HomeMy WebLinkAboutBLD2006-00087 411, •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00087 Received Date 03/1/2006
SITE ADDRESS: 50 JEFFERSON PL Issue Date 03/31/2006
PORT HADLOCK, 98339
APPLICANT: JASON C RAINES PHONE: 360-379-1797
MARIANNE G RAINES
PO BOX 428
CHIMACUM WA 983250428
SUBDIVISION: CHIMACUM CREEK ESTATES DIV 2 Block: Lot: 21
PARCEL NUMBER: 943700022 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW 200 SQ FT ADD, ADD TO KITCHEN & BATHS
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 APTET I2 /r)Ai.c- S/i A?i/ED wi-n4 DS 1/7/0Z+B DX
Framing: Uo dl� �-12 CGC-
0 Plumbing: / (—La-
Propane a�
Tank./ Lines. JJ
Insulation: I NI$OL.Ps"(lhlt D A\RSEPcL- +-✓(C or1iDt'loMS y-/`/-to IAI1
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoni Final Approval:
anal/Occupancy Approval:
HEALTH DEPARTMENT AND U LIC 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 # BLD06-00087
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.) 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.
3.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback from edge of Jefferson PI right-of-way is 20 ft. Minimum setback from
edge of Ness' Corner Rd (SR 116) right-of-way is 20 ft Minimum side yard setbacks are
5 ft.
I:\F_BLD_Perm it_B u ild ng.rpt 10/29/1999
.
, i * . . -744, ,r4. 1k, it) Map. , .. '
MAR - t 2006 � _
-_ << .'
* L°T 2: )f( ) . i
-)K-- : /3>-
* * 44
PERMIT 16r .c ,
0 6 - 0087 ,.N
1 Storm -ter BMP's
tEFFERSON COUNTY DCD Require, A lam
APPROVED
6 SITE PL ' .-
JMAR - 72rP .o 4'- JEFFERSON COUNTY
• ^CITY D;VE y E/ .
J = Xis r✓� silk.
ATE
q` f">
yV 2 ads
Fca Q f Goareka5e
o-
06 2 2 9 a,,D, y< ,i,
// a
.-.1 4( ki) * p� Pro ec- "_ig.�,Y?1-
/
Qr,,t�-��° �`` / bpi -- (aims
ti Te x Parcel . # • _
1 _4(k x1 �sx" _gy37L ooOa
4 / ' 5l+e., Address.:
�� / ./ _5C) Tef--Per or Plate
_ Pori- H adlock, lnla. 9
. \
Drawn T+lam
it y, K ±Lh -!' o.-±l+ MdibiQn
}
' _Nome * Address o-P- Preparers:
Imo:___ _- - , / / 379,5_on 1, Marl anoC, D
1.27
Ze4.cer v►', \l' .r PO. Sox Lig g,_ C imacurv), Wa
'I l<A,c £'_, \/ acoo) 379-1`79`1 1:183a6--
----
l
t
-4 0 `3 's -----,, 1 ‘Y,e.. ''', ------- - 'TT!, *
ham i
6rirk
n
iL __,.._ —
_
_ ,,,„. ,,, , „ „.
a � I 1 _- ...).c TO 6 e
,, ‘
e 1-4:1-NI,
\,.
c:3_ -.4.1 D -r__, ,
-- vg -,1-
. p
m ....,
r 1-,
100
, -,...,. 7.7.1 . 09.---
1 ��It i'\- - -—t'"*.+" A- k( Z l�1
oQ \ I - <
.4 i. ,. _ ___ , , _
_ t ,
i c---S ,....., ,?z 2., 517. _a a
�� i I fl;1 PdHi
� W
'� - i �� t N cn (D to 3
. } � I. tin � c> (D O
(� ram.`. j N
_1 t� N\ g\ -,-- m 5' 3 y►
,..) r
� ---s,,,,
_, , .. , OCD ..
, ,
; , o juM
, ,t,,
4,,,. .,
,,., , , _
,_ .s
, . , --t
1 cf, i d i III
\, ,._._,16 1 I i ! , ,
-i4; tHizt'''‘N-T) --,r-,
7-177
i Z
4
—7, , .1 'C5 \ .,t 1
ram _ o
V 57.1,- X KN- wiN00 I r
G -.P ____1_V 4\-4,-.
'_ I p'--- '
UILDING PERMIT APPLICATION
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Por: Townsend, WA 98368
PERMIT #: BLD06-00087 Received Date: 3/1/2006
SITE ADDRESS: 50 JEFFERSON PL
PORT HADLOCK, 98339
OWNER: JASON C RAINES PHONE: 360-379-1797
MARIANNE G RAINES
PO BOX 428
CHIMACUM WA 983250428 CHIMACUM CREEK ESTATES DIV 2
SUBDIVISION: Block: Lot: 21
PARCEL NUMBER: 943700022 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW 200 SQ FT ADD, ADD TO KITCHEN & BATHS
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 200
VALUATION 17,926.00 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: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date: 3/c/00(0
Type Amount Paid By: Date: Receipt: I�JJ��.•..JJ rpv� aO v E D
Permit $293.25 LYK 03/01/06 79258
Plan Check $190.61 LYK 03/01/06 79258
State Building Code $4.50 LYK 03/01/06 79258 MAR 12006
Total: $488.36 Jefferson County Planning
&Building Ilepartment
6144.1XY
• •
V
i
z
g
30.0'
C
CD
0 N
a
0
o
cp
N ClosetIIIIIIIIIIIIil"Co N
o 7 O
o Co _
o
a
o n
o 6-
a o co- 3
0
0
30.0'
o
CD iitti1'11 UN
t -F:i2X ;1:1
ol 1 -2.1"-
o
0
I
T N O
� O O
30.0'
L o
rn
Z
11110 •
II
gaN
F3
c
z
g
30.0'
co
cD 71:I-3
a0
3
3 Illllll
N Closet H
coN
O co
- Q
CA
fD
o ma n
0
a oO m
(7
0
30.0'
20.0;
Q,
xcr
b Cs
laser 0
.f
O.
5 III
ca a I O
1
� Illlif ,
{- O ,coIIIIIIIIIII II
7,
O
I
1 ---_________ 4.0'
SI, _ 7y.1 30.0'
1 o Lb o
14 0,
I I ( ._ 30.0'
i I o
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 the General Contractor for the proposed project.
Signature: Cate:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
_ ( ) ( )
MAILING ADDRESS: + EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 1NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New '(Wood Existing: /• 5 ❑ Sewer
X Addition ❑ Steel Proposed: a Bank Height: 1 i Community System
❑ Alteration/Remodel ❑ Concrete Total: I. 5 4/4_ °Individual System
❑ Repair ❑ Masonry SEP Permit# x7-(6,
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: ::X Setback: I 1 Private well n Two Party
Type of Heat: Proposed: . r / X Public
EPrtri L Total: N /N Name of System:
Wait Heater Pt.%,/) #: I
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:
❑ Underground Tank U Above ground Tank Size of Propane Tank:
l I Heat Stove I_l Cook Stove ❑ Woodstove I 1 Fireplace Insert ❑ Hot Water Tank 1 1 Pellet Stove i 1 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 or Office Use Only Amount Revision
Main Floor Heated EH BId App Review:
2nd Floor Heated -7R), Consistency Review:
Other Heated Base fee:
o293. a5
Mezzanine Additional Section:
Heated Basement Plan Check fee: l qO • I
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
ZOO
Decks 911/Rd Approach fee:
Ex(. f i n
Other - TOTAL: $ �100 .;,)
I 1 Receipt r4ti1 tuber: ti ��
10
t Cash/Check Number:
ESTIMATED COST(REQUIRED) Nitaami j �•Fair market value of all labor and materials foundation to finish 3/ / /(6
Initials: _..J
7o00•00 - tr:�r Cut ,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc -
rfox co& JEFFERSO�COUNTY •
,\ j DEPARTMENT OF COMMUNITY DEVELOPMENT
' ' '-d 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
c5 www.co.jefferson.wa.us/commdevelopment
.1,& 1 7
Master Permit Application MLA: /
pp _ �-�
Project Description (include separate sheets as necessary): '
Ni-che-n /ba+h c&dd i-h drl
Property
Tax Parcel Number: G443 7000070? Size: • LIZ/0 (acres/square feet)
Site Address and/or Directions to Property: 50 3-e - e- Sor I Place-1 P&r [Iadl C.()(;(• t'1 S33 1
Property Owner(s of Record: 44.3O1I 47 a)ttr i cAn Y)e kutr1eS
Telephone: (560 ,3"7 `1797 Fax: AilA email:
Mailing Address: .a. rr3 -x LI&8. Gh I'M elf- r i f Lti'GL. q 3c.)?5
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies)
XBuilding ❑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 Cl 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
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 Jefferso unty and its employees representatives or agents for the sole purpose of application
review and any required later inspections.Access and right f en ry to this property sh, e requested and shall occur only during regular business
hours. /
Signature:X<!-- ,.,eu/kke._ ✓`(�/� C-2.7 ` -1-t•- �-� `r; ,e-:/11- ,-1 Date: 3"/ -d(‘, 7,3
'/ —C e
The action or actions Applicant will undertake at,,..-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 individua roup or agency can fil a lawsuit on behalf of an endangered species regarding your action(s)
even if you are in compliance with the Jefferson Cou d velopment code.The pplicant acknowledges that he,she or it holds individual and non-
transferable responsibility for adhering to and comply y with the ESA. Thp' plicant has read this disclaimer and signs and dates it b low.
Signature: ' .<�1� Date: J ! ,r'� 7 / -k--
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc