HomeMy WebLinkAboutBLD2005-00240 • •
BUILDING PERMIT APPLICATION MLA05-00235
Jefferson County Department of Community Development Review Type:
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00240 Received Date: 4/20/2005
SITE ADDRESS: CANAL LN
BRINNON, 98320
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OWNER: ERNEST E MUIR PHONE: 360-796-0394
DORIS M MUIR
2114 COLUMBIA BLVD # 119
SAINT HELENS OR 97051-1739
SUBDIVISION: OLYMPIC CANAL ADDITION 1
Block: 2 Lot: 3
PARCEL NUMBER: 980100203
Section: 21 Township: 25 N Range: 02 W
CONTRACTOR: METAL MILL INC
146 ESTAP RD PHONE: (360) 262-9080
CHEHALIS WA 98532
Contractor's License METALMI990QH Expires 11/8/2005
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTIOt POLE BLDG GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 21,638.00 MAIN: 1,344
CODE EDITION: 2003 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: BANK HEIGHT:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: Li
).2 (oc n
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $349.25 BAC 04/20/05 72924 APPROVEL
Plan Check $227.01 BAC 04/20/05 72924
State Building Code $4.50 BAC 04/20/05 72924
Total: $580.76 JUN 1 6 2005
fferson County Planning
& BFt•partment
BUILDING11,
PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD05-00240
SITE ADDRESS: 190 CANAL LN Received Date 04/20/2005
BRINNON, 98320 Issue Date 06/16/2005
APPLICANT: ERNEST E MUIR
DORIS M MUIR PHONE 360 796 0394
2114 COLUMBIA BLVD # 119
SAINT HELENS OR 97051-1739
SUBDIVISION: OLYMPIC CANAL ADDITION 1
PARCEL NUMBER: 980100203 Block: 2 Lot: 3
Section: 21 Township: 25 N Range: 02 W
CONTRACTOR: METAL MILL INC
146 ESTAP RD PHONE: (360) 262-9080
CHEHALIS WA 98532
30)
Contractor's License: METALMI990QH Expires: 11/8/2005 262-0083
PROJECT DESCRIPTION: POLE BLDG GARAGE
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing.
Found tion:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathin .
Framing: 0-0,'
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 8 p—oS
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 CAI A BLD05-00240 •
1.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
2.) The development will be serviced by public water and a well will not be utilized. If a well is
required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ
conditions.
3.) 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.
4.) 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.
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.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Setback from Canal Lane right-of-way is no less than 20 ft., side and rear setbacks are no
less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
10.) 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.
11.) 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
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C. J. CARNEY CONST. ,INC.
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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: apf 9 2005
GENERAL CONTRACTOR OR MANUFACTURED HOME'IfJSTALL fit: '_ :i°' i
PHONE: FAX:
(ii,e)f c~
MAILING ADDRESS: �3t. •L- G P� ( f�; Z �� r��
CONTRACTORS LICENSE
NUMBER: ,fin r� , WAINS
ARCHITECT/ENGINEER: �1 e T f}L/�I 7 �� NUMBER
MAILING ADDRESS: PHONE ( ) FAX ( )
EMAIL
Project Type: Frame Type: Bathrooms:
Shoreline: Type of Sewage Disposal:
Kr New 'fit Wood
❑ Addition Existing: _ ❑ Sewer
14 Steel Proposed: Bank❑ Alteration/Remodel ❑ Concrete Total: ❑ Community System
H❑ Repair ❑ Masonry eight: ❑ Individu System
❑ Demolition ❑ Other: Bedrooms: SEP Permit#
Type of Heat: Existing: _ Setback: Water Supply
Proposed: _ LiPrivate well ❑ Two Party
�� Total: ❑ Public
Name of System:
If this is a Commercial Projectyou must answer the followin :Curre
Number of Parking Spaces: nt
Number of occupants(includes owners,tenants,employees,etc) Proposed
osed:
Prop
Current Number of ADA swing Spaces:
IBC Occupancy: IBC Type of construction;
Will you have F
If this is a Pro ane Tank and/or liance Installation rmit mark all items below that a ool d.Service? Yes / No
❑ Underground Tank ❑ Above ground Tank
❑ ne Tank:
Heat Stove ❑ Cook Stove ❑ Woodstove Li Fireplace InsertSiz ❑of P Hot aWater Tank tJ 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 systemcomponents,
including the reserve area.
Square Footage - For Office Use Only
Current Proposed
Main Floor .. Amount
alb-
Consistency Review:
2 Floor �C .to
Base fee:
3�` Floor i �Z S
Additional Section:
Mezzanine:
Plan Check fee:
Heated Basement 2.--7
State Surcharge fee:
1
Unheated Basement CC)
Pot WaterReview fee:
Ft -
Other Unheated
911/Rd Approach fee: )
Garage/Carport _ t i ,�
TOTAL: $ '7/ ` �
Decks - `V I"7( .2
Receipt Number: 7-�(,}� t �
Other `�
Cash/Checkg� Nu �7(0SiU'.__ l
ESTIMATED COST(REQUIRED) Date: IT -_t/•Fair market value of all labor and materials foundation to finish ZC�!� ! i
el(' Initials:
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G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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sON 606 JEFFERSON COUNTY
ro' l ' `bra DEPARTMENT OF COMMUNITY DEVELOPMENT 7
ki `1 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
0 www.co.jefferson.wa.us/commdevelopment
's NGz APR 202005 j 7c
Master Permit Application MLA:
Project Description(include separate sheets as necessary): l , . , ` i
Tax Parcel �, Property .` ci'X / /c ` ( g`l iG %t,
Number: *"'/ e- ..C3 Size: (acres/sggUare feet)
Site Address and/or Directions to Property: C L y/ll/)/e r /1 4 4. f N— 'T.S 1--E42.0(); // f k 2j - 7-3
Property Owner(s)of Record: .AZ-A,'�S7 ,i :=DcgiS Mew i-u 'I yu i r / IHKSrl#4 J TNoei
�- email: dm ti r/Lil 4 LAI-!'(cev-rp—rr. Y
Telephone: -3�'�'- T��'-C� f�- -Rax�P�k( _�C'S `-3�-�~!!4�'{- ��i�I
Mailing Address: . f q C'c-,c.i t e i, /3 i N- 73'/A, #/f, .T, 1�F to N S Off'• `i 7 c' /
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)
D Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family LI Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* D Binding Site Plan**
Li Change of Use D Long Plat**
kAddress Cl Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments*"
Ail
Propane D Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
D Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ 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 **Requires a Pre Application Conference
*May require 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).
Date:
OWNER SIGNATURE
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 attorney'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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an .required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. ,- F
J "'
% "
Date:
<-'
lT1-�
Signature: ��,��Z-`�
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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra cable respo lity for earring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:
ZL1—., 1 7/ 1--re."--`- Date: ( l/i .C
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04-doc