HomeMy WebLinkAboutBLD2004-00728 IIPU
ILDING PERMIT APPLICAT N MLA04-00650
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00728 Received Date: 11/17/2004
SITE ADDRESS: , MEGS WAY
PORT HADLOCK, 98339
OWNER: DAVID A ANDERSON PHONE:
MARGARET M ANDERSON
PO BOX 234
PORT HADLOCK WA 98339-0234
SUBDIVISION: ANDERSON COURT LONG PLAT Block: Lot: 8
PARCEL NUMBER: 931300008 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368 gg
Contractor's License SEVENBP983JD Expires (3ggpp06)/24/2006 0
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,432
VALUATION 143,058.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 624 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
Routing Date: `//! F&W Landslide
{ ` Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,240.15 KAS 11/17/04 68721 APPROVED
Plan Check $806.10 KAS 11/17/04 68721
State Building Code $4.50 KAS 11/17/04 68721 MAR 2 2 2005
Jafferson County Planning
Potable Water Application $52.00 KAS 11/17/04 68721
Total: $2,102.75 &Building Dapatment
/ Lf71e7
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00728 Received Date 11/17/2004
SITE ADDRESS: 20 MEGS WAY Issue Date 03/22/2005
PORT HADLOCK, 98339
APPLICANT: DAVID A ANDERSON PHONE:
MARGARET M ANDERSON
PO BOX 234
PORT HADLOCK WA 98339-0234
SUBDIVISION: ANDERSON COURT LONG PLAT Block: Lot: 8
PARCEL NUMBER: 931300008 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368
(360) 379-1750
Contractor's License: SEVENBP983JD Expires: 6/24/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THEUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS. / "
S—
UFFER:
Footing:' J %0-
Foundation: Ol< f/ZS/o5 k
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : /3k 3/t4` .c£1
Sheathing:
Framing:, ..?/2 c-
Plumbing. 0",
Propane Tank/ Lines:
Insulation: dK Y/z4/��/
Sheetrock: /" / //"
Septic Sytem Final Approval (If n t on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: sh r/4� '��-J9
HEALTH DEPARTMEN AND PUBLIC WORKS APPROVAL REQUIRED PRIOR Q 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 SEA BLD04-00728 III
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.) A 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.
3.) Maximum lot coverage is not to exceed 60%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) The building height is not to exceed 35 feet.
5.) Minimum setback from Meg's Way and Mason St rights-of-way is 20 feet. Minimum side
and rear setbacks are 5 feet.
6.) A minimum of two (2) on-site parking spaces are required for the single family residence.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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 dist icts where specified as an automobile wrecking
yard or junk (or salvage) yard and allowe 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 vehiclesbel stored in an Environmentally Sensitive Area
(ESA).
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
ASON e ; ,O JEFFERSON UNTY (
�;_..
DEPARTMENT OF COMMUNITY DEVELOPMENT
r 1 Sheridan Street• Port Townsend .:Washing 83pq 2004
0/379-4450 • 360/379-4451 Fax •
AT
�1 KING�OV www.co.jefferson.wa.us/commdevelopment _
Master Permit Application MLA: 0l —(9 50
Project Description(include separate sheets as necessary):
6
r;;
Tax Parcel ./..•v /J of
Number: `73 -33a ` to t Property V
Size: �,��� a � (acres/square feet).
Site Address and/or Directions to Property: I c 0 41V414e-K / /)/i/(�1�p� `,%� .
/
Property Owner(s)of Record: �t. y� �,� .l ( r'r, ,t �C . - if
Telephone: 3 c- Fax: email: N ci ' ,ira- e y ._
Mailing Address: 1 Of I c'1 7 i' tte( CL J.4 q _3C3
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
Whf.kind of Permit?(Check each box that applies)
(Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ gsmolition Permit ❑Conditional Use[C(a),C(d),or C]**
1.71e Family ❑ Discretionary"D"or Unnamed Use Classification
rage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑Shange of Use ❑ Long Plat**
Address ❑ 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 El 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:
D SIGNATION OF AGENT
I hereby designate to a as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE /r� ADate: //_ /7.-la 51
By signing,this application form,the owner/agent attests that 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 om' 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 ty as a result of or in consequence of the granting of this permit
I further agree to provide/Access and right o try •J-.- " • my and its employees,representatives or agents for the sole purpose of application
review and any requir:: ater ins.-,•i.. -. •..- an• right•-e :to this property shall be requested and shall occur onl duri
hours /' / , ® y` ng regular business
Signature: 4��'� .C-G=#4 Date: // i /O- (2 V
The action or actions Applicant will undertake as a result of th>issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"hake"of an .ndangered 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 E • •, individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you in co •'-•ce .1 i -Jefferson Co development code.The Applicant acknowledges that he,she or it holds individual
and non-tnsfera esp• ib" ad - ng •and . i g with the ESA. The Applicant has read this disclaimer nd si and d [�elow.
Signature: / �� Date: ( / J
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc %:%. <
OWNER BUILDER STATEMENT • , a �)
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that'
they will be assuming the responsibility of the General Contractoj for the proposed project. ; NOV 2004
ignature: Date: 1s{/ 1 7
GENERAL CONTRACTOR R MAN FACTURED'�IOME INSTt PHONE: I ? ,(, 1X
.�.P- 1" IJ , L. C ( 3(,i 37q 1 3 ' -17
s �}�
MAILING ADDRESS: /`7 ..0 EMAIL: A S (�� _
CONTRACTORS LICENSE iT WAINS �L'� Y/'
NUMBER: A,u 1L 6 f' "1 R i S () NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Pro Frame ype: Bathrooms: Shoreline: Type of Sewage Disposal:
ew rt.--Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ nity System
❑ Alteration/Remodel 0 Concrete Total: Height: ndividual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: B-Public f�l
Total: Name of_System: i l��l
If this is a Commercial Proiect 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 ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank 0 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' fficetU,*itinly „ 3 ,'1 4 P, x w
Current Proposed n "'€i 3 '�
'`v •? 's i.'�ir"r � i Sy & tad s.. 4
Main Floor I t"'"'•'�� Az fx IX �' ^,
2Nv Floor Base f nor -73 '
3i°Floor Additional Section: ° t , ,
3' y .s tt.„r y Y
Mezzanine: Plan Check>fee: - , /0
Heated Basement State SOccri4rge fee:: ,�,ii j`440"' p 14..'
Unheated Basement water Review feel 4t0 '°A il ' W " '' '
Other Unheated 911d Approach fee: °„v v < ?, ,,W
Garage/Carport Lei 1�. �] t b _ T•O ,- •• 4 t
9 1.
u3 •'t'•��fi yam,,. � x �* u.
Decks eipt Number s° >a_ � - ` R'° • -*lye,-
. '
- per„ ,
Other 14 c 51(Z�.0 h/Check Numf r ,4 r ��;
ESTIMATED COST(REQUIRED) !i Date: r t � , -.
•Fair market value of alk
bor and materials foundation to finish_, s p „ `` . ,.A.
7-0 C�CJ . •
'Initials: `, °t.��y. �,4Y ,
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