HomeMy WebLinkAboutBLD2006-00101 SJILDING PERMIT APPLICA• Review T TyN ML y 102
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00101 Received Date: 3/8/2006
SITE ADDRESS: 174 LINDSEY LN
PORT TOWNSEND, 98368
OWNER: ERIK HILL PHONE: 360-385-5307
174 LINDSEY LN
PORT TOWNSEND WA 983689634
MAT'S LONG PLAT
SUBDIVISION: Block: Lot: D
PARCEL NUMBER: 970600004 Section: 7 Township: 30 N Range: 01 W
CONTRACTOR: M & W BUILDING SUPPLY PHONE: (800)547-1714
PO BOX 220
CANBY OR 97013
Contractor's License MWBUISCO61 K5 Expires 7/25/2006
REPRESENTATIVE: PHONE:
PROJECT 1: ScrlIPTIOr NEW POLE BLD UNHTD, NO PLMB / 2 SHEDS
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 864
VALUATION 37,094.00 ADD'L: 576 HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 864 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL --
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
,3 I cd uo 6--- i)
Type Amount Paid By: Date: Receipt: �p�oved/Date
Permit $522.55 LYK 03/08/06 79144RovEr
Plan Check $339.66 LYK 03/08/06 79144
State Building Code $4.50 LYK 03/08/06 79144 MAR 30 2006
Total: $866.71 Jefferson County Pianninf.
e \Builrlinp pep�rtn,ent
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• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00101 Received Date 03/8/2006
SITE ADDRESS: 174 LINDSEY LN Issue Date 03/30/2006
PORT TOWNSEND, 98368
APPLICANT: ERIK HILL PHONE: 360-385-5307
174 LINDSEY LN
PORT TOWNSEND WA 983689634
SUBDIVISION: MAT'S LONG PLAT Block: Lot: D
PARCEL NUMBER: 970600004 Section: 7 Township: 30 N Range: 01 W
CONTRACTOR: M &W BUILDING SUPPLY PHONE: (800)547-1714
PO BOX 220
CANBY OR 97013
Contractor's License: MWBUISCO61 K5 Expires: 7/25/2006
PROJECT DESCRIPTION: NEW POLE BLDG UNHTD, NO PLMB W/2 SHEDS
(24 X 36 SHOP WITH (2) 12 X 36 SHEDS)
CALL IN FOR THE RU IRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 6-15--O6
UFFER:
Footing: £ —1S aa
Foundati n: SL14B
Stormwater FINAL Approval:
Underground Plumbing: WA
Underground Insulation: WA
Shear Wall :
Sheathing:
Framing: {Ili 1,-i 3 06 4.-6 i
Plumbing: / A
Propane Tank/ Lines: iJ/A
Insulation: /1/4)/14
Sheetrock: A A
Septic Sytem F(nal Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: j>K - . i it,ti i iAcri4pHEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIREDO 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 t BLD06-00101
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.) 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 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).
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.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
8.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
9.) Minimum setback from Lindsey Lane right-of-way shall be 20 feet. Minimum west and
north property line setbacks shall be 20 feet from edge of right-of-way of private
easements. Minimum south property setbacks shall be 5 feet.
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���. oN co�� JEFF ON COUNTY
W \� ,� DEPARTMENT OF COMMUNITY DEVEL MENT
621 Sheridan Street• Port Townsend•Washington 98368
•
360/379-4450 • 360/379-4451 Fax
�qS,�N ,tO� www.co.jefferson.wa.us/commdevelopftl►ent 8 2 iJb
Master Permit Application MLA: do- \,da. .
Project Description(include sebarate sheets as'necessary): ` ' -�' {e. '�'3 a t + ' •
1I:X 3 SLoot v.n � -t , .
Tax Parcel j` Lew-vAtoperty
Number: 170 6 00009 Size: LI.?„,6 c+►. (acres/square feet)
Site Address and/or Directions to Property: 17`1 Li„i se-y L"^osL Port t a•*okfc.„.1 LJA 9$36cl
Property Owner(s)of Record: Er:k F. 14 i(I
Telephone: 3 a 5- S 5 oil Fax: email:
Mailing Address: ('a`j (..Cno se.y L....•.,e,. t�,.,._-t V%.,,rA;r'o.�r.
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
Wtyat kind of Permit?(Check each box that applies)
Building 0 Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]'
❑Single Family 0 Discretionary"D"or Unnamed Use Classification
dGarage Attached tacke
❑Manufactured Home
0
Special Use(Essential Public Facilities)**
❑Modular ❑Boundary Line Adjustment
0 Short Plat**
❑ Commercial* ❑Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRDYAmendments**
❑ Propane 0-Plat Vacation/Alteration**
❑Allowed'Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium
*May require a Pry—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 a right of entry to Jefferson County and its employees,representatives or agents for the soleof application
review and anypurposes
Access and right of entry to this property shall be requested and shall occur only during regular business
hours. /
Signature: l„ i : , a Date: 3/ 1`0e)
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively ink 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 in compliance with the Jefferson County development code.TheApplicant acknowledges
and non- that he,she or it holds individual
for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 7 /., Date: 3 ( 1 I 06
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• 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 the General Contractor for the proposed project.
Signature: _ Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
PI 4\,J t 4:LL;v s.'pp1Y (503)?63- 90oo ( )
MAILING ADDRESS: to. IS.* 0 c.a.,6y,o R EMAIL:
CONTRACTOR'S LICENSE 110 i3 WAINS
NUMBER: �„ DU CP6i!S NUMBER "
M
ARCHITECT/ENGINEER: s4eptss ' 1 ke.,,.YC'0�, . 'PHONE (�j p )5sq._ilal FAX'( )
MAILING ADDRESS: , f`6,� I nr4ee� ' IV fi. SAVA i d CI EMAIL
'latyb,l ," ,
Project Type: Frame Type: Bathrooms: Shorelines Type of Sewage Disposal:
N New Et Wood Existing: 0 ci Sewer
❑ Addition ❑ Steel Proposed: 0 ' Bank 0 Community System
O Alteration/Remodel 0 Concrete Total: 0 Height: El/Individual System
❑ Repair 0 Masonry
0 (A SEP Permit# V8-0/.0
❑ Demolition ❑ Other. Bedrooms: W�?ter Supply:
Existing: 0 Setback: I Private well ❑ Two Party
Type of Heat: Proposed: 0 ❑ Public
,J:: .`� Total: C) n I A Name of System:
If this is a Commercial Prolect 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 ❑ Above ground Tank Size of Propane Tank:
O Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 �rtly + liz ci t. ,{ Y�VI' ,
Current Proposed i
` )Ciri ertcy.,,, -- ,x , _ 5 '�' !f ( ;5],
Main Floor /Q� 4 r z `" r
2""Floor t ltse • " �ca
Sa Floor ddalonal- tion: �"e '
arm heck fee. a '
Mezzanine: � ��
Heated Basement MAR t
Unheated Basement • 1f t ,� ;.TL ; 4>t } , c �� y
Other Unheated 44
Garage/Carport �
$64 Clio, T° `' . ; x ,� f�'�:
Decks .q. ,� #
Other flu s n, 7- .,`'
ESTIMATED COST(REQUIRED) 3`1C t4,c � , b .� f
.Fair market value of all labor and materials fo nd K n.10 lilish O : R
SD � . . . . :r 'ic�UC�
G:\PemitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc