HomeMy WebLinkAboutBLD2005-00243 tILDING PERMIT APPLICAT N MLA05-00236
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00243 Received Date: 4/20/2005
•
SITE ADDRESS: 50 CORA ST
PORT HADLOCK, 98339 •
OWNER: RONALD R FREUND PHONE: 360-385-9019
50 CORA ST
PORT HADLOCK WA 98339-9515
CHALMER'S 1ST ADDITION
SUBDIVISION: Block: 4 Lot: 11+
PARCEL NUMBER: 942600408 Section: • 3 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,910.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 864 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
•
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $237.25 BAC 04/20/05 71884 APPROVED
Plan Check $154.22 BAC 04/20/05 71884
State Building Code $4.50 BAC 04/20/05 71884
Total: $395.97 JUN 2.2 2005
011Jefferson County Planning
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BUILDING PERMIT 1
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00243 Received Date 04/20/2005
SITE ADDRESS: 50 CORA ST Issue Date 06/22/2005
PORT HADLOCK, 98339
APPLICANT: RONALD R FREUND PHONE: 360-385-9019
50 CORA ST
PORT HADLOCK WA 98339-9515
SUBDIVISION: CHALMER'S 1ST ADDITION Block: 4 Lot: 11+
PARCEL NUMBER: 942600408 Section: 3 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DETACHED GARAGE - UNHTD, NO PLUMBING
CALL IN FOR THE EQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: . G cid)-o s
U FFER:
Footing:96'30'0=‘
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: OIl, R '
` 4/z,;
Plumbing:
Propane Tank/ Lines:
Insulation: t /L,,u 0,ug,y 0.k E5/4/05 t/./;4.
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 5Y -Cor 4),,14,-I 0/17(-) go/
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL KEQUIRED 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
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SPECIAL:CONDITIONS FOR CASE A BLD05-00243
1.) (1),Rear wall of garage to be a minimum of 31'from rear property line to maintain setback
to drainfield. (2) No plumbing has been reviewed or approved for this project.
2.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quatity degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
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.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
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.) Noimore than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
thaii 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.) 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.
9.) The building height is not to exceed 35 feet.
10.) Setback from Cora St. 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.
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.
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�``iSON c�6 JEFFERSON UNTY •
4 A DEPARTMENT OF COMM LAITY DEVELOPMENT ' t `
`1 621 Sheridan Street • Port login irgtoh O I
360/379-4450 • 360/379 51 t
vq, O$ www.co.jefferson.wa.us/c 'mclt vel ent o 2005 ,` 1
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Master Permit Application -- • -- - M A: (�5- - 3(c
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Project Description(include separate sheets as necessary):_
i,14 j?t�l -,,),,, :trl /,,t ,..-4.. I�i�,! ![.,-.✓'G�I (14/)��(-- �r �,...,._li(
Tax Parcel 4 110 Property
Number: / O Size: II Sd 0 (acres/square feet)
Site Address and/or Directions to Property: E 0 r-0 a /{ 5 f o 4 j
/i A 771 c c 1.- t.iJA. 7Y3t
Property Owner(s)of Record: R c,,,AG.c .q. "'"R E N Ai,)
Telephone: 36 C' -5,g 5-` `l e o y Fax: email:
Mailing Address: 5 0 C e.?A .T. ,o,z7- //i WI' c t 4 A . `i .y
Applicant/Agent(if different from owner): i>ir if.ti(J /cc' «= 47l e'c;.sc,;,
Telephone: 360- 6 7O - G.2 .2 7
�/ ,� CAr r x
fz•'ti email:
Mailing Address: fr /;fly4d /1,„LA i4,-,u/ <;-,.,4-,i,V
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]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
d 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 0 Shoreline Master Program Exemption/Permit Revisions*'
❑ 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
*May require a Pre-Application Conference `7.1-, - **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 ,D H tic/ /?' c 4A41 tits c it, to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE e. (' t,_c /� a �_— Date: �7! /, crs
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 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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. —
Signature: - Cry--.--. -'��- (_-' -c,. Date: . ' %�•_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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature;. - --� t.,_.'�� .e -�. Date: - 5 -c)
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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• OWNER BUILDER STATEMENT IIP
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 t the responsibility of the General Contractor for the proposed project.
Signature:'' ( c !/ '. , Date: - -ems,/0 j"
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:
I(New W/Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: (3 Individual System
❑ Repair ❑ Masonry SEP Permit#
Demolition LI Other: Bedrooms: Water Supply:
Existing: Setback: L] Private well ❑ Two Party
Type of Heat: Proposed: pia'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:
Ii 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 mu ist also submit a site plan shawinc all of the buildings,all property
lines, tank location and size,distances from the propane ank t 1 ld" s-a d septic system components,
including the reserve area.
Square Footage For Office Use i my
Current Proposed APR 2 O 2005 ; ount
Main Floor Consistency Review: C ` O
2""Floor r Bas�,t __.._.__..._. _...�.. `�3 (,
3f0 Floor Additional Section:
Mezzanine: Plan Check fee: l `J I t ,
Heated Basement State Surcharge fee:
4.50
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport ,
7 f.f 1 i 5 q/lo.`I TOTAL: $ ` 44 1\ Cl 1
Decks ✓ 1 1 __-- - Receipt Number: ( i 7 si4
Other Cash/Check Number: a
�-ESTIMATED COST(REQUIRED) Date: OAS
.Fair market value of all labor and materials foundation to finish .1j,/�e �G
4-i a,4006) Initials: L _
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc