HomeMy WebLinkAboutBLD2005-00421 BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00421 Received Date 06/24/2005
SITE ADDRESS: 690 RHODODENDRON LN Issue Date 07/25/2005
BRINNON, 98320
APPLICANT: MIKE RASTELLI PHONE: 206 242-7460
JODEE L RASTELLI
15640 18TH AVE SW
BURIEN WA 981662702
SUBDIVISION: PLEASANT TIDES Block: Lot: 28+
PARCEL NUMBER: 988500028 Section: 14 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DECK
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS.
UFFER:
L/Footin . 2 19 y'
Found tion:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: OI( 005
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: DISC -a r -1i nA.i I/ l7//S1
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVA 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 CAP # BLD05-00421 •
1.) 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.
2.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
3.) The building height is not to exceed 35 feet.
4.) Minimum setback to Rhododendron Lane is 20 feet. Minimum side and rear setbacks are
5 feet. The setback from Ordinary High Water Mark is 30 feet.
5.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
6.) 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
BIDING PERMIT APPLICATION MRLA05 0eview 0pe394
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00421 Received Date: 6/24/2005
SITE ADDRESS: 690 RHODODENDRON LN
BRINNON, 98320
OWNER: MIKE RASTELLI PHONE: 206 242-7460
JODEE L RASTELLI
15640 18TH AVE SW
BURIEN WA 981662702 PLEASANT TIDES
SUBDIVISION: Block: Lot: 28
PARCEL NUMBER: 988500028 Section: 14 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DECK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 7,778.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 330
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: Total:
Routing Date: (e a ` 5
Type Amount Paid By: Date: Receipt: proved/Date
State Building Code $4.50 INT 06/24/05 73402 APPROVED
Plan Check $99.61 INT 06/24/05 73402 JUL Z 5 2005
Permit $153.25 INT 06/24/05 73402
Total: $257.36 ,- Jefferson County Planning
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"SON cob, JEFFERS!COUNTY •
r
kiiiA DEPARTMENT OF COMMUNITY DEVELOPMENT
'4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
.</& 0' . www.co.jefferson.wa.us/commdevelopment J(JN 2 4 2005
Master Permit Application MLA: Q 5 di,
Project Description(include separate sheets ecessary): , .. j
j ,-5 1 I. 0,4- 0, r/c,,,,
__
Tax Parcel
Number: 7 '. _�cc.) l G�5 Probe / % jt�Z
(.�01C .S 0 - ?Ge7(acres/square feet)
Site Address and/or Directions to Property: 6 hQ Phc)Do)epi Orb in `,19p e pto ri nnukx
Property Owner(s)of Record: j/yi Ike p4.t,t D TU O ee R 3-f->v L(I
Telephone: -2-06 'Zy Z-7 it(,I Fax: Zy it-55 email: ' \
Mailing Address: f S6�/o (S'}u,Qj/ SGv �t):'t e i.-3 Li/rg- 47,0 6
Applicant/Agent(if different from owner):
Telephone: ax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
XBuilding [7 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family 0 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 0 Long Plat**
❑Address ❑ 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 any required lainspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 42 sL Date: C/ /7/0:5-
_
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 mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans/ l re o ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer nd s�' ns and dates it below.
Signature: J ^ Date: (7/Q)
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
JVNER BUILDER STATEMENT w
The signer of this statement d ereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assum' , th r po ibility of the General Contractor for the proposed project.
Signature: /,, _j Date: CEO 1/[d
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:
❑ New p...Wood Existing: ❑ Sewer
Addition PCC4 ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ,.._ ..
❑ Repair ❑ Masonry 1 SEP Permit# 0 }--1•`5 9
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: LI Private well ❑ Two Party
Type of Heat: Proposed: / ❑ Public
Total: X) 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:
CI Underground Tank ❑ Above ground Tank Size of Propane Tank:
ii Heat Stove a Cook Stove U 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 For Office Use Only
Current Proposed Amount
Main Floor Consistency Review: al
Q
2ND Floor Base fee: t f 3. ac'
3`0 Floor Additional Section: J........_..avear.
Mezzanine: Plan Check fee: cn.
f I
Heated Basement State Surcharge'fde ' `P
t•
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport TOTAL $ - *3«o 3(0
Decks �' C'r t1 `4%'?Receipt Number 9 t�'d,
Other J ! hNumber Cash/Check heck
�
ESTIMATED COST(REQUIRED) Date: JUN `� / ap
.Fair market value of all labor and materials foundation to finish (Q,/ 110
W0C 9C C 0 Initials:
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