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
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,�•`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.
Signature: Date: � r��
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G:\PermitCenter\FORMS\DRD F•-I S\Master Permit Application 7-8-04.doc
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