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HomeMy WebLinkAboutBLD2005-00204 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00204 Received Date 04/4/2005 SITE ADDRESS: 4973 DABOB RD Issue Date 04/5/2005 QUILCENE, 98376 APPLICANT: MARK REITZ PHONE: (360) 385-6882 TERRY REITZ 353 E ARDEN ST PORT HADLOCK WA 98339-9609 SUBDIVISION: Block: Lot: T 4+ PARCEL NUMBER: 701053004 Section: 5 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: DETACHED DECK AND LANDING FOR MFH CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: 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: r Final/Occupancy Approval:Lf.(, ` i7)/Y HEALTH DEPARTMENT AND 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 CA' # BLD05-00204 1.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative buffer setback of 100 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the detached deck and landing for manufactured home. 2.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed detached deck and landing for manufactured home. 3.) A permanent physical separation along the boundary of the 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.) 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 be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 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 setbacks from Dabob Rd right-of-way is 20 ft. Minimum setback from Lone Star right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Minimum setback from the Type 3 stream is 105 ft(100 ft stream buffer plus 5 ft side yard setback). Minimum setback from the neighboring property zoned CF 1:80 is 250 ft. 10.) 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 ItILDING PERMIT APPLICATIt�N MLA05-00200 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00204 Received Date: 4/4/2005 SITE ADDRESS: 4973 DABOB RD QUILCENE, 98376 OWNER: MARK REITZ PHONE: (360) 385-6882 TERRY REITZ 353 E ARDEN ST PORT HADLOCK WA 98339-9609 SUBDIVISION: Block: PARCEL NUMBER: 701053004 Section: 5 Township: 27 N Range: 01 Wt. T 4+ CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION DETACHED DECK AND LANDING FOR MFH TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 3,300.00 MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 20 CONST TYPE: GARAGE: SHORELINE: DECK: 120 SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM:BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 4/ /05 Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 KAS 04/04/05 71775 APPROVED Plan Check $63.21 KAS 04/04/05 71775 State Building Code $4.50 KAS 04/04/05 71775 Total: $164.96 APR - 5 2005 Jefferson County Planning /4-C- &Building De rtment S ON c � JEFFERSON C•NTY • kaol DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 4 Ali ) qs '�O� www.co.jefferson.wa.us/commdevelopment 81N Master Permit Application MLA: (,) h ~ tom! Project Description(inc)ude separate sheets as necessary): Tax Parcel ✓ Property , Number: 77 j 053 C LI Size:La . !0 d (acres/square feet) Site Address and/or Directions to Property: q ' G 6a G (. / (--' 3 7C Property Owners)of Record: 1 ' Fax:3GC7) 3,�1.c�'C-gZ- // co � email: CHIC a s � Telephone:( r/.%" Cali Mailing Address: ,5 3 / , ,i4po FN ST} 1)0.-( E/GA ,6 t 4 ciP33' Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) b Building ; ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 c--( 4 l 6ti akty ❑Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special 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)* 0 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: 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 attorneys 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. ss an right of entry to this property shall be requested and shall occur only during regular business hours. Signature: _ Date: ci- -1 '�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 Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility r adh ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ��,z/ Date: — —0 17^ G:\PermitCenter\FORMS\DRD FORMS\Master Permit 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 res nsi 'ty of a General Contractor for the proposed project. � '~ Signature: C��i Date: y �-� ) GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: K New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System O Repair 0 Masonry SEP Permit# qS -0/6 2- ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: A Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 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) 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 ❑ Above ground Tank Size of Propane Tank: Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank Cl Pellet Stove ❑ Other Is this appliance being installed in a Manufactured I 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 Consistency Review: CA' 2Nu Floor Base fee: , .7 a 3rd Floor -Additional Section: ,�I ;� (0 3• Mezzanine: Plan Check fee: s ,, Heated Basement State Surcharge fee: .5 C) Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport TOTAL: $ a i 3^`� Ca Decks faZd gI?,4b Receipt Number: r7 1 1 tl Other a 5a.2 /_Got`/i,, ,, 131 Cash/Check Number: ESTIMATED COST(REQUIRED) 9.9• si ►Date: r�q G3 •Fair market value of all labor and materials foundation o + a� �F n 4 r ��4,':LJ / 6,5 C_ Initials: G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc I . \ DABOB RD. ....------- ...-------- \ ----- . . 1 r -h- :4- ----------- 2 ' \.., \ii, \ \ ..,. .. , .......„„,.._ ,.., \\ ,. ...., ""Gr • g' -t 101 '- - \\ • \\ /-30 . 7....„-c ... 370' 42 IIEFTII, 411.4 01....fitern112. . oe . I '' I 123' / ,I-:-,- 1 . c%'1.:°'• ‘.:-(:,•;.+11r.p • . s. 441W"... %, 105' SETBACK FROM CREEK ----. „ 7'. - - 7Th , • f'II / 2 MY SOO / Jirirmmwmm, N TYPE STREAM • ----..........;,......... ....>„ . . • Storrnwate BMP's 14 Required • ! t APPROVED \ SITE PLAN APR - 5 2005 1 • . . . JEFFERSON COUNTY DEPT.OFWIMUAIKA;47077 SIGNATUR 0 \• *......_. .... ' 00 94 . • • f------i--. 1 ---7.--->e '.7i. • ' \\\\ *44 141 - tr.10'• 1Q0' PROPERTY LINE • 4 \ i SITE PLA\ . • .„ SCALE: 1"1= 75'— ON REITZ H - vEi • 4973 DABOB DR, QUILCENE, WA, 98376 DRAWN BY MARK REITZ (360) 385 6882 „,. . .f 11, TAX # 701-053-004 . .