HomeMy WebLinkAboutBLD2005-00244 • kILDING PERMIT APPLICATIN ML Review T Ty y238
pe:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00244 Received Date: 4/20/2005
SITE ADDRESS: E SNOW CREEK WAY
QUILCENE, 98376
OWNER: JOHN T JENKINS PHONE: 360-457-6246
403 S LINCOLN ST4
PORT ANGELES WA 98362
SNOW CREEK RANCH
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 995400011 Section: 12 Township: 28 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: C ANDREW MARTIN PHONE: 936-788-4563
PROJECT DESCRIPTION NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,200
VALUATION 1,085,010.00 ADD'L: 412 HEAT TYPE: EEE
•
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
GARA
CONST TYPE: DECKLE 120 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 2
Total: 1 Total: 2
Routing Date:
` a51�
Type Amount Paid By: Date: Receipt: APPROVED
Permit $1,044.15 BAC 04/20/05 71885
Plan Check $678.70 BAC 04/20/05 71885 NOV - 8 2005
State Building Code $4.50 BAC 04/20/05 71885 Jefferson County Planning
Potable Water Application $53.00 BAC 04/20/05 71885 : Building Department
Total: $1,780.35
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BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00244 Received Date 04/20/2005
SITE ADDRESS: 42 SNOW CREEK WAY Issue Date 11/8/2005
QUILCENE, 98376
APPLICANT: JOHN T JENKINS PHONE: 360-457-6246
403 S LINCOLN ST4
PORT ANGELES WA 98362
SUBDIVISION: SNOW CREEK RANCH Block: Lot:
PARCEL NUMBER: 995400011 Section: 12 Township: 28 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR
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 no
t on sewer):
Road Approach Final Approval:
Zoning Final Approval: �i��
Final/Occupancy Approval: CAg,�
�i
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 CASE # BLD05-00244 •
1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality 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.
2.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) Minimum building setback from Highway 101 right-of-way is fifty(50) feet. Minimum
building setback from East Snow Creek Way right-of-way is twenty(20) feet.
7.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in
height from the finished grade. 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 shall be provided for the single family
residence.
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_Perm it_Bu i ld ng.rpt 10/29/19
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�w�SON cow JEFFERSONNTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
` '-1 621 Sheridan Street • Port Townsend •Washington 98368
4• 360/379-4450 • 360/379-445 I Fax
.q O www.co.jefferson.wa.us/com development ,- , ,
S4IN�S If
;
Master Permit Application ML : of- r j �T
APR 2-0 2905 1
Project Description(include separate sheets as necessa ):
NIE- j six/ L 1.= FA-M I LY CET 1 1
Tax Parcel Property I
Number: I9 5-4000( ( Size: I 33--14,ci .-5 (acres/square feet)
Site Address and/or Directions to Property: 10I t SI.IC CE t[ Wty-?n,p M4?4 b Di rrt- lCE.
Property Owner(s)of Record: 5OR1 J -T. 3ENKI f\LS
Telephone: 3100 -4-G-7-4Z46 Fax: email:
Mailing Address: 403 S. I...1 gc-oua STZEET SUrm 4 "Box 47 Tpmr- A460. )WA 9$3/„Z
Applicant/Agent(if different from owner): C. A1.It i&) )'VtAIZ1-1 4
Telephone: 931.- ?QS-4-SL3 Fax: email:
Mailing Address: SAME. As ow NIr of
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
❑ 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 A 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)* ❑ 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:
MAIZT-i
DESIGNATION OF AGENT
I hereby designate O. k.) ad to act as my agent in matters relating to this application for permit(s).
7?OWNER SIGNATURE Date: 7-2O -65
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 any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: _ Date: ..- 19- -
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-trans ra le responsibility for dhering to and complying with the ESA. The Applicant has read this di claimer and signs and dates it below.
Signature: Date: — i CI —a'j
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
iOWNER BUILDER STATEMENT M
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 a urn g the responsibili the General Contractor for the proposed project.
Signature: Date: 4-1q—05
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:
X New X Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: ,2 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: X Individual System
❑ Repair ❑ Masonry $ SEP Permit# TO 't'C l Pl,-\c9
❑ Demolition ❑ Other: Bedrooms: Water Supply: rI-c?.—..
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: _i_ X Public
1 e;4—
c Total: 1. Name of System:S►,c>«;G'
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 Li Fireplace Insert [I Hot Water Tank ❑ Pellet Stove Li 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 OnI1
Current Proposed i Amount —
Main Floor / Consistency_.Review: ,-: , /Vj DD
12CO lb
2N Floor Base fee:
4 2- a(o 96_� APR 2 0 2005 1 o 44, ,5
3rd Floor C4.-_ Additional Section:
Mezzanine: Plan reck fee: __a S 70
Heated Basement $_ State Surcharge fee: /i D
Unheated Basement O Pot Water Review fei OD
Other Unheated 911/Rd Approach fee: iry �`,
00
Garage/Carport TOTAL $
a010,a5
Decks rit I ZO
�1
'1 Ai ,LID Receipt Number: 1 Y l C��3
Other Cash/Check Number. 0 1
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foun tionliifinish -- d�t3
60 c3c)c) ! b 110 itials: ft
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc