HomeMy WebLinkAboutBLD2005--00793 tILDING PERMIT APPLICAT O Re vviewiew Type:
N Ie• I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00793 Received Date: 12/29/2005
SITE ADDRESS: 181 SADDLE DR
PORT TOWNSEND, 98368
OWNER: JOHN E SAILER PHONE: 360-379-9010
KATHLEEN M SAILER
228 COMMERCIAL ST#290
NEVADA CITY CA 95959 CAPE GEORGE VILLAGE DIV 5
SUBDIVISION: Block: Lot: 18
PARCEL NUMBER: 941100018 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ADD/REMODEL BATH, DRESSING AREA, REPL EXIST MANUF F/P,
REMOVE KITCHEN
ADD UTILITY RM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 66
VALUATION 15,000.00 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: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 3
Prop: 0 Prop: 0
Total: 2 Total: 3
Routing Date:
Type Amount Paid By: Date: Receipt: pproved/Date EE
Plan Check $163.32 LYK 12/29/05 78787 /1
State Building Code $4.50 LYK 12/29/05 78787
Permit $251.25 LYK 12/29/05 78787 FEB °I 2006
Total: $419.07 Jefferson County Planning
& Building��Department
C9Q�Slsrn
Jar 10 08 04:17p J Sailer M D BUILDING PERMIT 360-379-9010 p.1
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD05-00793 Received Date 12/29/2005
SITE ADDRESS 181 SADDLE DR Issue Date 02/9/2006
PORT TOWNSEND, 9836B
APPLICANT: JOHN E SAILER PHONE: 360-379-9010
KATHLEEN M SAILER
228 COMMERCIAL ST#290
NEVADA CITY CA 95959
SUBDIVISION: CAPE GEORGE VILLAGE DIV 5 Block: Lot: 18
PARCEL NUMBER: 941100018 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADD/REMODEL BATH, DRESSING AREA, REPL EXIST MANUF HP,
REMOVE KITCHEN
ADD UTILITY RM
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ,=‹_..,`?l//i^/
UFFER:
�
/
Footing: �� ',1 r�tr• :,
Foundation:`::k; . '//i v.-_,
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing: I I
Framing:.-4fi 2:-/lC i.,
Plumbing"317rt<fk,
Propane Tank/ L'nes:I
Insulation: - ft,vi,yt ,
Sheetrock?'
Septic Sytem Final Approval(If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final!Occupancy Approval: 7 ._-2/1 ,f,
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
•
SPECIAL CONDITIONS FOR CASE A BLD05-00793
1.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed development.
2.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed development.
3.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
4.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Minimum setbcak from Saddle Dr right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft. Environmentally Sensitive Areas further impact setbacks.
11.) A stormwater plan for a medium project 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
•.¢,SONr co
w JEFFER N COUNTY _...__F
4, ' �� DEPARTMENT OF COMMUNITY DEVELOPMENT I ` L`1. r,
621 Sheridan Street • Port Townsend •Washington 98368 '
� 360/379-4450 • 360/379-4451 Fax DEC 2 n 2005
.q0� www.co.jefferson.wa.us/commdevelopment ►
Master Permit Application Au) MLA: Cf)- 16-I U
Project Description(include separate sheets as necessaryQ fi ct S4 PgICS-SAA ,4 ee74; ,40D C7Ln"Y ace?r
EPtA-cc C3ttsnAq rrr4'r-t'#I4' rz.a-2 eX" i{E'rt ut' IQ rt-Re7)
Tax Parcel Q[j l _ l OO—(/ 7 Property /j e
Number: f 7 1 Size: T' 1 (cre quare feet)
Site Address and/or Directions to Property: /8l c Y'DL.0 De
Property Owner(s)of Record: Joi414 f 1 ic..Ez .) ,Sq-/Gc Y2,
Telephone:)360-3T4'--90/o Fax: email:5qj rer'jn Pof'f'r /NSA/.cDw
Mailing Address: 12140 (A).SS/Jns WAY 'e3 8 Artr i'Mc exio 9R348
Applicant/Agent jf different from owner): �M I L. p/- S Or✓
Telephone: J? --2.6q 4 Fax: email:
Mailing Address: (//O ( l I-Lai-) /bs2r- 7 n-'b 9834.8
What kind of Permit?(Check each box that applies)
>4,Building ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ 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 LI Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
11 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
Li 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 O to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATUR -11 Date: Z(,D e_ Z‘,z%'S—
By signing this application form, e 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 and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any r ' inspections.A ss d right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Z& PFc- 7 �
Date:
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 lake"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)eve ' ,.0 ar in compliance wi Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non- :nsferable r-. ibility f•r a . . -.• complying with the ESA. The Applicant has read this dd,irrsd er and signs and dates it below.
/Signa' re: � 1� 3 �
Date: C 2-f2,125—
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• 410
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 assuming the responsibility of n Contractor for the proposed project.
Signatur Date: 2,6, DEC O.-
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 -p( Wood Existing: 3 ❑ Sewer
4X Addition 0 Steel Proposed: I Bank ❑ Community System
i Alteration/Remodel ❑ Concrete Total: 3 Height: $.Individual System
[l Repair ❑ Masonry SEP Permit#SEPOL-DOOS(p
ii Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 2. Setback: [i Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: �.
EZ,L`Z1'el C. Name of System:
OiRr 66026e Cazioy
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:
0 Underground Tank K Above ground Tank Size of Propane Tank: Z52) tSTlr f
j9_Heat Stove ❑ Cook Stove 1-1 Woodstove ❑ Fireplace Insert "(Hot Water Tank ❑ Pellet Stove LI 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 Office Use Only
Current Proposed Amount
Main Floor Z‘'r° 64 15 ( eAConsistencyReview: •
4'! oo
2""Floor czr� 6� Base fee:ona 001. a5
3`0 Floor Additional Section: �
Mezzanine: Plan Check fee:
Heated Basement State Surcharge fee:
Unheated Basement Pot Water Review fee:
Other Unheated • •911JRiA fee:.
' e_ 54 tel
Garage/Carport 4(PS'Olj
DFC 2-° $ i
Decks , Receipt Number: V1
�Other 't`14' ' ' '�'��- Cash/CheckNumber:
? tfr
ESTIMATED COST(REQUIRED) _.._ . + Date: '�j
.Fair market value of all labor and materials foundation to finish I a �(i
D Initials:
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