HomeMy WebLinkAboutBLD2005-00065 IJILDING PERMIT APPLICAT•N MLA05-00072
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00065 Received Date: 2/2/2005
SITE ADDRESS: FLORENCE ST
PORT TOWNSEND, 98368
OWNER: FIRENZE COURT LLC PHONE: (206) 892-9984
16221 REITAN RD
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: IRVING PARK ADDITION Block: 21 Lot: 7+
PARCEL NUMBER: 963302107 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: ON THE LEVEL CONSTRUCTION PHONE:
4553 SE HORSTMAN RD
PORT ORCHARD WA 98366
Contractor's License LEVEL*961CR Expires 2/19/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE, DECK &
A/G 125 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,510
VALUATION 115,000.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 462 SHORELINE:
CONST TYPE: DECK: 80 SETBACK:
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: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
Routing Date: . F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
1
Type Amount Paid Bv: Date: Receipt: /D t
Permit $1,077.75 BAC 02/02/05 71325 •
Plan Check $700.54 BAC 02/02/05 71325 MAR 1 7 2005
State Building Code $4.50 BAC 02/n2/05 71325
Potable Water Application $53.00 BAC 02/02/05 71325 MatsonBuild County Department.
.
'pp�� &Building�)epartme
Total: $1,835.79 (� Yl
1, Cp
1
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00065 Received Date 02/2/2005
SITE ADDRESS: 151 FLORENCE ST Issue Date 03/17/2005
PORT TOWNSEND, 98368
APPLICANT: FIRENZE COURT LLC PHONE: (206) 892-9984
16221 REITAN RD
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: IRVING PARK ADDITION Block: 21 Lot: 7+
PARCEL NUMBER: 963302107 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: ON THE LEVEL CONSTRUCTION PHONE:
4553 SE HORSTMAN RD
PORT ORCHARD WA 98366
Contractor's License: LEVEL*961CR Expires: 2/19/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, DECK &
A/G 125 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: C-,SS/ / /
Footing: A/vO I w/c,o,� -7(/i , -
Foundation: // / //
Stormwater FINAL Approval: (3-/ Zbb'Underground Plumbing:1. 7 ".0,
Underground sulation: d O4-
Shear Wall f-/ A/3 c.s z n s.
Sheathing: e t-
Framing: ? i ®c--
Plumbin : / h.s-
Propane Tank/ Lines: -,ivi 4,xr i;.4 2,?.2S -r,-V
Insulation: iir(Glt-e, "Z--(�f-I ' P4
Sheetrock, ' 2l) m s
Septic Sy ei' m Final A proval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approva. ..-7 t '
HEALTH DEPARTMENif 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 CAI t BLD05-00065 •
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.) 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.
3.) A Stormwater Plan prepared by Colette Kostelec, P.E. dated May 4, 2001 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) There is a 20 foot front setback from the edge of the easement along the eastern edges of
the property. There is a 5 foot side setback from the northern and southern property line
(side). There is a 5 foot rear setback from the western property line.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
ox eo6 JEFFERSON LINTY
4 ,
`�� DEPARTMENT OF COMMUNITY DEVELOPMENT
4. . .
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax F E B - 2 2005
.q O www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLq: '
Project Description(include separate she is as necessary):
Tax Parcel Property
Number: "; 3 C . ( 6 7 Size: i 3 78 7 5.); (acres/square feet)
Site Address and/or Directions to Property: I 4X c CZFa�c- '"T'
Property Owner(s)of Record: f 12{�2.B Ca U1a, 4-- L,
Telephone: Zn (' 8 4-Z eft°o 9- Fax: 2 c* gAz.79 13 email:4E0re ialkw,iszesolecT9s44,01
Mailing Address: (6 Z Z.I team (fib is6►0NE,gIE,cE 15- 96 no
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 ❑ Conditional Use[C(a),C(d),or C]**
KSingle Family ❑ Discretionary"D"or Unnamed Use Classification
Garage Attached FBeteeherd ❑ 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 N 0 0 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 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 attomey's fees and
expenses which may in any y accrue against Jefferson County as a result of or in consequence of the granting of this permit
I further agree to provide a ss an ri t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any require I r ins • .Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: 2 • 7i • 06
The action or ac' s 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" "ESA." efferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued I not vi a the 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 ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe for adherin to and complying with the ESA. The Applicant has read this disclaimer and sigLns and dates it below.
Signature:
Date: Z- 2• DS
/, fr
G:\PemvtCentep?FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
ioOWNER BUILDER STATEMENT • 4-
The signer of this state nt does r certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu in a res li of the General Contractor for the proposed project.
Signature* Date: Z ' `O r
GENERAL CONTRACTOR OR PHONE: FAX:
gAl 77•X.Lei.eej 60"%7 (3d6 ) 43f a/£,3 ( ✓)
MAILING ADDRESS: S3 YE 4/blr.STijj,d v At.? , e accAly MAIL: -------
CONTRACTOR'S LICENSE 4 SOOL C*96/cwt. WAINS
NUMBER: ,1 .01)02eC'A7/7' AM NUMBE*23T7
ARCHITECT/ENGINEER: /17,Z-/ yeE./T RAOi PHONE (2444 )dlrtj� p78,1 FAX:(Z )d¢l 7?/S
MAILING ADDRESS: 64/A/6L/.0 6.s" /, EMAII,��,y6 re 51v"-,y�.l'Cl 4/4. cop,
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Z Bank ❑ Community System )7 ,
❑ Alteration/Remodel 0 Concrete Total: Z Height: X Individual System
❑ Repair 0 Masonry SEP Permit#e:5S—/?
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 3 Public ,'i
A* ,gyAt Total: ___A_____ Name of System: APT
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 X Above ground Tank Size of Propane Tank: /ZS f 4L-,
❑ Heat Stove ❑ Cook Stove 0 Woodstove , (1 Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other f!0 Iti412
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 `4 4+' are xi
4
, ,'-i- _ i
Current Proposed an, , .t r' y
Main Floor /v 1 nsistency Review:li•-)40% kr 4 V., '"l _ :`r t"_
2""Floor Base fee: O 1 n .IS-
3f'Floor Additional Section: t::- .—,-;
Mezzanine: Plan Check fee: rim• R.4
I
Heated Basement State Surcharge fee: t(i)
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport �‘Z� IvQ� TOTAL: $ Q lQ 5, i 1
lo• ' \ � v
Decks 8b ` etprFIumber 9 (3 a5
Other 914- Cash/Check Nu 2()
- 2 2E305 02
ESTIMATED COST(REQUIRED) 31 �FiJa _ /a i�5
•Fair market value of all labor aterials foundation t ! `
// sJ O D v Initials:
G:\PennitCenter\FORMS\DRD FO aster Permit Application 7-8-04.doc