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Home My WebLink AboutBLD2005-00105 •UILDING )PERMIT APPLICAIN ML Review Ty Ty110 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00105 Received Date: 2/23/2005 SITE ADDRESS: 211 S JACOB MILLER RD PORT TOWNSEND, 98368 OWNER: RICHARD A STAPF JR PHONE: BEVERLY A STAPF 4677 BELL STREET PORT TOWNSEND WA 98368-1923 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001054013 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 840 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 Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date F&W Landslide �� _ Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: .A��ROV Permit $391.25 BAC 02/23/05 71477 Plan Check $254.31 BAC 02/23/05 71477 State Building Code $4.50 BAC 02/23/05 71477 APR 1 9 2005 Total: $650.06 Jefferson County Planning &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 #: BLD05-00105 Received Date 02/23/2005 SITE ADDRESS: 211 S JACOB MILLER RD Issue Date 04/19/2005 PORT TOWNSEND, 98368 APPLICANT: RICHARD A STAPF JR PHONE: BEVERLY A STAPF 4677 BELL STREET PORT TOWNSEND WA 98368-1923 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001054013 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DETACHED GARAGE CALL IN FOR THE QUIREp IN,9'PECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 02 / oe- UFFER: J/.`� Footing: .fo,1 D )-- Foundation: Cc),) S s Stormwater INAL Approval: _ Underground Plumbing: Underground Insulation: Shear Wall : Q ki, (Li-Va FM Sheathing: Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: q."f`U(j- 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 CA A BLD05-00105 • 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 Sto'rmwater 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, saTety, 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 app!icable 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.) Minimum setback from S Jacob Miller Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 8.) 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. 9.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 • OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass t`,beponsibili of the G neral n ctor for e proposed project. ' Signature: #� a�. o �• ,l te: 2/?s " 4`2s05"- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: I ) , _ ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS T NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: -horeline: Type of Sewage Disposal: X New A Wood Existing: _ ❑ Sewer ❑ Addition ❑ Steel Proposed: Ba ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: __ ) Heigt: A Individual System ❑ Repair ❑ Masonry SEP Permit# SEA)LI-06ZZ'( ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: — Se a ack: ❑ Private well ❑ Two Party Type of Heat: Proposed: jg Public Total: i Name of System: C 11Y OF Piak-r -7-0"hos .to Ifthis-isa Commercial Project you must answer the following: ,..-.'"`"*--'--- Number of Parking-Spa : Current: Proposed: Number of ADA qP fkingSpaCel: Number of occupants(includes o ers, Hants,employees,etc) Current_ ._._.u— """Y�roposed IBC Occupancy: IBC Type of construction: ..� Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installatir lt,mmark all items below that apply: ❑ Underground Tank ❑ Above "n g ground Tank Size of P�rdpane Tank: ❑ Heat Stove ❑ Cook Stove'.-.. El Woodstove ❑ Fireplace Insert ❑ Hot Water a"itk....p Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No - �� ,`� or a permit to install a propane tank you must also submit a site plan showing all of t When allyinghesliuildings,all property lin ,srtank location and size,distances from the propane tank to all property lines,buildings and septic system co on nts g P Y �''P , *including the reserve area. �"- S Square Footage °` ,,= tttr 9 9 � Use Only- t i � � ,�� t, ,� �y.. Current Proposed '``Ay jjitrj ,.l'w �� .7 Main Floor Consistency R•eview_ =', .' . .* 4en,y�y : trq NU M1�a 2 � ..�-.G 1;�,u 2 Floor $a MY.. >ti a; •c w .c 1 3`3 Floor Additiort�al Section .k�- 7 ' f ; x � 'Mezzanine: Plan.Checkfee F . ti . %`�F_ J r a } i afe ;, .z r r Heated Basement Sate; e , .F kr � Unheated Basement : ; �5 , Pot Water RevlevY fae; r �. �, - �F j�. �,+. �: ;. k ,di:x + Other Unheated 911/Rd ApptQacf)fee Y F t ,ti ° Garage/Carport ii -lacy g AL { T 0;<�, '.� ' Ile Decks .. : , {4' r, � Y. w 64*' Other Ciash/CIthec kSimbelr. i `i, -. Y}40.k 1 �� 4 t t{b, Fri rr it ESTIMATED COST(RE IRED) p } .Fair market value of all labor a materials foundation to finish • r t~k '� �n'l Initials 1 � > 4' " ''" , WW �.�S R 4x '!\Tf ,p2 ;..jFK},j¢'..,.. G:k:PcimmtCentcr\FORMS\DI.D FORMS\Master Permit Application 7-8-044oc 7 �gso�v oor, JEFFERSONUNTY k ' 'A DEPARTMENT OF COMMUNITY DEVELOPMENT ` '•Q 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax •4 p/ www.co.jefferson.wa.us/commdevelopment HzNG _ 3 Master Permit Application MLA: C5 - I ( O Project Description(include separate sheets as necessary): rt + . fc'AA'.`, Tax Parcel Property 0//, 70/- 60 Number: 00 0 5 L 0 15 Size: `7/ 4• g' 3/ (acres/square feet) Site Address and/or Directions to Property: Z I( S S. SAcA B ('t rt_LE(. R0• Property Owner(s)of Record: ?ICI-IA Rb A• STA PF,J . I Telephone: 34o0 - 379- 53 55 Fax: email: S-fa pf,6).ca-b i e s r.eA.,core Mailing Address: Z I f S. 3'Aco g M tt.LEe 1 t• Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) X Building ❑Variance(Minor,Major or Reasonable Economic Use) rl Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** Single Family ❑ Discretionary"D"or Unnamed Use Classification X Garage Attached/ etached ❑ 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 ❑ 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 attorney'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 aunty and its employees,representatives or agents for the sole purpose of application review and any re ,ire• later inspections.Access and right• to this property shall be requested and shall occur only during regular business hours. �� F / Signature: • 1.r'�/�1 _ .= Date: 24 Z/OS 4/ 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 y• -re in compliance with the Jefferson ounty dev-lop ent code.The Applicant acknowledges that he,she or it holds individual and non-transfer-• - res•onsibili f ad ering to anti plying V ES The Applicant has read this disclaimer and signs and dates it below. Signature: G,-a Date: 1,2 f 5— Z�; ro J , , G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc o� (C--- :=D L.-j_ .9 #, M 4> � • V/� ♦♦♦♦♦♦♦♦♦♦ c P do •••••••�•• ♦•• ��♦ lit. 0 O WI r4 CIO _I 0., L ____,..1\----) ' / , ° 1 CZ e. c'- ,_ ,, y, up _I -,/ ...i UN i vp [ Cr) I a i o c I 6 I ''/ Cu o., CC (D 0 \‘‘‘' mr w z -�;I 01 ‘--V)0 in ow 6 T CO co o , � ; oz4 V) • -....-or cu 0 d- T o 1111 ; 41► PKoPos y Qa n► g W i I ill.I779- --- i n v�0 X Z(c a,, (..i W ...,. 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