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HomeMy WebLinkAboutBLD2005-00543 4PUILDING PERMIT APPLICA1 N MLA05 00504 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00543 Received Date: 8/19/2005 SITE ADDRESS: 181 RAVENS RD PORT TOWNSEND, 98368 OWNER: LEVI K ROSS PHONE: (360) 385-3478 181 RAVEN RD PORT TOWNSEND WA 98368-9433 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 002124017 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOD CONSTRUCT ACCESSORY STEEL STORAGE BUILDING - UNHEATED - NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE_: TYPE OF IMP NEW MAIN: VALUATION 12,964.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 550 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 8 021 O5 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $223.25 KAS 08/19/05 76299 APPROVED Plan Check $145.12 KAS 08/19/05 76299 State Building Code $4.50 KAS 08/19/05 76299 OCT -,5 2005 Total: $372.87 effers. unty Planning A & B ild�. r•nartment `' Fee0 s A • • BUILDING PERMIT Jefferson County Department of Community Devel 621 Sheridan Street, Port Townsend, WA 98368ment PERMIT#: (360)379-4450 FAX (360)379-4451 BLD05-00543 SITE ADDRESS: 181 RAVENS RD Issue Date 10/5/2005 PORT TOWNSEND, 98368 Received Date 08/19/2005 APPLICANT: LEVI K ROSS 181 RAVEN RD PORT TOWNSEND WA 98368-9433 PHONE: (360) 385-3478 SUBDIVISION: PARCEL NUMBER: 002124017 Section: 12 Township: Block: Lot: + CONTRACTOR: OWNER/BUILDER 30 N Range: 02 IN PHONE: PROJECT DESCRIPTION: CONSTRUCT ACCESSORY STEEL UNHEATED - NO PLUMBING CALL IN FOR THE RE STORAGE BUILDING - SETBACKS: REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. UFFER: Footing: Foundation: 10 Z!o-0 r Stormwater FINAL Approval: Underground Plumbing. Underground Insulation: Shear Wall : Sheathing: Framing: _ 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 DEPARTME � AND PUBLIC WORKS APPROVAL THIS PERMIT IS VALID FOR ONE YEAR OR IT MUS4UIRED PRIOR TO FINAL INSPECTION T BE PRREN BUILDING INSPECTION HOT-LINE 379 55. CALL 24 HOURS IN ADVANCEOPERLY TO CH DULE INSPECTIONS.D 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 At # BLD05-00543 411 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty(50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 7.) 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. 8.) 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) 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. 14.) 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. 4111 15.) Minimum setback from Raven'Road right-of-way shall be 20 feet. Minim • side and yard setbacks shall be 5 feet. If and ESA is present, then the more stricter e ba k(s)rear shall apply. I:\F_BLD_Permit_Buildng.rpt 10/29/19 r � co�� JEFFERSON JNTYIII al i ,1 DEPARTMENT OF COMMUNITY DEVELOPMENT `� 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �� H]rN r,,,..., j O5 www.co.jefferson.wa.us/commdevelopment ; ;, 2005 Master Permit Application MLA: I �.0 ,F Project Description(include separate sheets as necessary): • •rt 11e., 4, ' i "_ G'1ovtS4.rue* Ade-0- Sot/'.( Sfee( S+ovacc I3u.1(6.4,5 Tax Parcel Number: by Z t 7-4 0 17 Property Size: /C7°C- c S //35to00 (acres/square feet) Site Address and/or Directions to Property: /8 i Rave , (z.4 , Poi-"1° c..Ik(Seti g torch Property Owner(s)of Record: L E u i k QoS S Telephone: .3(00 -38S -34(78 Fax: 385- 5875 email:mac 4i-o 4j,,eusr, e7IIY pdS, rye: Mailing Address: fe l (Z a.Vet"._ j2d , T- UT T a sd, e ki4 483G P, Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ItY4uilding ❑ 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)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat'`* ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address I I 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)* i i Shoreline Management Variance ❑Temporary Use i 1 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* LI 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). 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 iudaments.court costs reasonable attornev'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 let r inspe tions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ^ /J Signatur • Date: r / io Os —� I 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 r s8-nsi ility fo adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: g/ldiros"-- G:\PecmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc iOWNER 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 res nsibilityofthe General Contractor for the proposed project. i' Signature,: ..G Gt,L1 Date: E �U f b`j i i r I p 2005 K GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: [➢-New ❑ Wood Existing: ❑ Sewer ❑ Addition 8-"Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: CI Height: [ dividual System ❑ Repair ❑ Masonry SEP Permit# Se -G/Y ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Private well ❑ Two Party Type of Heat: Proposed: ❑ Public /ems Total: 0 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: Li Underground Tank L I Above ground Tank Size of Propane Tank: LI Heat Stove ❑ Cook Stove LI Woodstove ❑ Fireplace Insert L1 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: 4C1D 2N0 Floor Base fee: " 4 l 3`d Floor Additional Section: Mezzanine: Plan Check fee: �" Heated Basement State Surcharge fee: I1 i C.JC) Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: L i•_ -S'i-"1YtG Garage/Carport -f� f Ati ,� t•_ j TOTAL: $ Li‘, 1 t?),pli Decks \---.__- ...ReceiINumber: `7 4 a GAG; Other Cash/Check Number: ( t R S ESTIMATED COST(REQUIRED) Date: in /D•Fair market value of all labor and materials foundation to finish Q $ /0,000 Initials: 6 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc ►, ZSSA m m O 70 - \ I / // / -, A /�/ H 117 /7/ 7 / /C'- m"4 A.A /// , cn y • \ / / / • .a' \ -,,- ////// I I) t-4 r • . -. \ "// 00 8 r 7 ice.. it.,. Z E IN " R �� /� 7D0. 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