HomeMy WebLinkAboutBLD2005-00374 • BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00374 Received Date 06/6/2005
SITE ADDRESS:�2.rs -2.02CHASE RD Issue Date 07/22/2005
PORT TOWNSEND, 98368
APPLICANT: CHARLES RAWLINS PHONE: 360-385-2510
LINDA RAWLINS
2040 REDWOOD ST
PORT TOWNSEND WA 98368
SUBDIVISION: DISCOVERY RIDGE PRESERVE Block: Lot:
PARCEL NUMBER: 947200010 Section: 19 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing: , 7-�1'&(„
Founda ion: 4-12.-%
Stormwater NAL Approval: f-77-Zj,e,A„d c/-/S-06
Underground Plumbing:
Underground Insulation:
Shear Wall : ,c./(-3--k(
Sheathing:
Framing:
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock9c-(41710-7Se tic S tFinal Aroyal If not on sewer :
p Y (
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval?_. ? .1 iC",
HEALTH DEPARTMENT AND P BLIC 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 CAI A BLD05-00374 •
1.) A setback of 50-feet from Wetland K and 100-feet from Wetland C, measured
perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No
filling, grading, clearing, or other alteration of the wetland or its buffer is allowed.
2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
3.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
4.) 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.
5.) 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.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Setback from Chase Rd. 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
BUILDING PERMIT APPLICA)N MLA05 00346
Review
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00374 Received Date: 6/6/2005
SITE ADDRESS: eil$166 R.1. 47
OWNER: CHARLES RAWLINS PHONE: 360-385-2510
LINDA RAWLINS
2040 REDWOOD ST
PORT TOWNSEND WA 98368 DISCOVERY RIDGE PRESERVE
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 947200010 Section: 19 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE
-A- la JOcT
TYPE OF WORK RES SQUARE FOOTAGE:
�
TYPE OF IMP NEW MAIN: 5FICC4 (AOq
VALUATION 71,521.00 ADD'L: HEAT TYPE: RAD
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N Fj SHORELINE:
CONST TYPE: GARAGE: 8 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 2
Total: 1 Total: 2
Routing Date: / /q/cOS
Type Amount Paid By: Date: Receipt: Approved/Date
Permit • . $797.75 BAC 06/06/05 73246 APF
Plan Check $518.54 BAC 06/06/05 73246
State Building Code $4.50 BAC 06/06/05 73246 JUL 2 2005
Potable Water Application $53.00 BAC 06/06/05 73246 • •erson County Planning
Total: $1,373.79 ; B • •.artment
4 1° N1PA
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�w�SON cor, JEFFERSONNTY __ [ �
rj DEPARTMENT OF COMMUNITY DEVELOPMENT `'
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621 Sheridan Street • Port Townsendl'-Washington-98:i68 j'
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360/379-4450 • 360/379-4451 Fax 1 I
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� www.Co.Jefferson.wa.us/commdevelopment 3 � �^r`r.
87NO ) i • i
Master Permit Application ! 'MLA:; - c �.
Project Description(include separate sheets as necessary): ,
Tax Parcel Property
Number: 1 L� - 01 i Size: T O,1 A C- (acres/square feet)
Site Address and/or Directions to Pro f
I
Property Owner(s)of Record: r Vie`. ,, U 'T µre ;:F .r0 G¢i,
Telephone: jl;-m,. w,.. ,.r ter-, r,. -.""'• I^
Fax: f -,, ,µme, ,� �, email: h coj P. 1 PAC/,41,e{ >eq,
Mailing Address: Z-o �-ca •� t-a, �T- m�T`• 1.0 , c, f E"g, CI K.r,d"i
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
p 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
El Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
LStormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
Cl Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
[I 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 aeerue against Jefferson County as a result of or in consequence of the granting of this permit
I further agree o provide ak.ess and ght of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and ny equired later ins s.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signatu e: _ Date:
____44/6..c
The action or actions Applicant ' undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and cou 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=J erson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will n9Qt plate th ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even ifyyyou are in cpliance th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tran f 7oki
1e respo ibil' adhe' g to and complying with the ESA. The Applicant has read this disclaimer an signs and dates it below.
Signature: Date:
G:\PermitCenter\FORMS\DRD F S\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT •
The signer of this stat ent d^; hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu1 ing e , i ility of the General Contractor for the proposed project.
Signature\, y\Out 4. Date: (e. 7 "5
iJ
GENERAL CONTRACTOR 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:
`I, New Tic Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: ? Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2_ Height: .Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Hgat: Proposed: I : Public
;;�!t 1`>;/_': j- Total: i Name of System:
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 Ll 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 tnk to all property lines,buildings and septic system components,
including the reserve area pet
Square Footage job ce Use Only / 2j o(e Addalorii
�M 1
Current Prnnnse: - Amount
Main Floor Ada Q ',.\ i j ' Consistency Review:
2""Floor Ad c'1w Q t 1 1 t/M MC ..b(� Base fee: Crl ` "15 n5
3ra Floor l p:'Additiinnl.Sectioa:� #'
Mezzanine: Plan Check fees- '1 :I --- - 1 I 5 l s� 3,�
Heated Basement ! State Surcha f '5�
J IN 6 2005 `=�_ �S
pT�
Unheated Basement Pot Water Review fee: �� � 133q
Other Unheated Q, 911/Rd Approach fee: ( ' `
SS
Garage/Carport ° bKOR /— i2 ['-^� TOTAL: $ j IC\
ax3 1t YJ �o� l E
Decks
---
Receipt Number: 1-i ,.
Other ( i.1i )ath/Check Number: i C1(
ESTIMATED COST(REQUIRED) / Date: i �;
•Fair market value of al bor and materials n ation to finish s
�J�,d� 4 16711
7 1 l Initials:
r}
G:\PemtitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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