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Home My WebLink AboutBLD2004-00044 ItUILDING PERMIT APPLICA•N MPLA05 00035 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00044 Received Date: 1/21/2005 SITE ADDRESS: 1813 DOSEWALLIPS RD BRINNON, 98320 OWNER: MICHAEL HUGHES PHONE: 26016 144 TH AVE SE KENT WA 98042-8154 253631-7857 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 602331011 Section: 33 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE, PORCH & A/G 200 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 665 VALUATION 58,213.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 600 SHORELINE: CONST TYPE: DECK: 28 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: r 1/0 FJ /2, F&W Landslide �--� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $706.75 BAC 01/21/05 68899 APPROVED Plan Check $459.39 BAC 01/21/05 68899 State Building Code $4.50 BAC 01/21/05 68899 MAR - 1 2005 Potable Water Application $53.00 BAC 01/21/05 68899 Total: $1,223.64 Jefferson County Planning & Building Department &�c+k 7 , P' 1111 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00044 Received Date 01/21/2005 SITE ADDRESS: Issue Date 03/1/2005 BRINNON, 98320 APPLICANT: MICHAEL HUGHES PHONE: 253631-7857 26016 144 TH AVE SE KENT WA 98042-8154 SUBDIVISION: Block: Lot: T 8+ PARCEL NUMBER: 602331011 Section: 33 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, PORCH & A/G 200 GALLON PROPANE TANK CALL IN FOR THE UI I SPECTIONS THAT APPLY TO YOUR PROJECT. SETBAC S: UFFER: y 45 J Footing: Al o,i0c- t/jy/�j Foundation: / Stormwater FINAL Approval: , Underground Plumbing: /f1-05.1 - :, Underground I sulation: •,as' Shear Wall : J.�f;►i,,vc a �i/c Framing:6f-9-2`�a t. Plumbing:Q7Q" ' i Propane Ta k/ Lie : / {1' Insulation: j�) 6 C Sheetrock: 2- ( "/ -nc (.--- Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: -2A----)6( 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 410 SPECIAL CONDITIONS FOR ClE BLD05-00044 1.) AN ADDRESS SHALL BE ASSIGNED TO THE SINGLE-FAMILY RESIDENCE PRIOR TO FINAL BUILDING APPROVAL. 2.) 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. 3.) 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. 4.) 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." 5.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 6.) 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from the ingress/egress easement along the southwestern property line is 20 feet. Minimum side yard setbacks are 5 ft. Environmentally Sensitive Areas further impact setback. 13.) 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. 14.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 ,/ n • , ` 06, JEFFEf N COUNTY (frz,,,-...r. r •�,�, DEPARTMENT OF COMMUNITY DEVELOPMENT ' -'\'.-5-' rs'f 621 Sheridan Street• Port Townsend •Washington 983f�gg ! 2 5 / 360/379-4450• 360/379-4451 Fax `J� 24�'a .q , p www_co.jefferson.wa.us/commdevelopment �7N Master Permit Application . MLA: - (I) - 13 Project Description(include separate shee as ne ssa ) J ' I ,,-�/ 0 Ccr C-G:f"4)�xz / c.)ne c�(L �11 i >; ?' Tax Parcel /� r Property Number. (; tJ j 3 3 it) I' Size: , G L,fe 5 (acres/square feet) Site Address and/or Directions to Pope Property Owner(s)of Record: l l lr i KC> 'A. S CO" 11 Telephone: n .Fax: email:l ,ilj Lt:' i)u' 1)' e. 99,1 C a.51 t(k Mailing Address:ry 1.,/�j J JC k ,rt G C)61.1,0 v Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: - What kind of Permit?(Check each box that applies) U Building U Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit U Conditional Use[C(a),C(d),or CI** XSingle Family U Discretionary"D"or Unnamed Use Classification U Garage Attached/Detached U Special Use(Essential Public Facilities)** U Manufactured Home U Boundary Line Adjustment U Modular U Short Plat** U Commercial* U Binding Site Plan*• LI Change of Use U Long Plat** ❑ Address 'Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** U Propane U Plat Vacation/Alteration** U Allowed"Yes"Use Consistency Analysis U Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management U Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Variance U Temporary Use U Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment U Forest Practices Act/Release of Sox-Year Moratorium *May require a Pre—Application Conference "Requires a Pre-Application Conference PI se entify any other local, state or federal permits required for this proposal,if known: )j L'LL 1/4 CC. I 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 attorney'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 a r t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any require late i p io .Access and right of entry to this property shall be requested and shall occur on during regular business hours. � - _ Signature: ``''VV� Date: ��x V5 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."Jeff rson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you a : in corn ian -h the Jefferson County development code.The Applicant acknowledges that h ,she or it holds individual and non-transVIle -•s•� - .i fo dhering to and complying with the ESA. The Applicant has read this disc imer d signs and dates it below. P Date: /) /( i is `J C:\Documents and Settings\mochil\Desktop\Master PemvtApplication 7-$04.doc • s OWNER BUILDER STATEMENT The signer of this state n s reby rtify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as - g - ity o the General Contractor for the proposed project' Signature: Date: IQ/0 CI GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: XNew A Wood Existing: u Sewer j '/ u Addition U Steel Proposed: Bank u Community System .‹' I Alteration/Remodel Li Concrete Total: Heigh#A Individual SystemJ Repair u Masonry /N S P Permit# rjt A'f odgg f Bedrooms: J Demolition u Other. Water Supply: Existing: V Setback-. Private welt Li Two Party Tyne of Hat Proposed: 1 �t A u Public 1C�Y is,` Total: J Name of System: Q 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 andlor Appliance Installation permit,mark all items below that apply ali_ I Underground Tank )(Above ground Tank Size of Propane Tank: o 00 I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other_1 Is this appliance being installed in a Manufactured 1 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 Current Proposed Amount Main Floor &� 4 20 t' Consistency Review '19 2"u Floor Base fee: 3f°Floor 7 &JO .15— Additional Section: ----_, Mezzanine: Plan Check fee: -1 )9 39 Heated Basement State Surcharge fee: 4 b Unheated Basement Pot Water Review fee: B 1 --- Otter Unreated Q ( _G 11/Rd Approach fee: /,t ti 1 ' \in Vl YEzI 1 v 1 ` Garage/Carport r:y� I t C Irt TOTAL: $ 4 41 Decks /� ��1 ipt Number: l¢n / Other ash/Check Number: 30'II- ESTIMATED COST(REQUIRED) per--- .Fair market / value of all labor and materials foundation to finish /0//O W ', `1 I0 hMtidls: y 25,..., C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc JAN 21 2005 4j'saju611 )rawn by Owner Vlichael Hughes 26016 144" Ave S E Kent, WA 98042 ;253)631-7857 nn 0)sep road pcArcc de p� -Sc le 9 V Stormwater EIMP's Required APPROVED SITE PLAN FEB 2 5 2005 JEFFERSON COUNTY ! }.1'� DEPT. OP'(,�gppM�UN[ZY DF. .QPW� l� j SIGNATURE. i "CAW E�iil�. �, PERMIT # OLD 05-0044 JEFFERSON COUNTY OCU