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Home My WebLink AboutBLD2005-00064 JILDING PERMIT APPLICATIN MLA05-73 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00064 Received Date: 2/2/2005 SITE ADDRESS: 173 ALDER DR PORT TOWNSEND, 98368 OWNER: ANNA MARIE SIMPSON TRUSTEE PHONE: 360-379-9105 ANNA MARIE SIMPSON TRUST 173 ALDER DR PORT TOWNSEND WA 983689401 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 74 PARCEL NUMBER: 940800070 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 20,364.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 864 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland -Erosion rop: Prop: Seismic Streams Total: Total: Flood Way Floodplain __ Routing Date: F&W Landslide �\�� 5 6C--rd Shoreline Aquifer Forest: Commercial Rural 'yin Amount Paid By: Date: Receipt: Approved/Date Permit $335.25 BAC 02/02/05 71361 APPROVED 'lan Check $217.92 BAC 02/02/05 71361 State Building Code $4.50 BAC 02/02/05 71361 MAR - 4 2005 Total: $557.67 Jefferson County Planning &Building Department 4-t_ Ecay., Ai Pg+3 136± co 1 — — — z ZNI cl cis co• i \ ‘ . Itij S£POI $E; \ -11-- %.1\.‘ \ ,11 ' 'Cilt. .K-> ° •: -' 1 PUMP C!i ap te \ ..... _ 1 l TRANSFlaRT PIPE I z ^ ED Ni \''''' ) O P' \t3 :,. — . , T RE SERVE-- E I NO TRAFFIC ZONE 1 -s / rUf� tU — CIA icZri 1 r 1 �t \" ---- : 1 -1r'L-. : *$ 1 p- . a � • Dco \ . • , , ....,, 0. GO Q, ..„. up - OBS. PT 0 1::" (4 14) co l • Z 130!& —\\ W EX U Oz I..... to Z _ r_.... < m 0 0 . NQ F)S I T E D < cc No , —.— v-..-. -.- .. ._— .-.a LOCATION /�� y�� FEATURES ARE APPROXIMATE 1 F LOCATION or SITE `EA 1URES ARE APPROX MATE �� 30' F± APPROVED FE 2005 SITE PLAN Scow F . FILE:' 0060-R11.DWG .A‘.\ oFtt�'• iyC. iy 4, .is. GI ,_ ' < .3 er" �" _ Z 99006 � _• .. ,.. ?ems � t:�• �� Revissons:_ - � COUNTY z1 t i 3 .i� IIIIIIIIIIIIIM • . I NI Y DEVELOP 11. t G 1207+ i if .•SSIONAL _—_ --- -- s ! i•i.;_ I kA i ! SLEET ET Air 1 EXPIRES: 5/25/01 'F •.N A 1 A d I. �- NOT APPROVED FOR RELEASE p 3/ �.R I %MOUT ORIGINAL SIGNATURE_ I o£- 9 Storrnwater :i' DATE ISSUED: 7-29-39 Required • BUILDING PERMIT Jefferson County Department of Community, Development 621 Sheridan Street, Port Townsend WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00064 Received Date 02/2/2005 SITE ADDRESS: 173 ALDER DR Issue Date 03/4/2005 PORT TOWNSEND, 98368 APPLICANT: ANNA MARIE SIMPSON TRUSTEE PHONE: 360-379-9105 ANNA MARIE SIMPSON TRUST 173 ALDER DR PORT TOWNSEND WA 983689401 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 74 PARCEL NUMBER: 940800070 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE PROJECT DESCRIPTION: NEW DETACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing:` % 7/// Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval* . , s— HEALTH DEPARTMEN 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 CA # BLD05-00064 • 1.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 2.) 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). 3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 4.) The building height is not to exceed 35 feet. 5.) Minimum setbacks from Alder Dr right-of-way and Ridge Dr right-of-way are 20 ft. Minimum side and rear setbacks are 5 ft. 6.) 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. 7.) 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. 8.) 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. I:\F_BLD_Perm it_Bu ildng.rpt 10/29/19 ��gsoN cow JEFFERSOUP(Ty r --- -T_T- 4 �! i J , . kiiii ,� DEPARTMENT OF COMMUNITY DEVELOPMENT I, a-,621 Sheridan Street• Port Townsend •Washington 9836$ E 360/379-4450 • 360/379-4451 Fax i 1 F c Q — 2 qS, Nat S. www.co.iefferson.wa.us/commdevelopment �05 Master Permit Application ' MLA: Qr Project Description(include separate sheets as necessary): Tax Parcel Number: 9 /O g( ()'7 ) Property Size: I gi 200 c -, Site Address and/or Directions to Property: / r (acres/square feet) 17 R C%�Tumli' )r - l„OP Property Owner(s)of Record: , ,� le r1 R it Q .P'l Pin '' Telephone: 3 79-J/6 Fax. Mailing Address: 1 - ) email: Applicant/Agent(if different from owner): Telephone: Fax: Mailing Address: email: What kind of Permit?(Check each box that applies) Euilding 0 Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit ❑ Conditional Use[C(a),C(d),or C)** ❑ Single Family 0 Discretionary"D"or Unnamed Use Classification VGarage Attached Detached._..) ❑Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment 0 Modular ❑Short Plat** ❑Commercial ❑Change of Use 0 Binding Site Plan** ❑Address0 Long Plat** El Road Approach ❑Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ]Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/permit Revisions** Ii Stormwater Management 0 Shoreline Management Substantial Development** ] Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ]Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ]Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ] Forest Practices Act/Release of Six-Year Moratorium *May require a Pre Application Conference 'lease identify any other local, state or federal permits required for this proposals if known Confefence hereby designate DESIGNATION OF AGENT to act as my agent in matters relating to this application for permit(s). )WNER SIGNATURE Date: ly 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 is,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 lay result in this permit being null and void. further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and xpenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. further agree to provide access and right of entry to Jefferson County and its employcce,representatives or agents for the sole purpose :view and any required later inspections.A and.'ght of entryto this propertyegula of businesssstion ours. shall be requested and shall occur only during regular .ignature C�� Ze 2 J //j'J/JC1 -- Date: 2 -2 —67 he action or actions Applicant will undertake as a result of the issuance of this one or more threatened or ndangered species and could lead to a potential"take`of an endangered species astthose terrms may nvare defined ely upon impactothe 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 ermit 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 ction(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual nd non- sfe ble res sibility for adhering a complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ignatu : 7 > X / Date: ,2- —2—0 ._ 1/4PecmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 40 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 ass ing the responsibility of the Ge I Contractor for the proposed project. Signatur _J 4/ f \-_i�!j`11r'rrte/t ., Date: 2 —e-'5 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: mew ii-Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: / / Bank ❑ munity System O Alteration/Remodel ❑ Concrete Total: He'gndividual Sysrp, I i� SEP Permit# O Repairmo 0 Masonry Bedrooms: Water Supply: O Demolition 0 Other: Existing: Setback: ❑ �rfvate well 0 Two Party T f Heat: Proposed: n )j, Public Type Total: A/ Name of System: If this is a Commercial Protect 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 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove 0 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. Y� r ��_ Square Footage Forr<Office Use Only . spy,- - Current Proposed �' � i1� Consistency Review: . �,t g c,�lyot , v o " Y h�Y �F Main Floor _ ,,,¢mot�,�5 ^R ,, ' n� � w' '� Fir p? 2""Floor fee: z , P,, - ' ' .`ty, V' ▪ SS ro Additional Section - - #�u r 3 Floor � Plan....Chd � CL� Mezzanine: �� (1 F� x' 1'`� e fi, `�t 1 r Heated Basement • ";, 4:{ = t- ' Unheated Basement Po Watek-Re feg; _ , ,Iv i ,.a % Other Unheated 911/Rd Apprr�ach fee . r Y 6 RmR y ,,., �7 Garage/Carport /I M , TOTAL" l r + w ``, § x ,• k ' , Decks Receipt Number: t '-- Other Cash/Check Number: ~"-x �' ,ea,. 6-�-K ESTIMATED COST(REQUIRED) Date: ,,1 . . •Fair market value of all labor and materials f ndation to finish1') G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc / 24'-0" / / / / N.T.S. 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