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HomeMy WebLinkAboutBLD2005-00326 1110 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00326 Received Date 05/23/2005 SITE ADDRESS: 251 DENA LN Issue Date 06/27/2005 CHIMACUM, 98325 APPLICANT: LINDA DEXTER PHONE: MARK R DEXTER ©(2.3 5023-A BEACH DR ( o) 1j� ✓ BREMERTON WA 98312 SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 8+ PARCEL NUMBER: 933500008 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW POLE BLDG - NO HEAT OR PLUMBING CALL IN FOR THE REQUIRED I SPECT Q S THAT APPLY TO YOUR PROJECT. SETBACKS: , ( 4 hS , UFFER: Aip Footing: 4/D/,$ Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: �/ Framing: OK f340'5(y Plumbing: v Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: O/( =(i" g3 zI/e5 ( 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 CA, BLD05-00326 • 1.) No plumbing has been reviewed or approved for this structure. 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.) The building height is not to exceed 35 feet. 7.) Minimum setback from Dena Lane & Kevin Lane (west property boundary) rights-of-ways shall be 20 feet. Minimum side (north and south) property lines shall be 5 feet. 8.) 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. 9.) 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 ilkUILDING PERMIT APPLICA*N MRLA05 00309 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00326 Received Date: 5/23/2005 SITE ADDRESS: 251 DENA LN CHIMACUM, 98325 OWNER: LINDA DEXTER PHONE: MARK R DEXTER 5023-A BEACH DR BREMERTON WA 98312 BISHOP HEIGHTS DIV II SUBDIVISION: Block: Lot: 8+ PARCEL NUMBER: 933500008 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW POLE BLDG - NO HEAT OR PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 400 VALUATION 6,440.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date:, IJi q Type Amount Paid By: Date: Receipt: / t State Building Code $4.50 RAC 05/23/05 73141 d O\/ E , Permit $139.25 RAC 05/23/05 73141 Plan Check $90.51 RAC 05/23/05 73141 JUN 2 7 2005 Total: $234.26 Jefferson County Planning & B ' i Department ,/(:2/es( e(2- Q F • • 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: 71(A. L^ Date: ,."5-/fe9/0 5 GENERAL TR4C,1�1QR 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: A. New N. Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: �, Height: IA;Individual Syste ❑ Repair ❑ Masonry SEP Permit# �/0111 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: El Public Total: Name of System: 3 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: Li 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: 4,,.2Nu Floor Base fee: ,, ...• ,. . 3fa Floor Additional Section: Mezzanine: Plan Check fee: V.5 I Heated Basement State Surcharge fee: • Unheated Basement Pot Water Review f Other Unheatedle �a t � "" 4 911/Rd Approach fee. r, ,, �4, ,, � .,,ti ,40,_::-, Garage/Mirt - .+ a 3 s p p L d2, O 9 d D TOTAL: • $ ,,,u, ,a Decks 7 % s Receipt Number: "7 1 Other Cash/Check Number: i -' , ESTIMATED-COST(REQUIRED) Date: .Fair rivet value of all labor and materials foundation to finish `> =�-- —Q� b(� Initials: �/ SAY 2 t : GAPermitCente FORMS\Master-Pemiif Application 7-8-04.doc i Jf_IiEN;SON COUNTY 111=1',f rd- (":('t,hfJI G,i 0., i::vr'I rind arc., „¢,SoN cps JEFFERSON G�UNTY _ r I ,1 aI' DEPARTMENT OF COMMU ITY DEVELOPMENT 361 Sheridan Street • 360/379• o 4 1 Fax rt nd •ntsh�gtor n368 ; i445 � rt yam www.co.jefferson.wa.us/corr}mdeuelopment "'�` r t BIN „ . )1 i'• Master Permit Application ALA: 0SI. • 30� Project Description(include separate sheets as necessary): Tax Parcel Property Number: 135 S Ob 0 0 9 Size: r �;t� u, (acres/square feet) Site Address and/or Directions to Property: 1 S 1 C I ,''vv,Q c Property Owner(s)of Record: M cut-k b-c r 4-4 ,r Telephone: ,t, ? 3 T - t. z-'T Fax: email: Mailing Address: r lLT C"_ 4 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) A Building 0 Variance(Minor,Major or Reasonable Economic Use) O Demolition Permit 0 Conditional Use[C(a), C(d),or C]** 0 Single Family ❑ Discretionary"D”or Unnamed Use Classification .Garage Attached/_ ett acheyl ❑ Special Use(Essential Public Facilities) -- ❑ Manufactured Home 0 Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* 0 Binding Site Plan** O Change of Use ❑ Long Plat** ❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane 0 Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 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: d• DESIGNATION OF AGENT I hereby desig to J0.v.-A, (2 i c s to act as my agent in matters relating to this application for permit(s). OWN .a 7 /1/L . Date: 5 7/€�/�C,T� By signing thisibpplication 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 i esdlt irlihis permit being null and void. . r „ I further agree to sav R d� apd hold hapless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses whldh mayin an � , e agai rJeffgrrson County as a result of or In consequence of the granting of this permit. I further agre2jo provide access rightpf ent!ato Jefferson County and its employees;*representatives or agents for the sole purpose of application review and'�ar[y.tequired later In Mns.l cots of i right of entry to this property shaI& a requested and shall occur only during regular business Signaturez Date: s// `C� 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 feed 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 resp r) Ility for adhering to and complying with the ESA. The Applicant has read this disclai er and signs and dates it below. 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