HomeMy WebLinkAboutBLD2005-00156 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00156 Received Date 03/15/2005
SITE ADDRESS: 332 KEVIN LN Issue Date 04/8/2005
CHIMACUM, 98325
APPLICANT: BISHOP LOGGING COMPANY PHONE: (360) 301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325-9709
SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 10+
PARCEL NUMBER: 933500010 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License: BISHOBC093D6 Expires: 1/11/2007
PROJECT DESCRIPTION: NEW SFR/ATTACHED GARAGE, DECK&
A/G 250 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: OK 5/4 s"
UFFER: DK .S/G4S
Footing: 6k S,GASA/
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Undergrounc Insulation:
Shear Wall :U
Sheathing:
Framing: '/G r -
Plumbing:"
Propane Tank/ Lines:
Insulation: }�iri+ f/ pis(... ✓J1sz�c,4a29 {f e, -pcs
Sheetrock:/5 $/2. G5 "
Septic Sytem Finial A prov (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: OIIC +or �' is 1 30�/4c/�
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVA RE UIRED�OR 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
•UILDING PERMIT APPLICA N MLA05-00154ReviewType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00156 Received Date: 3/15/2005
SITE ADDRESS: 332 KEVIN LN
CHIMACUM, 98325
OWNER: BISHOP LOGGING COMPANY PHONE: (360) 301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325-9709
SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 10
PARCEL NUMBER: 933500010 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 1/11/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR / ATTACHED GARAGE, DECK &
A/G 250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,459
VALUATION 246,727.00 ADD'L: 480 HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5-1HR OTHER: 0 SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: 328 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date: 4/05
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,816.95 BAC 03/15/05 71627 APPROVED
Plan Check $1,181.02 BAC 03/15/05 71627
State Building Code $4.50 BAC 03/15/05 71627 APR - 8 2005
Potable Water Application $53.00 BAC 03/15/05 71627 Jefferson County Planning
Total: $3,055.47 &Buildin Department
S 5,•
•
SPECIAL CONDITIONS FOR CAN # BLD05-00156
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) Minimum setback from Kevin Ln right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
7.) 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.
8.) 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.
9.) 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.
10.) A minimum of two (2) on-site parking spaces are 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 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' / 5 ,':
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: f'' FAX:
a,..I ' :. 3.o7=> > C„ ,c.Y _ (. ,;) ).do'01..-t''9_; 9 (366 ) ?3.2-5'94
MAILING ADDRESS: 3 2/ .,�-"0/4 Al, 1 /?'j EMAIL:
CONTRACTORS LICENSE CA r rw a4 rr a •.a° 4 t-e3 „i,' WAINS
NUMBER: 8.5N,05C-Q 9.306' NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New X Wood Existing: - 0 0 Sewer
❑ Addition I Steel Proposed: - 3 Bank D Community System Pli,
❑ Alteration/Remodel ❑ Concrete Total: _ .3 Height: Ix Individual System
0 Repair ❑ Masonry SEP Permit#Sr POD -600 >
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: _ 0 Setback: 7 Private well ❑ Two Party
Type of Heat: Proposed: 3 Public
i' - f..nyt? Total: 3
Name of System:
If this is a Commercial Proiect 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 IN Above ground Tank Size of Propane Tank: ..2 .S':7
❑ Heat Stove 'lir Cook Stove D Woodstove D 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 / 2h+H�� l \ConsistenCy4Zeview:
JV 1 la -44
2 Floor dAbase fee:
<< , ai l' 93Ctr
�0 �` `P 1, (04
'for / • / I? dditional Section:
-"G) r/CO•�- VQ,,--/' r'3 _> �6 �, �1 .�
Mezzanine: Plan Check fee: r r
Heated Basement State Surcharge fee: }r ,. 1 ` .�
Unheated Basement Pot Water Review fee: i —
Other Unheated 911/Rd Approach fee: E
Garage/Carport /
.�. 6 (3 -1(? TOTAL $ : 1 3 ~I
•
Decks C,� ' ate „J
3 tNumber. 4' � (O(
Other ��a r( as Check Number N ,k ,,,;ti; ����� t 1
ESTIMATED COST(REQUIRED) ate:
.Fair market value of all labor and materials fo T )/ Is jam,
23 0 µ; 6). Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
�w�spN cod JEFFERSOIUNTY •
' DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�qSp� www.co.jefferson.wa.us/commdevelopment r
RING MAE i 5
Master Permit Application . MLA: 1V1 j-A(15 _ `5
Project Description(include separate sheets as necessary):
5 FA k./9'I /,ec1 £' J c' r` Cap s i- c 1,3,1
Tax Parcel p Property
Number: /33 3 / Size:2.zA"/F''t. 1 a: ' (acres/square feet)
Site Address and/or Directions to Property: r,;,, /ems> C4 I rwi c'.—
Property Owner(s)of Record: 5%xeit 1-.-s co,,.s 7,
Telephone: 34 C—.3U/ -/9 7 ' Fax:.3'4'0-- Y 90-5- email:
Mailing Address: V '/ 8,.r/o/ i/// /?,- ) CA, =r a G,4.*3 F. .4 3.2.
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
X Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
or Single Family ❑ Discretionary"D"or Unnamed Use Classification
I$'Garage (iached)Detached CISpecial 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 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:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE =` '�� ' =-� / Date: 3 / -o
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 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: 7 a,- ` YL j� Date: 7 / -J 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: `` 74-Z: Date: T -/
G:\PemvtCentcr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc