HomeMy WebLinkAboutBLD2005-00227 •
!UILDING PERMIT APPLICA#N MLA05-00223
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00227 Received Date: 4/13/2005
SITE ADDRESS: 223 FOXFIELD DR
PORT TOWNSEND, 98368
OWNER: CHARLES A REYNOLDS PHONE: 360-385-1699
JOAN REYNOLDS
223 FOXFIELD DR
PORT TOWNSEND WA 98368-9549
SUBDIVISION: KALA POINT#4 Block: Lot: 110
PARCEL NUMBER: 965000104 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: JOHN REED PHONE: 425-844-8914
19403 327TH AVE NE
DUVALL WA 98019
Contractor's License JOHNRC*983DF Expires 2/12/2004
REPRESENTATIVE: JOHN REED PHONE: 360-302-1242
PROJECT DESCRIPTIOP ADDITION TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 100
VALUATION 10,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER: 100
CONST TYPE: GARAGE: 528 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: KALA PT
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2
Routing Date: •
0 / 071 /0c— 9(20 d
Type Amount Paid By: Date: Receipt: ��t�ov�i/pVaf�
Permit $195.25 BAC 04/13/05 72908 H R U
Plan Check $126.91 BAC 04/13/05 72908
State Building Code $4.50 BAC 04/13/05 72908 MAY 1 9 2005
Total: $326.66 effarson County Planning
& B ' ding Department
•
• BUILDING PE
RMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00227
SITE ADDRESS: 223 FOXFIELD DR Received Date 04/13/2005
Issue Date 05/19/2005
PORT TOWNSEND, 98368
APPLICANT: CHARLES A REYNOLDS
JOAN REYNOLDS PHONE: 360-385-1699
223 FOXFIELD DR
PORT TOWNSEND WA 98368-9549
SUBDIVISION: KALA POINT#4
Block: Lot: 110
PARCEL NUMBER: 965000104
Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: JOHN REED
19403 327TH AVE NE PHONE: 425 844 8914
DUVALL WA 98019
Contractor's License: JOHNRC*983DF Expires: 4/15/2007
PROJECT DESCRIPTION: ADDITION TO SFR
CALL IN FOR THE R QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:G 6-S-&
UFFER:
Footing. 6--3- ;
/
Foundation: -3-o
Stormwater FINAL Approval:
Underground Plumbing:
Underground sulation:
Shear Wall : 4,-/7
Sheathing: 6. /1 D�
Framing: ,/ -*O x,-
Plumbing:
Propane Tank/ Lines:
Insulation: A --O c--
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: -) --)-
HEALTH DEPARTMEN 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 A BLD05-00227
1.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
2.) Minimum setback from Foxfield Dr is 20 ft. Minimum side and rear yard setbacks are 5 ft.
3.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
4.) 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.
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).
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
_-.-411 OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they notthey will be assuming the responsibility of the General Contractor for the proposed project. are. , d icense a that
{
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: i
3ON-ro -Roo
FAx
( ) (. . . )
MAILING ADDRESS: \`7 Z i S Q R 'U C-- Sl
PT. 1 Z9L¢)yIJS�)EMAIL: { �
CONTRACTOR'S LICENSE WAINS
NUMBER: A O Nu RC--' ' 9 83' )F NUMBER
ARCHITECT/ENGINEER:
PHONE ( ) FAX:( )
MAILING ADDRESS:
EMAIL
Project Type: Frame Type: Bathrooms:
❑ New Shoreline: Type of Sewage Disposal:
XK Wood Existing: __ 2 0 Sewer
❑ Addition 0 Steel Proposed: __ 0 Bank
Bl Alteration/Remodel 0 Concrete Total: __ 2 Height: 0 Community Systemem
❑ Repair 0 MasonryEil Individual
❑ Demolition 0 pgie Bedrooms: WateSEP rSu l �'~ i
Existing: 3 Suck: Supply:
a_ 0 .Private well ❑ Two Party
Type of Heat: Proposed: __
Total: __3 Public
Name of System: Kala
Point Utility Company
If this is a Commercial Project You must answer the following:
Number of Parking Spaces: Current Proposed:
Number of occupants(includes owners,tenants,employees,etc) Current Number of ADA ParkingSpaces:
IBC Occupancy: Proposed
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:
0 Underground Tank 0 Above ground Tank Size of Propane Tank:
❑ Heat Stove 0 Cook Stove 0 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 lot.ff'ic. Is01iIy
Current Proposed w,� Y�' ,� r' � z
Main Floor ,� 'T Y-. *'#,`< 4
( 32D (CO u ,� -
2""Floor ' Iiitio� ��..
e.
3f0 Floor ' ;
(�1__y�rr� .{�c as '
Mezzanine: '' Check.f . ,5.
Heated Basement ' .x ' R. ky ',♦��y`•
' ,'''
Unheated Basement W v n tr..1- w..-V vt. 4Other Unheated y r. v..d T 4
-If. . S.Y' 1 Its A `y„i+x,y.. k
Garage/Carport �� i : „ ` v.
5- g T
Decks , „� � /�d. " ,- r
Y .1 a f
Other RApp(p . .>r 7 Ft - L ; n k
lc�> `
tCaC Nu ;
,� � �+-. � r , . �n�,ram.
ESTIMATED COST(REQUIRED) S ', 3 }'i V.; { L Y
.Fair market value of all labor and materials foundation to finish ": r�,5�f.
/'' � ��, '/�ue fr-i: g ads �>e
.3s,'y, '
:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
ti
JEFFERSON C� I
4014111c4.�SONcc DEPARTMENT OF COMMUNITY DEVELOPMENT
iiiii1.4 621 Sheridan Street- Port Townsend ••Washington 98368 APR 1 3 2005
360/379-4450 • 360/379-4451 Fax
� �p� www.co.jefferson.wa.us/commdevelopment I
,
15
Master Permit Application MLA: Ci- -`2_" -
Project Description(include separate sheets as necessary):
Enclose existing 10' x 10' covered patio
Tax Parcel Property 26,780
Number: 965-000-104 Size: (mew/square.z/square feet)
Site Address and/or Directions to Pro 223 Foxfield Drive, Port Townsend, WA 98368
PertY=
Property Owner(s)of Record: Charles A. Reynolds and Joan Reynolds, husband and wi f e
Telephone: 360-385-1699 Fax: 360-344-3491 email:1oaniereynolds@msn.com
Mailing Address: Same as site address shown above
Applicant/Agent(if different from owner): JOIN 4R e-D
Telephone: 3 be)-3 D'a,-1'D`{Q.. Fax: email: ,9.S`t'V RA- e. (4OT41AIL.con
Mailing Address: l'1 alq SProce-- S-I-. 'Rev"TiN4.4.,be.-.-.1) LOA. 416 3 4,,3
What kind of Permit?(Check each box that applies)
Xl Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[CO),C(d),or C]**
Xl Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
0 Manufactured Home ❑ Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑Long Plat**
❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)Amendments--
0 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
0 Wireless Telecommunication* 0 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 Jokin Reed to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ‘ / f
y Date: 5' -Y-- S'
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 ac�°°��� nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required latyections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 2 �/_ Date: 7' i
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 v illvrot 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 arein compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for 'eeng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ` y - Date: _
9 . ' i
/
G:\PemiitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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