HomeMy WebLinkAboutBLD2005-00524 •UILDING PERMIT APPLICAAN MRLA05 00485 eview Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00524 Received Date: 8/12/2005
SITE ADDRESS: FIR CIR
PORT HADLOCK, 98339
OWNER: BISHOP BOTHERS CONSTRUCTION PHONE: 3130-301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
BISHOP ACRES
SUBDIVISION: Block: Lot: 35
PARCEL NUMBER: 932300035 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 1/11/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATT.GARAGE & A/G 500 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,710
VALUATION 210,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 495 SHORELINE:
CONST TYPE: DECK: 118 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date: S//(,(7)G
Type Amount Paid By: Date: Receipt: Approved/Date
Potable Water Application $0.00 SLE 08/12/05 APPROVED
State Building Code $0.00 SLE 08/12/05
Plan Check $0.00 SLE 08/12/05 AUG 2 9 2005
Permit $0.00 SLE 08/12/05 efferson County Planning
Total: $0.00 & Buil ' artment
•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00524 Received Date 08/12/2005
SITE ADDRESS: 97 FIR CIRCLE Issue Date 08/29/2005
PORT HADLOCK, 98339
APPLICANT: BISHOP BOTHERS CONSTRUCTION PHONE: 360-301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
SUBDIVISION: BISHOP ACRES Block: Lot: 35
PARCEL NUMBER: 932300035 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License: BISHOBC093D6 Expires: 1/11/2007
PROJECT DESCRIPTION: NEW SFR WI ATT.GARAGE & A/G 500 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Pi r 'i 6 :• . _
UFFER: (1--2—GC"
Footing: ii-2--0
Foundation: iiver,�u. /4-2, s r/`' J i'l--bs—
Stormwater FINAL Approval: 1 ( ?/D-5
Underground Plumbing:
Underground sulation:
Shear Wall :
Sheathing: �
Framing: ^rQ6l�t-rzeo --/I. iV-O.� DR lAeopi( ilvI&e.�rzzcSsr-ia),rbr /AJ 4I� !"/5,
Plumbing: o1( "3,�,/
Propane T nk/ Lines:
Insulation: ,,/,,, -1 1l/k SEW- OK r3/g
Sheetrock g'7 De
Septic S em Fina Appr val (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:Final/Occupancy Approval: GlA -nn er 0 -�?/L"
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 CR A BLD05-00524
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.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 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.) Minimum setback from Fir Circle right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
11.) 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
,�4>gSON cad. JEFFERSO.OUNTY
'� ' `', DEPARTMENT OF COMMUNITY DEVELOPMENT
` `4 621 Sheridan Street • Port Townsend •Washington 98368 411
360/379-4450 • 360/379-4451 Fax
••q O� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 0 _)— i gp)
Project Description(include separate sheets as necessary):
New Con g ftaci.c,1 w. rlt Olioc.lCs jo.•— er
Tax Parcel ,, Property
Number: `73). -300 �-03 j Size:
7 �`��,: :s� �� (acres/square feet)
Site Address and/or Directions to Property: F 6-, r /e, t a t /4_ /c c k
Property Owner(s)of Record: 8, s4)/, ,fsr� 1y,-s Cc„,d i
Telephone:36 O • 5 0/ _/17 ci Fax: 3 6 O--73.-1 - y 9/ - email:
Mailing Address: 3 7/ 13: /r. //,// ,('i') (/,,i,a c (._„-„ , ti,,// 96'-: 5-
Applicant/Agent(if different from owner): .iiri t=
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 C]**
Single Famil CIDiscretionary"D"or Unnamed Use Classification
%Garage ttachedyDetached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use El Long Plat**
i'Address Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
X 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).
y
OWNER SIGNATURE • - 2a j;• `z ✓'c�. Z7 Date: e et-- -'
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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: ._ Z��t +J c�� ' Date: e- 7 C- `.
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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Z Si nature: '--za=< <r / Date: `l L -,
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 the responsibility of the General Contractor for the proposed project.
Signature: Date: AUG 1 1 2005
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
3 ,54/ /31-4)f/e.--s C0,1 s 7� (.2:O )36/ --/ )`l (360) "34:'T 9Ei7J
MAILING ADDRESS: 37/ B,34,,,, Ai, /,/, ,ev c',,a,ac,.t,,, EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: B.13k/o,(jc O93i73 NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New Wood Existing: ❑ Sewer
CIAddition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: :: Height: ii"Individual System
U Repair ❑ Masonry SEP Permit#-Scp 9y -0A3
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 3 ,Kf Public
%---/c-c f,., Total: Name of System: I'Li
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: j UG ,; /
❑ Heat Stove pLCook Stove ❑ Woodstove % Fireplace Insert V. 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 • , >, ,,ix 4' '
Current Proposed Amournf ; .. ". '.4` F
Main Floor 303nsistency Review:
. :,,,,.4. ,4,-.t.,
,zi.,, ,....,:.
2 Floor ► Base fee: , '4
3rd Floor ditionai Section: Y f80-6 � (1d
Mezzanine: Plan Check fee: A
l,� .
Heated Basement State Surcharge fee:
Unheated Basement pot:Water Review fee: z `
Other Unheated 911/Rd Approach fee: ,j. _ 0 y
Garage/Carport � ,� f ,_ 5 x
9-5 ' TOTAL: $ i�
iti1� 4
Decks �r,, k
QQ �Recei t Number: `�'�"� /�
�7G �f 1�0� . p u/a 6
Other l I $.1 i Cash/Check Number: g
t[ r
E ATED COST(REQUIR,D) 11 Date:
air market value of all labor and aterials foundation to finish 111101
40Zis 00Z0. Initials:
a.-=., ; -r 1 •'.• \DRD FORMS\Master Permit Application 7-8-04.doc