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HomeMy WebLinkAboutBLD2005-00111 4IPU ILDING PERMIT APPLICA1N MLLA05 00122 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00111 Received Date: 2/25/2005 SITE ADDRESS: GREEN WAY PORT TOWNSEND, 98368 OWNER: JOHN F DOORES TRUSTEE PHONE: JENNIFER M DOORES TRSTEE 65 CRESTWOOD DR SAN RAFAEL CA 94901-1149 SUBDIVISION: I -P&D RANCH Block: Lot: 14 PARCEL NUMBER: 959000014 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 1/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ ATTACHED GARAGE AND DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,040 VALUATION 350,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 465 SHORELINE: CONST TYPE: GARAGE: 575 SETBACK: DECK: 100 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide Z6 1 6,. V Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,393.75 BAC 02/25/05 71554 APPROVED Plan Check $1,555.94 BAC 02/25/05 71554 State Building Code $4.50 BAC 02/75/05 71554 APR 2 9 2005 Potable Water Application $53.00 BAC 02/25/05 71554 Total: $4,007.19ilt Jefferson County Planning & Buil i D partment n • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00111 Received Date 02/25/2005 SITE ADDRESS: 22 GREEN WAY Issue Date 04/29/2005 PORT TOWNSEND, 98368 APPLICANT: JOHN F DOORES TRUSTEE PHONE: 415-457-6365 JENNIFER M DOORES TRSTEE 65 CRESTWOOD DR SAN RAFAEL CA 94901-1149 SUBDIVISION: HERON POND RANCH Block: Lot: 14 PARCEL NUMBER: 959000014 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License: WALTECC012BA Expires: 1/1/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE AND DECK CALL IN FOR THE 7QUI177 INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: c. UFFER: 5 17- Footing: 4/ 4 -' 5(-AO fr6 - S'/247/07 Foundation: ) cr./-b Stormwater FINAL An ro al: Underground Plumbing: s�osr Underground Insulation: / ir+ortsk s- .2.slile Shear Wall : A/Aiio(, Max. 4 " g-F.oc" Sheathin.:0, , -9roi/ Framing:a, ?,-Os' Plumbing:). Q.2,-60c' Propane T nk/ Lines: .`Oa 6./k-z-- 4- 1.--►N>zs9r.— tJµdltrz roopv T K- Q._.30/gJOg Insulation: Q -�-c?s (J Sheetrock: q- v .oto- Septic Syt Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: //%g HEALTH DEPARTMENT ND 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 A BLD05-00111 1.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 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 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 tights-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 Green Way 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.) 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. 10.) 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. 11.) A minimum of two (2) on-site parking spaces is 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. y are the Owners of the parcel referenced herein,that tney are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project Signature: - r; =;"S`v Date: ' G ERAL CONTRACTOR OR MANUFACT ED HO E INSTALLER: PHONE: FAX: 1 LS.J (1 G (36O)3g-5-6I0s (360)3-7R'-T737 MAILING ADDRESS: EMAIL: 5C0_'t _J t S u , CONTRACTOR'S LICENSE WAINS �f� NUMBER: L00.1 Cco 1-a-2.fir NUMBER ARCHITECT/ENGINEER: ! PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL roject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New t<Wood Existing: 0 Sewer 0 Addition ❑ Steel Proposed: 1 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height cg ndividua System 10•',i 0 Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 'El Private well u Two Party Type f Heat: Proposed: - • C Nameq Total: Pu of c System: ( FEE 25 1°5 If this is a Commercial Proiect you must answer the following:I Number of Parking Spaces: Current Proposed; Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) 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 ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 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. Square Footage tt �k q 9 ot—V$ niy a` fz �b, 3 fV.a SAT'Y' Current Proposed 4 �, Main Floor p.,:T -, , 6 r i isterx y Revle'tnC' 3 E s 2"t'Floor ST.. T. ; A ,4igll; {' j �a: 3m Floor ^: ' ditional Section ecfi. 'ta• '" :g ,i �,.,3, 'j.` 1-1 c > h tx -, .c r wy ' �ti� � �feii� s4 a� - Mezzanine: n Check feeV,. # , Y� 1 A.(<. .Hk A h Heated Basement j" t �" � ' t E4; w, � �- r t Unheated Basement f ", T �r W q j Nor 4 Other Unheated `. :�'I'IyR .. w r,,i x Garage/Carport r 7� '��,�` ?,� a sya r7 ems. � ;, 4�� a Decksx ncy l,�cY. i. w S. >,r ti 4o r� , , lot 35-z . ,t } _ .� , Other `.Chock P4 0 ,p X ' } fY' � 3 ESTIMATED COST(REQUIRED ate:. ` `� ' ,•.., ;; : ; *Fair market value materials founsa,.• .finish 4 ,et° A t `,;. G:\PemhitCenter\F •aster Permit Application 7-8-04.doc it � JEFFERSON OUNTY • i �' DEPARTMENT OF COMMUNITY DEVELOPMENT i 621 Sheridan Street• Port Townsend •Washington 98368 ;' �! 360/379 4450 • 360/379-4451 Fax FEB 2 5 p www.co.jefferson.wa.us/commdevelopment ' 1 Master Permit Application M : (22� • Project Description(include separat sheets as necessary): W:).W3 al-r(0 clic.° , _-,4../I(V I, , _,,...,,, Tax Parcel Q Property Number: I,D1 noo 014 Size: O9„ rj Q1.1-{-_S acre quare feet) Site Address and/or Directions to Property: L Property Owner(s)of Record: {• 4 J 5 .--g? -{ CT ,-) Telephone: I 7 -(p 3(0__Fax: `4I5 U 5' `1 email: i Ar t-C-. -!c,7ricq-i.h Mailing Address: ��6j ,an I--; �'") I A . 9 of o i Applicant/Agent(if different from owner): l . C D ' t n C-- Telephone: d Fax: — Lt1 -") email: (d5'i Mailing Address:\ i_ 'L2S 170-r 1-- ---r What kind of Permit?(Check each box that applies) Building ; •_ -, x ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit '` 4.1 i•^ w i;.' �'i( ❑Conditional Use[C(a),C(d),or C]** 4:43r-Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** 0 Manufactured Home 0 Boundary Line Adjustment ❑Modular ❑ Short Plat** 1 ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** Address ❑ Road Approach ❑ Planned Rural Residential **pp 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: Eq SIGNATION OF AGENT I hereby designat to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE tom•, Date: L'' Li) �`� By signing this application 1o1 m,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 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. Signature: kk 1i ������( Date: Z — /'— ccThe action or acti ons Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered speths 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-transferable res onsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: tM. 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