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Home My WebLink AboutBLD2005-00637 •UILDING PERMIT APPLICAAN MRLA05 0eview 0pe592 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00637 Received Date: 10/3/2005 SITE ADDRESS: 212 MARIETTA LOOP PORT TOWNSEND, 98368 OWNER: ANDREW M ERICKSON PHONE: 360-774-1296 212 MARIETTA LOOP PORT TOWNSEND WA 98368 WALTHEW'S ACRE TRACTS SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 930400007 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR .5Do G/1 L P cpA n 2_. I, 1 IL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 604 VALUATION 94,654.00 ADD'L: 602 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 576 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Potable Water Application $53.00 SLE 10/03/05 77106 P R D\I E I State Building Code $4.50 SLE 10/03/05 77106 Plan Check $623.19 SLE 10/03/05 77106 OCT 3 1 2005 Permit $958.75 SLE 10/03/05 77106 Munn County Planning Total: $1,639.44 &Bui ' artment t�l. c S I4 Ammo SPECIAL CONDITIONS FOR CCE A BLD05-00637 • 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 Marietta Loop right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. If an environmentally sensitive area (ESA) is present, then the more restrictive setback(s) shall apply. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) WATER LINE MUST MAINTAIN A 10' MIN. SETBACK FROM ANY PORTION OF THE SEPTIC SYSTEM I:\F_BLD_Permit_Buildng.rpt 1 0/29/1 9 • BUILDING PERMITII Jeffen upm 621rso SheridanConty De Streetart, Portent of TownsendCommunity, WA 98368 Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00637 Received Date 10/3/2005 SITE ADDRESS: 212 MARIETTA LOOP Issue Date 10/31/2005 PORT TOWNSEND, 98368 APPLICANT: ANDREW M ERICKSON 212 MARIETTA LOOP PHONE: 360-774-1296 PORT TOWNSEND WA 98368 SUBDIVISION: WALTHEW'S ACRE TRACTS Block: Lot: 2 PARCEL NUMBER: 930400007 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: PROJECT DESCRIPTION: NSFR ALSO A/G 500 GAL PROPANE TANK CALL IN FOR THE EQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: /-(2,-o-6 Footing: 414o,J D I-f Z--oh Foundation: O1 /23/0y, Stormwater FINAL Approval: Underground Plumbing: /-/L,_-off, / .4-74-rfl43CS /- /3 06, Underground(l sulati / / --o b Shear Wall : , S y Sheathing. ` "� Framing: (.4.1,,j Plumbing: Propane Tank/ Lines: ,P'T� (.4-/ r j ,- 3�b Insulation: AR Salk- sok j4 4. /p.ceet /2,ie 0/A,A0V- Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: to-24 p6 HEALTH DEPARTMENT D 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 ��,�gON ob, JEFFERSOn•OUNTY • ' DEPARTMENT OF COMMUNI tt�,� ((�� ` `'Q 621 Sheridan Street • Port Towrs dh,W�sh t�4136� h 360/379-4450 • 360/379-4451 F /6,,, ,s$ www.co.jefferson.wa.us/comn-d jopment IIING ' 1 OCT - 3 2005 Lr Lij Master Permit Application ! LA: Q 5- .D'i Project Description(include separate sheets as necessary): Ncw S. f=, Tax Parcel Property Number: q30 —140O - 00-1 Size: .$34C- /3Co,34p0 'S4 l�cres/square feet) Site Address and/or Directions to Property: Z.l 2, iMA'' ETT'� Loof eto2T-rawns3c-N►izs ',.)A- I Property Owner(s)of Record: ANJC)eke\Al ER-Ac_.KSON Telephone: ?jfc3.0—'11 '(- t 7-9to Fax: email: Mailing Address: 2.1Z 'AA RAe—rn4 LcoP P6(--f---'�WNSENc.tV.14. g et,36$ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) LI Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** "A 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** ❑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 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 al; 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 any r quired later ins lions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: .5"-r`' 2� 2cjj S 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-transfe responsibili dh firlg to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: • r Date: S10:4-. Z',. 2-50 S G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • OWNER BUILDER STATEMENT III 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 assuminghe respon ' ility the General Contractor for the proposed project. Signature: �. t may-` Date: - -er'i- 2-9 2COS 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 r'31_,Wood Existing: 0 Sewer O Addition ❑ Steel Proposed: Z- Bank [1 Community System ❑ Alteration/Remodel ❑ Concrete Total: 2• Height: `,Individual System ❑ Repair ❑ Masonry SEP Permit# SErO'4-oo3c ❑ Demolition n Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party of Heat: Proposed: 1--- Type Public 0. .�IQpPpENE Total: 1,-- Name of System: Pi)D 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 14 Above ground Tank Size of Propane Tank: Sdo y.Heat Stove '(Cook Stove 11 Woodstove I_I Fireplace Insert •A Hot Water Tank ❑ Pellet Stove 0 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. k=`,A (1 I '(L S-1i Square Footage For Office Use Only Current Proposed Amount Main Floor Consistency Review: (04° it"17e1 ,a0 Li9.DC7 2"u Floor Base fee: 3`0 Floor ' Additional Section: Mezzanine: Plan Check fee: t/ •E • ICI Heated Basement S "1 '.# Jd Unheated Basement Pot Water Review fee: 1' i I , Other Unheated 911/Rd Approach fee: h(/spi Garage/Carport TOTAL: $ L Decks 4$ ` '31.JC) Receipt Number: ' j'I +( t C- Other +Po RCA( 254. la 3,I T Cash/Check Number: 1 2'TzRP.cti 272- u z_t3 3}i! .0 4- / 1 f-,1r, ESTIMATED COST(REQUIRED) 1 c/i/dov.- Date: •Fair market value of all labor and materials fodndation to finish , T. (q4 to,` (As', Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc