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Home My WebLink AboutBLD2005-00763 GILDING PERMIT APPLICATIN MRLA05 00716 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00763 Received Date: 12/12/2005 SITE ADDRESS: 315 ZION VIEW LN QUILCENE, 98376 OWNER: MICHAEL I MC NEELEY PHONE: 360-765-0556 CHRISTY L MC NEELEY 315 ZION VIEW LN QUILCENE WA 983769742 SUBDIVISION: Block: Lot: T 37 PARCEL NUMBER: 801322021 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP ADDITION TO MASTER BEDROOM & MASTER BATH TO ESISTING 2 BDRM/BATHSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 910 VALUATION 64,307.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 208 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 1 Prop: 1 Total: 3 Total: 2 Routing Date: l a \3L DSL �J Type Amount Paid By: Date: Receipt: Approved/Date Potable Water Application $53.00 SLE 12/12/05 77499 APPROVED State Building Code $4.50 SLE 12/12/05 77499 Plan Check $486.69 SLE 12/12/05 77499 JAN I'c ,)2006 Permit $748.75 SLE 12/12/05 77499 Jefferson County Planning Total: $1,292.94 & Building Department • •BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00763 Received Date 12/12/2005 SITE ADDRESS: 315 ZION VIEW LN Issue Date 01/18/2006 QUILCENE, 98376 APPLICANT: MICHAEL I MC NEELEY PHONE: 360-765-0556 CHRISTY L MC NEELEY 315 ZION VIEW LN QUILCENE WA 983769742 SUBDIVISION: Block: Lot: T 37 PARCEL NUMBER: 801322021 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADDITION TO MASTER BEDROOM & MASTER BATH TO EXISTING 2 BDRM/BATHSFR CALL IN FOR THE R QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: (i. -0,6 Founda ion: z7X /3/ eZ Stormwater FINAL Ap royal: Underground Plumbing: Underground Insulation: Shear Wall : 6 rtog Sheathing:wl F ram ing:ilopv7.fir3w'K j Uivpertie )) ! /8 itg� Plumbing: At (ra-o-00 b y 0/441 Propane Tank/ Lines: 50 tLINL / Insulation: Ck-4-lb — A �, 4 j( /0/�� OK iy2-r Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: , )A -ar el A) /2/1 4# HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL R QUIRED 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 # BLD 0 5 - 0 7 6 3 JEFFERSO ' CiJL TY t'ri SPECIAL CONDITIONS FOR CASE t BLD05-00763 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.) 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 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 ne ghboring 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 Zion View Ln right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum setback from the southern parcel boundary (adjacent land designated Rural Forest) is 100 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 1111 „?...SON °°6. JEFFERSON COUN fl.,. r= r'�"~ • DEPARTMENT OF COMMU�hiI[' (DEVEJ:OR-MI"...'..- � S `I `"4 621 Sheridan Street•P Yaw end•Washington 98368 360/379-4450. 360/379-4451 i #.•q�, 1 Z 2005 o wwco.jefferson.wa.us/eommdeveio nt w. y _ Master Permit Application MLA: Project Description(indude separate sheets as necessary): AAL- kt)A t(- VNk.st .r toe 4-in e'tcts+,pc 1 . taep.+iJ ke41,, 5. t_ K Tax Parcel Property Number. % i t, r?-1 Size: 5- io -c-es (acres/square feet)_ Site Address and/or Directions to Property: 115 Rion c) ci g Property Owner(s)of Record: i c:�-e-e rt Gf.:AS'1 Telephone:C -vc,St Fax:(. ;,) 1-LS-ybe3 email:trAd'tt:v,L,te.r��c,. (c ��icr Mailing Address: 315 'r - t Ems: . ( .x v\t-o o LOA ci$3 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ¢Building 11 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 11 Conditional Use[C(a),C(d),or C]** fa.Single Family ❑ Discretionary*D"or Unnamed Use Classification ❑ Garage Attached I Detached [] Special Use(Essential Public Facilities)** ❑ Manufactured Home [] Boundary Line Adjustment ❑ Modular ❑ Short Plat*" ❑ Commercial* [] Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane [] Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis [] Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwrater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use [1 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ tMreless Telecommunication* [I Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Are—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 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. nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req in d later i pections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Date:' Signature: t /s!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 assurances to the applicant that the actions that will be undertaken because this permit has been issued 'll not viola a ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you e' comps with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfers r nsibi- for adhering to-ind complyirta.with the ESA. The Applicant has read this disclaimer a signs and tes it below. Signature: Date. / C:\Docurnents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • • OWNER BUILDER STATEMENT The signer of thi/ ment es hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as i�the r 'ponsibi off the General Contractor for the proposed project. -- 5Signature: ' Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAI I FR: PHONE: FAX ( ) ( ) MAILING ADDRESS: .... _EMAIL CONTRACTOR'S LICENSE ) ik: r p L t`� r1NAbNS, i NUMBER: F i, '.• flu,N4BER �.__.. _. _. ___._. ARCHITECT/ENGINEER: PHbt'E( ) FAX( ) MAILING ADDRESS: DEC 1 2 2005 EP All, Project Type: Frame Type: Bathrooms: !Shoreline: Type of Sewage Disposal: ❑ New 'p Wood Existing: 1 ❑ Sewer 1p. Addition ❑ Steel Proposed: t Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: r4. Height 41 Individual System ❑ Repair ❑ Masonry SEP Permit#.5&-PCCS-Dcr A(1) ❑ Demolition ❑ Other. Bedrooms: Water Supply. Existing: J- Setback 19 Private well ❑ Two Party Type of Heat Proposed: t ElPublic Total: Name of System: 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: i Underground Tank i Above ground Tank Size of Propane Tank I Heat Stove i Cook Stove I Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed In a Manufactured I Mobile Home? Yes / No When applying fora 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 Office Use Only Current Proposed Amount _ Main Floor C`\c I `D Consistency Review: 2Nu Floor Base fee: � lQ 31a Floor Additional Section: __'l U i� Mezzanine: Plan Check fee: 4%6n (o9 Heated Basement State Surcharge fee: I1 Unheated Basement Pot Water Review fee: O Co Other Unheated 911/Rd Approach fee: Garage/Carport TOTAL: $ 1.3 '1 5 Decks "c%�' "7] �5 o '.-. 4 0 l.9/ Receipt Number. fj r/i elq Other Cash/Check Number: ii LL�JJ 1�`l ESTIMATED COST(REQUIRED) Date: j 7 .Fair market value of all labor and materials fourrdadgntp firxah'_.-'".`;:.. t l j V!(, 3-5, ono - 00 Co-1,3cr1.3 n3's. 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