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Home My WebLink AboutBLD2005-00260 UILDING PERMIT APPLICADN MLA05-00242 Review Type: Jefferson County Department of Community Development • 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00260 Received Date: 4/27/2005 SITE ADDRESS: 124 E TOANDOS RD QUILCENE, 98376 OWNER: DEBBIE ALEXANDER PHONE: 253-875-4291 ANNIE R FISH 3806 23 1ST CT E SPANAWAY WA 98387 OLYMPIC VISTA LARGE LOT SUBDIVISION: Block: Lot: 7 PARCEL NUMBER: 701105007 Section: 10 Township: 27 N Range: 01 W CONTRACTOR: KAYE CONSTRUCTION PHONE: (360)452-1995 94 KAYDA LANE PORT ANGELES WA 98362 Contractor's License KAYEC**066MN Expires 4/29/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt DETACHED DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 5,657.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY; UNHEATED: . #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 140 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: /a7 0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $125.25 BAC 04/27/05 72964 APPROVE') Plan Check $81.42 BAC 04/27/05 72964 State Building Code $4.50 BAC 04/27/05 72964 MAY 2 5 2005 Total: $211.17 Jeff. :: County Planning & :uil, ►epartment Fes1L-/ect • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00260 Received Date 04/27/2005 SITE ADDRESS: 124 E TOANDOS RD Issue Date 05/25/2005 QUILCENE, 98376 APPLICANT: DEBBIE ALEXANDER PHONE: 253-875-4291 ANNIE R FISH 3806 231ST CT E SPANAWAY WA 98387 SUBDIVISION: OLYMPIC VISTA LARGE LOT Block: Lot: 7 PARCEL NUMBER: 701105007 Section: 10 Township: 27 N Range: 01 W CONTRACTOR: KAYE CONSTRUCTION PHONE: (360)452-1995 94 KAYDA LANE PORT ANGELES WA 98362 Contractor's License: KAYEC"066MN Expires: 4/29/2006 PROJECT DESCRIPTION: DETACHED DECK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBAC KS: UFFER: Footing: 7, g i Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall Sheathing: Framing: 1/ 0gas' ✓ Plumbing: • Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: • / Final/Occupancy Approval: l�X -Cor -F i )1 +-1 q/0,P/C'S E 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 I SPECIAL CONDITIONS FOR CA A BLD05-00260 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 E Toandos Rd right-of-way is 5 ft. Minimum setback from the eastern parcel boundary(adjacent land designated Commercial Forest) is 250 feet. Minimum setback from the southern parcel boundary is 5 feet. 7.) 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. 8.) 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. 9.) A minimum of two (2) on-site parking spaces are required for the manufactured home. 10.) 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 ��(„---- -gS�N cod JEFFERSON tNTYfa DEPARTMENT OF COMMUNITY DEVELOPMENT l ` ''Q 621 Sheridan Street• Port Townsend •Washington 98368 4, 2 7 2 • 9m5 APR l,n J q O 360/379-4450 www.co.jefferson.wa.us/co360/37 -44mdevelopmentFax SN�'S Master Permit Application MLA: `i 4 L-- -2 y Project Description(include separate sheets as necessary): Tax Parcel Pro Number: 2 //0.S £Y t', PertY . _ t (acres/square feet) Site Address and/or Directions to Property: y F j c ii 4., DC 5 6%ti/4 6.'E,./c-' w ii Property Owner(s)of Record: P L-b e, E ,%-i c=Xii-_4, L i .7\' Telephone: ,-1 5 3 , 2S ,,r2..qt Fax: email: Mailing Address: L.S'ei 52, 3/ 5'.1"t-. <'t- if 3'14'' ''Iii/"47 ii.7 `?g3 e7 Applicant/Agent(if different from owner): A .Y Y E eei.i,5 7,6/r 7-7 I-,.i ( b. 4' i<I Y Telephone: 4" l/ 6 0 1l 3 7 Fax: 3 F c. Y5-2 e v et..3 email: .✓.,n k 0,7 r r'e✓, r %,4y,, Mailing Address: 47`( 1< ig-Y M .' t'. 1'i',.j ;94'6 EL E.5 r,,'A. �y S'j r 4-- 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 CI** ❑ Single Family C� ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached /� ;(� ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ��}✓ ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat-- 0 Commercial* ❑ Binding Site Plan** 0 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 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 r1 / A 4 7' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATUR �c f£�v ��Z�C/C�f/�.�y—�L "L— / // /e' ,' ('_ Date: �` �+ By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,isle 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 accrue against Jeffers un ,s a result of or in consequence of the granting of this permit. I further agree to provid and right of en o Jeffe ty and its employees,representatives or agents for the sole purpose of application review and any requir late nspections. n ri f to this property shall be requested and shall occur only during reg ar business hours. _ Signature: , --z.c-c_1� , r Date: l��/ S t , 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 Speci -Apt"or"ESA."Jeff on �unty makes no assurances to the applicant that the actions that will be undertaken because this permit has been' ue�df, ll not violate e . An individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even' you are in complian th e erson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans rab `responsib" o d to and complying with the ESA. The Applicant has read this disclaims and sig sand dates it below. Signature: / t?2ZC �z �r Date: // � 7 6'5 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1111 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 INSTALLER: PHONE: Ark 2.NAX's,j1,i 7e-YE coNl gcle ,c' _A-) ( ) ( ) MAILING ADDRESS: Al h EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: rame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System O Repair ❑ Masonry _ SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of eat: Proposed: . ❑ Public Ar> 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: LI Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 Consistency Review: 2"u Floor Base fee: a 5 tag. 3`d Floor Additional Section: t Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: A vvo Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee:- a 11: t Garage/Carport - -'�- O TOTAL $ 1( . 1 Decks y _ 4 5 x(P R pt Number r 7 a 144 Other h/Check Number: :a?553 ESTIMATED COST(REQUIRED) Date: '" 1 •Fair market value of all labor and materials foundation to finish 4/ (2j U 0 Initials: G: PermitCenter FORMS FORMS\Master Permit Application 7-8-04.doc \