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HomeMy WebLinkAboutBLD2005-00050 ILDING PERMIT APPLICAT�JN Revi 00046 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00050 Received Date: 1/25/2005 SITE ADDRESS: 314 PROSPECT AVE PORT TOWNSEND, 98368 OWNER: DAVID W JOHNSON PHONE: 360-385-9028 NANCY J JOHNSON 314 PROSPECT AVE PORT TOWNSEND WA 98368-2540 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001342023 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License DAVEJC*0440Q Expires 9/1/2001 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 11,408.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 484 SETBACK: DECK: 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:I F&W Landslide IId)(405( g ) Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: �PPrri�reate, Permit $209.25 BAC 01/25/05 69138 �vy'\�Y/► E I.., Plan Check $136.02 BAC 01/25/05 69138 FEB 1 2005 State Building Code $4.50 BAC 01/25/05 69138 Total: $349.77 Jefferson County Planning Cc���Building Department • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00050 Received Date 01/25/2005 SITE ADDRESS: 314 PROSPECT AVE Issue Date 02/18/2005 PORT TOWNSEND, 98368 APPLICANT: DAVID W JOHNSON PHONE: 360-385-9028 NANCY J JOHNSON 314 PROSPECT AVE PORT TOWNSEND WA 98368-2540 SUBDIVISION: Block: Lot: 3+ PARCEL NUMBER: 001342023 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License: DAVEJC`0440Q Expires: 9/1/2006 PROJECT DESCRIPTION: NEW DETACHED GARAGE CALL IN FOR THE rJIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: JffOrtiJ W ic,.-�SC- /:e/e).5 Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: //-/ -Qc_ Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: it I-14o-0 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 A BLD05-00050 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.) A 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. 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.) The front setback from Prospect Avenue is 20 feet from the edge of the right-of-way. The side setback is 5 feet from the property line. The rear setback is 300 feet from the edge of the stream/buffer. I:\F_BLD_Permit_Buildngspt 10/29/1999 410 ��gsoly co & JEFFERSONIRUNTY j DEPARTMENT OF COMMUNITY 11EVE dPMEN'e {' `I/ = � `�� � i�a 621 Sheridan Street• Port Town end ashington-9 �388� 360/379-4450 • 360/379-4451 Fax !I I I �<ys,\\,,..... 0� www.co.jefferson.wa.us/commdevelo erJAN 2no5 !4 i__ sf Master Permit Application MLA: ` J 5—'1 Project Description(include separate sheets as necessary): NIu1 d 2 x .)6z Pi 74cat,p CA/'A &/5 Tax Parcel Pro Number: L 013 4 02 ©�L 3 Size -_c A L l~f 3 (acres/square feet) Site Address and/or Directions to Property: ?/i/ 'l c S FI"? A tl 5 Property Owner(s)of Record: N A',icy -4- 12 A ki i o .To LI N.s 01,1 Telephone: 76 0 3 j- 9 0 K Fax: email: �10,/1#liSak 9,;,4 is 6' Mailing Address: 31 y r'k)1.4-�i i1„,s r f' j c/f ar.aSP !?_a- c 4 'Li. Applicant/Agent(if different from owner): Telephone: C I°4- (y 3^ / , +-j 0/j y n . Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) 0 Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CJ** ❑Single Family ❑ Discretionary"D"or Unnamed Use Classification fsxGarage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home' ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use E Long Plat** ❑Address 0 Road Approach O Planned Rural Residential Development(PRRDyAmendments-- 0 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 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 ifs 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. �i Signature: ' ' ei„_. i .„.____ Date: /"12 C r3 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-transferable responsibility or dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: i 'ti 1 g Date: 1 - .5 - O f'" G:\PemvtCenter\FORMS\DRD FO S\Master Permit Application 7-8-04.doc • 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 the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 1)Avi' j c r-i JSa, ( cNsT,Zr,C7'ic,J ( .hi, ) .3y)"; ciodg ( 3bo ) ;jyy HI5) MAILING ADDRESS: 3 )11. 7 k G S?0 c"7 0 7 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: 9A V 5C N2- C API ` NUMBER ARCHITECT/ENGINEER: Ann 4 PHONE ( ) Fax:( ) MAILING ADDRESS: :3 i 1-! EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: [ New K Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Ay, ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System d• ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: ) . Water Supply: Existing: I Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: 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 Y,' ;; L Current Proposed Amount Y .Al " 't`4 s Main Floor Consistency Review: 7 ,µr 2ND Floor i _, , t. .,m 4: L;. I! • fee: ;1; Su Floor ,t itional Section: 4 r w`,1 z i' ..` JAN 2 5 2005 ' , Mezzanine: 'Pla Check fee: i9 , Heated Basement - ` ``Surcharge fee: 4.,,,f..;.,7:2-:, Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport ' �, g� TOTAL $ Y g j 17 5i-1 Decks Receipt Number: (,, i 3( Other Cash/Check Number tL� ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to tin-sh—T. -- I i `d lyiltrals: ç llZvi ,%t G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc