The URL can be used to link to this page

Home My WebLink AboutBLD2005-00132 BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00132 Received Date 03/4/2005 SITE ADDRESS: 3663 WEST VALLEY RD Issue Date 04/18/2005 CHIMACUM, 98325 APPLICANT: STEPHEN M GRIMES PHONE: 753-225-8080 DIANA LA VONNE GRIMES 3663 WEST VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901342003 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: DEMOPRO PHONE: (206) 423-4354 ROY LINDSEY 20026 BALLINGER WAY NE#203 SHORELINE WA 98155 Contractor's License: DEMOP**982MW Expires: 2/8/2006 PROJECT DESCRIPTION: NEW DETACHED CARPORT CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS:_g//1/CJ s- UFFER: Footing. (. / Q-' Founda ion: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathin : 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 ,6 2,1'C3 -- 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 WILDING PERMIT APPLICATIN MLRA05-00134 eview Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00132 Received Date: 3/4/2005 SITE ADDRESS: 3663 WEST VALLEY RD CHIMACUM, 98325 OWNER: STEPHEN M GRIMES PHONE: 753-225-8080 DIANA LA VONNE GRIMES 3663 WEST VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901342003 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: DEMOPRO PHONE: (206) 423-4354 ROY LINDSEY 20026 BALLINGER WAY NE#203 SHORELINE WA 98155 Contractor's License DEMOP**982MW Expires 2/8/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED CARPORT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 7,245.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 450 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: _ I C.) Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $153.25 BAC 03/04/05 71540 APPROVED Plan Check $99.62 BAC 03/04/05 71540 State Building Code $4.50 BAC 03/04/05 71540 APR 1 8 2005 Total: $257.37 Jefferson County Planning &Building Department t X L�� i int f • • •' • A • .. Pui i ___,,,,,2 0 4co a (7) d kv ci L1-`1 t rf-z, h ...1 iii ' gtom._.. ..., -. *%; 1/4 VI t q . qv . 4.-1,7„ -, _ N---;S (IA hl , -... \ k- - -: 4 ‘...__________y:_____ ______:_,_ . ‘.,-.> ----. * . z-4 - k,............ it .(i* ) C 0 . ., // i 4 i t 4 • SPECIAL CONDITIONS FOR CS A BLD05-00132 1.) 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. 2.) 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. 3.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 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 West Valley 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.) 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. • I:\F_BLD_Permit_Buildng.rpt 10/29/19 ��¢, onr co JEFFERSON LINTY • k 1' DEPARTMENT OF COMMUNITY DEVELOPMENT __ ‘.... _, 621 Sheridan Street• Porfl ownsend Washingldh 9p368 360/379-4450 • 360/379-4451 Fax k�, L`' k•gS,lini � www.co.jefferson.wa.us/c4mmdevelopment i MAR - 4 2005 .- - Master Permit Application f '` ,. MLA: L)D Project Description(include separate sheets as ne ry): ' , L1 ur; fly c rf t Tax Parcel [� Property a Number: / u t --3'1 Z-- Q 3 Size: ' . 06 /tl rJ (acres/square feet)_ Site Address and/or Directions to Property: 3' ,6_? t J // � C--Oi,�/ / t V5,57 Property Owner(s)of Record: J ep. Telephone: 7 �' Fax: email: _ Mailing Address: .�(p(0 3_ l a/(4)� Applicant/Agent(if different from owner): � / ,� L`_y Telephone: Fax: / email: Mailing Address: ) - ./ - What kind of Permit?(Check each box that applies) Lt Building cArpo/- ❑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)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use 0 Long Plat** ❑Address Cl Road Approach __ ❑ Plarr ed 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 *Ma uire a Pre— lication Conference _ **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: (�� nf DESIGNATION OF AGENT I hereby designate --Sikkl.►')), -(A,riu. to act as my agent in matters relating to this application for permit(s). • OWNER SIGNATURE .. L•tt:, N. 11.4,Tvg4 Date: - Z' (15 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 later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. • Signature: t:..t.` Y\A . ,...j%11✓r✓\+/) Date: 3- Z -0 5 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-transferabley responsibility fix adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: _-. .LL,A. }'Vt , _ Z,,,,,.,,c„r Date: -3—2-- Os G:\PermitCenter\FORMS\DRD FORMS\Master Pemut Application 7-8-04.doc 0 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: r, a GENERAL CONTRACTOR . j �OR MANUFACT RED HOME INSTALLER: �? PHONE: FAX: pe„,0 ) MAILING ADDRESS: S e� 1��r� 1 G,�/ �y �f,-7- - EMAIL: CONTRACTOR'S LICENSE /�L J �t� WAINS NUMBER: Q(2 UP*7- y ^ `� ,�/ NUMBER ARCHITECT/ENGINEER: q(. PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pro. Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Dis••sal: X Wood Existing: ❑ Sewer yit Addition ❑ Steel Proposed: Bank 0 Community Syst• ❑ Alteration/Remodel 0 Concrete Tota4 Height: ❑ Individual S ": ' 0 Repair CI Masonry s�' , A SEP Permit#u it 0 Demolition ❑ Other: Bedroom Water Su• • ;."" Existing: S:I ❑ Private wel ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of S em: If this is a Commercial Project you must answer the following i ' r !tr! `, Number of Parking Spaces: Current: Proposed E Number of AD a Spaces: Number of occupants(includes owners,tenants,employees,etc) Current i i A _ A w}}tt-I RPropsed IBC Occupancy: IBC Type of construction: MiWill yoahM Food jServi ? Yes / No If this is a Propane Tank and/or Appliance Installation permit.mark an items below that ap�lylt 0 Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert ❑ Hot Water Tank 0 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 Current Proposed Amount Main Floor 1Pf Consistency Review: Liok '(I) 2Nu Floor Base fee: 3rd Floor Additional Section: Mezzanine: Plan Check fee: t, Heated Basement State Surcharge fee: 1 �� Unheated Basement Pot Water Revie l>fee: Other Unheated ___.. -- 911/Rd Approach fee: , `, t it' sr':' ri Garage/Carport Z/501 ,( / �¢ ' � (_i 5 l TOTAL: $ '��J-• '. Decks C r— Receipt Number. 1 I' - b Other , CashlCheck Number t < ESTIMATED OST(REQUIRED) Date: *Fair market value of all labor and materials foundation to finish o� . Initials: ( 1S-2 _ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc