HomeMy WebLinkAboutBLD2005-00533 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00533 Received Date 08/18/2005
SITE ADDRESS: 146 PORT HADLOCK HEIGHTS RD Issue Date 09/8/2005
PORT HADLOCK, 98339
APPLICANT: BRODERS INC PHONE:
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: KEVIN GROFF CONSTRUCTION PHONE: 41201453iiiik4
PO 957
PORTOANGELES WA 98362 c340)457-12'8(i
Contractor's License: KEVINGCO24D3 Expires: 5/1/2007
PROJECT DESCRIPTION: NEW DETACHED GARAGE UNHEATED - NO PLUMBING
CALL IN FOR THE REQUIRED I�61TIOTHAT APPLY TO YOUR PROJECT.
SETBACKS: 7A 0<
UFFER: 424' q0;i/45-
Footing: n'' pl'� s..2frO AA)4`17,c,e_ tv.-E/ .`r ,c
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : //,4'
Sheathing: 'k /n/jV/5
Framing: OK /t,/p /� O
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: /1 ?—QS--
HEALTH DEPARTMENT ND 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 CRE # BLD05-00533
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) The building height is not to exceed 35 feet.
7.) 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.
8.) 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.
9.) Minimum setback form Port Hadlcok Heights Road right-of-way is 20 feet. Minimum side
and rear yard setbacks are 5 feet.
10.) The 25-ft wide buffer shall remain in its naturally vegetated condition. No constructed or
erected facilities shall be placed within the buffer with the exception of utility lines, fencing
or security posts.
I:1F_BLD_Perm it_Buildng.rpt 10/29/19
?UILDING PERMIT APPLICATN MLA05 00494
Review
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00533 Received Date: 8/18/2005
SITE ADDRESS: 146 PORT HADLOCK HEIGHTS RD
PORT HADLOCK, 98339
OWNER: BRODERS INC PHONE:
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
PORT HADLOCK HEIGHTS MH PARK
SUBDIVISION: Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: KEVIN GROFF CONSTRUCTION PHONE: 4
PO BOX 957
PORT ANGELES WA 98362 (' )11.5 rggeiZ
Contractor's License KEVINGCO24D3 Expires 5/1/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DETACHED GARAGE UNHEATED - NO PLUMBING
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,576.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: 1
)q
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $237.25 SLE 08/17/05 76471 APPROVE-
Plan Check $154.22 SLE 08/17/05 76471
State Building Code $4.50 SLE 08/17/05 76471 SEP 1 21005
Total: $395.97
Jefferson County Planning
‹r 'Wing Department
��¢SON cc)r,4 JEFFERSON it NW
rzi ,� DEPARTMENT OF COMMUNITY DEVELOPMENT
`' ` 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�q O3 www.co.jefferson.wa.us/commdevelopment 10
Master Permit Application MLA: U 4J - `)1
Project Description(include separate sheets as necessary):
yT -f G `1"I C.�4 1 � -./�n - %Z,/t/tY =I-'/ .,.� v1 JfC) -Pc_c•=pir�'�r it=',
Tax Parcel Property `
Number: /�-�' ..%:� LAC,, i Size: ./ / C '7' (acrestsquare fee)
Site Address and/or Directions to Pro
Property Owner(s)of Record: .>n :
e` : ( '�,1, ,
Telephone: ter'' 7 /7 - ;' 7 r2 Fax: email:
Mailing Address: 1(]c ," C7'_-47 (: -T r=__D A C--- ?....-si -� . Gl :2)(f:
Applicant/Agent(if different from owner): ...c ,/
I /,4./ ,J %r i eO,
Ise)L � ti)>'" 1 E.,<<'-r16;"A)
Telephone: Jj4c.: " ''2_ 'j ci"_ Fax: ;', .f email:
Mailing Address: `-7 . � C., ri •*" J.� *''r o_•' Z`t_`, , i&�.C\ �•r 'rfC,%—
What kind of Permit?(Check each box that applies) C
❑ Building ❑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
Le-Garage ' )Detached ❑ Special Use(Essential Public Facilities)**
❑Manufa d H - e ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address LI 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 ° ,� ' -y Linr-PJ c; r- to act as my agent in matters relating to this application for permit(s).
J r, l
OWNER SIGNATURE (1 ' ` L^ �_.-- Date: .'/>/L
I
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 la ter inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 1r,, ,1(.-..--..__,.__ Date: / < 2 L' j
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon 0000ne 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 tle,lefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer le responsibility/�qr adhen to and complying with the ESA. The Applicant has read this discla�er and signs and dates it below.
�j �y nY 1 Date:
Signature: 7 "',r—< / -E ,/-
i
G:\PemutCenter\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:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
1rj--.' ), p_,F3 = `. I jj_,--`'i cj (�2 tC` ) 45 2 -` W/ ( )'t1-4^^.r=.
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE y WAINS
NUMBER: ( G. , ' i_ (.( c''-1 II D NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New Wood Existing: ❑ Sewer
0 Addition 0 Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual Syste
❑ Repair 0 Masonry SEP Permit# `njL.,"
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: _ Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
C ' Total: Name of System:
r
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:
❑ Heat Stove 0 Cook Stove ❑ Woodstove LI 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: ,
2Nu Floor Base fee:
3`"Floor Additional Section:
Mezzanine: Plan Check fee: j
! col
Heated Basement State Surcharge fee: Li- �,,
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
- - C )6'St/ "lc)
Garage/Carport ,'7�� /�% � '4 .f � ." TOTAL: $ L_Li it r 1
�► s�f
Decks Receipt Number: /1 '71
Other Cash/Check Number: ((L/
�
ESTIMATED COST(REQUIRED) Date: ' )
•Fair market value of all labor and materials foundation to finish
t le 5.2-`, Initials: �.:r(11511j
i
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc