HomeMy WebLinkAboutBLD2005-00432 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00432 Received Date 06/28/2005
SITE ADDRESS: 170 N PALMER DR Issue Date 08/12/2005
PORT TOWNSEND, 98368
APPLICANT: JOSEPH T DIBENE PHONE: 360 460-6171
FRANCES B DIBENE
170 N PALMER DR
PORT TOWNSEND WA 98368
SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 8 Lot: 22
PARCEL NUMBER: 938400821 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DECK ADDITION
CALL IN FOR THE REQU ED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: /� A
UFFER:Footing: d d/,&t $44.59(
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: t.et crU.►'e::�icr�
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval
HEALTH DEPARTMENT AND 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 CAE # BLD05-00432
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.) 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 N Palmer Dr right-of-way is 20 ft. Minimum side an rearsetbacks
are 5 ft.
11.) 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 10/29/1999
• BUILDING PERMIT APPLIA M LA05-00405
ION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00432 Received Date: 6/28/2005
SITE ADDRESS: 170 N PALMER DR
PORT TOWNSEND, 98368
OWNER: JOSEPH T DIBENE PHONE: 360 460-6171
FRANCES B DIBENE
170 N PALMER DR
PORT TOWNSEND WA 98368 CAPE GEORGE COLONY DIV 3
SUBDIVISION: Block: 8 Lot: 22
PARCEL NUMBER: 938400821 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DECK ADDITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 2,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE/'� SETBACK:
DczEjty • , K BANK HEIGHT:
SEWAGE DISPOSAL: CON `(I t 80 8*.
WATER SYSTEM: PUD a , ,9
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: /'2
Ll
9 /C-)C—' rr),_
Type Amount Paid Bv: Date: Receipt: A PPfldOtVState Building Code $4.50 RAC 06/28/05 73454
Plan Check $45.01 RAC 06/28/05 73454 AUG 1 2 2065
Permit $69.25 RAC 06/28/05 73454
Total: $118.76 Jefferson County Planning
& Building Department
.
i ‘t Stormwater BMP's
( ( b SEP 8 2005 Required VIAI/....„,
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H s been APPROVED' LAII 0 L) e> e . AUG 1 2005
by JEFFERSON COUNTY
D PT.OF COMMUNII.
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,4 DEPARTMENT OF COMMUNITY DEVELOPMENT _ " t
` '4 621 Sheridan Street• Port Townsend •Washington 98368 1 1
- 360/379-4450 . 360/379 4451 Faxevelopment E i JUN 2 8 2005 ,
�y O www.co.jefferson.wa.us/commd
SBING`S
Master Permit Application L- MLA: 4-- ---' , ,�
Project Description(include separate sheets as necessary):
17,:-1/4..1< AIIVi.6
Tax Parcel gap Property �
Number: (Jr t ( Size: (C CU 1(1. 7 0 (acres/square feet)
)
Site Address and/or Directions to Property: 1 7 c iV. P �,, o r ?a,, 4- --c,-, s cz Q c'E f,
Property Owner(s)of Record: ;�o 0_ R.•..,p I t
Telephone: '2)1:t_j L t 4 v • 6 III Fax:
email: .
Mailing Address: 5 0._i.,.�.
Applicant/Agent(if different from owner): --,I e,J t-rt r,,, ,-p y, (,
Telephone: 3 Ltu • 6 r.t) - Et+`t 3:.( Fax: ?)i v • o(i) 6 ti i j email: 3 i— e. \-,i ,,,O to ar,e�,. w r.
Mailing Address: V5 cry, Z‘VS 5l ?e,i-A>> i -3 -)C_:
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What kind of Permit?(Check each box that applies)
$Building 0 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)**
0 Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* 0 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**
❑ Stormwater Management ❑ Shoreline Management Substantial Development*"
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District MapAmendment
❑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 L , ,--\ .r,W-.'J' L L k.. to act as my agent in matters relating to this application for permit(s).
t
OWNER SIGNATURE~J � \7`-^^ / Date:
6 (-7-4t:)S-
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 vide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requ ed later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. C
Signature: I C� Date: /L��G
The action orractionsi Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered spe 'es d 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±i\ssued 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-transferable responsit adhering to and complying with the ESA. The Applicant has read this dis lam an signs and dates it below.
Signature: --._-. C
! Date: C & 'j
111
G:\Permi ater\FO I \DPermit FORMS Application 7-8-04.doc
iliWNER BUILDER STATEMENT
•
he signer of this statement does hereby certify that the the Owners of the
Y parcel referenced herein,that they are not licensed contractors and that
ley will be assuming the responsibility of the General Contractor for the proposed project.
>ignature: Date-
3ENERAL CONTRACTOR MANUFACTURED HOME INSTALLER: PHONE: JUN Z d 1 i
T - U L 1—c ( Cr.(') (,r<l7- 41 L13`) ( -
AAILING ADDRESS: 7 O , t X L ct Emit: - -----
ANTRACTOR'S LICENSE WAIN / IN - i
_ ;-
UMBER: I i-/4 k)r4 L U I 'e5 e1 NUMBER
.RCHITECT/ENGINEER: PHONE ( ) FAx:( )
1AAILING ADDRESS: EMAIL
project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
7 New 0 Wood Existing: 0 Sewer
7 Addition ❑ Steel Proposed: Bank 0 Community System
7 Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
3 Repair ❑ Masonry SEP Permit#
7 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 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:
n Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove Cl Cook Stove 0 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'Useilonly 'le,W, _
Current Proposed Amount
Main Floor Consisterncy,Review:
2Nu Floor tease fee:- /)q ' ":_
3r°Floor Additional Section: : :
Mezzanine: flan Check fee
Heated Basement eSu to f F „,-,,,....-1.,otw--
Unheated Basement _ W . `.
Other Unheated 014,1 A� ,, , . ,
Garage/Carport r rM !i� ,K ffA ti
a
Decks Y yi *s�4 jM Z` h rl{
(-1 , 1 Z (.c ,' pt Nu+m -' ..0 x�x , r
Other �,.• Cat au... .... lto , ... , '� � Z' 3T � 4 ��
ESTIMATED COST(REQUIRED) ira ®'7 , —�?� ,• , ,1/u:'...,,K*fi i :
.Fair market value of all labor and materials fou 'i-tT � • • 1 `• - g :> ,¢ .T y }:� 54 ;
In �� �w , ,
Q y� It •"id
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>:\PermitCcnter\FORMS\DRD FORMS\Master Pemut .. .lion 7-8-04.doc