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Home My WebLink AboutBLD2005-00606 1110 lit UILDING PERMIT APPLICATION MLA05-T Review Type:pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00606 Received Date: 9/20/2005 SITE ADDRESS: 334 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 OWNER: BRODERS INC PHONE: 360-385-3446 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: PARAMOUNT BUILDERS INC PHONE: 253-606-7313 P.O. BOX 112452 TACOMA WA 98411 Contractor's License PARAMBI001JE Expires 3/25/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 10,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: 5N GARAGE: fi 6� 35a SHORELINE: CONST TYPE: DECK: SETBACK: 'Pwvs;Ovl BANK HEIGHT: SEWAGE DISPOSAL: CON lG/O°S WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date: q o2//03 Type Amount Paid Bv: Date: Receipt: Approved/Date State Building Code $4.50 SLE 09/19/05 76594 APPROVED Plan Check $117.81 SLE 09/19/05 76594 Permit $181.25 SLE 09/19/05 76594 OCT 1 0 2005 Total: $303.56 effers aunty Planning & B ildi artment Fipe— F S A 0 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00606 Received Date 09/20/2005 SITE ADDRESS: 406 PORT HADLOCK HEIGHTS RD Issue Date 10/10/2005 PORT HADLOCK, 98339 APPLICANT: MARY OMBERG PHONE: 360-385-3446 406 PORT HADLOCK HTS PORT HADLOCK WA 98339 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: PARAMOUNT BUILDERS INC PHONE: 253-606-7313 P.O. BOX 112452 TACOMA WA 98411 Contractor's License: PARAMBI001JE Expires: 3/25/2006 PROJECT DESCRIPTION: NEW DETACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TOY UR PR ECT. SETBACKS: t /11 LAID r DY dw 6� 9/06 UFFER: yil Footing: IGonfdttl oil //9%6' 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: ,'= y /.2A-t� HEALTH DEPARTMENT AND PU LIC 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 C E BLD05-00606 • 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.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) 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. 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) Not more than two (2) unlicer. ed or inoperable vehicles shall be stored on t 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). 9.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Setback from Port Hadlock Heights Rd. right-of-way is no less than 20 ft., side setbacks are no less than 5 ft. and rear setback is no less than 25 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 12.) 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. 13.) 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. 14.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 15.) The 25-foot wide buffer shall remain in its naturally vegetated condition. No constructed or erected facilities shall be placed within this buffer with the exception of utility lines, fencing or security posts. I:\F_BLD_Perm it_B uild ng.rpt 10/29/19 ��.g,SON co& JEFFERSA COUNTY II f DEPARTMENT OF COMMUNITY DEVELOPMENT �' ` '4 621 Sheridan Street• Port Townsend •Washirigtori 98368 • 4. 360/379-4450 • 360/379-4451 Fax .1`S$INGO www.co.jefferson.wa.us/commdeveloprnent Master Permit Application E_ : MLA:; O co_comet Project Description (include separate sheets as necessary): ` PETS im`� .�Y . Tax Parcel - p - Number: .-I C f ') t0000 I Property g 6 1 (acres/square feet) Site Address and/or Directions to Property: jQ A-f '-�� i 10 s. 1f, a_ it.$ _ /;t J • Property Owner(s)of Record: ;w^ii;, f, 2,to - E.)rc et << 7r7 ',._ (/ 4',-/1 ei- r7---i) Telephone: 34�1 3 g`s- j4/�e Fax: email: Mailing Address: 4%0 L I'll,- - i-�.a Io c k /-1�:,t, f iN cl P:, ri f1'c-.i loc. k._ (i 4 9 e 3 3 et Applicant/Agent(if different from owner): 4. -;. ...3.,,'.4 6`,1 ,, _i Telephone:.211"e,06 -?3i 3 Fax: 3ii.9 • .-%y c'--4/yR email: ►-; r,�. ... Mailing Address: PO 0 r //2 ,,, ,Z { `j' `//j �.. :" s r.ip ,y :, v What kind of Permit?(Check each box that applies) uilding ❑ 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 jirGarage 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 ❑ 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 F.r-c: a_,f ei,;,,.IS,, I;,,z, to act as my age ,,t hatters relating to this application for permit(s). X. OWNER SIGNATURE 7 i 'i, 'I _,_�-- `� L ETh\..,C�9 x �' `r3'':c Date: aczt - \t-\-pS 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 later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. v Signature: `(- -� C'\ r,Q / /� Q .0 c. `.!rt?0IG` -v Date: NCt - \L\,C,5 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known asdthe "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 responsibility for adhering to and complying w th the ES ' The Applicant has read this disclaimer and signs and dates it below. 1( Signature: \(\(N � � +�� ':� /� ` jwi` • ., c� Date: No„—,Lk - (�s F G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc IIIOWNER 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: PC CMX 't',2'!' j :,VVI4,I ( ,)A `i 2.1 I ( a5 ) t.96 .73I 3 -.(;c..) )41, `-/ge t"c MAILING ADDRESS: t -i! YvJ D „ i i L., , I�(,.£e s -i-rl C:i. EMAIL: ,r�0._ w C.,)v l f-c. , l I S"..�J2 r',•.;tt ::VL..C.!J r+-, CONTRACTOR'S LICENSE WAINS NUMBER: r'c rc 1 it 0 I J E- NUMBER 'Z i ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New sf, Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: V� Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 0 5, -4,3 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: l) 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 al(property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed AmountMain Floor Consistency Review 4'Q.00R 2Nu Floor Base fee: 1g1 • Z6- 3`0 Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: LE Unheated Basement Pot Water Review fee: f Other Unheated �` 911/Rd Approach fee: ,,,-- f.aa.4-11r(V4i) ct,r (04 1,53� Garage/Carport 22 s (inz if, ,f--- 352 .5(TOTAL. $ 7 Decks ' �3 D .7.: Receipt Number: r 1 � " /_5c4. Other Cash/Check Number: , i �P ESTIMATED COST(REQUIRED) Date: SEP 7 9 205 f c) .Fair market trait, • foundation to finish t I 1 10 Initials: I i r.![NT G:\Pcmu RD F t Application 7-�04.doc --- ____j t 9"Y'1 U"rn -•,..,., .. : '...a.."...."1.... ..) .«�..,... .. H ., ....0. CC • CMS • Imo • • ....Vz D7I • • • C? .1,, -1- i) /.� • Ow. elo • ....r . Q _. .�.__ __...... . ...._._, '_._x. .,... _ , Ilita X 510.----4b, ...0°4 . Li 1.1 1244,4, N � cl` ..,.,. :�... • . ' ` to yy`y`y` fA":" 'ft ' (37 \:,(.... . th''' SZ..'k' . 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