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HomeMy WebLinkAboutBLD2005-00624 MLA05-00580 UILDING PERMIT APPLIC ON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00624 Received Date: 9/27/2005 SITE ADDRESS: 61 PETES SPUR PORT HADLOCK, 98339 OWNER: DAVID A ANDERSON PHONE: 360-379-4947 MARGARET M ANDERSON 9.> PO BOX 234 J -- PORT HADLOCK WA 983390234 SUBDIVISION: Block: Lot: 11 PARCEL NUMBER: 931300011 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947 PO BOX 1953 PORT TOWNSEND WA 98368 Contractor's License SEVENBP983JD Expires 6/24/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ ATT. GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,500 VALUATION 140,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 528 SETBACK: DECK: 48 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 12-7 I „Q� ; Tre) c ' Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $791.54 SLE 09/27/05 76645 APPROVED Permit $1,217.75 SLE 09/27/05 76645 State Building Code $4.50 SLE 09/27/05 76645 OCT 1 7 2005 Potable Water Application $53.00 SLE 09/27/05 76645 Total: $2,066.79 Ja r " County Planning Bui ! Department • a BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00624 Received Date 09/27/2005 SITE ADDRESS: 61 PETES SPUR Issue Date 10/17/2005 PORT HADLOCK, 98339 APPLICANT: DAVID A ANDERSON PHONE: 360-379-4947 MARGARET M ANDERSON PO BOX 234 PORT HADLOCK WA 983390234 SUBDIVISION: ANDERSON COURT LONG PLAT Block: Lot: 11 PARCEL NUMBER: 931300011 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947 PO BOX 1953 PORT TOWNSEND WA 98368 y - 3177 (360) 379-1750 Contractor's License: SEVENBP983JD Expires: 6/24/2006 PROJECT DESCRIPTIO N: NSFR W/ATT. GARAGE CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: /O-/9-0e UFFER: /O-ii-O s" Footing /P-I -O.S Found tion: /ff 741I #01 Pam- Paul 9 .. '0 :le ste Stormwater FINAL Approval: 0' Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: -ttil�l/OC, Plumbing: -?{,-S itr („J4-7-6-t_.a //u o� Propane Tank/ Lines: Insulation: rilrc . gvA..)HEYkj Sheetrock:C`►(� c1 + Septic Syte i Fina'AApp royal (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: Per mcre__..�,.,.) 3IizloCe 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 • SPECIAL CONDITIONS FOR CIPE A BLD05-00624 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.) Minimum setback from Pete's Spur right-of-way is 20 feet. Mnimum setback from Mason Street right-of-way is 20 feet. Minimum side yard setbacks are 5 feet. 8.) A minimum of two (2) on-site parking spaces are required for the single family residence. 9.) A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. I:\F_BLD_Permit_Buildng.rpt 10/29/19 OWNER BUILDER STATEMENT The signer of this statement does hereby certify Ilkley are the Owners of the parcel referenced herein.they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACT R OR ^ UFACTURED HOME NSTALLER: PHONE: FAX: , t n n.,i r Ct _( (30 ) 3 -lief t) ( 6�b 3 )G-i?TO MAILING ADDRFS.S, 1_ ,q c3 EMAIL:"���VVI t ( l 1 CONTRACTOR'S LICENSE _ _ WAINS fv ��t III,.III,. �'��h (� t� ) NUMBER: S Oi FJ P 1I 7S 1 Si') NUMBER ARCHITECT/ENGINEER: PHONE ( ) F ( ) MAILING ADDRESS: 7 +' S J) l EMAIL „1:plett Type: F Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: - ❑ Sewer ❑ Addition 0 Steel Proposed: _ Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ,El ndividual System ❑ Repair ❑ Masonry SEP Permit# OS•-2,,— Bedrooms: ❑ Demolition ❑ Other: Water Supply: Existing: - Setback: ❑ Private well ❑ Two Party Type of Heat` Proposed: public A C-LAG r altit C1 Total: Name of System v,L) i 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 0 Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 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. p ' Square Footage to' "' 1se'Only ,t �7 ,,r Tr, . Current Proposed .t ' x�S`. ''', v r 4«'4 k w '' Main FloorI. sg, s , p� ,� z�} �q� _ ,, . R. Mali S y, 4, c r #3a �Y� ftl ,,4 `�..t" i t iIf y {i f i t l :Additional Sectio 1•' I` •1 ' �-d t -. 3 Floor t* 1 r 1 Y Mezzanine: l j S E P 2 2005 'l `.#?Ian Check "416`� ' ` r Heated Basement 1 '�fiate Su � �. Unheated BasemelatUEl'T.OF CG�.1�� �IYY :4KTYcfiltLi %. tW�tal' ;� ' a[ y ;; Y`` _' Other Unheated 9t1/R ,, °, '"';.' i `° ' � l i to � 3� `� r Garage/Carport •y r � tr ,,,,,,,,...4, ,$ :; ,,, d . SW Decks } , f mt��' t�, z1 te ' 1. v ix} }Other asb/Clik it a �, 3 rE , ESTIMATED COST(REQUI • •Fair market value • I I and materials foundation to 4 T '• �rn��hT a �1 ,V 4/ yam, ,� <:.\ ,.`'4k ` £'.40'.{; , `y ,: _ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc ,�,�ON e0 ,�•`i 6, JEFFERSONOUNTY - - DEPARTMENT OF COMMUNITY DEVELOPMENT i ! �' `4 621 Sheridan Street• Port Townsend •Washington 98368 ', : ,•, i-- 360/379-4450 • 360/379-4451 Fax 1 'i SEA 2 � '�� f 'YOB www.co.jefferson.wa.us/commdevelopment ,-! , ;I 7 2Gc5 BIND Master Permit Application M . 9-5E-,;----:- ,..... ,-- _A.._.__.._ rr-i,�; gar Project Description(include separate sheets as necessary): j--- jyi _ Tax Parcel q3/ 3d0rty- 0/1 Size: /5 5g 1 (acres/square feet) Site Address and/or Directions to Property: �� f.2.s /] it. Property Owner(s)of Record: .� A U.d C 3 Telephone: 3‘6 - 37i- Ili 7 Fax: 3 7 9` 17 5'D email: C4!fie ICV. '7- , Cerra,, Mailin Address: —6p4- ` 5 _ ell occiytvyt.,ct a t&i4 Applicant/Agent(if different from owner): , ,I�-sfir. [Z-j -j /il c 7 �j $ Telephone: 7 - L} Fax: 3 74- 1v® email: Mailing Address: Ci 7 3 t t W Whit kind of Permit?(Check each box that applies) :oeBuilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑91emolition 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)** 0 Manufactured Home ❑Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Mowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** Cl 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 0 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 SIGNATU ,f•f-L . 4,40/4o.,97( Date: 9-.27--DC 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 fad 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. I • to Jefferson County and its employees,representatives or agents for the sole purpose of application review and .ny requir:.F ater i ': ..-•,and right ntry to this property shall be requested and shall occur only during regular business hours. ('� Signature: /ice /.. '�� Date: �-Q6 O .J 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 ascurances to the applicant that the actions that will be undertaken because this permit has been issued 'lI not violate the ES: • y individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev n if you in compli ,: # - - - -. • "v .evelopment code.The Applicant acknowledges that he,she or it holds individual and non-tra sfe esponsi ' f• =dheri•. • and •,.0• n.with the ESA. The Applicant has read this disclaimer and signs and dates it below. 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