HomeMy WebLinkAboutBLD2004-00737 BUILDING PE
RMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00737 Received Date 11/23/2004
SITE ADDRESS: 1383 OLD GARDINER RD Issue Date 01/27/2005
SEQUIM, 98382 APPLICANT: MERRILL MC KNIGHTj(vU) i1 E 6t5$ PHONE: (206) 849-0723
C/O HARRY WESSNE
PO BOX 941
BELFAIR WA 98528
SUBDIVISION: ROLLINS SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 002342057 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
-14 v t on Co'I&oe
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE AND DECK W/ Y . tk erren-
250 GAL A/G PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: t_per
Footing: to -21 05" win,.'o i��cK PacAL O K 7'—/c c �
Foundation: !
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :Q (?1C--LO,.czssg
Framing: br-tk-ti
Plumbing: 1410t5
Propane T k/
Insulation: q�'A-tila b '5 (>1—�_ 2
Sheetrock >0�c'(7—Ol2 /
Septic Syt Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ?1:, t
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
IlkMLA04-658
ILDING PERMIT APPLICAT N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00737 Received Date: 11/23/2004
SITE ADDRESS: 1383 OLD GARDINER RD
SEQUIM, 98382
OWNER: MERRILL MC KNIGHT PHONE: (206) 849-0723
C/O HARRY WESSNER
PO BOX 941
BELFAIR WA 98528
SUBDIVISION: ROLLINS SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 002342057 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOLEW SFR-WkATTACHED GARAGE AND DECK W/ hkt. _1)(1.j
' 250 GAL A/G PROPANE TANK
TYPE OF WORK RES - SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,658
VALUATION 160,253.00 /�
CODE EDITION: 2003 ADD'L: . ti
ice HEAT TYPE: PRO
OCCUPANCY: R-3 HEAT BASE: TO HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
88
CONST TYPE: 5N OTHER: SHORELINE:600 SHORELINE:
CONST TYPE: DECK: 496 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: /9) Prop: 2 Seismic Streams
Total: 7 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
a
\ (' \t>a r??\') Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A PPROV E
Permit $1,335.35 BAC 11/23/04 68600 ,
Plan Check $867.98 BAC 11/23/04 68600 JAN 2 7 2005
State Building Code $4.50 BAC 11/23/04 68600
Potable Water Application $52.00 BAC 11/23/04 68600 Jefferson County Planning
Total: $2,259.83 &Building Department
A.
SPECIAL CONDITIONS FOR Clit # BLD04-00737 •
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.) A Medium 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Setback from Old Gardiner Road (C501409) right-of-way is no less than 20 ft., side and
rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present,
then the more restrictive setback shall apply.
9.) 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.
10.) 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.
11.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
12.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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JEFFERSON.UNTY0 t
DEPARTMENT .. . , ,
t :
OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend Washington 98368 NOV 2 2004
_. ,� 360/379-4450 • 360/379-4451 Fax
lc, www.co.jefferson.wa.us/commdevelopment
4'3:4INW.
Master Permit Application ,
01
MLA: 0 - 0
Project Description(include separate sheets as necessary):
CO^=\ Y.v--L-X....u S . .hc.\\e c�vv,s..\,_J h,.c:v1�
Tax Parcel Property
Number: ', -'( "-.3 \'. 0---1 Size: \ ; \ (acres/square-feet)
Site Address and/or Directions to Property: -- C63 0 ( si"--*�\y�c4, -LO
Property Owner(s)of Record: \f-Y\e. -r k\\ 1g. ,\(-,_,,�,�S \Y\c_,\<,^�,��-N
Telephone: ;),0 c �° 0-1 7- Fax: email:
Mailing Address: /y 1.40,y-en •l./J�c5 v&.J- ',,k: , d . cO% cAy\�(e\�•,, picicssa
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
L1Y uilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
[Single Family 0 Discretionary"D"or Unnamed Use Classification
Garage Attached/Setached- ❑ 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**
e'Isropane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use 0 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 acry•ss 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 entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 1�Nod, /9 Q
Date: /
The action or actions Applicant will undertake as a ult 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 Jeffe son unty development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe e responsibility f ad edng rrd inwith the ESA. The Applicant has read this disclaimer and signs nd dates it below.
Signature: /V O U• /Y O
Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
Ai OWNER BUILDER STATEMENT
The signer of this statement does hereby certify thWey e the Owners of the parcel referenced herein,tha they are not licensed contractors and that
they will be assumi gthe responsibility of the G n I ctor for the proposed project.
Signature G2�% t�. Date: NQ V` « a V
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: i+ i t
( ) ( ) II
MAILING ADDRESS: EMAIL: NOV 2 3 2004 I`
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( ' .) ,.
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New tie Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: Height: K Individual System
❑ Repair ❑ Masonry SEP Permit# 7 0 4/X 3
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: / 'pp APublic
Total: l Name of Synnstem:^A� /D.(
1��/�xK✓ cnr
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: cPSO tb.4 f_ ,
❑ Heat Stove Betook Stove ❑ Woodstove geVireplace Insert t>/Hot Water Tank 0 Pellet Stove I- ther r....4-v.Uc_2
Is this appliance being installed in a Manufactured/Mobile Home? Yes / Qb
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 Only
Current Proposed Amount
/
Main Floor Consistency Review:
' 5 ;_A 102, 39. `--kS'
214"Floor Base fee:
l ll<i 1;335,3_5
3r°Floor Additional Section:
Mezzanine: Plan Check fee: 4
`J/ J � G��
Heated Basement •$fate Surcharge fee: T
Unheated Basement Pot Water Review fee:
I j HiCa (.Z")
s i -r Unheated 911/Rd Approach fee:
Garage/Carport TOTAL: $ g
Decks \ ,''. 4 t el, t taw t 1 viola Receipt N !pgumber: =
"
Other -j 0,, Cash/Check Number:
4- ESTIMATED COST(REQUIRED) I‘0p63 k• r i(2310
•Fair market value of all labor and materials foundation to fish t l
Initials
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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