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Home My WebLink AboutBLD2005-00187 4ItILDING PERMIT APPLICAN MLA05 00184 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00187 Received Date: 3/28/2005 SITE ADDRESS: 561 SADDLE DR PORT TOWNSEND, 98368 OWNER: COARD FAMILY REV TRUST PHONE: 2023 E SIMS WAY#359 PORT TOWNSEND WA 98368 SUBDIVISION: NOt06C'E VILLAGE DIV 7 Block: Lot: 28 PARCEL NUMBER: 941500028 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: • REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ ATTACHED GARAGE & A/G 500 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,625 VALUATION 200,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 525 CONST TYPE: SETBACK: DECK: 283 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date; ,cj/1, 5 O� c i Type Amount Paid By: Date: Receipt: ��v�/ at Permit $1,553.75 BAC 03/28/05 71590 (O/l Plan Check $1,009.94 BAC 03/28/05 71590 MAY 1 8 2005 State Building Code $4.50 BAC 03/28/05 71590 Potable Water Application $53.00 BAC 03/28/05 71590 Jefferson County Planning Total: $2,621.19 & • • Department • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00187 Received Date 03/28/2005 SITE ADDRESS: 561 SADDLE DR Issue Date 05/18/2005 PORT TOWNSEND, 98368 APPLICANT: COARD FAMILY REV TRUST PHONE: 360-301-6646 2023 E SIMS WAY#359 PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 7 Block: Lot: 28 PARCEL NUMBER: 941500028 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: MC FADIN & DAVIS INC PHONE: (360)379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License: MCFADDI969MA Expires: 7/1/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & A/G 500 GALLON PROPANE TANK CALL IN FOR THEUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS:. / /,6�1�dy UFFERk6 *,s-- Footing: Gb./et.r-fr__, �. Foundation: Z, � i �(� � Stormwater' INAL Approval: Underground Plumbing: Underground nsula 'on: Shear Wall -7.34; Sheathing. Framing: • I1-o5 Plumbing: . ? - )Z-DS' Propane Tank/ Lines: 7-47.1K , -I NES /Q,6 6 -0Y Insulation: V.04.-1-0L9T-F 3` ''e• c';.)dd--ds6 Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: Q (m UmovS 1-1g-0b HEALTH DEPARTMENT D 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 CASSE BLD05-00187 • 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 Saddle Dr right-of-way is 20 ft. Minimum side and rear setbacks are 5 feet. 7.) A minimum of two (2) on-site parking spaces are required for the single family residence. 8.) 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. • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 • OWNER BUILDER STATEMENT • The signer of thi s tement does h-'-b -rtify that the - the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass a responsi ili Xf j;-neralr. -ctor for the proposed project. '7 �i Signature: ,, Date: _ 3-z p "0 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:, FAX: To be_ deT-.2,, ;.t)e a!; ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS ' NUMBER: MAR 2 8 2005 NUMBER. ARCHITECT/ENGINEER: ' PHONE ( ) FAX:( ) MAILING ADDRESS: 41r EMAIL ` n ^Tr, tC; , ,! Project Type: Frame Type: Bathrooms: - Shoreline: Type of Sewage Disposal: X New X Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2- Bank 1', , ❑ Community System k :, ❑ Alteration/Remodel ❑ Concrete Total: Z Height: X Individual System 1 ❑ Repair ❑ Masonry SEP Permit#56f O-2-D6l e+ ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Typeof Heat: Proposed: 3 X Public ( /CDT GtJcC i 2G Total: 5 Name of System: C e ('3 U PLo e- �,�ed G WA, ea 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) 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 K Above ground Tank Size of Propane Tank: 500 "A-/ ecd ,,,.,,,e ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove $ Other be ,L Is this appliance being installed in a Manufactured/Mobile Home? Yes / VEo 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 ; ' ; t Main Floor � � Consistency Review: /6.a ^ S lic0 ,utJ 2Nu Floor Base fee: 3f0 Floor Additional Section: r-"------ Mezzanine: Plan Check fee: (ooq ,nq Heated Basement State Surcharge fee: tt%.50 Unheated Basement Pot Water Review fee: el• Other Unheated Calf d pnoach f Ap ee_ Cls`a Nb Garage/Carport TOTAL: $" sus (73-.ZS'' 27c .1 Ct - Decks a813 600 3( Receipt Number: 1 (5%0 Other Cash/Check Number: ESTIMATED COST(REQUIRE. 00 DOQ Date: ,,�// •Fair market value of all labor and m. erials founda;.• • inish 1 Initials: 0 i f G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1,�w4`'S°N cod JEFFERSON G%1TY ' f ' `A DEPARTMENT OF COMMUNITY DEVELOPMENT `"4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax MAR 2 8 2005 ' ISlisrN p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Q�j a 4--- . Project Desc • tion(include separate sheets as necessary): S u4/6-rr. &AeP Tax Parcel v Property Z Number: 9�/ -Coo --� Do�O Size: �in�o1 g/d i (acres/square feet) Site Address and/or Directions to Property:/ 6 I . 4o&'/e- (/g- . Seu-T el tat - Property Owner(s)of Record:COni2c T-r,e� /2• /�-Lls/. Telephone:36O-30/ - 6,6 I-AL Fax: email: 7.4,1 LPL/P.c.c1 1/•s' 0 L}oL•Cc,� Mailing Address:?O�•3 �. Si,-r1,. G[JC-c7 ' `3, Re/2% e------.. u11✓L5 C-r,' Gid . 9 36S Applicant/Agent(if different from owner): / Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) (!Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** EWSingle Family ❑ Discretionary"D"or Unnamed Use Classification B"Garage A ached_/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment 0 Modular ❑ Short Plat** ❑Commercial* 0 Binding Site Plan** 0 Change of Use El Long Plat** ❑Address ❑ Road Approach 0 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)* U Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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: 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,inde nify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in y accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to pro • ccess and right of e''1 to Jeffe County and its employees,representatives or agents for the sole purpose of application review and any req i later inspections. • •••- and • t entry to this pr rty shall be requested and shall occur only during regular business hours. 3 .-�-�or . • Date: /, 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 'Al.Id lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species .ccy or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been iss •e'will not violate the A. Any i•:iv'I ual,group or-g•ncy can file a lawsuit on behalf of an endangered species regarding your action(s)even if y.. .i- in compliance ' e Jeff- o/ounty deve.p ent code.The Applicant acknowledges that he,she or it holds individual and non-transfe•-bl -po sibility for ng t. .nd/c.,••.i in.wi • e ESA. The Applicant has read this disclaimer an gns and tes it below. Signature: J�/. / • .4 / Date: ✓ 0 6 -((// Iv G:\PermitCenter\FORMS\DRD ORMS\Master Permit Application 7-8-04.doc