The URL can be used to link to this page

Home My WebLink AboutBLD2005-00425 ?UILDING PERMIT APPLICA1N ML v Reviewiew T Ty 395 ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00425 Received Date: 6/27/2005 SITE ADDRESS: W SWANEY ST PORT HADLOCK, 98339 OWNER: PATRICKJ GUTHRIE PHONE: 360-301-6199 TERRI L GUTHRIE PO BOX 744 PORT HADLOCK WA 983390744 IRONDALE SUBDIVISION: Block: 68 Lot: 29-30 PARCEL NUMBER: 961806801 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,792 VALUATION 163,445.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: # OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 120 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 3 Total: 3 Routing Date: 4 /oc2 ePf' Type Amount Paid By: Date: Receipt: ��pvg�i/gaXe� Potable Water Application $53.00 SLE 06/27/05 73451 1F t3\J State Building Code $4.50 SLE 06/27/05 73451 Plan Check $878.90 SLE 06/27/05 73451 JUL 2 6 2005 Permit $1,352.15 SLE 06/27/05 73451 Jefferson County Planning Total: $2,288.55 &Building Department CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD05-00425 SITE ADDRESS: 222 W SWANEY ST Issue Date: 07/26/2005 PORT HADLOCK, 98339 Final Date: 3/29/2006 APPLICANT: PATRICK J GUTHRIE PHONE: 360-301-6199 TERRI L GUTHRIE PO BOX 744 PORT HADLOCK WA 983390744 SUBDIVISION: IRONDALE Block: 68 Lot: 29+ PARCEL NUMBER: 961806801 Section: 34 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/29/2006 (-7104 . .Sbeit).__ 3/Qq/CXD Building Official Signature Date dkevia_cA I:\F_BLD_Occupancy.rpt 10/29/19. BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00425 Received Date 06/27/2005 SITE ADDRESS: 222 W SWANEY ST Issue Date 07/26/2005 PORT HADLOCK, 98339 APPLICANT: PATRICK J GUTHRIE PHONE: 360-301-6199 TERRI L GUTHRIE PO BOX 744 PORT HADLOCK WA 983390744 SUBDIVISION: IRONDALE Block: 68 Lot: 29-30 PARCEL NUMBER: 961806801 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: OK 109./o500 UFFER: OK /op-*5 Pi 7 Footing: tlk Iefr/v5 Y IFoundation: /0-(Y-p�Q.�� ?�✓ Stormwater NAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : /eyT 4frispue OX /36,41i1 Sheathing: Framing:A,icxac.to 86 Let-',.... iCroasPucse VNOF.1tr-w;R y17"-l-or ! 0,04Ai Plumbing: Ok /3D/4* Propane Tank/ Lines: Insulation:�!/1ctS /-D6 12,-.1. 14 4K 001 Sheetrocl iy 06 Septic S m Fin App oval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: I?R' do HEALTH DEPARTMEN AND PUB IC 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 CR# BLD05-00425 • 1.) The structure must be setback a minimum of 38'from the rear property line for placement of the primary and reserve drainfield areas. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 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.) Minimum setback from W Swaney St right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. III 11.) 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. 12.) 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. 13.) A minimum of two (2) on-site parking spaces are required for the single family residence. 14.) 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 �,��g'soly cO& JEFFERSON C NTY -------__ rti DEPARTMENT OF COMMUNITY DEVELOPMENT F' `• �' 621 Sheridan Street • Port Townsend •Washington 98368 ' 1 ' -' 360/379-4450 • 360/379-4451 Fax t JUN 2 2005 , ---� �,qsp� www.co.jefferson.wa.us/commdevelopment 1, i �7NG V -; Master Permit Application M D 01).5 L``, '` --- Project Description(include separate sheets as necessary): �\ t ` I iVLL : �ci•.,c,`� tLl ,( 'Aic ram l"� i�U 4 _ APTINA1 A. -("- )l ('1l (1(' Tax Parcel Property Number: c&/r(: c,' -.7,-- 5-1-.6,-/,j L-6 c�i/ cm I I Size: / G('' X j '1 5ax)(acres/square feet)- Site Address and/or Directions to Property: (,I / S i is_'( f'&i le.-y ` Property Owners of Record: Y t�,t j( � «Y t Telephone: 'A„C..C`%- '21-)\--(,-I 9 5 Fax: email: Mailing Address: .L ,/.-c. X -NC/ E)e-. _4- :1‘)Lcc L,,L,Ci c S. i>y Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) [4-Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** [mingle Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use 0 Long Plat** 'Address D Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑�/Stormwater Management D Shoreline Management Substantial Development** VSite Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance D Temporary Use D 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: r 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 re ired later inspee .Access and right of entry to this property shall be requested and shall occur only during regular business hours. q /, -, •Signature: L,L A,t( b2,/L% _ Date: �� 7_ , �) 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-tra misflable respon�ibi ity for ad Bring to and complying with the ESA. The Applicant has read this disclaimer and sins and dates it below. I)( Signature: L Jii Izt_.%�_))(AA Date: (r ,>2 7 -L) C) G:\PermitCenter\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 assuming a tespoq�sibili the eral Contractor for the proposed project. Signature: C j.�%#4 :` y/ �.� ‘_ Date: 7 6 GENERAL CONTRACTOR OR MANUFACTU i .NSTAL�ER rt -.p Er y N PHONE: FAX: Ii i. ' ( ) ( ) _ MAILING ADDRESS: i,.;.; i EMAIL: CONTRACTOR'S LICENSE !i ' f f �1 �f00(, AINS NUMBER: ;..'. VU11 L 7 L UMBER ARCHITECT/ENGINEER: I ___ HONE ( ) FAX:( ) MAILING ADDRESS: c i :' '- -` MAIL Project Type: Fratme Type: Bathrooms: Shoreline: Type of Sewage Disposal: rt/New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: ''n) Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 7 Height: SY(ndividual System ❑ Repair ❑ Masonry SEP Permit# or?---I 41 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 7ublic d-P Cl IZ 1C A ir-CC IL I Total: ??,, Name of System:P i k) ke, A 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: Li Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove El Cook Stove Li 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 s . 1' Main Floor Consistency Review: t-1tiq ocr;,- 2Nu Floor Base fee: 1352 . 05--. .. 3`°Floor Additional Section: �----. Mezzanine: Plan Check fee: O•l g'qb Heated Basement State Surcharge fee: ;' 'T.5- 0 Unheated Basement Pot Water Review'fee: ' 3s 81 x Other Unheated 911/Rd Approach fee: I3 r I`. . ,4 w Garage/Carport TOt $ 25165 Decks • �y a,Receipt Number: 73 L� l �Y ' Other / '� . hlCheck Number: Z .� ESTIMATED COST(REQUIRED) / ' .Fair market value of all labor and materials foun.. ". . i ' (O 1 22'(bS 7�2(VC) Initials: t l G:\PecmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc i (. > (------ C'` rn ~```- a'C, ) a Ci x ! ,j , I 46 1 i --,, f I co J rn .r D v T C v n� 1 r , m . �► c3 ! z G \ 0 ,.. \ , .......... _, ci) _10 5:: pr.; 4 rn ,,,., \}a„ 411 V) r -.),A 1 rnCI I f T -CD. �. + no ,,,.. Z 6_1 a C E/0 .,„___ ) rn ' )7 - � t / <l 9. 2 -------------"TV.' Fin .__)r' mz / TI rn w<t(ffr CA 73 Z c- .0 txs H cn L -,n