HomeMy WebLinkAboutBLD2005-00725 ILDING PERMITMLA05-00675
APPLICAN Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00725 Received Date: 11/17/2005
SITE ADDRESS: 351 RHODODENDRON DR
QUILCENE, 98376
OWNER: GARY LA FRENIERE PHONE: 360-765-0725
351 RHODODENDRON DR
QUILCENE WA 98376
SUBDIVISION:
Block: Lot: 27
PARCEL NUMBER: 701344026
Section: 34 Township: 27 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS
3546 THORNDYKE RD PHONE: (360)437-1219
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2006
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTIOr NEW POLE BUILDING NO PLUMBING UNHEATED
TYPE OF WORK GAR SQUARE FOOTAGE
TYPE OF IMP NEW
VALUATION 16,229.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE: UH
HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 1,008 SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
1 \Vi4.(f_ _I
Type Amount Paid By: Date: Receipt: /; p t
Permit $279.25 SLE 11/17/05 77347 I`'1
Plan Check $181.52 SLE 11/17/05 77347
State Building Code $4.50 SLE 11/17/05 77347 SECS 2005
Total: $465.27 Jefferson County Planning
& Building Department
t^re .4r( * �.
BUILDI
NG PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00725 Received Date 11/17/2005
SITE ADDRESS: 351 RHODODENDRON DR Issue Date 12/20/2005
QUILCENE, 98376
APPLICANT: GARY LA FRENIERE PHONE: 360-765-0725
351 RHODODENDRON DR
QUILCENE WA 98376
SUBDIVISION: Block: Lot: T 19+
PARCEL NUMBER: 701344026 Section: 34 Township: 27 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: 8/119/2006 0-437-1218
PROJECT DESCRIPTION: NEW POLE BUILDING NO PLUMBING UNHEATED
CALL IN FOR THE REQUIRED INSP C IONS THAT APPLY TO YOUR PROJECT.
SETBACKS: t(r,_
UFFER:
Footing: lr-)k c7 ?
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: 0 ,2 ) CIO
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 CE A BLD05-00725
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.) A Stormwater Plan 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.
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(Yo. 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.) There is a 20 foot front setback from the edge of the r/w or easement of Rhondoendron Dr
(a private road P142). There are 5 foot side & rear setbacks from property lines.
8.) Health Department has not approved or reviewed any plumbing for this structure
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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ON0
�4� ��,� JEFFERSO�OUNTY
k4.,.. ,..1 DEPARTMENT OF COMMUNITY DEVELOPMENT IIP
'd 621 Sheridan Street• Port Tod W� hi gt�P of FrZI\1
360/379-4450. 360/379-4451 �.a `'�►
�O� www.co.jeffeerson.wa.us/comn- a Iopment !
di
"f' NOV 1 7 2005 c
Master Permit Application LA: Ob -(61 5
Project Description(induce separate sheets as necessary): ,t CCnS�"ruc'l-,cn of sa-'X3ir' x I Le. bit dr.it.t� •c• ,agp, ./
Tax Parcel f riI)Yn\ 1 of th',r�ll I,Ny
J Property _ /
Number: .7e 1 3 y y 0.210 Size: 5 / C. (acres/square feet)
Site Address and/or Directions to Property: :3 , Rho of o d e-„€I,o n �kd„,I c e„e, u;)A lb'3 7
Property Owner(s)of Record: Cr"a Lc, Fr e.„d e c e. T
Telephone: 3 is o- -us-c7.z Fax: email: _
Mailing Address: 3.3- I Rht�clociencirc:, . Qu,lc,=_„e , u)A 9fr32I.
Applicant/Agent(if different from owner): Sok,,,l 8,�,Id,rr- Sy 51 e,�„ `1 k. c.
Telephone: 3 is c _ ti 3 7- i a 19 Fax: 31co- .-(3-1 -I%1 G email:
Mailing Address: 3s-HIP Tlior,,<I y I<e Roli,l , Per t L.0 i lo,,- wt/I 5 fr 3&c
What kind of Permit?(Check each box that applies)
@'Building 0 Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑Single Family 0 Discretionary"D"or Unnamed Use Classification
D Garage Attached( -i--ched.) ❑Special Use(Essential Public Facilities)**
❑Manufactured Home 0 Boundary Line Adjustment
❑Modular ❑Short Plat**
0 Commercial* 0 Binding Site Plan**
❑Change of Use ❑Long Plat**
0 Address ❑Road Approach 0 Planned Rural Residential Development(PRRDyAmendments**
0 Propane 0 Plat Vacation/Alteration**
❑Mowed"Yes'Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stomtwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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 S ,d 8,.,I „- 5 5/e„.,z _i r,c. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE r Date: ` -6 ...
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 Ws knowledge. Any material falsehood or any omission of a material fact made by the owner/agent result in this permit being null and void. with respect to this application packet
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 a uired r ins _Access and occur right of entry to this properly shall be requested and shall only during regular business
hours.
/ _
Signature: ti) - _
Date: //' /7 - (
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 pliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and ferable, hexing to and complying with the ESA The Applicant has read this disclaimer and signs and dates it below.
Signature:), - ".--- Date: /( '1' b-5
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
el OWNER 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 acsi mming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Svc:,=cI (3,A,Id,n if 's to..,5 Inc ( 3G-c ) I1 3 7 _ i/:) i; ( 3"o ) ii 3 7-r1 18
MAILING ADDRESS: 3�H(c 1�1 a.n c(.� k l�o a rf EMAIL:
CONTRACTOR'S LICENSE Po I L u d low, Le A 9 e 3(,S WAINS
NUMBER: S Ou A/O 9 5 r;a'I N VI NUMBER
ARCHTECT/ENGINEER: /� I I a n e L'ns a z PHONE ( ,S o 3) s eii- i 71-7 FAX:( 5-c 3 ) 5 a-i- 1 7 a
MAILING ADDRESS: A7or. A'tafket St-A/L Ste A , SE:,le a_0(1 9130 1 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
t/ New [Y Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: o Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: Height VIndividual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat Proposed: 0 dPublic
Total: Name of S m: 1D p b v\-
Co Y'e._ c,n,m�,,, Al
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 ❑ 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 all property lines,buildings and septic system components,
including the reserve area ,
l i�.l.. � t t L'-` t ° ''"�' i �szF � ,.� ,xa .� �t� a 1.
curreit
Main Floor f `�L, *y ;,� S .t `a,� ra,�. .' 4 `, , , 'S:. 'x4:
L Floor , r- � , ` : C'' ° st ' u "1 ! a3 1
4.1
e� + A r �-v � �� arc' 4 +� �. <,�`S:
M r -. R e e r e :
1
3 Floor s Y .r 5 , ,we _,-' '4, v ,
it
Mezzanine: y i Q
Rrt 4 }. *- • A fi x , rj
Heated Basement r n rt $ ° ; ,�,-ii `t . t ..
Unheated Basement y�t VON**
* .1..
�k 2 '"
-2 s�
, r6a f. ",i*' ,.E` � :/i; t.�.a ?_. a x iti$ f
,
Other Unheated .,• ` # :K `E �+Cl7;7 yr • a —:1-"e-".: K - TJIa `
^
I * , . ,
.•
Garage/Carport J,, '_.t., ` : -i - : t •;; v.r.,.1 Y:
49_
Decks ''-_'I',,*-.t'.'2f.-,1-:.-' .,."'- }:: — -..1 :,'-.:; --, W..3.1%,,„-..r-Va, k''' pi er ot4.4
Other ,. � ,����,.� - � (y]. '�`'
ESTIMATED COST(REQUIRED) -,� ,�, ,�,,F tli p� i 1
•Fairvalue of all labor and materials foundation to finish 5, `` • f `, 54'w' ,, ,�`>I � K ..
G:\PemritCcnter\FORMS\DRD FORMS\Master Peamt Application 7-8-04.doc
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- - APPROVED
APPROVED SITE PLAN
STORM W ATER PLAN DEC 1 4 2°Q5
DEC 1 4 21'4 3 've .L�
' / ERSON COUNTY
�����''� DEPT.OF COMMUNITY DEVELOPM;NT
JEFFERSON COUNTY SIGNATURE:
DEPT.OF COMMUNITY DEVELOPMENT
SIGNATUREi :ii.--..._1141'7-4'.
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