HomeMy WebLinkAboutBLD2005-00369 •
•UILDING PERMIT APPLICA•N MRLA05 00350 eview Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00369 Received Date: 6/7/2005
SITE ADDRESS: MEGS WAY 0pi
OWNER: DAVID A ANDERSON PHONE:
MARGARET M ANDERSON
PO BOX 234
• PORT HADLOCK WA 98339 0234 ANDERSON COURT LONG PLAT
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 931300004 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368
Contractor's License SEVENBP983JD Expires 6/24/2006
REPRESENTATIVE: NEIL CAVETTE PHONE: 3§0=370=4g4p
PO BOX 1953
PORT TOWNSEND WA 98368
PROJECT.DESCRIPTION NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW �' MAIN: 1,496
VALUATION 14,500.00 145, ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5-1HR OTHER: 120 SHORELINE:
CONST TYPE: GARAGE: 484 SETBACK:
DECK: 24 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
•
i1
Type Amount Paid By: Date: Receipt: Approved/Date
Permit • $1,245.75 BAC 06/07/05 73315 APPROVED
Plan Check $809.74 BAC 06/07/05 73315
State Building Code $4.50 BAC 06/07/05 73315 JUL 2 6 2005
Potable Water Application $53.00 BAC 06/07/05 73315
'efferson County Planning
Total: $2,112.99 & % I di
�. artment
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00369 Received Date 06/7/2005
SITE ADDRESS: 102 MEGS WAY Issue Date 07/26/2005
PORT HADLOCK, 98339
APPLICANT: DAVID A ANDERSON PHONE:
MARGARET M ANDERSON
PO BOX 234
PORT HADLOCK WA 98339-0234
SUBDIVISION: ANDERSON COURT LONG PLAT Block: Lot: 4
PARCEL NUMBER: 931300004 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368
(360) 379-1750
Contractor's License: SEVENBP983JD Expires: 6/24/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:/�C.., g=s
Footing:
Foundation: (4 8/2/65
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : i'!, ,rye
Sheathing:
Framing: aNDEefLZPQK8/2V05# /ch-s-05-
Plumbing: Gsp/Ot/ /0 -,c -off---
Propane Tank/Lines:
Insulation: 477K /0/45-f' j,P � �, },c� /npni'ng,A,'
Sheetrock: 43,46541,LJRc4-s OK ►O/171,5
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval. 3(70I o$
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 C• t BLD05-00369 •
1.) 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.
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.) A Stormwater Site 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback from Meg's Way right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
9.) 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.
10.) 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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
I:\F_BLD_Permit_Buildngspt 10/29/19
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JEFFERSO•OUNTY .._. .
I _ DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street•Port Townsend4.Washington 98368 1.
360/379 4450. 360/379-451 Fix _
k•q O� www.co.jefferson.wa.us/colt�mdevelopment
t 87N0 s •
Master Permit Application MLA: f'" f) `
Project Description(include separate sheets as `•":---+.
ty):z r ft h./id-
Tax Tax Parcel ` '� .P f l u` 1 -17
�j
Number: J ��C (i •Ir•! ( dy i /
• guar- --t)
Site Address and/or Directions to Property: ( CO r-�, 4— p i 1-/ .t T ,. 'le
Property Owner(s)of Record: _,tea,1.•r _ ze.�.�� t
Telephone: J 7 ei ci 4 L('7
__ a M -email: •/C 1'
Mailing Address: t y f re ..' -t, t ,,�/ >,4 Si ► /-..Applicant/Agent(if different from owner): / 6`c-f,, -
Telephone: _ email:
Mailing Address: •
W tuildi kind of Permit?(Check each box that ..y Z. ;
i� B ',
❑Variance(Minor,Major or Reasonable E•. . ► 1 se)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]--
`
®'Sig�ngg.le Family ❑ Discretionary"D"or Unnamed Use CIa ' .'l'•;i1
R-Garage Attached/Detached ❑Special Use(Essential Public Facilities)**'
❑Manufactured Home 0 Boundary Line Adjustment
❑Modular ❑ Short Plat**
II Commercial* ❑ Binding Site Plan**
0 Cbange of Use �-'� ❑ Long Plat**
8 Cfi"Address �2oad Y . .
AP [] Planned Rural Residential Development(PRRD',Amendments**
❑ Propane • ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0Shoreline Master Program Exemption/Pemtit ; a I • s**
❑ Stormwater Management ❑ Shoreline Management Substantial Devel••ir,;i'lI
❑ Site Plan Approval Advance Determination '?:'_‘:rrr * ❑ Shoreline Management Variance ,:
Cl Temporary Use 0 Comprehensive Plan/UDC/Land Use District�IFJ • endment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Fr ,•ment
❑ Forest Practices Act/Release of Six-Year .r 4-.
*May require a Pre-Application Con • ; --, **Requires a Pre-Application Conference
Please identify any other local, state o rI.n r I permits required for this proposal, if known: ,.
':' DESIGNATION OF AGENT
I hereby designate eZ !,„ ,,(2, to act as my agent in matters relating to this applicatlo •tpermit(s).
OWNER SIGNATU 11%C24 t'lV
('4i_ -Z Date: 4- -J^(7.5 `,>
,a
By signing this application form,the owner/agent attestslhat the information provided herein,and in any attachments,is true an I cx 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' i"Cation 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 '4
I further agree to provide ccess and ipht of ne`�try to/Uefferson County and its employees,representatives or agents for the sole purpose of application
review and any requir later jn‘ecti it Access n envy to this property shall be requested and shall occur only during regular business
,,
Signature: '' i"�'�{r __ -/ILO.- Date: 0 C;) ' 1PC._--
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 .H not violate the ESA''Mo individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you in compliance iMtfi the Je, ty development code.The Applicant acknowledges that he,she or it holds individual
and non- sfera responsibility ad a 'ng with the ESA. The- Applicant has read this disclaimer and signs�^ dates it below.
Signature: Date: . ) '3 G' C- " i
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04-doc
OWNER BUILDER STATEMENT
The signer of this statement does hereby certify thglity are the Owners of the parcel referenced herein,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 H E INSTALLER: PHONE: FAQ
#)':,-'-.. „�. i:) .. I ,J l')sir)': t,(�t ri 1_ tti L ( ,;7) •f 7 (:3l�0) 1 1
MAILING ADDRESS: J 3t,4 l A Yg. 3 tr: T-C k Iti1,t-.m CI • EMAIL: iv e, J f f.7i E tr.).,Or
CONTRACTOR'S LJCENSE WAINS
f fts-y, .l ,�-�
NUMBER: flea= i 1( a c ii NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Fra Type: Bathrooms: Shoreline: Type of
�New 1W� Existing: 0 Sewer
Disposal:
❑ Addition 0 Steel Proposed: Bank 0 CQmmuni(y System
❑ Alteration/Remodel 0 Concrete Total: 7_ Height: .PIndividual System
O Repair ❑ Masonry SEP Permit#
O Demolition ❑ Other. Bedrooms: Water Supply:
Existing: Setback: ❑�P ato well ❑ Two Party
Type of Heat / A Proposed: . ®'Public
6 Li-C-- firtexcv, j d2_ Total: `i Name of System:l i
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 0 Above ground Tank Size of Propane Tank:
❑ 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+� Ct#' Only t "s"fl: >: ' :
Current Proposed-' - i ';,) :. ' •7.`'fix..., ? _
Main Floor 4/IV 111 ' � r V
NU ,, ..rn.,.ryY' .' i ) •, ,>r1Yt ,i •.'4L�S;Y -4 -"yX4 i
2 Floor 1ti 4 '7`€�,i I
31a Floor Aditiprlal � ..
tJN 7 r7s., th.z ,
•f
Mezzanine: plan Check'�ee y A' ,�
1 V,1 3 iJ
Heated Basement
Unheated Basement t wV itor`: view `W ,. f
Other Unheated -�9' i I tt r T • .`,•
Garage/Carport • • ` `zt.; x \t R r• y `§ mr x13 L .
41 r ti t� TO f } u ,<1'
Decks 1 ' "r : r t: 4
",j,,-::!.,..
Other ..,.,. , V
ESTIMATED COST(REQUIRED) : R t
•Fair market vah� all labor
and materials foundatioriio ` 4 *� �
it /
� S yr _. . °�C ��- J .. ... . o
G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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