HomeMy WebLinkAboutBLD2005-00761 IJ ILDING PERMIT APPLICATJ MRLA05 00718 eview Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00761 Received Date: 12/12/2005
SITE ADDRESS: 172 N LYTER AVE
PORT TOWNSEND, 98368
OWNER: AARON D EADES PHONE: 360-385-3356
1042 CORONA ST
PORT TOWNSEND WA 983684906
IRONDALE
SUBDIVISION: Block: 159 Lot: 34-38
PARCEL NUMBER: 962115910 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DECK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 10,347.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 439 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
12/12j
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $195.25 SLE 12/12/05 77579 APPROVED
Plan Check $126.91 SLE 12/12/05 77579
State Building Code $4.50 SLE 12/12/05 77579
Total: $326.66 DEC 13/2005
Jefferson County Planning
PERMIT # DLD , - & ilding Den t ent
05 - 0761 FTekS _
JEFFERSON COUNTY BCD
i •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD05-00761 Received Date 12/12/2005
SITE ADDRESS: 172 N LYTER AVE Issue Date 12/13/2005
PORT TOWNSEND, 98368
APPLICANT: AARON D EADES PHONE: 360-385-3356
1042 CORONA ST
PORT TOWNSEND WA 983684906
SUBDIVISION: IRONDALE Block: 159 Lot: 34-38
PARCEL NUMBER: 962115910 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DECK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
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: /2- -- s•
HEALTH DEPARTMENT ND 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
PERMIT # Blb
05 - 0761
JEFFERSON COUNTY BCD
•
SPECIAL CONDITIONS FOR'SE BLD05-00761
1.) MUST MAINTAIN AT LEAST THE MINIMUM SET BACKS TO RESERVE DF, SEPTIC
TANK AND BACK PROPERTY LINE AS SHOWN ON SITE PLAN.
2.) 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.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall De restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
5.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
9.) Maximum lot coverage is t o exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Minimum setback from N Lyter Ave right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
12.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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 storrnwater and drainage control systems.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
�ON C'p •
I
�i � JEFF ON COUNTY
,a 1 DEPARTMENT OF COMMUNITY DEVELOPMENT
`� 621 Sheridalk
n Street• Port Townsend •Washington 98368' 1 2'w
360/379-4450 • 360/379-4451 F a+x
www.co.Jefferson.wa.us/co;nmdevelopment
S�NO�S
Master Permit Application MLA: o5 -71,
Project Description(include separate sheets as necessary):
Tax Parcel _ Property
Number �" ; •/ ( f 5 ct J L Size: 6C'C' /2.7 (/:4:J: ) (acres/square feet)
Site Address and/or Directions to Property: l'?Z L. TE. Z S-r'
Property Owner(s)of Record: A. #Rt.k, r,qty S
Telephone:0 CCG).3 -3.3 T i-. Fauc(3/_c),3w 4-L•C.i,y email: Ht, _,Y 9(:i-5 ;V='r•4RTIJL/A,x;,i,
Mailing Address: eta /21.4 Let_i 5,4 5, Pr Tet2 iv SL- rv ) ! c.... ;4 9 S3.6 5'
Applicant/Agent(if different from own :
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
A Building ~ PLL ks, 0 Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑Single Family 0 Discretionary"IY or Unnamed Use Classification
❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑Manufactured Home ❑Boundary Line Adjustment
❑Modular ❑Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address 0 Road Approach _._ ❑Planned Rural Residential Development(PRRD)/Amen dments**
❑ Propane 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
O Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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 ifs 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 foes 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 ass and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any ired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
Signature Date: l f7 OO G-
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 acs+rrances 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 uIare in conplian thU'the fferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans Bra responsibility fd/ rim and complying with the ESA. The Applicant has read this a_imer and signs anddates it below.
Signature: ,Cf✓� Lk-,, l� j Date: , ' C - Z C
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT—�
The signer of this statement does hereby - that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be the response General Contractor for the proposed
Signature: ririr_elg
L %ti ( p , Date: (: I 7 L JO
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
. New X Wood Existing: �,, Disposal:
›it:
• Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: y Height ❑ Individual System
❑ Repair 0 Masonry SEP Permit#
❑ Demolition n Other. Bedrooms: Water Supply:
Existing: i Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: AA ❑ Pubic
Total: . ''T
Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Par
Number of occupants(includes owners,tenants, Proposed
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 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.
Square Footage For' CY' OnIy yam. F 5181 5 I
Current p.a y r, t , 5 ) 4} y'
N t ',. K
Main Floor 4 4` o� k. ,
2ND Floor .r_ r Base fee: . `.. n a z, ,/S 'x'r,-- {,r• '; '1 ':' j 5
�j w �
r}r, ` ;
3 Floor • eeboti .i ` + fi,
Mezzanine: 44%) r
• "fir hr k fee: rt
Heated Basement
+charge
Unheated Basement r 5 ' +�, -may r • ?t.„* E
Other Unheated ys �e��,? "t""' '" Via, z r
.'' flu b :T G� -i "",4 y.7. ��'�ke+�.le t:t sn 7
i4{f4 ,5 7y 7a�Y r 44
Garage/Carportr,,,
Decks s ` ,.k� S'
1
Other si1/Check•Number' )° ' .
Ile -
ESTIMATED COST(REQUIRED) ~.. ::
•Fair market value of all labor and materials foundation to finish ' -: ,
1 lei . CC;c ce Initials: t
' F
G:\PenmitCentcr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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