HomeMy WebLinkAboutBLD2005-00556 alUILDING PERMIT APPLICAAN MRAOW00490
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00556 Received Date: 8/16/2005
SITE ADDRESS: 10492 RHODY DR
CHIMACUM, 98325
OWNER: JIM GILLILAND PHONE:
50 BAYVIEW LANE
PORT TOWNSEND WA 98368
OLSON'S TO IRONDALE
SUBDIVISION: Block: 5 Lot: 1-2
PARCEL NUMBER: 978300501 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION HOME BASED BUSINESS LIFE & SAFETY INSPECTION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP COU
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: c77 c3_
Type Amount Paid By: Date: Receipt: Approved/Date
Inspection $49.00 DWJ 08/16/05 76290 A P U , /C r
Total: $49.00 �/ G Ll
OCT 272005
iefferson County Planning
& artment
Fe)(L A
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00556 Received Date 08/16/2005
SITE ADDRESS: 10492 RHODY DR Issue Date 10/27/2005
CHIMACUM, 98325
APPLICANT: JIM GILLILAND PHONE: �YV
50 BAYVIEW LANE
PORT TOWNSEND WA 98368 la tcl
SUBDIVISION: OLSON'S TO IRONDALE Block: 5 Lot: 1-2
PARCEL NUMBER: 978300501 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR:
PROJECT DESCRIPTION: HOME BASED BUSINESS LIFE& SAFETY INSPECTION
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
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: '` ft,-Zi'eL5 (1 c ES
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
4•Norr
•
SPECIAL CONDITIONS FOR CAE t BLD05-00556
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.) This approval is good only as long as: the applicant continues to reside on the property,
retain an ownership interest in the business and remain an employee of the business; or,
the applicant sells the business together with the residence and the remaining portion of
the property to an owner who will reside on the property, have an ownership interest in the
business and be an employee of the business.
3.) The Home Business shall be clearly incidental and secondary to the use of the property
for residential purposes.
4.) The Home Business shall be conducted in the principle dwelling unit or accessory
structure, except for outdoor activities related to the growing and storing of plants or other
incidental outdoor activity related to the home business.
5.) The Home Business shall be conducted in the principle dwelling unit or accessory
structure, except for outdoor activities related to the growing and storing of plants or other
incidental outdoor activity related to the home business.
6.) The business must be owned and operated only by full-time residents of the parcel on
which the proposed use is being requested. The home business may not employ on-site,
or report to work on-site, more than two (2) full-time persons other than those of the
immediate resident family, except for licensed family home day care providers.
7.) A Home Business shall have neither outside storage nor other exterior indication of the
home business or variation from the residential character of the property, except for home
day care facilities providing child care for 12 or fewer children.
8.) Retail sales are limited to products and services produced on the subject premises or
items accessory to a service (i.e., hair care products for beauty salon).
9.) Noise levels generated shall not be in excess of levels allowable in residential
neighborhoods as per WAC 173-60 as adopted by Jefferson County Resolution No.
67-85.
10.) Home-based businesses shall be limited in their hours of operation. No home business,
except for Bed and Breakfast operations and licensed family home day care providers,
shall be conducted before 8:00 a.m. or after 8:00 p.m., Monday through Friday, and before
9:00 a.m. or after 6:00 p.m., Saturday and Sunday.
11.) The proposed use shall not generate significant traffic in excess of that normally
generated by typical uses found within the particular district.
12.) No more than one sign is allowed, consistent with the sign standards in Section 6.15 of
the Unified Development Code. A sign permit and a building permit may be required.
Contact the Department of Community Development at (360)379-4450 to determine if a
permit is required.
13.) All parking for the home business shall be located on-site in such a manner that no
off-premise parking will be necessary. Parking shall be consistent with the development
standards found in Section 6 of the Unified Development Code.
14.) Exterior lighting shall not exceed twenty(20) feet in height from the finished grade.
Exterior lighting shall be energy efficient and shielded or recessed so that direct glare and
reflections are contained within the boundaries of the parcel. Exterior lighting shall be
directed downward and away from adjoining properties and public rights-of-way. No
lighting shall blink, flash, or be of unusually high intensity, and height to the use they are
serving. Any lighting installed in parking areas shall be of direct cutoff design so that the
source is not visible from adjacent property.
15.) Home businesses shall not be unreasonably disruptive to the use of adjacent properties.
No equipment or process shall be used in a home-based business which creates
excessive noise, vibration, glare, fumes, odors, or electrical interference to the detriment
of the quiet use and enjoyment of adjacent and surrounding property.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
rri, r, JEFFERSON COUNTY <17 r- A, , �.,,, si 3 y
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, ' DEPARTMENT OF COMMUNITY DEVELOPMENT !g c,TL 0,L. i Hz t (r, .-Z J.-ft y
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4, . . 621 Sheridan Street•• Port Townsend••Washington 98368
< OHO 360/379-4450 ••800/831-2678 S A-,Lf
:-n—360/379 4451 Fax l- i't c'i-
HIN www.co.jefferson.wa.us/commdevelopment
Home Business / Cottage Industry Permit Application Form _ `
AUG 16 2005
MLA# PROJECT/APPLICANT NAME: .6/rV\ G7C..(.._ I
Tax Parcel Number: KO L1 lE 0 El El IDE 0 : (.P'i j ') (-1 1`,1t :1 1 (; 'L t Lk
Property Size:(include dwelling1 / (.''e ProposedC ('i l M L r``
p rty �y � square
unit, and any detached or attached footage of the area used /
structure) square feet for business activities: /6C%v square feet
G(0(k" --S r I ?St': r-2--
Please answer all of the following questions to the best of your ability:
1. Describe the proposed home occupation or activity. L
i^ti+^fi Al SW� - inn-�ic0�NL0 C .a.�✓1^h? � � r;�3j l? Ii� iL',� >r2
1.4L I f= i C.!)` ` /`' s `ti J-'Y'p., (sr C6 -"-''i�Y) 4'). 'jY C.c- c 6,iv An r w i .-c\(3-t_(--141i ' !' A .-. r�.vt71.�✓LtAit.— t✓.^� .. r/Z, i1lL(- ne'2(`/� :j"'.Si4'1p'f c"
" 0 I::aca ;Z 1
re"'
2. List the n mber of residents who will be working for the ho occupation. J
-? (":"IS�-1.1= i,4i tt17.1/,,,i.:/.1-]Z YZ
Y C a lt� - "� — -_.-7,-4 `-(
3. List the hours of operation and the location of any business sign.R nT
/3. r,C I—1 1"vt r-\�;'y 1i,e-•j ,,i.)-1,:. „.1 -� J / )-bv'L // ,C- /}-,,, L� C Li.' /yh
:..C1-.;-o ` i C-(i ;-Sc,--i-L i a,,„I
4. Describe? provisions for off-street parking for the proposed activity.
Ct(1 }I't t d 9'" ?_v 1,J Cr /Z— /Y S:!).N<<;7 e Ll.'s 1-7-2,--L_ i ;� j2, F_i, a C!fi,.Z
5. Describe any noise;vibration,glare,fumes,odors,electrical interference or other impacts will be generated by the business
operation.
6. Describe any excess levels of noise generated by the proposed use or activity:
n
7. Describe how granting the permit will not disrupt adjacent permitted uses.
/ c-rtiV
H:\permit\PLNCNTR\PLNCLERK\F'orms to Convert to Adobe Fit In\Home Business REV.05/16/2002
8. Do you plan to construct another stru to accommodate the home occupation? If sofease describe
9. Describe the quantities and materials which will be stored outside.
A.;C'N'
•
ACKNOWLEDGEMENT '4 f. 4
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their
knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application
packet may result in this permit being null and void.
'u`,( I Z- -z c-
(APPLICANT\OR UTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
[NOTE: Representative authorization is required if application is not signed by the Owner.]
•
AUG 1 v 2005
!ENT
1
H:pemut\PLNCNTR\PLNCLERK1Forms to Convert to Adobe Fill In\Home Business REV.05/16/2002
��¢sox cps, JEFFERS!COUNTY SS�o
riti ' 4;4 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368 •
360/379-4450 • 360/379-4451 Fax
p$ www.co.jefferson.wa.us/commdeveloprnent
�zN AUG 16 2005
Master Permit Application MLAt
Project Description (include separate sheets as necessary):
Tax Parcel J �-- i •r i Property
Number: / Z > ( Size: (acres/square feet)
•
- Site Address and/or Directions to Property: J L
Property Owner(s)of Record: r c="T i. J `��"�' 'l-( /�.. �•
Telephone: ;C (' " ? 7 Y ` / Li `7 Fax: email:
Mailing Address: f 7 LA,t3 C> L;i c Lrt`. i:,r'.•¢. c„� .,� . .
5 �Z � z�'� k' t 7 y !�1.t-i:-`/ �<.''tY-� /� E.
Applicant/Agent(if different from owner): '• % h- (; i`'"L ' f.
Telephone: 3 hi' _ j c( 7 6Fax: (. ) . j: Z z. email,' �,
-- Mailing Address: -%Z i`r (, I t 6 t f r
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 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**
El Address ❑ 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
Li Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium i 1}t ,ti.
*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: C1X-/c_6S'"
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 an equired later in ections.Acrecs and right of en to this property shall be requested and shall occur only during regular business
hours. r• c
Signature: Date: Ci 8�./" S%C 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-tran a le responsib• y for adhe'ng to an complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: `- ) � Date: CJ$—13=0
G:\PermitCenter\FORMS\DRD FORMS\Master Permit A plica.on 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:
( ) ( )
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 ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ 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: /a /.
2Nu Floor Base fee:
•
31.°Floor Additional Section;
Mezzanine: Plan Check fee:
Heated Basement State Surcharge fee:
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport TOTAL: $
Decks `� Receipt Number: .
Other Cash/Check Number: ,,';
ESTIMATED COST(REQUIRED) DO, t
•Fair market value of all labor and materials foundation to finish PiUb 1 /
Initials:
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