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HomeMy WebLinkAboutBLD2005-00175 B • MLA05-00173 BUIL DING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00175 Received Date: 3/23/2005 SITE ADDRESS: PROSPECT AVE PORT TOWNSEND, 98368 OWNER: DORIS BAYLESS PHONE: (360) 379-3143 JAMES BAYLESS "--� 41 CANDACE RD #1 PORT HADLOCK WA 98339-9402 SUBDIVISION: IRONDALE Block: 154 Lot: 1-4+ PARCEL NUMBER: 962115401 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License DAVEJC*0440Q Expires 9/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,144 VALUATION 14,500.00 ADD'L: 431 HEAT TYPE: CODE EDITION: 2003 HEAT BASE:. HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: • 390 SHORELINE: CONST TYPE: DECK: 215 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT • WATER SYSTEM: PUD BEDROOMS:_ BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 4 /03 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,245.75 BAC 03/23/05 71756 APPROVED Plan Check $809.74 BAC 03/23/05 71756 State Building Code $4.50 BAC 03/23/05 71756 APR 1 9 2005 Potable Water Application $53.00 BAC 03/23/05 71756 Total: $2,112.99 Jefferson County Planning &Building D partmef i � n ` I, • BUILDING PERMIT 0 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00175 Received Date 03/23/2005 SITE ADDRESS: 20 S LYTER AVE Issue Date 04/19/2005 PORT TOWNSEND, 98368 APPLICANT: DORIS BAYLESS PHONE: (360) 379-3143 JAMES BAYLESS 41 CANDACE RD#1 PORT HADLOCK WA 98339-9402 SUBDIVISION: IRONDALE Block: 154 Lot: 1-4+ PARCEL NUMBER: 962115401 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: DAVE JOHNSON CONSTRUCTION PHONE: (360) 385-9028 314 PROSPECT AVE PORT TOWNSEND WA 98368-4700 Contractor's License: DAVEJC*0440Q Expires: 9/1/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE CALL IN FOR THE REQUIRED INSPECT ONS THAT APPLY TO YOUR PROJECT. SETBACKS: 13A' 5//� .:•' V UFFER: A( sk'/Lir.04, Footing: S�'/G->' 11/ Foundation: Cie _ 406' Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing:4t,, 10'12.-0r Plumbing: /0-/y.'6 Propane T nk/ Lines: Insulation: /1'-J5-e . Sheetroc :f?,-i4 & m,4Jr Red Ski -0 "if' //-9-' Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: OZoning Final Approval: Final/Occupancy Approval 11 0 ti HEALTH DEPARTMENT ND U 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 • SPECIAL CONDITIONS FOR CitE A BLD05-00175 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.) 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 Prospect Ave (both usage and platted right-of-way) shall be 20 ft. Minimum setbcak from S Lyter Ave right-of-way shall be 20 ft. Minimum side and rear setbacks shall be 5 ft. • 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 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. 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 t % �� PROSPE<r AVE -- G 4 CG Co - wwca�0 lob f� � ii i � � o� �{ — o o I ?�. .L' -D = n ti p < ' v, ,c. W n 4et'. "_ 9 0 ono i a3 t 1,3 IVJ41. t V C.3 ? —Ir 10 3v— � _ d �' - --1 I T- w stir_ M 1 9 6� 73 o Z t - - - q, Co A, cn GAO 47 ' 1 407 3 `"'2 G cs> / z v M 1 --1-1"1 J "S•• \ _ tr Cip o r � �, _-0 So- C CD Z CD IL IV t.. x Co X N O 9 aoo rn In c .2 0 vt r- _ -o + A d Cl. CO CO 6 2 0 siN J m a a• S' .G 77 fit v 0O w Z T `; A �� MAR2320�� , o J Tr. _ � -n�i S m a ",1„soisl t^o6� JEFFERS.COUNTY ,4 DEPARTMENT OF COMMUNITY DEVELOPMENT ` `.4 621 Sheridan Street • Port Townsend • Washington 98368 ,s pm t, 2 ` 2025�q Owww360/3.co79.-44 Jef5e0rso• n3w60a/.3u7s9c-44 om5m1dFeavxeloS, NG � Master Permit Application MLA: 06 - 1 —1 3 Project Description(include�s°eparate sheets as necessary): 'i } ;.` ���ia_I< i"/ # f . \�' `;/ii /4 wt / C it lea .' P E ft 9rr Tax Parcel c� I / ,, Property .,(m_ Number: — ©J Size: 15 tip'A I (SD (acres/square feet) i Site Address and/or Directions to Property: t‘i-{,( l',t Property Owner(s)of Record: V o k t S ,-1- J Ark E .5 Li AV /r l;•)J Telephone: '3`)j - 3 1 '-I 3 Fax: email: Mailing Address: Li/ (i)I i PA Le R D. 4i Applicant/Agent(if different from owner): 'PAL, Jc ii N-o,v cc.N5ri2ucilw./ Telephone: S L,c, . L 13 - /(,;/Li Fax: 3 y Al- h// 3 1 email: .Jc/i,v3 c N (iv;A y6w) C1iab(ji'/r" Mailing Address: I �/ P f c s f c; ii y L 1 7ct�n;%� W,� ���3.¢ IWhat kind of Permit?(Check each box that applies) 1 Building Ci Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** tit Single Family 0 Discretionary"D"-or Unnamed Use Classification KGarage itta.Qhed/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 l 1 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments*" ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** El Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 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 PA V 6 kk. l if o i- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE i...7jZ 7� �_� Date: / " 7 - of By signing this ap ication form,the owne/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 7 ' 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-transfrble responsi ility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: ., .3" 0/ G:\PermitCenter\FORMS\D ORMS\Master Pen-nit 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 JNSTALLER: PHONE: FAX: 04VN .Tn144NI0,! c& N.y -ri-t,c7,d,J (.4i; ) .??c-`lo.yb ( hbi ) 151y-ylji MAILING ADDRESS: 1 1 1/ leg C S?? 7- /j 'v.3 F. T, EMAIL: So to I:f a P+. '1 0 i1.Yj e.. G'1$is 3.4 ,/.41 t-i CONTRACTORS LICENSE n . WAINS NUMBER: 'PA,, C �; it hi�.S NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: N New tiii Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: i.. Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: if Individual System O Repair ❑ Masonry SEP Permit# C/ Cr;2 0;1, CIDemolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well t 1 Two Party Type of Heat: Proposed: s ttt Public Total: 1 Name of System: 'F L' P If this is a Commercial Protect 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: I 1 Underground Tank I I Above ground Tank Size of Propane Tank: I I Heat Stove Li Cook Stove I I Woodstove I I Fireplace Insert I i Hot Water Tank I1 Pellet Stove I 1 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 3d Consistency Review: I j 1'1 74,G80• '4‘ G\ "u qq �i Base fee: 1 //A�GG 2 Floor w-) 3 t a0I 165 l �a—l'J. 3fd Floor Additional Section: Mezzanine: Plan Check fee: e 0„, • 14 Heated Basement State Surcharge fee: co p Y Unheated Basement Pot Water Review fee: 0 "1 — Other Unheated 911/Rd Approach fee: t li-1 Garage/Carport ��a� TOTAL: $ 3� • � . i • Decks 4` r- �Recel t Number: from Pocc h- I 5 0(� p "I/ 75 Other 6")�j CashiCheck Number 5CO Q • j� ESTIMATED C• • -EQUIRED) Date: �/a 3/0 *Fair market • ue of all labor and materials foun•:tion to finish �' l s initiala 2 3 2005 f G:\PermitCen ; '•i L, i '•RMS\Master Permit Application 7-8-04.doc