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Home My WebLink AboutBLD2005-00383 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00383 Received Date 06/10/2005 SITE ADDRESS: 7512 SR 20 Issue Date 07/5/2005 PORT TOWNSEND, 98368 APPLICANT: JOYCE A HAWKINS PHONE: (360)379-2956 1240 W SIMS WAY PORT TOWNNSEND WA 98368 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001282009 Section: 28 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/ATT GARAGE & 120 GALLON A/G PROPANE TANK CALL IN FOR THE E UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ct'/?-40r5" UFFER: Footing: 4 � - -0/ q (Q Foundation: /O-1d- Stormwate FINAL Approval: Underground Plumbing: Underground Insulat n: Shear Wall : cry cox* /-6'4:47 Sheathing. �. �/ r, : / Framing: N Zb. 1 44 `7 �6 .Plumbing. 2.) 11 v Propane ank/ Lines: Insulation:"/"-. 45ef-,L,4-410r- Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: t'--/CQ-�� 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 CASE t BLD05-00383 1.) 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. 2.) 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Minimum setback from SR 20 right-of-way shall be 20 feet. Minimum setback from side and rear yards shall be 5 feet. 8.) 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. 9.) 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 GILDING PERMIT APPLICA•N MRLA05 00pe358 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00383 Received Date: 6/10/2005 SITE ADDRESS: 7512 SR 20 PORT TOWNSEND, 98368 OWNER: JOYCE A HAWKINS PHONE: (360)379-2956 1240 W SIMS WAY PORT TOWNNSEND WA 98368 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001282009 Section: 28 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATT GARAGE & 120 GALLON A/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,135 VALUATION 202,909.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 490 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL. BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 ". Total: 2 Routing Date: /' Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,570.55 BAC 06/10/05 73268 APPROVED Plan Check $1,020.86 BAC 06/10/05 73268 State Building Code $4.50 BAC 06/10/05 73268 JUL - 5 2005 Potable Water Application $53.00 BAC 06/10/05 73268 Total: $2,648.91 : • in County Planning P8 8u' am, • ,:rtment MU) 'k7' A 44.e1 °N JEFFERSON IUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT - -, ~, i , 1 621 Sheridan Street • Port Townsend •Washington 98368 ' r z i 1 360/379-4450 • 360/379-4451 Fax ,, i '' ' , �9, www.co.jefferson.wa.us/commdevelopment f I i G J U ! 1 u 2005 f Master Permit t Application MLA: 05—.3561 Project Description(include separate sheets as necessary): fT - Tax Parcel / Number: ��o/ � _ OG '�•/Property �, '� �', ��' % l acriVsquare feet) Site Address and/or Directions to Property: (2_ 7 a Hwy Q f 3 z` e- Property Owner(s)of Record: j e y�c L ,4- i ,641 s Telephone: 06 ) _3 179-a cis--- --,� �° Fax: __ email: Mailing Address: /.a- fl : S�' /A 'v 7 L /t >9 , //�i�-'ic./ /ei w',75� �7a</�4's. / 6._.3 a ' 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 Cj** Single Family ❑ Discretionary"D"or Unnamed Use Classification V Garage Attached/Detached ❑ Special Use(Essential Public Facilities)*" ❑Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* 0 Binding Site Plan** 0 Change of Use ❑ Long Plat** 0 Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Arnendments** it,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 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* LI 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 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 inspections.At-rocs and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: C e-- -r-G/ �� 6/f� �:_ Date: �� 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-transfer le responsibility for ad ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: '- f-e-e- ` ; //—IZ ,-,-r7 e/: a� =:�-- �7� Date: G:\PeimitCenter\FORMS\DRD FORMS\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 ass ing the responsibility of the General Contractor for the proposed project. I - - Signature: f z -:- Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER:.-----'"'"'--- PHONE: FAX: ) ( ) MAILING ADDRESS: ‘'.�__ -- I MAIL: CONTRACTOR'S LICENSE k 1j , -, • AINS NUMBER: 1 U 1 31V 1 0 L`i'-j) \ 'N MBER ARCHITECT/ENGINEER: t t_`, P NE ( ) FAX:( ) r MAILING ADDRESS: \ \ ,,_.. ... �-S , nE IL Project Type: Frame Tt y ype ' Bathrooms: Shoreline: Type of Sewage Disposal: New ti.Wood`' Existing: C- ❑ Sewer ❑ Addition 0 Steel Proposed: Z- Bank 0 Community System O Alteration/Remodel 0 Concrete Total: •2/' Height: 0,Individual System O Repair ❑ Masonry SEP Permit# 014--II$' ❑ Demolition ❑ Other: Bedrooms: (? Water Supply: Existing: Setback: �9..Private well ❑ Two Party Type of Heat: Proposed: o�l 0Public , '/e�c%(':c 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: ZO GrOgc.. ❑ Heat Stove ),Cook Stove ❑ Woodstove ❑ Fireplace Insert II4,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 For Office Use Only Current Proposed Amount Main Floor nsistency Review: 2Nu Floor Base fee: ( 10. c 5 3`0 Floor =Additional Section: ./e Mezzanine: Plan Check fee: 1020 f E Heated Basement State Surcharge fee: Cf`%/3 Unheated Basement Pot Water Review fee. '57 y00 Other Unheated 914,E/ tdApp f ,� ,/' Garage/Carport 9 l'� f( a a , TOTOft AL: $`—131 r�` �f Decks Pt / L-GPS Other 70240q3 as heck Number: ESTIMATED COST(REQUIRE' 'ate: /�O ,., �^ .Fa',WI r market value of all labor an•materials four).• ion to fini • ( 01 /,1 ./ � LL 'f[) G) O Initials: 0 , G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc I\11 / l' e ,..) 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