HomeMy WebLinkAboutBLD2005-00531 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00531 Received Date 08/18/2005
SITE ADDRESS: 191 MAPLE DR Issue Date 07/19/2006
PORT TOWNSEND, 98368
APPLICANT: GEORGE L MOWBRAY PHONE: aS'5-3ADA
MELCEENA J MOWBRAY
38250 CAMINO CINIFE
MURRIETA CA 92563
SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 31
PARCEL NUMBER: 940800031 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORN DYKE RD
PORT LUDLOW WA 98365-8229
360-437-1218
Contractor's License: SOUNDBS027NM Expires: 8/19/2006
PROJECT DESCRIPTION: NEW POLE BUILDING NO PLUMBING/ NO HEAT
CALL IN FOR THE 7177SPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: e&
UFFER:
Footing: 7/46
Foundation: 111
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing.
Framing: D'-/k—t%
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
HEALTH DEPARTMENT D 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
•UILDING PERMIT APPLICAAN MLA05-00493
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00531 Received Date: 8/18/2005
SITE ADDRESS: 191 MAPLE DR
PORT TOWNSEND, 98368
OWNER: GEORGE L MOWBRAY PHONE:
MELCEENA J MOWBRAY
38250 CAMINO CINIFE
MURRIETA CA 92563 CAPE GEORGE VILLAGE DIV 4
SUBDIVISION: Block: Lot: 31
PARCEL NUMBER: 940800031 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIO1` NEW POLE BUILDING NO PLUMBING/ NO HEAT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 9,274.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid Bv: Date: Receipt: IDP d/DDaatt/E 1
Permit $181.25 SLE 08/17/05 76292 V
Plan Check $117.81 SLE 08/17/05 76292 IA 2006
State Building Code $4.50 SLE 08/17/05 76292 Jefferson County Planning
Total: $303.56 & Building Department
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SPECIAL CONDITIONS FOR CAlit BLD05-00531
1.) 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) 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.
7.) 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.
8.) Minimum setback from Maple Drive right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
• 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 assunzipg the respo ity of the Contractor for the proposed project.
Signature:X / J mac.• Date: %-J 7 'b S
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PRONE: FAX:
juavrl i3 l cl.it.q 5y5f'e:�s _Lr.c ( 3�a ) 43 .7- (.. ( 340 ) 13"r- 1.� i j, .
MAILING ADDRESS: J 3 3 Y to 7 I10:-,-,l y ice Ron.4 EMAIL:
CONTRACTOR'S LICENSE p>c•t I-k d I o w; s,.l R 98 34 WAINS
NUMBER: 5DU;i V e 0.2-i' .N141 NUMBER
ARCHtTECT/ENGINEER: Atha — PHONE ( ,i e3 ).$g i- r""l,t_ I FAX(5 0 3 )j y ci- i 7.2 8
.nr_e. tn5tneP_.-cn,
I MAILING ADDRESS: a„700 Malka.t st•Alc 51e A 5u.le w. k b R 91 3o I EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New CK Wood Existing: ❑ Sewer
O Addition ❑ Steel Proposed: r. Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height 9'Individual System
❑ Repair 0 Masonry SEP Permit# S c -
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: <% 0'Public
Total: 0 Name of System:
if this is a Commercial Proiect 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:
0 Underground Tank ❑ Above ground Tank Site of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 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 'ForOffloeUseOnly i>r' k, "
Current Proposed Amount . .. <; x
Main Floor z y Review: _ � : ' �u �'
_,ram_ a�c-°
2"t'Floor Rase fee �'7 F � ;-
3 Floor Ar]ddgnal Section: r� i', z K f':,:
Mezzanine: - IPlan ckfee > t >{
Heated Basement .i fr ee: s � "' ' •; �
Unheated Basement W e 4: , � � } � ��.'
Other Unheated .9l .APP>t ld1 fee; r i '� * f� ii s '1' .
.. ` . 4 ;131i v R-.' mod•�i:4"!'s - L,.
Garage/Carport ., s y r t, tr a
Decks F '1_ ,r r a
r d u i e"•.33 ANY '_ ,.,.�r ', 4 Y .�
rS 1. i { R is t�l Iflt-'
Other t�lUff'R { > yyya Zw r x J ' c
ESTIMATED COST(REQUIRED) Oat.; c _ 4
.Fair ma value of all labor and materials foundation to finish A ', t�'
��//� _/X=� • ���� Initials: , .7 ,
G:\PexmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
;SENT
� r e JEFFERSO•OUNTY •
k ' `G DEPARTMENT OF COMMUNITY DEVELOPMENT
1-4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
q O$ www.co.jefferson.wa.us/commdevelopment AUG 1 7 2005
`SBIN��
Master Permit Application MLA: ai6"-- 4:1
3
Project Description(include separate sheet/spas necessary): ------
„: VENT
•
PH 3vi )/t� 1 '- % C,‘11-s, el `f'
Tax Parcel / Property
Number: ri y O " ? °0 -- C'3 I Size: i i, 3-i- (a square fee
Site Address and/or Directions to Pro ' A�!,,. , /, , • Pr -1- -r.
Property Owner(s)of Record: ra- /_,-: 7 Me r•., b,-m f
Telephone: 3 G,0 - 3.1' t�rt t.l Fax: email:
Mailing Address: .3 3.a-.. t-,.,;,, C;,,, f,- iv' -, ;r t,- , C A -,3 (c
Applicant/Agent(if different from owner): 5,.,. -( A c.,l4,nici S y_s ft- i'> , .I„c-
Telephone: a - i 3 7 - 1 x I `i Fax: 3 G•cr xi 1 7 - r--2 r ' email:
Mailing Address: 1 Sys TA,,-„<i,y l..ke. l�'c4.1, Pe t L,:.l(c w/4 5 K 3 G.
What kind of Permit?(Check each box that applies)
EA/Building 0 Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
0 Single Family ❑ Discretionary"D"or Unnamed Use Classification
l Garage Attached tachedt 0 Special Use(Essential Public Facilities)**
❑Manufactured Home - ❑Boundary Line Adjustment
❑Modular 0 Short Plat**
0 Commercial* ❑Binding Site Plan**
❑Change of Use 0 Long Plat**
❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Propane 0 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
0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 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 5-x„"..4 6K,id,,,„...„1 s ),;+e m , J ti, to act as my agent in matters relating to this application for permit(s).
tr_OWNER SIGNATUREX _...../SLJ Le— t �!7/U-Cti Z Date: ,I "1 7-6 5
signing this application form,the owner/agent attests that the inf tion 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 attorneys 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 arrpcs 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 yght of entry to this property shall be requested and shall occur only during regular business
hours. 3 //
Signature: ✓ • sh e-Ce t'"^a
-C Date: '�' /7- Ci d-,
The action or actions Applicant will undertake as a result 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-transfera responsibili for adhering°,sand complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: X ff �7��tc'"Ulctc.
// Date:
el
G:\PemvtCenter\FORMS\DRD FORMS\Master Pe mi lication 7-8-04.doc