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HomeMy WebLinkAboutBLD2005-00554 •UILDING PERMIT APPLICAAN MLA05-523 Jefferson County Department of Community Development Review Type:I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00554 Received Date: 8/26/2005 SITE ADDRESS: 190 LINDSEY LN PORT TOWNSEND, 98368 OWNER: GENE AMUNDSON PHONE: 360-379-1771 190 LINDSEY RD W PORT TOWNSEND WA 983689634 SUBDIVISION: PARCEL NUMBER: 001074024 Section: 7 Township: 30 Btock:N Range: 01 Lot: + CONTRACTOR: ;,AV!,-1 \101.,._V(Z. PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP CONVERT GARAGE INTO SFR WORK DONE WITHOUT A PERMIT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT VALUATION 78,793.00 MAIN: 1,194 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 36 SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 1 Total: 3 Total: 1 Routing Date: Type Amount Paid By: Date: Receipt: APir.,,.,,..ovED Potable Water Application $53.00 INT 08/25/05 76491 State Building Code $4.50 INT 08/25/05 76491 NOV _�Q Plan Check $550.39 INT 08/25/05 76491 �k'2005 Permit $846.75 INT 08/25/05 76491 Jefferson County p�annrng Total: $1,454.64 & Building Department • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00554 Received Date 08/26/2005 SITE ADDRESS: 190 LINDSEY LN Issue Date 11/28/2005 PORT TOWNSEND, 98368 APPLICANT: GENE AMUNDSON PHONE: 360-379-1771 190 LINDSEY RD W PORT TOWNSEND WA 983689634 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001074024 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: CONVERT GARAGE INTO SFR WORK(DONE WITHOUT A PERMIT) AND 6x6 ATTACHED PORCH CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJEC SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: At-RELY DRVIw.et t 9 t2,_ q,-Cir-- - Plumbing: Propane Tank/ Lines: Insulation: f Sheetrock: Septic Syte Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: l Final/Occupancy Approval: :1�/Q 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 FO R CASE A BLD05-00554 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 from Lindsey Lane right-of-way shall be 20 feet. Minimum setback from private easement at the northeast property boundary shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. r I:\F_B LD_Perm it_Buildng.rpt 10/29/19 • cj 33© . . ' OJT/<,�`Ty �(o7' 0 ,CAS c3L/h1,, N T , i v1 10 .° 11). 6b a •e.ir9ak (J •Nk• , - r 7 lir (, ; . - 0 - , ,.. .-,.vo• 43w g1 O I ' A L "-- k/i PRoloosero ,°O, (& 1 / i/e%'u, Liiet>v (/(' —. i,44/ / , ,v1 1 ' \ c--- ____4, tim-/3 i 4/° Si v 36 . ) ) .1'a 'NCO ' / 1 ���S Stogy d wa ) \ RegtAle t APPROVED ` SITE PLAN I , ' .} 5. 1 ;' s 2 ,, ___. to SEP - 7 2005 = , AUG 2 5 2005 i f y L. a JEF 0 DEPT.OF a �y, i G. c `_',i C° '� 0 rki SIGNATURE ��i�•. di C6 `" ' 11.1- '. . -.- - ,i :_-, , Q) , , ....4 - , gcNns' /0M44n)c7s0,0, /90 'Ci.,,bS r/ 4/4•44; R)..cr /©wiJ$e e.)bI tt),4 9 S//c-P/s+ti — /9C g-t7 ?, 2Ce;-L T70 NO 6 Z CO CD 76/C0 2 / 76 f a- f26o) 37' 9 — / 77/ ALL /4DJD/NJMJ ,7/-1 it cd-is /4/2-J 7t /.D6-")GI Al. ���¢sorr co� JEFFERSOUNTY I W �� ,a DEPARTMENT OF COMMUNITY DEVELOPMENT �' ` 621 Sheridan Street• Port Townsei iu • Was.ngton 98368 360/379-4450 • 360/379-4451 Fax vyS, NG�O www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 03 �a_3 Project Description(include separate sheets as necessary): &-,0iz/< %ic-:A.,i - Caw/'€=( , << 1 vf✓,,t . rz i Cv.r h, .q C" — %fv,c S.-, 4 — .`' .`► ,k ti i?t_ ar: Tax Parcel G 5 0 [`r'. _ Prope Number: c / C C . �Size: _ ( )y_ ( 3 40 i 3 - (acres/square feet) Site Address and/or Directions to Property: /9'0 4; :p�'A ,-. . 4,J /C �`#0 Property Owner(s)of Record: ;,,ca i;,cjaS CA Telephone: 7i-C- -?7c' 1'7 7 / Fax:? .C ?79 -- C, I email:C C 1C• � Mailing Address:/�(`; << - �`�" fib�'�' L 1 �/ !J icy ia.) 6... / th'...i%e'-i:..z-_s e-�iic", li)14 C�tlse.e' Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) _,41Building CI Variance(Minor,Major or Reasonable Economic Use)❑ Demolition Permit ___ 0 Cond''. Use[C(a),C(d),or CJ"* `Single Family f, I ? 't 'D re-Q 9 "D"or Unnamed Use Classification ❑Garage Attached/Detached ;i E C,._, � r", E; V S aI,(}s (Essential Public Facilities)** ❑ModularID anactured Home i r ❑ Boun`arylL(ne Adjustment f ;" ❑ Short Plat ❑Commercial* ❑Change of Use AUG Z 5 —„iindi_g Site'Plan** ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development ** ❑ Propane (PRRD)/Amendments ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis c•. • ❑ 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). 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,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 e I Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir r inspections nd right of entry to this property shall be requested and shall occur only during regular business hours. Signa re: _ Date: /L/ 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 y individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you r",- •mpliance wi , 1• J-f{erson County development code.The Applicant acknowledges that he,she or it holds individual and non- ansfer sponsibility • -d • i . o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. . Signa ` _ Date: F` ` 'S / OJ G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 0 OWNER BUILDER STATEMENT The--inrR-c`";s�f^`Amen'does herebycerti 11 theyare the C wrv'rs of the parcel refe`�`^ed herein.,that they are not licensed contrf,tors and that `'� •,r- ly-of :,'G lit. .I Contra to 1. ,t,, -,,,. p,r-.1 ISigna e•. —� .er Date: C 1 >7C' �� 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 A Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: / Bank ❑ Community System jr Alteration/Remodel ❑ Concrete Total: / Height: A Individual System ❑ Repair 0 Masonry SEP Permit#S%-i/ 7 ❑ Demolition 0 Other Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: s 0 Public Total: ' Name of System: [- 2 /lr, 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 -,I 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. O Underground Tank ❑ Above ground Tank Size 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 I 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 X 7 (� r i Consistenq Rithew' 1,0' Main Floor Crsr✓I./rsi2/eiD Tc //CI L, llt 44 ,Oa, t ii', y{ f 1 uV � �S�� fir:n T. Base fee ,r) 1 «'' i;.' 13 Y : v-� 2 Floor Q �(0- 13 f� dJ ri AddifioneI$ ' n: i1f 3 Floor '' AUG 2 5 2005 . Mezzanine: Plan Chc$ck feet Heated Basement State'Suarge fee:" 60 Unheated Basement Pot Water Review fee: Chi 1 coOther Unheated 911/Rd Approach fee: t� �../ Sfi rtel Garage/Carport TOTAL $ 1 5, 1 , + - Decks Receipt Number f/0` L Other ( i49 CJ�Cash/Check Number: ji 4 7 rT f ESTIMATED COST(REQUIRED) - Date= !0 _ , _ CT lniti s: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc i 1(� N�4td b 1- V icpxidlr e LyT,S. I r if / floop NL 100 kv Y 1 v yir•�I �n.l�l Gf3 � 1 ; 3Z1_ c„ IF Fil-I)IF AUG 2 5 �OJD