HomeMy WebLinkAboutBLD2006-00080 • MLA06-00073
BUILDING PERMIT APPLICPION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00080 Received Date: 2/27/2006
SITE ADDRESS: 55 CEDARVIEW DR
PORT TOWNSEND, 98368
OWNER: JON K FOX PHONE: 360-379-2548
PATRICIA L FOX
55 CEDAR VIEW DR
PORT TOWNSEND WA 983682502
SUBDIVISION: Block: Lot: 204
PARCEL NUMBER: 965000344 Section: Township: Range:
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DECK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 3,536.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
GARA
CONST TYPE: DECKLE 150 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date-0/2 0
6
/ CC.J
Type Amount Paid By: Date: Receipt: 4149
"'
Permit $97.25 LYK 02/27/06 79255
Plan Check $63.21 LYK 02/27/06 79255 MAR i3 2006
State Building Code $4.50 LYK 02/27/06 79255 Jefferson County Planning
Total: $164.96 & 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 #: BLD06-00080 Received Date 02/27/2006
SITE ADDRESS: 55 CEDARVIEW DR Issue Date 03/13/2006
PORT TOWNSEND, 98368
APPLICANT: JON K FOX PHONE: 360-379-2548
PATRICIA L FOX
55 CEDAR VIEW DR
PORT TOWNSEND WA 983682502
SUBDIVISION: Block: Lot: 204
PARCEL NUMBER: 965000344 Section: Township: N Range:
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DECK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: N Pt-
Footing:
Foundation:
Stormwater FINAL Approval:_� A
Underground Plumbing: ,/f^
Underground Insulation: /V A-
Shear Wall : N P
Sheathin00C
Framing - O4.
Plumbing: a Propane Tank i Lines: N
T 1
Insulation: iv.
Sheetrock: IN ik
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. MPr
Road Approach Final ApprO SiA‹,t` ,ink,
Zoning Final Approval:
Final/Occupancy Approval? c-//06
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 CASE A BLD06-00080
1.) 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.
2.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
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 be 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 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.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Minimum setbacks from Kala Point Dr right-of-way and Cedarview Dr right-of-way are 20
ft. Minimum side yard setbacks are 5 ft.
I:\F_BLD_Perm it_B uild ng.rpt 10/29/1999
0 0
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 Jsponsibility of the General Contractor for the proposed project.
Signature: .7. '. /Date: / 6(1/
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
et.... ke-- I },'(del'L,.� ( ) ( )
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 ,Wood Existing: / n Sewer
Addition ❑ Steel Proposed: Bank Height: [7 Community System
❑ Alteration/Remodel ❑ Concrete Total: / ❑ Individual System
n Repair ❑ Masonry SEP Permit# '7G Sk
Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: C1 Private well n Two Party
Type of Heat: Proposed: ❑ Public
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:
LI Underground Tank [7 Above ground Tank Size of Propane Tank:
I I Heat Stove ❑ Cook Stove I Woodstove ❑ Fireplace Insert ❑ Hot Water Tank I_! Pellet Stove t i 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review: J
Other Heated B- ase fee: CI 1 t l
Mezzanine A- dditional Section: ____— _,
Heated Basement Plan Check fee: j I
Unheated Basement State Surcharge fee:
41 I
Other Unheated P- ot Water Review fee: ______.._.
Garage/Carport SUBTOTAL " '
Decks 1' ,)11/Rd Approach fee:
t.3 c„ c, 74-'/ 3 r
Other y . --— - - TOTAL: $ .Cih,
1 Receipt Number: 179 .
FED 2 7/Chuck Number: I 1 ( 7
ESTIMATED COST(REQUIRED) Date: I
.Fair market value of all labor and materials foundation tolfinish _j { ~- I, --.1 I c_ ;
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O Initials:
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G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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��4, ` cam JEFFE COUNTY ,7 0
W 4k,,, a DEPARTMENT OF COMMUNITY DEVELOPMENT
~' `" t ''d 621 Sheridan Street • Port Towns- • •Washin•ton 98368
360/379-4450 • 360/379-4451 Fa 2 7 $'.
�qS 0 www.co.jefferson.wa.us/commdevelopment
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Master Permit Application • ___ S,+,t:r�T MLA:
Project Descriptiony (include�sep/orate sheets as necessary):
Property
Tax Parcel Number: C�6 (; F 0 2 Lf�/ Size: f `'. Ct�(__ (acres/square feet)
Site Address and/or Directions to Property: �' //
Property Owner(s)of Record: --S c i e x 4 .i c. t< ----C,
Telephone: 36..O —3 j j__-2"� g Fax: 3 /� l'2 `7 email: , <, a > / r
t l (—`. . I' s-. i 4 r 1 tot /
Mailing Address: 5 . C s C. .rv-C , <<•
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies)
,5S Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI**
❑ 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 [I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ 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 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 j
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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: i J Date: / - 6 6
The action-or 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-
transferable responsibility for adhering to and complying with-the ESA. The Applicant has read this disclaimer and signs nd date • below.
�� ��
Signature: Date: j
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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PERMIT # N�
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g - 06 0060 FEB 27 2006
JEFFERSON COUNTY DC
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Site Plan Fox Residence; Deck Extension RC Fox Design Studio
a 11.10.05 55 Cedar View Dr
O Port Townsend Wa 98368 841 Tyler St.Port Townsend WA 98368
Tax Parcel Number 965000344
360.344.3699 rcfox®seanet.com