HomeMy WebLinkAboutBLD2005-00058 likJ
ILDING PERMIT APPLICA4N MLA05-62
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00058 Received Date: 1/31/2005
SITE ADDRESS: N LYTER AVE
PORT TOWNSEND, 98368
OWNER: AARON D EADES PHONE: 360-385-3356
351 EAST ISLAND VIEW
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 159 Lot: 34-38
PARCEL NUMBER: 962115910 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE,PORCH &
A/G 250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 228,136.00 MAIN: 1,247
CODE EDITION: 2003 ADD'L: 1,135 HEAT TYPE: PRO
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: 457 t-
SHORELINE:
CONST TYPE: / SETBACK:
DECK: 164 i
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: &i(-:
. F&W Landslide
'' - (\ Y Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,716.15 BAC 01/31/05 71351 APPROVED
Plan Check $1,115.50 BAC 01/31/05 71351
State Building Code $4.50 BAC 01/31/05 71351 MAR - 3 2005
Potable Water Application $53.00 BAC 01/31/05 71351
Total: $2,889.15 Jefferson County Planning
& Building Department
Al P63
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00058 Received Date 01/31/2005
SITE ADDRESS: 172 N LYTER AVE Issue Date 03/3/2005
PORT TOWNSEND, 98368
APPLICANT: AARON D EADES PHONE: 360-385-3356
351 EAST ISLAND VIEW
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 159 Lot: 34-38
PARCEL NUMBER: 962115910 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE,PORCH &
A/G 250 GALLON PROPANE TANK
CALL IN FOR THE EQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:,'-
UFFER:0 c/IOC _Ø/ri
Footng:/POst� w �
Foundation
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing:
Plumbing: 4v„nk;C\nr,, 1, 4-)- I- y, /('-,
Propane Tank iosr :
Insulation: m 6-��my
Sheetrock: - C
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: ,N
Final/Occupancy Approval: L 5/
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 CI E A BLD05-00058
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.) 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.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. Or}-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
4.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
S
10.) Minimum setback from N LyteTAve right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
11.) 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.
12.) 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.
13.) A minimum of two (2) on-site parking spaces are required for the single-family residence.
14.) A stormwater plan for a medium project 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.
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
���`SoN eor, JEFFERSON�NTY � b _e( _ 0036
4' DEPARTMENT OF COMMUNITY D V OI?MENt_
'� 621 Sheridan Street • Port Townse Wdshin for 98368: � `�
360/379-4450 • 360/379-4451 Fax`, 9. _f
�q O� www.cojefferson.wa.us/commdello nt ~
SIN
Ct i. ,
JA N 3 1 2005
Master Permit Application MLA: 1 0 S *-�
Project Description(inci de separate sheets s nece sary): {
re31_, „4Ld
/ Parcel
Property
Number: cr6../( 9 /D
Size: /00 / Z 6275' 0, (acres/square feet)
Site Address and/or Directions to Property: R-d ,l t i e o/l 2; c,T No
—91
Property Owner(s)of Record: e
Telephone: 3420 - -S e - 3 7 6 Fax: 173 ' 3 4<, ._o 0,Li li /
Mailing Address: 21 S / cc,4T _ ne
email: /{op� dO r(,1�o r✓>r,rzllrl,'hK. r1cT
l I.✓-(i%r'.r.^ 1-L'l+ 7754✓4/•i e.,=G1 Pt,/G: '11.1 3Fi 0
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
)Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit
�Single Fami ❑ Conditional Use[C(a),C(d),or Cj**
O Discretionary"D"or Unnamed Use Classification
Garage •ttache /Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
0 Modular 0 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)* 0 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 to act as my agent.in matters relating to this application for permit(s).
OWNER SIGNATURE , I A) —_____. 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 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 r ed later inspections.Akr'cs and ri ht of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: ,�,Ly,J1.� n ,—
2�' a Date: V./ ,<'-- _I ) 00
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-trans able responsibility fo heriri to and complying with the ESA. The Applicant has read this isclaimer and signs and dates it below.
Signature: 1vt_.�N— L'—aekx2o �,
Date: ` C, / L'0 4-
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
S OWNER BUILDER STATEMENT •
_
The signer of this statement does hereby certify thy are the Owners of the parcel referenced herein,that they are*icepsed ors o f that, ,4
they will be assu ing the responsibility the neral Contractor for the proposed project. 'i , ,.- ,
Signature: Zlit..e'+Y�_ 1 l/) Date: 7 ()OS, !4
JAN 3 1 2005 `
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
j
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: • Shoreline: Type of Sewage Disposal:
y New j Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 2-1/i. Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: ..2, y i.- Height: A Individual System
❑ Repair D Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: D Private well D Two Party
Type of Heat: Proposed: 2(Public
I2 u vA 1.u i Total: 3 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,-mairk all items below that apply: J
D UndergrouundTank t Above ground Tank - /Size of Propane Tank: = 2 LO wee- A
❑ Heat Stove ❑ Cook Stove 0 Woodst ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove D 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 Use Only N rt �z , .� '� "' •b''
Current Proposed g , � i" �, 4��.
Main Flooronststew: �.: , _ ?!x At''F K# S ,a' _#
2Nt,Floor ,,_ �4 b c i x,
ase fee: '. "
3f0 Floor } M .itjonal Section: r *` - : r r,,ze 3
C \ :,..tW 1 . i 4 4
'�' Pl Check fee: w T h f� {rw"Xk H - tY.
Mezzanine: u Y 7 f • a : -. ;R. r ,
{ � >r + x
*z-, ,*, f i�` .., ,,
Heated Basement State Surcharge fee r3{ a'a 4* , r� , o�-. t
i ; �ti,- ti�s_ k
Unheated Basement of ' tv , w v # tg
Other Unheated C k" '''C'' `` bs `
Garage/Carport ,1 TOTAL: '$ " g
ti
Decks Receipt Number • ; tk m '
k e `..: ,
Other Cash/Check Number: we �ry,� j. :f -
ESTIMA�i D_COST_(j SQUIRED) Date: ,;-,*.a,-,,,,sue. , a ,�
.Fai rlcet value of all labor animateria ndation to finish
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nab ..(0-o I Q SDOOvG, Initials:
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G:\PemvtCatOa\ ORMS\DR FFORMS\Master Permit Application 7-8-04.doc