HomeMy WebLinkAboutBLD2005-00145 litUILDING PERMIT APPLICAtN MLA05 00146
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00145 Received Date: 3/11/2005
SITE ADDRESS: FLORENCE ST
PORT TOWNSEND, 98368
OWNER: FIRENZE COURT LLC PHONE: (206) 842-9984
16221 REITAN RD
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: IRVING PARK ADDITION Block: 21 Lot: 3+
PARCEL NUMBER: 963302104 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: ON THE LEVEL CONSTRUCTION PHONE:
4553 SE HORSTMAN RD
PORT ORCHARD WA 98366
Contractor's License LEVEL*961 CR Expires 2/19/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI` NEW SFR W/ ATTACHED GARAGE &
A/G 1250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE: argil
TYPE OF IMP NEW MAIN: a-3'R lgo't$
VALUATION 16,900.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 44 r536
83 SHORELINE:
CONST TYPE: SETBACK:
DECK: 200
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date: // /65 pp(pt°7-7)
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,380.15 BAC 03/11/05 71571 APPROVED
State Building Code $4.50 BAC 03/11/05 71571
Potable Water Application $53.00 BAC 03/11/05 71571 APR - 5 2005
Total: $1,437.65
Jefferson County Planning
uildin p ment n�
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00145 Received Date 03/11/2005
SITE ADDRESS: 152 FLORENCE ST Issue Date 04/5/2005
PORT TOWNSEND, 98368
APPLICANT: FIRENZE COURT LLC PHONE: (206) 842-9984
16221 REITAN RD
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: IRVING PARK ADDITION Block: 21 Lot: 3+
PARCEL NUMBER: 963302104 Section: . 16 Township: 30 N Range: 01 W
CONTRACTOR: ON THE LEVEL CONSTRUCTION PHONE:
4553 SE HORSTMAN RD
PORT ORCHARD WA 98366
Contractor's License: LEVEL*961 CR Expires: 2/19/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE &
A/G 1250 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TOY UR PROJECT.
SETBACKS: -fjffilc!<t 61 /,��64
UFFER:
Footing9t—
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : 3/.2//04
Sheathing: S'rss v5 rig\14e101e
Framing:
Plumbing: f c/O6
Propane_ ank/ Lies:
Insulation: &)(7( t.n,
Sheetrock:t2 4.,24,10 FIN
Septic Syte Fina Approval (I'not on sewer):
Road Approach Final Approval:
Zoning Final Approval: _
Final/Occupancy Approval ) Q(o
HEALTH DEPARTMENT ND P LIC 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
411.
SPECIAL CONDITIONS FOR CAS A BLD05-00145
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 Stormwater 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, safety, 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 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).
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 Florence St right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
8.) 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.
9.) 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.
10.) 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.
11.) Applicant, reprehensive, and/or contractor(s) shall fully implement all recommended
conditions of the Stormwater Site Plan dated May 4, 2001 as prepared by Collette M
Kostelec, P.E.
12.) A minimum of two (2) on-site parking spaces are required for the single family residence.
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I:\F_BLD_Perm it_Buildng.rpt 10/29/19
�Soly c - `)1 `' (i, r ; ; ..I
TIN1)k& JEFFERSOIQOUNTY ! , , T —---
} DEPARTMENT OF COMMUNITY DEVELOPMENT440
] Iat�Ht`4 &24 heridan Street • Port Townsend ••Washington 98368 2005 j
�' f 36171379 4450 • 360/379-4451 Fax i1
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4,9NGO www.co.jefferson.wa.us/commdevelopment JEF � ,vA fir`
DEPT. or Cr„i -iu"1,,T • - `J
Master Permit Application MLA: 41 5-I
Project Description(include separate sheets as necessary):
N SF-2 w/4.-a
Tax Parcel q A
, Property
Number: I (" ' a a �c 4 Size: .3(A /36 Zc' (acres/square feet)
Site Address and/or Directions to Property: (.10c/714 CM d(sCovFey g-T, ONPige-ICS: St-. Z
Property Owner(s)of Record: /C f1 /,/2F GT t...L E.,
Telephone: ZaGd, 9'7 weir-. Fax:Zx 5z 79/s email: @4-149B4 54,,cpt„1
Mailing Address: ( , Z Z/ E17 44 JE.L7 P6/ 4 e /S_ 1(1/4 6 (iu
Applicant/Agent(if different from owner): L' ' gak:i B4-J
Telephone: :liCg 45.3 ,boy% 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
X1 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 l 1 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
t,>('Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
t 1 Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance
Li 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 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 a and rig/ of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required I inspecti .Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: _ Date: .3, /J a 9
The action o ctions 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" r"ESA."J fferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued I not vi t�the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if yo a in co p a with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer resp 'ity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature.
Date: i .// 0.31.'
/
G:\PermitCente FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
,
0 OWNER BUILDER STATEMENT fb i [ "
The signer of this statement d• ereby certify that they are the Owners of the parcel referenced herein,ttet they are not licensed contractors and that
they will be assuming tie fires.. ".Ility of the General Contractor for the proposed project. MAR 1 1 2005
Signature: Date: i
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 1 I FAX: [---
6w T (3446)43i.d/23 . (__._ -
MAILING ADDRESS: _ maid 4) /2'47 EMAIL:
CONTRACTOR'S LICENSE ppiz,r d/LclyQizi.a 9.9.5 4 4 WAINS •
NUMBER: 4EV,�rL,C*. 96/C/2, NUMBER
ARCHITECT/ENGINEER: 44 q7 /if SE") PHONE (2 04 ) fri FAX: ( )
MAILING ADDRESS: /�'� EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New IrC Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Z Bank ❑ Community System '
❑ Alteration/Remodel ❑ Concrete Total: Z. Height: IX Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: El Private well ❑ Two Party
Type of Heat: Proposed: _ )'Public
L t^rT fA. Total: 3 1 Name of System:/7 inZ,
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:
❑ Underground Tank X Above ground Tank Size of Propane Tank: /Z.i .
❑ Heat Stove ❑ Cook Stove Ll Woodstove ' Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove Li 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 / � �Z'Q Consistency Review:• 4q .00
2Nu Floor c.3 ice..,V.ease fee: t)g0.'�
3rd Floor _ Additional Section: l OV—
Mezzanine: Plan Check fe r, b. Q tI _. , DS 25
Heated Basement State Surcharge fee: p�L-SD7
—
Unheated Basement Pot Water Review fee: `T
Other Unheated 1 ' 911/Rd Approach fee:
5a5 Garage/Carport ��y 'p3Cp�t
7)7 TOTAL: $ 4 co ?„65
Decks ��TT��
zee) 41(4. Receipt Number: 7157 1
Other i 4 -2 ,�-t Cash/Check Number: "7p�
ESTIMATED COST(REQUIRED - ,,• Date: - (It r D�
•Fair market value of all labor erials foundation l t _
1/&9 Ott Initials:
7-8-04.doc
G: PemutCenter FO aster Permit Application 8-04
75t.7' '1e/21/21 01-91. 3S110H HONVI '
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