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Home My WebLink AboutBLD2005-00124 'UILDING PERMIT APPLICATION MLA05-00128 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00124 Received Date: 3/3/2005 SITE ADDRESS: MYRTLE ST PORT TOWNSEND, 98368 OWNER: TIM THOMAS PHONE: 2174 VICTORIA AVE PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES Block: 1 Lot: 16 PARCEL NUMBER: 977100116 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: MCFADDIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License MCFADDI969MA Expires 7/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW SFR & A/G 120 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 816 VALUATION 85,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 16 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 1 Seismic Streams Total: 2 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide je) / ' 1 ) Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $888.75 BAC 03/03/05 71537 APPROVED Plan Check $577.69 BAC 03/03/05 71537 State Building Code $4.50 BAC 03/03/05 71537 MAY 2 5 2005 Potable Water Application $53.00 BAC 03/03/05 71537 04 Total: $1,523.94 rson County Planning uil . e artment re 9(Z Ai - • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00124 Received Date 03/3/2005 SITE ADDRESS: 72 MYRTLE ST Issue Date 05/25/2005 PORT TOWNSEND, 98368 APPLICANT: TIM THOMAS PHONE 2174 VICTORIA AVE PORT TOWNSEND WA 98368 SUBDIVISION: OCEAN GROVE ESTATES Block: 1 Lot: 16 PARCEL NUMBER: 977100116 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: MCFADIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License: MCFADDI969MA Expires: 7/1/2006 PROJECT DESCRIPTION: NEW SFR & A/G 120 GALLON PROPANE TANK CALL IN FOR THE EQUIREq INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ,7160 UFFER: / /pc. / Footing: /6//66 .Foundation:yJ C f/194- y/u/o( Stormwater FI AL Approval: Underground Plumbing: Underground Insul tion: Shear Wall : IJA, o,erdL5 s 407-6 7 ef'o49'VW Sheathing: Framing: Plumbing: Propane Tank/ Lines: Insulation: R ii°'-o g4- 03 X.0994/4-cl,�?:-ZO'cns Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: _ it-IS-OS- HEALTH DEPARTMENT D 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 AVA!LABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE REVERSE SPECIAL CONDITIONS FOR CA # BLD05-00124 • 1.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 2.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. .Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Minimum setback from Myrtle St right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks. 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 desiged and hooded to prevent the light source froTii 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.) A minimum of two (2) on-site parking spaces are required for the single family residence. 13.) 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. • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 4".g,soN 00�4 JEFFERSON SJNTY III DEPARTMENT OF COMMUNITY DEVELOPMENT +-'1 ` 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax�,q .4,0'� www.co.jefferson.wa.us/commdevelopment Master Permit Application MA11 -3 2 --., MLA: C.;:J` O Project Description(include separate sheets as necessary): 10 E-v.-) jJ Cat- 'c.'AY I4c-y ' .:cs ivf. .. . Tax Parcel q Property Number: 1�� (op 1 ( e Size: 9000 See. t-1 (acres/square feet)_ Site Address and/or Directions to Property: I7l_2> ,My c.:•yc_, S i. (Ca .— e* APB 4 1: .D.) Property Owner(s)of Record: T(v1/1 t-kov'vl AS (Sf�t1..4.1~) S NAN NorJ ACw r-le4 CgiAYtir, Telephone:_-.1rf4APJn)c)J : SC.0•385•z,ty, Fax: --- email:-- Mailing Address: I--',,-/.. Z,A t-t,i'==r i z': >"7. AFT..'. .. T'"' T i 0-;,aa K.s -v r,,t Applicant/Agent(if different from owner) iv,"'F-Al>tt,i ! T)IV,S , '.,N c.-- / ,5, U5-1,0aM.) Telephone: -3C42"C' ;• - --- Fax: 36747-3S,•4177). email: ze_ke,'" 04(-r-Avik,)DAVI 5,Cowl Mailing Address: I c 4 'T' '.trot nyr ST, P z-1 'iow,JS'E.•Tvb 1 +0 )A q S34g Wh t kind of Permit?(Check each box that applies) E'Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ gemolition 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)** ❑ 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 Consist cy Analysis CI Shoreline Master Program Exemption/Permit Revisions** CI Stormwater Management CI Shoreline Management Substantial Development** CI Site Plan Approval Advan 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{NIc,F )tJ 3PA.1/S, ,11) . to act as my agent in matters relating to this application for permit(s). iy-i r OWNER SIGNATURE l', •,! d.'-'4, . _-' 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 any required late spseictions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ,___.-,; /, , Signature: `, t _ r 1 } � Date: 3- )-7-a ` 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 com iance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tranble r p ity for ache g to and complyingwith the ESA. The e Applicant has read this disclaimer and signs and dates it below. Signature: 14 ri /2 Date: `C7 3"O5- G:\PermitCenter\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 responsibility of the General Contractor for the proposed project. Signature: Date— GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (Ai`9�AVIA\.) r Pi:W(S , (346) S19-ii"i5- (3(06 ) 5$S 71;. MAILING ADDRESS: wt� 109 S ..��O).AN M'r-- S' '- , EMAIL: Zf.K aD %A Go► D 14/DAV/S• n. R CONTRACTOS LICENSE 1 � WAINS NUMBER: IMLAP7 r eitoQ IAA A NUMBER ARCHITECT/ENGINEER: N/A PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: [/New VWood Existing: it> ❑ Sewer ❑ Addition ❑ Steel Proposed: _/_____ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: / H ' ht: <lndividual System ❑ Repair CI E' SEP Permit# 61 I -3 i 0 ❑ Demolition ❑ Oar: Bedrooms: Water Supply Existing: C.? Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: " A Public r.4-*"..7i r-t,,:-. -64\4f, j�„p Total: Z 114 Name of System: ft Lis i> If this is a Commercial Prolect 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 ,Above ground Tank Size of Propane Tank: 1'Z.C) OAr i'--esys.) ❑ Heat Stove , Cook Stove ❑ Woodstove Cl Fireplace Insert LHot W r Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured I Mobile Home? Yes /l 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 A lit =-I 4 Main Floor ( Consistency Review /i rru 8KO '31)-4e6, Base fee: `t(,j c C, 2 Floort5 ,-7 3fd Floor Additional Section: — 5.17 . (' Mezzanine: Plan Check fee: Heated Basement _ State Surcharge4 Unheated Basement — ! Pot Water Review fee: c Other Unheated 911/Rd Approach fee: —I or) X TOTAL $ Garage/Carport �- _ i �• Decks C", /& 57 ,r Z Receipt Number. 1 I b Other _ Cash/Check Number. olDd�� r l '/ _ tiVIf ESTIMATED COST(REQUIRED) 53,1t, '-/JI6�U Date: r .0 E 11 _ .Fair marke value of�abora►fd-materials foundation to finish 1 Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc