The URL can be used to link to this page

Home My WebLink AboutBLD2004-00732 •BUILDING PERMIT APPLICASON ReviewML Ty 646 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00732 Received Date: 11/15/2004 SITE ADDRESS: 100 LAKENESS RD QUILCENE, 98376 OWNER: JASON D JOHNSEN PHONE: (360) 765-4045 ALICIA A JOHNSEN PO BOX 282 QUILCENE WA 983760282 SUBDIVISION: Block: Lot: T 5+ PARCEL NUMBER: 702122007 Section: 12 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP PERMITTING EXISTING DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 7,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 556 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: iI pp F&W Landslide I ( � fo .f Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $139.25 KAS 11/15/04 68588 APPROVED Plan Check $90.51 KAS 11/15/04 68588 State Building Code $4.50 KAS 11/15/04 68588 AUG — 2005 Total: $234.26 efferson County Planning &Bu- in artment Fib ' s A • V4/VJ/LVV4 1o:Va rAA s0U J00 Iola U111 UN PORT '1'UWNSEND U003/003 ter__. _ ..• - ... .'_ - . • 'TV-I- . . ... . - .- . • . i: - kr"7.'"!"" . -/. • N cw S°6$ i zil(4. -e a . - _ : . _- . . : - . . ... • "6/✓,aedeq./L - - . , t • .3 x 3' awc. a/A& ' : .( . . \t - `'ate a '' - F . • 1- ,i "Z: ooR .PLAN . - _ Zrg £..owe-I - . - . i —A--- . -fxio-- IWo \‘j \ . L ., • 3x/2 CC.e€46E I . -,C,C.---7;Wz4VE 3X l2 Gs.C<i.fcsE _ ____A %D'•-<7"' T=ram o-. �o� FRAMING . PLAN • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00732 Received Date 11/15/2004 SITE ADDRESS: 100 LAKENESS RD Issue Date 08/9/2005 QUILCENE, 98376 APPLICANT: JASON D JOHNSEN PHONE: (360) 765-4045 ALICIA A JOHNSEN PO BOX 282 QUILCENE WA 983760282 SUBDIVISION: Block: Lot: T 5+ PARCEL NUMBER: 702122007 Section: 12 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: PERMITTING EXISTING DECK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: V UFFER: Footing: [7 7/z OS6 Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: I„ Framing: /71( 117._2-/0g Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: OK .Qrr -C„,16t,( 7/;z/p5 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE�RUIR D 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 CAI# BLD04-00732 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) The identified Fish and Wildlife Habitat Area (Type 2 Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the deck. 7.) An additional setback of five (5) feet is required from the edge of the buffer area to the existing deck. 8.) A permanent physical separation along the boundary of the 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. 9.) 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 be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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). 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from the edge of the easement along the northern and western parcel boundaries is 20 feet. Minimum side and rear setbacks are 5 feet. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. I:\F_B LD_Perm it_Bu ildng.rpt 10/29/19 III SON Cli �4i4`• # o� JEFFERSON COUNTY kiiiiDEPARTMENT OF COMMUNITY DEVELOPMENT i '44 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax f � 4q p� www.cojefferson.wa.us/commdevelopment MA-0 Sk17NG- ; Master Permit Application MLA..,I b►oi A4 riled i,,t/- Project Description(include separate sheets as necessary): 5 2004 Ex I Shi✓lOV 1 Tax Parcel 70 Property Number: `ZZ 07 Size: , 1 4..ex (acres/square feet) Site Address and/or Directions to Property: /0 Lq S ea Property Owner(s)of Record: Z—itso v . / 4 I cs a �t....2 c�......._ Telephone 4.7.-yOys Fax: email: Mailing Address: t0 2ra 0,0 )ce..,,t_ (,tom clan C Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building ❑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/Detached ❑ 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(PRRDyAmendments** ❑Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** 0 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 whi ay in any -y accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to ovide a. --. and rig f entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and an re uired lat- -pectin Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: I - C Date: /D— Z 6 - O The acti ctions •.. -nt will undertake as a result of the issuance of this permit negatively may g ativel y 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 S.-cies •ct"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has be 'ssu A. will •t violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve ou . e iI pliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans - :biz. - ,. ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and d s it below. Signature: _ ;L. ,) Date: (Q— 2 ` — O G:\PemutCenter • \ \D1tD FORMS\Master Permit Application 7-8-04.doc I • • ,,_ _1 OWNER BUILDER STATEMENT The signer of thi i tateme ' - - -by certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass i ng the e•po -bil• of the General Contractor for the proposed project. Signature: 2i - Date: /0" ..6 — t� ' " ir r GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Tiwv lov-e (3L )`1 (5-36S(a ( ) MAILING ADDRESS: R) eei` (j21 EMAIL: CONTRACTOR'S LICENSE 1 'C^��NOG WAI NUMBER R ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New / Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition o Other Bedrooms: Q, Water Supply: Existing: I [ Setback: ❑ 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: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ 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. fi.'Y ,.� ^i 4'A '13' Square Footage For OFflce'Uss�Diily � �. .' �c Current Proposed ' iz a -S ' Main Floor Consistency Review :', �Y +'�'�, - ` # `,f , z : r� ' Ci= s dr'' xc j ?Y 2 Floor Base fee: ,, 25' ° . ._ NOV 1 F _ .-:77 -Lis. , r� ", N 3`0 Floor i 2 `,�3 `Mditi naI:Section * i x6 ti ': , 4,„fir- • Mezzanine: Dr!, �� C;:. Plan Check fee: Q Pk `. ,� Heated Basement "F' State Surcharge fee: �� r ,- �•• , ,°. Y" x A S` l� Y -i Unheated Basement of Water Review fee: ,- ' 'f .:w,*."„f-}, ',� tO .,':: .h4i;S hm a r1,E'k 1 ut'rR iii rrrsi€: �:y 1, Other Unheated 9 /F Approach fee: ,, .` ,.i4r -,q, ,. a .� ... are Garage/Carport g { 4� r TOTAL Z to , ��"" ,ate:," Decks v\.. 2 t� x S' �I d Receipt Number .k {, OtherY" Cash/Check Number: tlCet s� -r 4 . ESTIMATED COST(REQUI ) Date: �i. cd:., ,;,,,,, /•Fair m rket value of all/a rand aterials foundation to finish r t 7g.'' - ` -7,0 V(�pc t2 - _ Initials: § �4 ' G:\P 'tCenter\FORMS\D ORMS\Master Permit Application 7-8-04.doc 1 C pi 15 14 . _ ir, _. ..,2..,, y ..., , , . • .._ • , , ; i_ ,_ .___ f , . 1 A. .. 1 1 _ ... �', , -- 4 j.....- A� r 1 • CAL ----- ' ) i J c) , - i < (....v4 7 G E _ 1 J 1 • /L....4\\ , r "1\ .71 yb ill , Itk:,. , I t4.. a411 tv Z till •t- . ,w to Iv .• ., t , .....„4 c� N - ....c ..... .... r , _ , ... , ... ,.....,:: . rx .1.7 ...,„ 0 r% ' Lri it''s:::: ......i IN in Nw -n u ..• 4. ..........-. CO