HomeMy WebLinkAboutBLD2005-00354 •UILDING PERMIT APPLICA1N MLA05-0336
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00354 Received Date: 6/2/2005
SITE ADDRESS: 53 COMMERCIAL AVE
PORT TOWNSEND, 98368
OWNER: CYNTHIA CHARLES PHONE: 360-739-8635
EDWARD CHARLES
PO BOX 2101
SEQUIM WA 98382 JUNCTION CITY
SUBDIVISION: Block: 14 Lot: 1-3
PARCEL NUMBER: 964501403 Section: 13 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION SELF SUPPORTED DECK TO MAN HM
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 1,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 200 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Dat/ 3 O J
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $111.25 BAC 06/02/05 73232 A P P R O V E .
Plan Check $72.31 BAC 06/02/05 73232
State Building Code $4.50 BAC 06/02/05 73232
JUN ' 72005
Total: $188.06
J= • i i County Planning
ipir
B g Department
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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 #: BLD05-00354 Received Date 06/2/2005
SITE ADDRESS: 53 COMMERCIAL AVE Issue Date 06/7/2005
PORT TOWNSEND, 98368
APPLICANT: CYNTHIA CHARLES PHONE: 360-739-8635
EDWARD CHARLES
PO BOX 2101
SEQUIM WA 98382
SUBDIVISION: JUNCTION CITY Block: 14 Lot: 1-3
PARCEL NUMBER: 964501403 Section: 13 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: SELF SUPPORTED DECK TO MAN HM
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathin :
Framing:
Plumbin
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road.Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:9 _ -e T
HEALTH DEPARTMENT A 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 CASE A BLD05-00354
1.) The.development will be serviced by public water.and a well will not be utilized. If a well is
required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ
conditions.
2.) 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.
3.) 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.
4.) 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."
5.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
6.) 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.
7.) 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.
8.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
9.) 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.
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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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).
13.) 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.
14.) The building height is not to exceed 35 feet.
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15.) Minimum setback from Commercial Avenue right-of-way shall be 20 feet. Minimum side
and rear yard setbacks shall be 5 feet. If an environmentally sensitive area (ESA) is
present, then the more restrictive setback shall apply.
16.) 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.
17.) 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.
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I:\F_BLD_Permif_Buildng.rpt 10/29/19
� ONC •
a4� . O6, JEFFERS COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
'� 621 Sheridan Street- Port Townsend •Washington 98368
j►=`�` ,, 360/379-4450 • 360/379-4451 Fax
q O www.co.jefferson.wa.us/commdevelopment
`SHINO�
Master Permit Application MLA: - 1305
Project Description(include se arate }shheets as necessary): je
4, :.j!f'.i ?1 1�( ..<'A�> •ji R i1 (.01 1) j(:Ii (:L'l�l.,'a.i(:(:
Tax'Parcel Proerty
t!� 5
Number: Q 1 .465
/1Size: a79� ,� �fir_ (acxes/square feet)
Site Address and/or Directions to Property: 53 Co molet2 c t a-I A u e. POr'} ) rd4 Lori-erg
Property Owner(s)of Record: ItiC 4' c. Gh rt_rlti\ EAt r-rl C
Telephone:3(vO -7� 1- glo?SuR375--02OFax: 31t0-.35)S'd`fl!/ email:Clock,-Q-Vin- 4r4p.(nev-,
Mailing Address: t?0 u .'In i �eCl lLt',n7 (��(� 9g 3 a
Applicant/Agent(if different from owner): V
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**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address I 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:
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 a7 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. / r't #
a
Signature: L l , fl+ IA'G 1./ ,i(.i'ti t� Date: Z'/2 f r!)
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-transferable resp nsibility fo id eeng to and complying with the ESA. The Applicant has read this di clai er and signs and dates it below.
Signature: '� L �{r �� 1'( C
9 j��j `f t . C.L Date: J �9h, -�
C:\llocumcnts and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
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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
y of the General Contractor for the proposed project.
Signature: CA 4t* Vrvir' f2J Date: 6 is 105
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
I ( ) ( )
MAILING ADDRESS `, EMAIL:
CONTRACTOR'S LICBNSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
:*C New Wood Existing: Li Sewer
❑ Addition ❑ Steel Proposed: / Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: Individual System
❑ Repair ❑ Masonry 8EP Permit# C'L/- ?:
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: / Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed Total: , 'fiL Public
'Name of System: ( /
If this is a Commercial Proiect 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 1 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:
2"u Floor Base fee: 1 ---.
3t°Floor Additional Section: ,---
Mezzanine: Plan Check fee: q a. 3
Heated Basement State Surcharge fee:
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Cox, \AK. .
Garage/Carport TOTAL: $ C2 31.O6
Decks -') CCI-1 I iy Receipt Number: 1 3 3D
Other Cash/Check Number: 5 1c
ESTIMATED COST(REQUIRED) Date: 6/0/es-
.Fair market value of all labor and materials foundation to finish
( C Initials:
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc J U N 2 2005