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Home My WebLink AboutBLD2005-00038 MLA05-00032 UILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00038 Received Date: 1/19/2005 SITE ADDRESS: 54 N MAPLE ST PORT HADLOCK, 98339 OWNER: ROBERT W JACKSON PHONE: PO BOX 36 PORT HADLOCK WA 98339-0036 360-379-0575 SUBDIVISION: GARFIELD'S ADDITION Block: 3 Lot: A PARCEL NUMBER: 952800309 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW DETACHED CARPORT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 7,728.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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 /cpv Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: d/ t� Permit $153.25 BAC 01/19/05 68897 A l 5 W E ED Plan Check $99.61 BAC 01/19/05 68897 FEB 2 2 2005 State Building Code $4.50 BAC 01/19/05 68897 Total: $257.36 Jefferson County Planning & Building Department °ASMAArr\,,t0C-Ccgt•-% • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00038 Received Date 01/19/2005 SITE ADDRESS: 54 N MAPLE ST Issue Date 02/22/2005 PORT HADLOCK, 98339 APPLICANT: ROBERT W JACKSON PHONE: 360-379-0575 PO BOX 36 PORT HADLOCK WA 98339-0036 SUBDIVISION: GARFIELD'S ADDITION Block: 3 Lot: A PARCEL NUMBER: 952800309 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DETACHED CARPORT CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 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 CASE t BLD05-00038 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.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) 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. 5.) The applicant is proposing to create or add 1,994 square feet of impervious surface and 4,400 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 6.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 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 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). 9.) Maximum lot coverage, buildings only, is not to exceed 60%. Adequate space must be provided for required parking, setbacks, landscaping, utilities, septic system (if no sewer available) and stormwater management facilities, as applicable. 10.) The building height is not to exceed 35 feet. • 11.) Setback from the vacated Stevens Street right-of-way is no less than 10 ft., si e and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 12.) Exterior lighting for residential uses shall not exceed twenty feet(2.0') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 13.) 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 10/29/1999 __54 N MAPLE ST BLD05-38 111 JACKSON Approvals Req'd Prior to Final Inspection 1 SEP RAP ZON SIPZ DPW OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that ey are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu ng the responsibility of General ntractor for the pr project. (� Signature: \vv• Date: 4\t s5 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER v �,Py I 0 20'�5 ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Fra Type: Bathrooms: Shoreline: Type of Sewage Disposal: KNew `Wood Existing: ❑ Sewer 0 Addition70 ❑ Steel Proposed: L/ Bank ❑'Community System ❑ Alteration/Remodel 0 Concrete Total. Height: individual#Syste _.19 ❑ Repair 0 Masonry SEP Permit ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: 0.2 Setback: 0 Private well ❑ Two Party Type of Heat: Proposed: 'Public Total: Name of System: If this is a Commercial Project you must answer the following: R . <1.4. ,.. * _..., , ` , 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 ❑ 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 `ForOffice'Use'Only p "r "- Current Proposed tlle--i'PL'-'` i Main Floor 'f ' L nsist - ;,02W: 2 ', .-4-1'.' ",s4.-Aq.140,' i' '.k--t-11*. - 41,,,,--A, Floor : f 3f0 Floor A Section: a ; /-*".• . .'.•.(.4-',,-'1" . ,34%."_qq**tr: Mezzanine: Plan( J�fee: 1 f y Heated Basement `�� ;` eSurcharge fee: *' ' `' ' ; ��r..tm ,. t.' 4 .Yc �. Unheated Basement Rot Water Review fee: 4 * F f ti ,,,,:ka_ Other Unheated t ge: v a s rCarportp ` ;+4‘;.:).,,,,:i.1,,,,: ' �. ' •N i Q TOTAL• $ ' . • Decks �= Rec)Ipt Number ` s �,�r Other CaafhlCheck Number4"; � :Y - 4 , ESTIMATED COST(REQUIRED) Date: ,s .. v, ,,r 4„,+ •Fair market value of all labor and materials foundation to finish �, .'. 4 i .; 17 Qp Initials: K' 4 4 : - r_x Y'" _ G:\PermitCenter\FORMS\DRD FORMS\Master Pennit Application 7-8-04.doc �w�SON Co, JEFFERSON ( 'LINTY • O' 114' DEPARTMENT OF COMMUNITY DEVELOPMENT '� 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax .1„, 0� www.co.jefferson.wa.us/commdevelopment JAN 1 9 2005 kY-triNG)- Master Permit Application MLA: eb----- 5D Project Description(i de separate sheets as necessary): Tax Parcel (� 00 ��C Property Lf U� Number: I Size: (acres/square feet) Site Address and/or Directions to Pro _ �_ M (fr I L,e( (,iA r ��_ )L Property Owner s)of Record: Telephone: ck, '""'b Fax: email: _ ..$ Mailing Address: •4.• \-.). Applicant/Agent(if different from owner): ' Telephone: Fax: email: Mailing Address: at kind of Permit?(Check each box that applies) Building B 7 • ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑ Ingle Family A- .kJ ❑ Discretionary"D"or Unnamed Use Classification Court,G r ❑ Special Use(Essential Public Facilities)** ❑ anufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat*" ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)JAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ 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: i x,f.: it';• ' • 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 bwrterhagent 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 entryto 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. . ,r.. • i Signature: w •. ' e" Date: •\� VS 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 inch •dual and non-transfpca¢le n ' ility for ' to and plyingm with the ESA. The Applicant has read th' disclaimer and signs�gd dates R�low. Signature: Jci\ • Date: �• `T"s-I\Q`61S S G:\PcrmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc . , • / , /7 / / - / / 1.1Lill 1,, // I 1-1 ' / .-. / / .--) , 11 /; / > / / __,/ / / _ I .2() •_,(-- 1 •I I' I PP crel A I V` ._...-- 11 , , 1 _i_ - g 1-7Q,5— — — — _ — _ - Itp t‘ I til- , I '7(:-• ,•'''' I I _ • i I (/ , I I ------ I r.•••••,, . ---' ,..... "1 • 5 -1".;) 0 ',0 I,'\ :•.',:.; . 1;',. 0 it.r) VI IM 7 C 1 • + 1 i 0 N --:- 1 1 , 1 , 1 1 .. I . 1 .• ! . , ____,.._...... '' 1111 , v) 1 . › 1 0 • - .›. ''N-. . /_\,,••'' --PN. 1,;•J C:::4 Ti m CE1 Mql Imo i rt ki V' 5 7 • r..., o - t::, A '- ,• , (XI 'I'r 1III , Fri - I 'T ., • rri c, Fre 1 C.71 c= ; = i - I . ca _.7_ r......., . .. ,' •) Illfillill1111111111