HomeMy WebLinkAboutBLD2005-00664 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00664 Received Date 10/19/2005
SITE ADDRESS: 164 GIEN DR Issue Date 03/16/2006
QUILCENE, 98376
APPLICANT: MANFRED LUCAS PHONE: 360-457-5246
GAYLE SECOR LUCAS
612 BROWN RD
PORT ANGELES WA 98362
SUBDIVISION: MARYATT SHORT PLAT Block: Lot: 2+
PARCEL NUMBER: 501032032 Section: 3 Township: 25 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
360-437-1218
Contractor's License: SOUNDBS027NM Expires: 8/19/2006
PROJECT DESCRIPTION: NEW POLE BUILDING/GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ler ST(zir)U'i,'j`- Ob
UFFER: ``
Footing: A-DVL9_� -A-Aci4
y_
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: y 4)6,Cz,
Plumbin
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval: /
Final/Occupancy Approval. 2y/,O‘
HEALTH DEPARTME 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
V.
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SPECIAL CONDITIONS FOR CASE A BLD05-00664 •
1.) 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) 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.
7.) 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.
8.) Minimum setback from Gien Drive right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
JILDING PERMIT APPLICATTN MLLA05 006618
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00664 Received Date: 10/19/2005
SITE ADDRESS: 164 GIEN DR
QUILCENE, 98376
OWNER: MANFRED LUCAS PHONE: 360-457-5246
GAYLE SECOR LUCAS
612 BROWN RD
PORT ANGELES WA 98362 MARYATT SHORT PLAT
SUBDIVISION: Block: Lot: 2+
PARCEL NUMBER: 501032032 Section: 3 Township: 25 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BUILDING/GARAGE
TYPE OF WORKVi9g1GAR SQUARE FOOTAGE:
TYPE OF IMP NEW LIVIAIN:
VALUATION to;grr 7 5.13Q40 1l ,N
CODE EDITION: 2003 ADM.: HEAT TYPE: UH
OCCUPANCY: U 1 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 480
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Iplabio560
Type Amount Paid Bv: Date: Receipt: APPROVED
State Building Code $4.50 SLE 10/19/05 77136
Plan Check $99.62 SLE 10/19/05 77136 MAR 1G 2006
Permit $153.25 SLE 10/19/05 77136 Jefferson County Planning
Total: $257.37 &Building Department
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• OWNER BUILDER STATEMENT orsi‘
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 ac�s imi`ng the nsiblIity General Contractor for the proposed project.
Signature: / 4,-L-1( It' ,loll Date: IC -(Y-c s
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx
=31,tnd 13,,ieJin55 tewrs .l KC:- _ ( 36•) ) ti37-1.2 i (340 )4151-12 Ib'
MAILING ADDRESS: R l EMAIL:
3 '16 171cr�d�/�Cr mac
CONTRACTOR'S LICENSE Pc:-t L I..d I c(✓, il//1 9 Y 5&S WAINS
NUMBER: S(.)Lt A/D 85 0 D.1 N :v) NUMBER
ARCHITECT/ENGINEER:
Alliavice E PHONE ( J6j �) y<I-1717F' 3O
( 3 �4-)3" f7.2
MAIUNG ADDRESS: ,t 7 e c ti�[ EMAIL
It,fk�C� �'• Ste /�i S.�lr-.t� [QR y73i�i
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
LVNew GYWood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: .' Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height p'Individuai System
❑ Repair 0 Masonry SEP Permit#(.3- 0
❑ Demolition ❑ Other. Bedrooms: Water Supply.
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: s) 0/Public
Total: Name of S,stem: Ni rt f y c rr
If this is a Commercial Protect 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 ❑ Fireplace Insert ] Hot Water Tank 0 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 septicWO system components,including the reserve area l. t!
Square Footage M
Current Proposed -i i^,i r a,.s,,- a a T _
Main Floor `` +.k1 . a C -s h � .� t 0-:.;igt4;?lifi s-,-"�"*+�s^�...} , _ _."-- 5
Etar :! - F ' > ` _ 4-1A1• m,
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Mezzanine: l : heck L 4; `'� `_` ' "
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Heated �',..,e3-X` ' .e. a �. , a i 33.e , y� ,r At.,;.
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Unheated Basement _ �:. �� ,[ {; .
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ESTIMATED COST(REQUIRED) . � `r
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fair market value of all labor and materials foundation to finish , - ' _ • z�- yy, st,
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G:APcm itCenter\FORMS\DRD FORMS\Master Peanit Application 7-8-04.doc 6i x:' ok
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ON ?06 N JEFFERSCOUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
ffirtil` '� !sE
1n Street• Port . s�_n hi tvR00 • 360/379 • :D'a K t c n
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Gip rson.wa.us/co ve opmen� ""�
Master Permit Application OCT 9 ��`� ''' 0 j-- it 10
Project Description(include separate sheets as necessary): - __ _ F
Ci'.154 I'c:,-tiV•t e .A,- x.24/' K1 pelt__ 6,1,/,4. � �tCir i
Tax Parcel Property
Number: S G' I 3 ..2 C 3 .z Size: 3. k►'15 acre. s (acres/square feet)
Site Address and/or Directions to Property: r tv,1 &►e n D r,v e- , OiA,14-c nf,
Property Owner(s)of Record: MLI n der e.J L N c e.5
Telephone: 3 li:0 • *1 7- S a y(o Fax email: .
Mailing Address: t' b:). Q,-r.�„ Read, Pet 1" Ano t t , 1AM 1 S 3t L
Applicant/Agent(if different from owner): 30u rd l3u,Id,n5 Systems in c.
Telephone: Li3.1- i., 19 Fax: 36 cc -ti 3 7 - lx 12f email:
Mailing Address: 33 ci 1 774r vie(yk-. Re.cl I ►`e.-r /_-d Ic,,,. WA 9li 3 c,s'
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 Cj**
❑Single Family ❑Discretionary"D"or Unnamed Use Classification
;Garage Attached/CSetached' ❑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(PRRDyAmendments**
❑Propane ❑Plat Vacation/Alteration**
❑Mowed"Yes'Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stomiwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
El 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-Applcation Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate 5,.-net 8,,,U.ki� 5/s t c„•s 1.n(.. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE M �✓a— Date: /a- i,y-e S
By signing this application form,the ownedagent 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. '- and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: -)(1,7/7 ,G„,/, Date: /C-,b--c 3
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-transf �le r li adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
//Signature: /��'- fit'-e--t-� Date: it •I ir J 5
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