HomeMy WebLinkAboutBLD2005-00094 • BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00094 Received Date 02/18/2005
SITE ADDRESS: 140 FLAMINGO RD 12 Issue Date 03/23/2005
PORT TOWNSEND, 98368
APPLICANT: ROY KENDALL PHONE 360.344.4257
140 FLAMINGO RD #12
PORT TOWNSEND WA 98368
SUBDIVISION: ONE HAWKEYE PARK Block: Lot: 1-43
PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License: BUILDBC011MG Expires: 7/8/2006
PROJECT DESCRIPTION: NEW POLE BUILDING
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 14.
UFFER:
Footing: Y
Foundatir... /*
:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathin
Framing. _ Z I .es..
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: (�
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 # BLD05-00094
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.) 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.
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.) Setback from Flamingo Rd. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
9.) 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.
10.) 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
SMLA05-100
UILDING PERMIT APPLICA N ReviewType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00094 Received Date: 2/18/2005
SITE ADDRESS: 20 FLAMINGO RD 28
PORT TOWNSEND, 98368
OWNER: SANDRA I SETON TRUSTEE PHONE:
SANDRA SETON LIVING TRUST
115 ALOALO PL
LAHAINA HI 967619175
SUBDIVISION: ONE HAWKEYE PARK Block: Lot: 1-43
PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROTHERS PHONE: 360-683-6216
PO BOX 3831
SEQUIM WA 98382
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW POLE BUILDING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 320
VALUATION 7,542.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
CONST TYPE: 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
F&W Landslide
Routing Date: --l/(4 J/?) �- Shoreline Aquifer
Forest: Commercial Rural
Type
Amount Paid By: Date: Receipt: Approved/Date
Permit $153.25 BAC 02/18/05 71467 APPROVED
Plan Check $99.61 BAC 02/18/05 71467
State Building Code $4.50 BAC 02/18/05 71467 Z 3
Total: $257.36 MAR
2005
Jefferson County Plas�nint,
A :. ilfb ' Dooarunent
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 ass ing the responsibir of the General Contractor for the proposed project.
/Signature: - � Date: 7/ Z/p%
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX
`
MAILING ADDRESS: lli • !�'j.:l<l t e `7(7—' i , :Lf.), i 4 EMAiL:
CONTRACTOR'S LICENSE WAINS
NUMBER: .IT//)%) (; a I !?, NUMBER
ARCHITECT/ENGINEER: C° j PHONE ( cis...) ;LFAx: f{ q j, ,
MAILING ADDRESS: Pr L3 e L x 7 c,) , 7 :',9 ) f 00 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New )4 Wood Existing: 0 Sewer
Addition p0 Steel Proposed: Bank 0 Community System
C; Alteration/Remodel ❑ Concrete Total: Height: D..individual System ,�--
r Repair ❑ Masonry SEP Permit#y f— i
o Demolition II Other. Bedrooms: Water Supply:Existing: Setback: ❑ Private well C_Two Party
Type of Heat: Proposed: H P
Total: I ublic
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:
I Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove f Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove I 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 Amount
Main Floor ,d nsistency Review:
2""Floor 1a• `
Base fee: i 53.a5
3m Floor Additional Section:
Mezzanine: Plan Check fee: 9A .4' '
Heated Basement State Surcharge fee: 1
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee: C krs-h
Garage/Carport L!
TOTAL: $ 3ae .3(e
Decks �-^E�
Receipt Number: - 1 !-4 47-1
Other I Cash/Check Number 5Q(0
ESTIMATED COST(REQUIRED) Date: 1 /
.Fair market value of all labor and materia'o 6-',,n,+=}jnr,to finish p(�1�:�
`1( (a 13_• 4, Q( Initials:
C:\Duanents and Settings FEB-, 1 :-`L?'.;J
\mocha\Desktop\Master Permit Application 7$04.doe
Oi Q, JEFFERSa COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368 • 1' ,; 1
360/379-4450. 360/379-4451 Fax
O� w<vw.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA:, 0.5
Project Description(include separate sheets as necessary):
•
Tax Parcel Property
Number: �C % :' (I.,0 %C) ( Size: (acres/square feet)
t"
Site Address andlor Directions to Property: I `EC.� L.��( ( 1 X� U (a
Property Owner(s)of Record: C, f�"t\,iL?L�V
Tele hone: ;a�C C.` t tit?" '� 1 Fax: email:
Mailing Address: j}.t`,t 1�'i( . 1 1 `, f j t t 1ii)1 t-)t'CA4,
Applicant/Agent(if different from owner): 'h %� F �'+ (` `i f-" t ilk,i
Telephone: (t.0 ._.(CC-2 (,J ( ` Fax �4 ) �t (c;�1 ` I email:
Mailing Address. )`), , ) >,'z : 1 r r.C�`. t ft t t . � >:
What kind of Permit?(Check each box that applies)
i ❑ding Variance(Minor,Major or Reasonable Economic Use)
/[;iB Demolition
/` r I De Pe[rttit ❑ Conditional Use[C(a),C(d),or CI**
Single Family """ ❑ Discretionary"D"or Unnamed Use Classification
tkGarage(( Attached/ ❑ Special Use(Essential Public Facilities)**
it Manufadtured Homer ❑ Boundary Line Adjustment
Cl Modular [1 Short Plat**
Commercial* ❑ Binding Site Plan**
Li Change of Use ❑ Long Plat**
l Address i Road Approach L_i Planned Rural Residential Development(PRRD)/Amendments**
D Propane n Plat Vacation/Alteration**
❑ Mowed"yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
Stormwater Management Ll Shoreline Management Substantial Development**
IJ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
Cl Temporary Use i, Comprehensive Plan/UDC/Land Use District Map Amendment
Wireless Telecommunication* n Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium *Requires a Pre-Application Conference
*May require a Pre—Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
l -- E§l1NATION OF AGENT
1 hereby designate L.i L.Y ?'` _/ �_ �„ my g f'. -�'t:._�,to act as agent in matters relating to this application for permit(s).
OWNER SIGNATURE 2 - W 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 quired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: /1 22/0
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)ev if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tr ns rabbI res o ibility for- Qring to and complying with the ESA. The Applicant has read this dis tmer and signs and dates it below.
Signature: f / Date:
(i\Documents and Setting\mochil\Desktop\Master Permit Application 7-8-04.doc