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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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 .,.,,, . Y G HO i' s „ . j(71 r7 ZI-?k►c c N C: 9 b c CnQ�~�, c3 _ S -J O y.� `)CAI `0-1 triC 00 1 CNAJD 1-101 G) A 1 R tack ,,,-------) c> / . 4' 6 k 0 i_ 1 C.Al.04.0 ‘.,.7i t`- , ..--,<;- ----f (10 -: kii ,r) 1 --.0, 51)5 evi2,,07 0-1 , ,. .,,, ,,_ - . . ,A0-9',# d � �6 iI # A� J ,, - / ✓ .,r 6 ce , , r i I ( L j i '9(4°1 I .I , I3I 141 ISM .,