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BLD2005-00415
• • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00415 Received Date 06/22/2005 SITE ADDRESS: 126 1ST ST Issue Date 08/29/2005 PORT HADLOCK, 98339 APPLICANT: STEPHANIE YANCEY PHONE: 360 379-0158 DOYLE YANCEY 126 1ST ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE HEIGHTS LONG PLAT Block: Lot: 8 PARCEL NUMBER: 962900008 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License: TOWNCPF099LT Expires: ty?§OW0c7660 PROJECT DESCRIPTION: NEW POLE BLDG/UNHEATED STORAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 4`//4.:,,i. UFFER: 4/_ Footing: SK' =`//eL- dY Foundation: Stormwater FINAL Approval:,,, Underground Plumbing: Underground Insulation: Shear Wall : Sheathin : Framing: , !S 010 Plum bin : Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: // / M .�P.•upancy Approval: /�I/L6 �U(p --HEALTH DEPARTMENT AND PUBLIC W RKS 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 CAA BLD05-00415 • 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.) 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 25%. 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.) 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 20' IS REQUIRED BETWEEN THE HOUSE AND NEW STRUCTURE TO MEET SETBACKS TO SEPTIC TANK AND PUMP CHAMBER. I:\F_BLD_Permit_Buildng.rpt 10/29/19 ItUILDING PERMIT APPLICAON MRLA05 003388 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00415 Received Date: 6/22/2005 SITE ADDRESS: 126 1ST ST PORT HADLOCK, 98339 OWNER: STEPHANIE YANCEY PHONE: 360 379-0158 DOYLE YANCEY 126 1ST ST PORT HADLOCK WA 98339 IRONDALE HEIGHTS LONG PLAT SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 962900008 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW POLE BLDG/UNHEATED STORAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 0 VALUATION 13,807.00 ADD'L: HEAT TYPE: SOL CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 1 OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 672 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date: (6(z_q6...5 Type Amount Paid Bv: Date: Receipt: Approved/Date State Building Code $4.50 INT 06/22/05 73289 APPROVED Plan Check $126.91 INT 06/22/05 73289 Permit $195.25 INT 06/22/05 73289 AUG 2 9 2005 4r,Total: $326.66 effers ou pnty Planning & B artment Co E© ELIVt �l :ii:: (c.sON ,. JEFFERSON COU t °a r..i._.:•.:.:.', lI t1 � t \� j DEPARTMENT OF CO j110 ITY DEVELOPMENT :::„. ....._,,......„ifir } )r 1r i F' • rs\ ' '"4 621 Sheridan Street • I. t •wrt$Ot� -2Nashington : st. 360/379 4450 • 360/3' - .1 Faxi .gS�NG�O www.co.]efferson.wa" co .- ••It-nt Master Permit Application MLA: P oje De riptiion(in de eparate sheets as nece sary):: 4 �4+tG ept. EP5 1 rsi.r•vg 5 tJ re, got- ✓ao.�. Tax Parcel 0 6 G OOO a d Property / Number: 1 p Size: 13, 6 5l'� (acre quare fee Site Address and/or Directions to Property: Ia.6 (ST Sr ?,1- peot leek , i,.1,4 9 71339 Property Owner(s)of Record:5-4-ep(ftoh.vv:e_ T.i.vso.,- I-elepnone: 1640-379- O1 S bi Fax: email: ' Mailing Address: 19-6 (Jr ST PT:,t7 II. oc , t,✓A 91339 Applicant/Agent(if different from owner): e" -�,,,..,,. eN,c•.,g dog- f%u I'i 4 Coo()/"(' Telephone:y2S- Zr•(3- 1S55 Fax: qa-S-7c1a,— 16411 email:?erw.:4segrr,a.4;l1. Corw Mailing Address: I65a( tiwy 99 Su:4-e c f G1A,.,wooAAf WA— et7o37 What kind of Permit?(Check each box that applies) L Building L Variance(Minor,Major or Reasonable Economic Use) C Demolition Permit 7 Conditional Use[C(a),C(d),or CI** Single Family = Discretionary"D"or Unnamed Use Classification X Garage Attached tache� Special Use(Essential Public Facilities)*"' L Manufactured Home 2 Boundary Line Adjustment U Modular 0 Short Plat*" = Commercial* L Binding Site Plan** Ei Change of Use 0 Long Plat** U Address 1 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** L Propane L Plat Vacation/Alteration** Allowed"Yes"Use Consistency Analysis L Shoreline Master Program Exemption/Permit Revisions** = Stormwater Management 7 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* 2 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: 1 DESIGNATION OF AGENT rx I hereby designate evt ja,..a.y� n e n.►n.S ,r1, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ft. ..�i p { '�/vt> Z 1i`1 Date: a,,. r By signing this application form,the owner/age ttests 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 ' t of ent to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req " later inspe o s.Acce and right of entry to this property shall be requested and shall occur only during regular business hours.Signature: Date: S JU I o f 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 th SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo a in compliance the J ferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe responsibility for hering t and complying with the ESA. The Applicant has read this disclaimer nd signs and dates it below. Signature: s Date: S 11 6 ' O 5 C:\Documents and Settings\mochil\Desktop\\taster 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 th y are not lice c ��Jtors nti(tix they will be assuming the responsibility of the General Contractor for the proposed project. ; JUN [L Signature: Date: L - DRIT CILG, �L .7+ ; rri1+1,,l T GENERALC- CONTRACTOR OR M NUFACTiRED,HOME INSTALLER: PHONE: FAX. SLAM. o�Gt CIJKf ri TO 6-w.«-� (110t5 )743- (SSS -(-KdS) ?`12`'�6°l MAILING ADDRESS: 16S2t li W,Y `j4 s u,q EMAIL: re,...„,,‘4 /at 4�I--, do,,„` CONTRACTOR'S LICENSE (-%•M.woiot W.A. q 70I I WAINS 1 NUMBER: TO WitiC?ro,p !?" NUMBER ARCHITECT/ENGINEER: 'er J,/ Pow e��� 1 PHONE (149 S )qv,40, FAX:NOS )L./el^ 4 37 MAILING ADDRESS: I o�-el0 �� )Igt' Si' s.,it tO•, •49)JsultmAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New g, Wood Existing: 0 Sewer 0 Addition 0 Steel Proposed: 0 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: V.Individual System 0 Repair ❑ Masonry SEP Permit# 1 Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: _ 0 Public Total: Name of System: 'If Commercial Pro'ect ou must answer the following: Number of Par I ces: Current: Proposed: Number of ADA Parking Spa Number of occupants(inclu ers,tenants,employees,etc) Current Pro IBC Occupancy: IBC Type struction: Will o ood Service? Yes / No If this is a Propane Tank and/or A liance Installa rmit mark all' elow that apply: i Underground Tank i Above ground Tank ane Tank: i Heat Stove i Cook Stove i Woodstove j_Eir ce Insert i Hot Water i Pellet Stove i Other Is this appliance being installed' anufactured/Mobile Home? Yes / No When applying for per r to install a propane tank you must also submit a site plan showing al uildings,all property lines, tan on and size, distances from the propane tank to all property lines, buildings and septic sys e onents, it ing the reserve area. Square Footage For Office Use Only Current Proposed Amount Main Floor Consistency Review: 2""Floor Base fee: (aS-ZS 3r°Floor Additional Section: /. Mezzanine: Plan Check fee: t'2— .CI t Heated Basement State Surcharge fee: 4.5 O Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: ^ _ L j -A-1 Garage/Carport 6.71 .zo((Al° TOTAL: $ 522_ (� Decks "� i Receipt Number: `7?2Z Other Cash/Check Number: !C�/""14.Zr ESTIMATED C�& Date: (/-i-gos .Fair mark alu all labor and a Is founds n to finish R`]�''�] r Initials: rW. C:\ cements and Settings\mochi . op\Master Permit Application 7-8-04.doc . • _ x I , f ' n . 1 NDo + SPAN (40' MAX.) -ID• ...-.0 Z POST SPACING POST SPACING POST SPACING ` -Dom (14' MAX.) (14' MAX.) (14' MAX.) �m • N QS m ,-, x_ vm mZ xm ND mO "F ? 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