,i----- Y 398'22' t2^E —-—-—-— -—-—- �l 230.00 I 1 I _ S88'22'12"E i N n 1\f?�LfVe+.. RESOLUT 1' 61-93 1 N1 Gl I S1/2 STAT. VAC STEVEN vg� 1 in H m I BLK 2 1 —DRAINFIELD 1 1 w 1 0to a n < I LOT 1- . __ - n .w . N y 5 • tov n I ti- z W 65 ._ , r 1 C3r�z..)M f I I T I o Y t(� � �bi Delve 04, o I. i t o I _ 30 30 — 230.00 • 30 I 30 s...r C.iza.N1sCZ. N86.22' 12'W • V1SE ADPNL APPROVALS DIRECTOR, JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT DATE • I ar'cc/ tb JEFFERSON COUNTY ASSESSOR DATE ! 5-3''f Qa -oo / FOR LEGAL DESCRIPTIONS OF PARCELS A & B BEFORE AND AFTER B.L.A. AND THE STATEMENT OF INTENT SEE AFN BASIS FOR BEARINGS: WEST LINE OF THE CLINGER D.L.C.' PER VOL: 12 OF SURVEYS P.26 6 VOL. 21 OF SURVEYS P. 154 FIELD PROCEDURES: IN: NW1/4SE1/4. SECTION 11 . T.30 N. . R. 1 W. . WM. -- CORD QF SURViEY OF• PARCELS A AND B AFTER BOUNDARY LINE ADJUS RENT. THIS SURVEY WAS PERFORMED BY FIELD TRAVERSE BEING A REVISION OF ASSESSORS PARCEL NOS. USING A LIETZ 3 SECOND ELECTRONIC TOTAL 53-101-101 ` 953-101-105. RECORDS OF JEFFERSON STATION THEODOLITE AND STEEL TAPE. COUNTY. WASHINGTON. FOR, COLLEEN MILES 6 ESTATE OF GENEVIEVE N. RODEEN AUDITOR' S CERTIFICATE SURVEYOR'S CERTIFICATE WOOD SURVEYING I NC .JOB NO. E22 THIS MAP CORRECTLY REPRESENTS A SURVEY 2155 DISCOVERY RD. PORT TOWNSEND. WA. 98366- • PHONE 360-385-5968 FAX 360-379-5659 MADE UNDER MY SUPERVISION IN CONFORMANCE "' LEGEND 0 SET 5/8" REBAR WITH CAP "A.WOOD PLS 23911" '` .....`. WITH THE REQUIREMENTS OF THE SURVEY T '� ■FOUND MONUMENT AS NOTED RECORDING ACT AT THE REQUEST Oft SET 5 FOOT STEEL FENCE POST AN PROPERTY LINE i _____ COLLEEN MILLS . APPROVED 1 SITE PLAN Sto,rmw to A is NOV - 8 2004 Re uire JEFF , ON OUT4TY DEPT.OF fI EV: ME SIGNATUR : • 1