HomeMy WebLinkAboutBLD2005-00183 9ILDING PERMIT APPLICA1IN MLA05-00178
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00183 Received Date: 3/25/2005
SITE ADDRESS: 2541 HASTINGS AVE W
PORT TOWNSEND, 98368
OWNER: JENNIFER A ELIAS PHONE: 360-379-1320
JOSEPH E ELIAS
934 THOMAS ST
PORT TOWNSEND WA 983682317
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 001053003 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 07/08/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BUILDING - UNHEATED - NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 12,365.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 768
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type • Amount Paid By: Date: Receipt: Approved/Date
APPROVE!'
�
Permit $223.25 BAC 03/25/05 71730 `p" R OV I
Plan Check $145.12 BAC 03/25/05 71730 State Building Code $4.50 BAC 03/25/05 71730 APR 18 2005
Total: $372.87 Jefferson County Planning
&Building Department
V � /
cb JEFFER•COUNTY
talk ' �� �} DEPARTMENT OF 737974U:ITY DEV OP _N�- ------ iI--�`. v `� 621 Shendan Stree wnsend Writ ington 98368• y 360f379- 450• 361 Fax F MAR 2 5 2005 1
KIND 0 www.co.jefferson.wa-us/commdeveio ent !
Application i Master Permit
� MLA►. I d� �' l�
Pr ct Description(include separate sheets as necessary):
PO<P-,60l c D /U6 - p ( X 3 A. g S '%6r- 67Z--
Tax Parcel Property ,_l r
Number: Cr I O"0'C..) f? Size: r) c,/ 00 (acresi uare feet
Site Address andior Directions to Pr rty A ( /v S`
Property Owne s)of Record: C-I 1-1 C' - 'i"J' r--(2
Telephone: n 3 4 Cj - J 3,-D Fax: / r email:
Mailing Address: '7 %f{F�/r)/� i. / , , / t<-�J? 9 gj_, (),�,
Applicant/Agent(if different from owner): /L t>7/lUF--� I O,�(-?_(�
Telephone:36o --0c - O:-?f (j Fax: 6(7 -- (ck�'; (2C)iC')�,/ e alik± �?
Mailing Address: , Li, Q L. . / ( Sf✓ L O//Jf . W I ' 1 �'7>CS —
W at kind of Permit?(Check each box that applies)
'r : ilding ❑ Variance(Minor,Major or Reasonable Economic Use)
I Demolition Permit ❑ Conditional Use[C(a),C(d),or C)**
C] Single Family ❑ Discretionary"D"or Unnamed Use Classification
Garage Attached/ tach) ❑ Special Use(Essential Public Facilities)**
C7 Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
Commercial* C_ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
D Propane ❑ Plat Vacation/Alteration**
r Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
! Stormwater Management ❑ Shoreline Management Substantial Development*'
J Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
I Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireiess Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
iJ Forest Practices Act/Release of Six-Year Moratorium
*Mai 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:
f7 DESIGNATION OF AGENT
I hereby designate /I` �t-: ry'ri OL to act as my agent in matters relating t this a lication for permit(s).
OWNER SIGNATURE Date: 3 /5 65
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 pri r de access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any req'-d later in ctions.Access and right of entry to this property shall be requested and shall occ r only uring regular business
hours. _
f /'')
Signature: Date: 5 J.�
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 Spec4es Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been sued 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 i 'u are in pliance with the Jefferson County development code.The Applicant acknowledges t at he,s e or it holds individual
and non- rable resp f adhering to and complying with the ESA. The Applicant has read this ' dal er and igns and dates it below.
Signature: Z_k \ -., Date: 15 .-�
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
, III III i-- __.
OWNER BUILDER STATEMENT . .
The signer of ' tement d hereby certify that they are the Owners of the parcel refer need h ein,that they,are not licensed contractors and that 1
they we a the r • the General Contractor for the proposed p.i', (!
Signature. 1.- Date: /s d ; MAR 2 5 2005
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:
FAX:
0iG,DiN c7 gwop (c') t'! /6 0'66)02 •GJ
LING ADDREss: P.0' ,,(70-‹.4 7 i'_S CI f11-7 EMAIL:
CONTRACTOR'S LICENSE /� WAINS
NUMBER: 17uff� g C Q// M6 Nu aER
ARCHITECT/ENGINEER: ITS r PHONE ((a,,$)99g-1�70 FAX:(60S-)tog. I29 4
MAILING ADDRESS: 2/ke/ vb : ivt-i /G,n/-D 5 EMAIL
Pltoject Type: Frame Type: Bathrooms: Shoreline: 1 Type of Sewage Disposal:
//yi( New y Wood Existing: n Sewer
Addition D Steel Proposed: Bank 11 Community System
u Alteration/Remodel _� Concrete Total: Height: a Individual Sys
Li Repair o Masonry SEP Permit# i'
L] Demolition ❑ Other Bedrooms: Water Suppy�
Existing: Setback: a Private,iell. L i Two Party
Type of Heat: Proposed: 7 Pi PubliO'
Total: Name of System:
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) Cu Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation perm' mark all items below that apply:
i Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove I Fi ace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manu tu�le 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 Consistency Review:
2Nu Floor . - Base fee:
3"'Floor / Additional Section: �� 5
Mezzanine: Plan Check fee: i '
Heated Basement / State Surcharge fee:
t . ld
Unheated Basement Pot Water Review fee:
Other Unheated _.911/Rd Approach fee:
Garage/Carport ol/36 IC:___...._i)<'
TOTAL: $ L '�Ir iDecks ��` 1/ ipt Number: I I 'MD
Other Cash/Check Number. d
1 3
ESTIMATED COST(REQUIRED) Date: d
.Fair market value of all labor and materials foundation to finish .. `C)!O5
9, 3 G 0 �_ Initials:
(;:\Ikx:uments and Settings\mochil\Desktop\Master Permit Application?-t3-04.do
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00183 Received Date 03/25/2005
SITE ADDRESS: 2541 HASTINGS AVE W Issue Date 04/18/2005
PORT TOWNSEND, 98368
APPLICANT: JENNIFER A ELIAS PHONE: 360-379-1320
JOSEPH E ELIAS
934 THOMAS ST
PORT TOWNSEND WA 983682317
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 001053003 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
360-683-6001
Contractor's License: BUILDBC011MG Expires: 7/8/2006
PROJECT DESCRIPTION: NEW POLE BUILDING - UNHEATED - NO PLUMBING
CALL IN rOR THE QUI D SPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 5 /?f s`
UFFER:
Footin (, ill:. i tii
,
Founda ion:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
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. 'WUL 07
HEALTH DEPARTMENT ND 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
SPECIAL CONDITIONS FOR CASE # BLD05-00183 •
1.) A setback of 75-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100)feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
3.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
4.) 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.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Setback from Hastings Avenue W right-of-way is no less than 20 ft., side setbacks are no
less than 5 ft and the setback from the Wood Street right-of-way is no less than 20 ft. If
an environmentally sensitive area (ESA) is present, then the more restrictive setback shall
apply.
11.) 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.
12.) 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.
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