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HomeMy WebLinkAboutBLD2005-00280 ��� MLA05-00271 •LDING PERMIT APPLICATIa!V Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00280 Received Date: 5/4/2005 SITE ADDRESS: 512 DOE RUN RD QUILCENE, 98376 OWNER: MOHSEN SEYEDSAGHA PHONE: 425-235-1086 NORMA MC COWN 11712 SE 166TH PL RENTON WA 980585341 SUBDIVISION: Block: Lot: T 37+ PARCEL NUMBER: 702022007 Section: 2 Township: 27 N Range: 02 W CONTRACTOR: TIMBERLAND HOMES PHONE: 1-800-488-5036 1201 37TH NW AUBURN WA 98001 Contractor's License TIMBEH*2090B Expires 8/27/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ 120 GALLON A/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 960 VALUATION 120,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 320 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: • 1 Prop: 1 Total: •1 Total: 1 Routing Date: Icktbs Type Amount Paid By: Date: Receipt: Approved/Date APPROVED � Permit $1,105.75 BAC 05/04/05 73061 P R®V Lteam.D State Building Code $4.50 BAC 05/04/05 73061 Potable Water Application $53.00 BAC 05/04/05 73061 JUN 2 2 2005 Plan Check $718.74 BAC 05/04/05 73061 efferson County Planning . Total: $1,881.99 / Bu • .p •s artment `5' %0 BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00280 Received Date 05/4/2005 SITE ADDRESS: 512 DOE RUN RD Issue Date 06/22/2005 QUILCENE, 98376 APPLICANT: MOHSEN SEYEDSAGHA PHONE: 425-235-1086 NORMA MC COWN 11712 SE 166TH PL RENTON WA 980585341 SUBDIVISION: Block: Lot: T 37+ PARCEL NUMBER: 702022007 Section: 2 Township: 27 N Range: 02 W CONTRACTOR: TIMBERLAND HOMES PHONE: 1-800-488-5036 1201 37TH NW AUBURN WA 98001 253-939-8803 Contractor's Licens TIMBEH*209OB Expires: 8/27/2006 NA& \E r PROJECT DESCRIPTION: NEW SFR W/filleilliiNNINFPVICK CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: O-//-4.S_ UFFER: /0--//-03- Footing. /©-//-Os'' Found ion: OZ— /6'-13` 'CS.E 7110141, 4 1,e (- Arn / 1- t6- c(r)% Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/ Lines: /VD Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: /-�j HEALTH DEPARTMENT ND 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 A BLD05-00280 • 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Setback from Doe Run Rd. and Ripley Creek Rd. rights-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. 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 ��g Olv%-c. .c- �� JEFFERSON CO� f DEPARTMENT OF COMMUNITY DEVcLOPMENT { 621 Sheridan Street• Port Tor send r Washington 9r 360 ' }'q 360/379-4450 • 360/379-4451 fax www.co.jefferson.wa.us/commdevel pment MAY — 4 2005 J� Master Permit Application Project Description(include separate sheets as necessary): (3 u \. 0v- `, �., '°� ln�(o 0 \.•= v`2-eir � `v\o C�J\(�Jr' lAo v�P.�reMc A� (-Ark\Tic\e S t+�,,,o... �'ccE1 r�... t� S ''�cw.2n o ikome Tax Parcel O �� ©� . c�c re s Property Number: � 1. ,o-1 ` . Size: � (acres/sq�are feet) t) Site Address and/or Directions to Property: \ r. (2, a u\�r Eta E Property Owner(s)of Record: 1v o{Z 1p VAc r0 \c r Os(r C.' -q Telephone: `\`)S-`)-35 \O Fax: yrl5-1-4,5-- email: w'1 r ecQvwcaSk-. Mailing Address: \ _E* \CL Q„. 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]** j8:Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment jKModular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** '4 Address S19,ape.-QQA ❑ Road Approach ❑ Planned Rural Residential Development(PRRDYAmendments** 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)* El 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: 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 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 acr-pss 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 ri ht of entry to this property shall be requested and shall occur only during regular business hours. ��� Signature: \\ \ ��,,,� 5 I o� �J Date: The action or actions Applicant will undertake as a suit 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 cosie.The Applicant acknowledges that he,she or it holds individual and non-trap erable responsibili for eeng to and rap' ' with SA. a Appli nt has read this disclaimer and signs and dates it below. Signature: Date: 5 (G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc I imiOWNER BUILDER STATEMENT e signer of this statement does hereby certify th t thte the Owners of the parcel referenced herein,that there not licensed contractors and that :y will be assuming the responsibili of the Ge ra tract the'pr projebt- gnature: `> 1 1 C'D 5� ENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: lMd=u etN)>7 \ t s MS3)13>—3`-\3,.' (9,S3)ck1 t - b�C3 AILING ADDRESS: \''.,0 \- 31-ct4 N U.t.�- AvC3uRt�kJ ct$�\EMAIL: Cv�}Ovv� � irn1DC'r� ^V�ow�eS.covvt ONTRACTOR'S LICENSE WAINS s-vt rt=16OD o Lfr R UMBER: '-\� :fA`.� Vr. `r `aC �. NUMBER 0toq� �SACKANF t�Sot�} RCHITECT/ENGINEER: �J Ptm\ .-T _ __ L.. PHONE (25 3)735 -3435 FAX:(\ 3 )et 39-t`fio3 1 !AILING ADDRESS: MCI_3--12-14 N. 11.- Ru(St Wer S FSOO,EMAIL C�v 'lo g wCZ IV1w\oer1�J-\-�owte s.c roject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: (New `g Wood Existing: ❑ Sewer I Addition 0 Steel Proposed: t Bank ❑ Community System I Alteration/Remodel ❑ Concrete Total: t Height Individual System � I Repair 0 Masonry - EP Permit# Rel-00 2- I Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: YPrivate well 0 Two Party 'ype of Heat: Proposed: _A_____ O Public 1=�e.r- '1`�c, Total: 1 - Name of System: f this is a Commercial Prolect you must answer the following: lumber of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: lumber of occupants(includes owners,tenants,employees,etc) Current Proposed BC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Ci Underground Tank (Above ground Tank Size of Propane Tank: \1() 0.A -o w I Heat Stove ,(Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ llet 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 `'ForOffice Use daftly Current Proposed ` i ., Main Floor .�°�tste115)0 eview . - �' • t " ' CA(-)C a( D�l✓ '; 2 Floor se 1 ,1 . 1 iwrxn 'i,r' =, ttw 3`O Floor - t� �X Mezzanine: Platt Gteck @e: MAY - 4- �` Heated Basement }-- r Unheated Basement4. +� ti LLw pp`` Other Unheated $ A F a ' s i Garage/Carport • . t ?, . Fri• ..,w. n„, 1 . '. Rec#Ipt Number �� Other 3 U t CBshlCheck Number ` t Y ✓r4a ESTIMATED COST(R Date �,- x 3 •Fair market valuee.o. an mWt foundation to finish C k° 0.O , 000 Initials:aj .�� k 3 , . :, __ .�_ / I _ ::\PetmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc . '7 IIII p, ,/ ,,,. :,.'..-",, N...., P 1 ()•;.1. 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