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Home My WebLink AboutBLD2005-00049 •UILDING PERMIT APPLICAS)N MLA05-00045 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00049 Received Date: 1/25/2005 SITE ADDRESS: 260 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: ROBERT J STEWART PHONE: 360-385-5123 260 WINDSHIP DR PORT TOWNSEND WA 98368-2514 SUBDIVISION: KALA POINT#1 Block: Lot: 53 PARCEL NUMBER: 964700053 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: GORDON OLSON PHONE: 820 TYLER ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr DECK REPAIR & ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 12,663.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: SHORELINE: GARAGE: CONST TYPE: DECK: 851 SETBACK: 102 BANK HEIGHT: 98 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 21 /06 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: APPROVED Permit $223.25 BAC 01/25/05 69076 Plan Check $145.11 BAC 01/25/05 69076 FEB 1 5 2005 State Building Code $4.50 BAC 01/25/05 69076 Total: $372.86 Jefferson County Planning Building Department 63-9,aginkt 0 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00049 Received Date 01/25/2005 SITE ADDRESS: 260 WINDSHIP DR Issue Date 02/15/2005 PORT TOWNSEND, 98368 APPLICANT: ROBERT J STEWART PHONE: 360-385-5123 260 WINDSHIP DR PORT TOWNSEND WA 98368-2514 SUBDIVISION: KALA POINT#1 Block: Lot: 53 PARCEL NUMBER: 964700053 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: DECK REPAIR& ADDITION-The proposal is to reconstruct an existing 10 foot wide by 26 foot long deck. The proposal also entails cantilevering the deck out an additional 5 feet into the yard while utilizing the existing footings. This proposal would not entail the removal of any additional native trees or vegetation. CALL IN FOR THE QUIR D SPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: • j ///c OFFER: i i) Footing: j�,%.oS Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: 2- — )S-- Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 6, -h -CLt--- 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 I • SPECIAL CONDITIONS FOR CASE t BLD05-00049 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 3.) The building height is not to exceed 35 feet. 4.) The setback from Windship Drive (181) is 20 feet from the edge of the right-of-way. There are 5 side setbacks. The rear building setback line (determined from the plat map) is 117 feet from the edge of the shoreline bluff. However, the edge of the deck shall be a minimum of 100 feet from the edge of the shoreline bluff. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 I • OWNER 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 a responsibility of the General Contractor for the proposed project. _� %1I Signature: > 71��114 /4` Date: 1/�/ /Z 'v.; GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: I ( ) ( ) MAILING ADDRESS: I: 1 EMAIL: CONTRACTORS LICENSE I'' i' JAN 2 5 2005 WAINs NUMBER: ` NUMBER ARCHITECT/ENGINEER: 1.-- PHON ( ) ... FAX:( ) t E MAILING ADDRESS: I . ! { 11't (;i r '-,.--,,EMAIL i Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: CINew .p/Wood Existing: -_ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: r ( R-Individual System Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: _ Total: /p 2, ❑ Public - 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 ❑ 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 For Office Use Only ,' Current Proposed ota� Main Floor Consistency Review 'r�` �• �'� �,� : }_ 2""Floor l:s r r-'" Base fee: 4 °� 3 3`°Floor Additional Section: tt +`• l Mezzanine: Plan Check fee: ; Heated Basement StateSurcharge fee: ,. Unheated Basement pot Water Rear Oa: h} 1 �4 , Other Unheated 911/Rd Approach fee: ' Y i °'' ' Garage/Carport % 1 u " TOTAL: $ ' l` �, Decks est `j ,! o� , :4 t Receipt Number: 6g a1 . ., . 1; A Other J I \ m . ESTIMATED COST ij, QUIRED) I Date: 1 f 2!G •Fair market value of at labor and materials fi datio l l Initials: /0-) {+a OCj ill;; k.< G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc (... -.,. ON cow JEFFERSON NTYIII3 2005 DEPARTMENT OF COMMUNITY DEVELOPMENT JAN 2 5 ` '4 621 Sheridan Street• Port Townsend •Washington 98368 4, „0.. -zt. 0. 360/379-4450 • -44ax qs, �p www.co.jefferson.wa.us/commd360/37951F evelopment I .f, ;r' ,_I `..._. is Master Permit Application MLA: OP,- 45' Project Description(include separate sheets as necessary): Tax Parcel / Property •Number: 67 6 u ,�j%S 3 Size: 2 2 , Z,.3 a (acres/square feet) Site Address and/or Directions to Property: �,-6� ''/•_'/,),v /J;4' ,_".A A . i( A,' A )4?7,,i' ' 71 Property Owner(s)of Record: R O/. i'k 7 d" .q A/ ,c i " 14,,,z-{hz Telephone: � ✓5 Y , / K _? Fax: email: Mailing Address: 2-6 a 'AJ r A „',./-//, ' ,/' A' Applicant/Agent(if different from owner): `i ?tr:,_, 4,' ^,a4„i•C:I/l.' ,— ir� C 47 '' , J°;y). / 2 c`' Telephone: '•`,. A�� . ' / Fax: email: Mailing Address: t"! T V; / , t, 'r' ,+;_-, / e1 r, What kind of Permit?(Check each box that applies) iy 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(PRRD)/Amendments** ❑ 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: DESIGNATION OF AGENT I hereby designate 6z 0 K/ F/t. Z',',SC.4 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � 1 VZ Date: // 5S/ 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: 9 !)? 9Z�Y/�& Date: 11.2. i/ZZ.262,`> 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 individual and non-transferablyY ponsiibili 'adh n to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: C 4.11 � L ��G2�r`jJ Date: j/2/ dS G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 406 oA®Q?-",Ovc 5 �Q ri q F KI I AJ \ \ �Y pwK l0r57--. Ds - 4s-