HomeMy WebLinkAboutBLD2005-00106 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00106 Received Date 02/24/2005
SITE ADDRESS: 212 MARIETTA LOOP Issue Date 03/22/2005
PORT TOWNSEND, 98368
APPLICANT: ANDREW M ERICKSON PHONE:
452 30TH ST
PORT TOWNSEND WA 983686127
SUBDIVISION: WALTHEW'S ACRE TRACTS Block: Lot: 2
PARCEL NUMBER: 930400007 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DETACHED GARAGE - UNHEATED
CALL IN FOR THE EQUIF ED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS._ 7 2 65-
UFFER:
Footing: nz, .4
4.-r?---
Foundation: -- 1/
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing: _
Framing:4/�
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 CS A BLD05-00106
1.) THIS STRUCTURE CONTAINS NO PLUMBING
2.) 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.
3.) 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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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).
7.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Setback from Marietta Loop 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.
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.
11.) 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.
12.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
ItILDING PERMIT APPLICA1N ML
Revviewiew T Ty112
ype:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00106 Received Date: 2/24/2005
SITE ADDRESS: 212 MARIETTA LOOP
PORT TOWNSEND, 98368
OWNER: ANDREW M ERICKSON PHONE: 33S- 14 62-2�
452 30TH ST
PORT TOWNSEND WA 983686127
SUBDIVISION: WALTHEW'S ACRE TRACTS Block: Lot: 2
PARCEL NUMBER: 930400007 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DETACHED GARAGE - UNHEATED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 12,500.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 432 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: I 1 F&W Landslide
` la�-31 -) fr-1 ,--).
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $223.25 BAC 02/24/05 71522 APPROVED
Plan Check $145.12 BAC 02/24/05 71522
State Building Code $4.50 BAC 02/24/05 71522
Total: $372.87 MAR 2 2 2005
Jefferson County Plannino
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•
(0c--"e". JEFFERSON OUNTY _..
r ,tea, DEPARTMENT OF COMMUNITY DEVELOPMENT M €!621 Sheridan Street • Port Townsend •Washington 98368 `` !
360/379-4450 • 360/379-4451 Fax
I FEB242C05
q O www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: C),j --0 f .;
Project Description(include separate sheets as necessary): _
Nam' 17-4,C-\--t-C o a-Pcc f&- ZC
Tax Parcel Property
Number: '930 ' 4 oO -OD Size: .g3PG 3ro'So4 Sq. F-1"-• (acres/square feet)
Site Address and/or Directions to Property: Zi 2 AA/Are'Fri A LOO e4 PG .T-raw N5c'1 4.Wp..
Property Owner(s)of Record: A..s o 2Ew ER t c14-sot`i
Telephone: 3too St35 Lt,Zz Fax: email: rot.ndy�4t.(,P4?.n .cvw,
Mailing Address: 4SZ- 30-1: .S-F. Po cfzr- -T sE't"o,..NA 943368
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)**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
,Garage Attached Detached ❑ Special Use(Essential Public Facilities)**
0 Manufactured Home _ ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* 0 Binding Site Plan--
❑Change of Use ❑ Long Plat**
0 Address 0 Road Approach 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)* 0 Shoreline Management Variance
❑Temporary Use 0 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_tme 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 attorneys 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. ��__11/l r� '
Signature: (RAJ Date: t�E 5. 2 3 Z v o
i
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-transferab responsibili r a tiering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date: 5'• Z3 t ZocS
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• 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 assuming the response ility of the General Contractor for the proposed project.
Signature: C .,-/ • Date: ' f zit zooS
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
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:
A New ,K Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: b Height: jK Individual System
❑ Repair ❑ Masonry SEP Permit#5�P o If-ao 30 S
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: wPublic
vJo► Total: Name of System: -et)O'er I
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:
0 Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 a ' ; 4ry,4 1 t tip'
Current Proposed Amount r�-k4ti�" s . �" , -''
Main Floor Consistency Review: 4 i� t
2Nu Floor Base fee: 8r3-
rJ;t5
3ra Floor Additional Section: " I
Mezzanine: 1-IPlan Check'feet
Heated Basement Stat(SurchargeIee: tea, 1 4.
t 1
Unheated Basement Pot liVat4 EBviw4ee i
J
Other Unheated 911/Rd Approach fee: 1
(Gara9carPort
"j - r'� to V .gA TOTAL u , t
Decks j .w
Receipt Number r1 5
j
Other Cash/Check Number. l
Cc� Pc$-,2 iD� 1 � �� L D )
ESTIMATED COST(REQUIRED) j2/sco Date; 1 C-
•Fair market value of all labor and mate • o finish L, i�J
llcit',r),,Initials: Crj.
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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