HomeMy WebLinkAboutBLD2005-00277 B 0
UILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00277 Received Date 05/3/2005
SITE ADDRESS: 191 VANCOUVER DR Issue Date 06/17/2005
PORT TOWNSEND, 98368
APPLICANT: JULIE KANARR PHONE: 360-457-8093
PO BOX 572
PORT ANGELES WA 98362
SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 5 Lot: 47
PARCEL NUMBER: 938400546 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: GEORGE E DICKINSON CONSTRUCTION PHONE: 360-683-8332
116 BARNES RD
SEQUIM WA 98382
360-681-3795
Contractor's License: GEORGED098NR Expires: 10/12/2005
PROJECT DESCRIPTION: MODULAR SFR
CALL IN FOR THEQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 1?r1A-o 5
UFFER: Y 1L-0 5"
Footing: a,-I.--d .
Foundation s,.. 24-as
StormwaterrFINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: IALDPa✓us, 6LekiA3c#`li-Z-,Hs /tNRii I ,SAI I i,I //1ck&/Sr dK 1177/05
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval ).1 -3a•--osi'
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
•UILDING Revviewiew Ty PERMIT APPLICA )N ML Ty265
pe:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00277 Received Date: 5/3/2005
SITE ADDRESS: VANCOUVER DR
PORT TOWNSEND, 98368
OWNER: JULIE KANARR PHONE: 360-457-8093
PO BOX 572
PORT ANGELES WA 98362
CAPE GEORGE COLONY DIV 3
SUBDIVISION: Block: 5 Lot: 47
PARCEL NUMBER: 938400546 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: GEORGE E DICKINSON CONSTRUCTION PHONE: 360-683-8332
116 BARNES RD
SEQUIM WA 98382
Contractor's License GEORGED098NR Expires 10/12/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP MODULAR SFR
TYPE OF WORK MOD SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 151,000.00 MAIN: 1,512
CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 48
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: - —
Type Amount Paid By: Date: Receipt: o D
Permit $1,279.35 BAC 05/04/05 72940 ,�p p roc
Plan Check $805.84 BAC 05/04/05 72940
State Building Code $4.50 BAC 05/04/05 72940 JUN 1 7 2005
Potable Water Application $53.00 BAC 05/04/05 72940
arson County Planning
Total: $2,142.69 i; Buili ••.rtment
11
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• •
00, JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT . } ;
i.
' 621 Sheridan Street • Port Townsend •Washington 98368
/. 360/379-4450 . 360/379-4451 Fax i;' MAY - 3 2005 ,'
�9S�zN��o www.co.jefferson.wa.us/commdevelopment
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Master Permit Application #,x. K✓;I -��I O`,F FNT
r
Project Description(include separate sheets as necessary):
tti OOL c
Tax Parcel PropertyNumber: 9,:s,
�( S�6 Size:
�) �G1O (acre square feet)
Site Address and/or Directions to Property: VA st o.L.A,ER. D PARj E, CA iE 6 Ed e6 E COL.o N;'
Property Owner(s)of Record:.1()Cr t E !9 NN KA NA-R
Telephone(3tS,NS-1 &O°l3 Fax(360)4 S 2• 01 3/ email: a-KA/v.9rM 004 fPl:/U.0 c;•t,
Mailing Address: Po a a A, s 7Z.. Po'aT E:L ES CAA elpip 6 -`
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)
❑ 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**
0 Commercial* ❑ Binding Site Plan**
Change of Use ❑ Long Plat**
RI Address X I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
pil Stormwater Management ❑ Shoreline Management Substantial Development**
i Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
I 1 Temporary Use L7 Comprehensive Plan/UDC/Land Use District Map Amendment
'_i Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment
Li 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 of 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).
OWNER SIGNATURE Date:
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 in e tions.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. V
Signature: Date: lIQ
The action or actions A icant 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 a - in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferon 3sp ibility for adhering to and complying with the ESA. The Applicant has read this disclaim r and signs and dates it below.
Signature: 3 Date: 3/d
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
• •
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:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
GE0P-6E C L11CKir'jSoc\J (vr.):Roc-11oNJ (26O ) 6'._S - 33 Z. (36C )6`6i--27m5-
MAILING ADDRESS: 1 I G liS,A HN $ 1.Z.0 AD -+EQu H 1 (ot(2p 2 EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 6C0 6 c it d% nl iZ NUMBER LA//-I I� j C t, 1110
ARCHITECT/ENGINEER: j)Av r L_ Tug R.E LL J?t_'. PHONE ( ) FAX:( )
MAILING ADDRESS: ,2l a r M=i2ip AA) EA 7 5,.,4,ii/B GLG«;,t 1 VJk, (-1 ;3- AIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: r
X New h Wood Existing: 0 ❑ Sewer r,. ik
❑ Addition ❑ Steel Proposed: Z Bank ❑ Community System ' �
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: Individual System 1'
❑ Repair ❑ Masonry SEP Permit# Y2-00006
❑ Bedrooms:Demolition ❑ Other: � Water Supply:
Existing: 0 Setback: ❑ Private well JA Two Party
Type of Heat: Proposed: ❑ Public
L ec i.g, Total: Z_ Name of System:
CArc OC-ve4; COLw-1 C&..;r?
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:
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove I Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i 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 ;C131 Consistency Review: f 0
/BIZ t � � 4s
2""Floor Base
-- fee: roc _�
3fd Floor Additional Se bn: .---
Mezzanine: I Plan Check fee: gc
Heated Basement I. 'I ' MAY - 3 `VSurcharge;fee:
if-,CD
Unheated Basement 1_— Pot Water Review fee:
Other Unheated (`I ' i 911/Rd Approach fee: `
Garage/Carport
_..__-- TOTAL: $"23 ,.O t Decks L/p ( ( 3k -�2-
Receipt Number: q L
r.°
Other /c9 Cash/Check Number:
ESTIMATED COST(REQUIR Date: F
.Fair market val orand mated foundation to finish 7 0 3
,Sj MO; U6 Initials:
C:\Documents and entrigstftnoc '\Desktop\Master Permit Application 7-8-04.doc
SPECIAL CONDITIONS FOR CASE ;k BLD05-00277
1.) Foundation must be 20' min. from existing septic system per SEP82-6.
2.) 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.
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.) A Medium Stormwater Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
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 Vancouver Dr. 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.
13.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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storrnvrater site plan template—rev.10/1/2003 ..
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7
12 Required Elements—Construction SWPPP(continued'
8. Stabilize Channels and Outlets.
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11. Maintain Best-Management Practices(BMl3s).
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
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3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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