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Home My WebLink AboutBLD2004-00796 « i BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00796 Received Date 12/14/2004 SITE ADDRESS: 3663 WEST VALLEY RD Issue Date 01/27/2005 CHIMACUM, 98325 APPLICANT: STEPHEN & DIANA GRIMES PHONE: (253) 225-8080 3663 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901342003 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: DEMOPRO PHONE: (206) 423-4354 ROY LINDSEY 20026 BALLINGER WAY NE #203 SHORELINE WA 98155 Contractor's License: DEMOP**982MW Expires: 2/8/2006 PROJECT DESCRIPTION: DETACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: /) /NC% //5 , Foundation: Stormwater FINAL Approval: Underground Plumbing: Undergroun Insulati Shear Wall : e c. Framing 'C.., 3/ 5- Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval ��11 oa' 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 CA E A BLD04-00796 1.) 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. 2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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.) Setback from West Valley Rd. 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. 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. 10.) 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 1 BUILDING PERMIT APPLICAN MLA04-00696 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00796 Received Date: 12/14/2004 SITE ADDRESS: 3663 WEST VALLEY RD CHIMACUM, 98325 OWNER: STEPHEN & DIANA GRIMES PHONE: (253) 225-8080 3663 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901342003 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: DEMOPRO PHONE: (206) 423-4354 ROY LINDSEY 20026 BALLINGER WAY NE#203 SHORELINE WA 98155 Contractor's License DEMOP**982MW Expires 2/8/2006 REPRESENTATIVE: DEMO PRO'S PHONE: ROY LINDSAY PROJECT DESCRIPTIOP DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: SHORELINE: GARAGE: 860 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: F&W Landslide +a( ! ( �`� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: oproorRy Permit $335.25 BAC 12/14/04 68853 / V E r Plan Check $217.91 BAC 12/14/04 68853 State Building Code $4.50 BAC 12/14/04 68853 JAN 2 7 20(15 Total: $557.66 Jefferson County Planning & Building Department ter CtQ� • WEST V,Y ROAD • • • s,. ——.,..,....••••..-•••••••••,._.-1111•1.......ofti>,, am - 315'+— I I • 1 x tI -gq§. ) REsERvE Z1 D NSF ''z ORq►NFjg� • N 1 e if ''' li \ Mom I \ ----,\..1: 1 • -. .•_. ._y Pi?oNos., • - rn ri mqo a 8 v • I , i ak. / c• S '' o— ,,,,, �„ O ` a,W c • L.6 I mc4w zb z1 �‘ m D • >y o ti� F �a i O . .�• -<NN o Z ��o2, _ z rr PERMIT # BID ril o �� I til o zt� 0 4 - 0 796 t JEFFERSON COUNTY OCO -.... — ilMINIMINIMMINII_OM . ,�4i4' ON c0� JEFFERSAOUNTY • ' 'A' DEPARTMENT OF COMMUNITY DEVELOPMENT 1.4 621 Sheridan Street• Port Townsend •Washington,98368 360/379-4450 • 360/379-4451 Fax q p www.co.jefferson.wa.us/commdevelopment DEC 1 4 2004 BIND Master Permit Application MLA: (J Project Description(include separate sheets as necessary): j (.WM/77 - Tax Parcel roperty ?O Number: "34/2 `003 Size: „►.Q `�;,� (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: %FPy4(:A.) 4•�',^ �di�rnl, mitt/i is Telephone: ' _y Fax: email: Mailing Address: 36 E 3 4J, Applicant/Agent(if different from owner): 1/A� «/��. Telephone: Z !�2 3 L"4' 5 / Fax: email: • Mailing Address: Z t-'t f � e ter*1 /✓ 71K/L. 7 _:NGbk'. "c.f.�5 ?L'r`53' 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]*" ❑ mgle Far - ❑ Discretionary"D"or Unnamed Use Classification GarageA.—ne Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufad, home - ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments"'* ❑Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 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 2)Ef�6 Re' S `/ y/r'N4='5R • to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE•> Date: I2 t—c"ti 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: Date: (Z-" 1 (•: `( 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"taker 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-tranefe able responsib' ty for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:-' t : tAirr a•') Date: I 2- 1 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc iOWNER BUILDER STATEMENT • 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 Contractor for the proposed project. Signature: ? Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: y,j g y tiJ,.-67.,'',. ( ) ( ) MAILING ADDRESS: se- � J:tY < < r4�7`. EMAIL: CONTRACTOR'S LICENSE ' WAINS NUMBER: De i770P **'A, U d G 27G14 NUMBER ARCHITECT/ENGINEER: ! PEE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: _ Frame Type: Bathrooms: _Shoreline: Type of Sewage Disposal: ❑ New ,,/Wood Existing: ❑ Sewer ';E:Addition ❑ Steel Proposed: Bank 0 CommunitySSystem ❑ Alteration/Remodel ❑ Concrete Total: Height: t ❑ IndiVdual Sytem ❑ Repair 0 Masonry SEP P/+armit ,) y. ❑ Demolition 0 Other: Bedrooq s: t ', Watef Suppfy Existirt(g: , Setback: 0 Private well 0 Two Party Type of Hgat: Proposecr ❑ Public _a$✓ ', " Total: Name of System: If this is a Commercial Protect 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: /% .? WiU you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installaaion't err it,mark all items below that apply: ❑ Underground Tank ❑ Above ground Tank /.1(V t Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove 'DrAreplace Insert ❑ Hot Water Tank 0 Pellet Stove ❑ Other Is this appliance being installed in a ManufaC ured/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 Only - 5� =,14-t Current Proposed Amount ,, ,,, ` x. = ., Main Floor Consistency Review: `.rK 4 2r u Floor ,/ 4 " ' Base fee: ,,r --. 3f°Floor3*x M> �: Additional< Section: � . p.Aikv.*0-Iv dl ixb� r ,',7 f�} � y Ni Mezzanine: Plan Chard -•' -Y _ 11 t4::; Heated Ba ment State Surcharge fee s ue _. y t, d:..,5• -,/,.. ,,,Jul'`!u s Y 2 • n,., 1 Unheated ement Pot WaterReview fee. � � � Other Unhea X tip 911/Rd Approach fee: -TA.,; x / g s/ 6 TOTAL: $ t 4 ,;: ' a Decks Receipt Number:. 0 q Other � a '4,g,i a ! ESTIMATED COST(REQUIRED) Date: " `$ *Fair market value of all labor and matel/ S2O foundation to finish 4[;� Y 1 •,Initials:.. 1. GAPeanitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc