HomeMy WebLinkAboutBLD2005-00147 !UILDING PERMIT APPLICATI MLLA05 00148
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
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PERMIT #: BLD05-00147 Received Date: 3/14/2005
SITE ADDRESS: VANCOUVER DR
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PORT TOWNSEND, 98368
OWNER: MILLENIUM ONE HOMES INC PHONE:
309 V ST
PORT TOWNSEND WA 98368
360-385-4837
SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 9 Lot: 12
PARCEL NUMBER: 938400912 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: MILLENNIUM ONE HOMES INC PHONE: (360)385-4837
309 V STREET
PORT TOWNSEND WA 98368 3 p
Contractor's License MILLEOH010MM Expires (3g 70/13/200540
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE, DECK &
A/G 120 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,782
VALUATION 290,700.00 ADD'L: 272 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 600 SETBACK:
DECK: 120 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 4
Total: 3 Total: 4
Routing Date:l J6/03
Type Amount Paid By: Date: Receipt: A 1 A pr Qc/E J
Permit $2,063.35 BAC 03/14/05 71620
Plan Check $1,341.18 BAC 03/14/05 71620 APR 2 1 2005
State Building Code $4.50 BAC 03/14/05 71620 Jefferson County Planning
Potable Water Application $53.00 BAC 03/14/05 71620 &Building Department
Total: $3,462.03 ( g-g•Y1 r�CE}Q Q
BUILDING P ERMIT•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00147 Received Date 03/14/2005
SITE ADDRESS: 40 VANCOUVER DR Issue Date 04/21/2005
PORT TOWNSEND, 98368
APPLICANT: MILLENIUM ONE HOMES INC PHONE: 360-385-4837
309 V ST
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 9 Lot: 11,12
PARCEL NUMBER: 938400911 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: MILLENNIUM ONE HOMES INC PHONE: (360)385-4837
309 V STREET
PORT TOWNSEND WA 98368
(360) 379-4040
Contractor's License: MILL.EOH010MM Expires: 7/13/2005
PROJECT,DESCRIPTION: NEW SFR W/ATTACHED GARAGE, DECK &
A/G 120 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:?-e----'
UFFER:
Footing:, 411 OA '
Foundation:" c��- Os'' 0 S /z/ �u»✓
Stormwate'r FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : llArthIl.,?5'-o,S
Sheathing:
Framing:
Plumbing:
Propane Tank/ Lines: WI' c,Ipsyrc,,®. k.Va,,,S
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road-Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:pe'G iti5 j as
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST Bc 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
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SPECIAL CONDITIONS FOR CASE # BLD05-00147
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.) 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.
3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) The building height is not to exceed 35 feet.
5.) Minimum setback from parcel boundaries adjacent to Vancouver Dr and N Palmer Dr is
20 feet. Minimum side and rear setback is 5 feet. It is the responsibility of the parcel
owner to comply with setbacks imposed by the homeowner's association for Cape
George.
6.) A minimum of two (2) on-site parking spaces are required for the single family residence.
7.) Outdoor.residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
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I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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1 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:
/ l w-- t ffi2�-.�, , ( 3(,°) 3b0-3is-401J ) 3'9- y�
MAILING ADDRESS: ,. �,- t >i ,1,-2t_[ EMAIL:
CONTRACTOR'S LICENSE / WAINS
NUMBER: %'' I t 't ' L_ j NUMBER
ARCHITECT/ENGINEER: `-_e-I"r'I �,'44 `7 � , PHONE (3(p 0 ) y S2- ( ft FAX:( )
MAILING ADDRESS: ��.!!��" EMAIL Q/
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Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
[/New C,i/Wood Existing: 0 Sewer
❑ Addition ❑ Steel Proposed: ____}_ Bank ❑ mmunity System ;,. .
❑ Alteration/Remodel ❑ Concrete Total: '5- Height: gindividual System_
❑ Repair 0 Mason 2
rY SEP Permit# 0 -'', s
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 113-rivate well ❑ Two Party
Type of Heat: Proposed: ❑ Public
z--e -e -c.3 Y e-eof Total: --3___ Name of System: ure/k. w '
4 '1,y 0 °AI P -
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current I,-- 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 C�Above ground Tank Size of Propane Tank: /7-0
❑ Heat Stove Vo-ook Stove ❑ Woodstove 4Wireplace Insert t Y1 of 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
Current Proposed Amount
Main Floor Aeon_.stonCy Review7;7Q Aq ' : .ii
1
gnu Floor 2 7 'L Eri. ` fee: Q Otp3 35
3f°Floor Additional Section: 1 ,
Mezzanine: Plan Check fee:
Heated Basement j3.11. '
State Surcharge fee:
Unheated Basement Pot Water Review fee: 8 1
Other Unheated 911/Rd Approach fee:
Garage/Carport (
V/I ,^�
Decks °V i i 14a TOTAL: $ 36,/ 05
2 4 Receipt Number: I6.2 b
Other h/Check Number
ESTIMATED COST(REQUIRED) te: //� lr 5
.Fair markeft value of all labor and materials foun (
} ; ',•
' - Initials: s. E
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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' 3¢soly cwow JEFFERSOOUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
' ' 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax , ;
k' "
�`S$ING�"° www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: O ilk X
Project Description(include separate sheets as necessary): /
,j,%,;%.,-.1 h'',11 -- '' ---?----4--(-.6'1 0--1_6.4-4--•--e_z.-..--1 61:--(--c...a.c."7.--Lj ,ne:-...;.---2--,-1,1.e'
Tax Parcel q 3 k—.too-�R 11 4/ Property - 0 4 _p
Number: 9'3 g-to , Q/ ., Size: It f (acres/square feet)
Site Address and/or Directions to Property: j' %�'� - z• 0,-- `"'X/ r • ,J �'��,`r`` " �' �
Property Owner(s)of Record: '`7✓?-G- _.0 .�-1--e- --c (;-k=t1 /1= ,4—e' .-
Telephone: 3 to 0 -I g S'73 7 Fax: 37 7 -yo y 4 email:
Mailing Address: 3O't V, S eo>r-.\-"t o ' 5 e i--. a
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
0 Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑pemolition Permit ❑ Conditional Use[C(a),C(d),or C]**
Single Family ❑ Discretionary"D"or Unnamed Use Classification
g arage Attached/Detached ❑ Special Use(Essential Public Facilities)**
El Manufactured Home El Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
El Change of Use ❑ Long Plat**
❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRD)IAmendments**
❑ Propane 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions**
El Stormwater Management ❑Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
El 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
I 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 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: Date: 3 / v s
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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date: -3 —/ y 6
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc