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Home My WebLink AboutBLD2006-00111 likUILDING PERMIT APPLICAE!EN MRLA06w00pe113 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00111 Received Date: 3/13/2006 SITE ADDRESS: 21 EVERGREEN LN PORT HADLOCK, 98339 OWNER: DON L BRICKEY PHONE: 360-385-3764 210 W FITCHBERG AVE PORT HADLOCK WA 983399590 TAMARACK VILLAGE SUBDIVISION: Block: Lot: 33 PARCEL NUMBER: 998300033 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW FRONT DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 4,320.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 183 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: 3/,4Joc Type Amount Paid Bv: Date: Receipt: vy�d/. toPermit $111.25 LYK 03/13/06 79186APPh �+�' Plan Check $72.31 LYK 03/13/06 79186 MARag 2006 State Building Code $4.50 LYK 03/13/06 79186 Total: $188.06 Jefferson County Planning &Building Department C8 itterN Ze e • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00111 Received Date 03/13/2006 SITE ADDRESS: 21 EVERGREEN LN Issue Date 03/24/2006 PORT HADLOCK, 98339 APPLICANT: DON L BRICKEY PHONE: 360-385-3764 210 W FITCHBERG AVE PORT HADLOCK WA 983399590 SUBDIVISION: TAMARACK VILLAGE Block: Lot: 33 PARCEL NUMBER: 998300033 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW FRONT DECK 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: Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 02 ,4 1 Z_ e , HEALTH DEPARTMENT AND PUBLIC ORKS 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 # BLD06-00111 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 Evergreen Lane and Patison Street rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 �� o� JEFFERSON COUNTY — --- — ` ti ,\ `,a DEPARTMENT OF COMMUNITY DEVELOPMENT �i 'N • rs4 621 Sheridan Street • Port Townsend •Washington 98368 MAR 1 3 2006 1 ; 360/379-4450 • 360/379-4451 Fax q p www.co.jefferson.wa.us/commdevelopment I. --- S1IN t Master Permit Application L MLA: 11 Project Description(include separate sheets as necessary): j...-Or r l x"c"1, _ - Ll.`' --- -= Z.., --,,) (�� Property ) Tax Parcel Number: —! (,d,, C,1 ,,, Size: o 'AL / / _.) iZ-I (acres/square feet) Site Address and/or Directions to Property: �.i eikz/E (. K��/�N - c/ rp,.`,�'` 5,' , Property Owner(s)of Record: U :";r r�3.._ / . 4E Telephone:6 C"35 �-.j-�j(�� ' / 3) email: Mailing Address: /(/ be.). /—, /li '✓2E x /,r (�ke i 1-1Ai)(rx'C t,•k-)/-- tj-d -3 Applicant/Agent(if different from owner): / Telephone: Fax: email: Mailing Address: Wha kmd of Permit?(Check each box that applies) wilding /_)ft.fr. . ❑ 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 ❑ 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)* I I Shoreline Management Variance ❑ Temporary Use 11 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 agre to provide access and righ of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a,y required later inspection .Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: _. `!)"-\ /` ` //LA U t-<,^. Date: z' 1— (,�:. /.. The action or actions Applicant will undertake as a resul[,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 Speci Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued All 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 Jeffefson County/development code The Applicant acknowledges that he, she or it holds individual and non- transferable responsibil�for adhering t¢and complyi with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: "-- 7- �) G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • BUILDER STATEMENT The signer of this(atement does herby 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. MAR 1 3 '00r Signature: ,, ).1 / }/( ,d f f( k; Date: -_ GENERAL CONTRACTOR OR MANUFACTURED HOME ISTALLER: PHONE: FAX t' 1 Y ( ) L MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER; - ' ' PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Franie'lype: Bathrooms: --, Shoreline: Type of Sewage Disposal: IA New I'Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Height: n Community System Total: ❑ Individual S st m ❑ Alteration/Remodel ❑ Concrete Y V7Repair—o1 k ❑ Masonry . SEP Permit# CO•-// ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: , Setback: ` ❑ Private well ❑ Two Party Type of Heat: Proposed: 1-.Public Total. Name of System: J 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: C.I Underground Tank I I Above ground Tank Size of Propane Tank: LI Heat Stove LI Cook Stove ❑ Woodstove ❑ Fireplace Insert I1 Hot Water Tank LI Pellet Stove 11 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 BId App Review: / 5 2-Floor Heated Consistency Review: i 3 Other Heated Base fee: 6' Mezzanine Additional Section: Heated Basement Plan Check fee: 1 • 31 Unheated Basement State Surcharge fee: t jv Other Unheated Pot Water Review fee: `-- Garage/Carport SUBTOTAL Decks - 3 gq 0 11/Rd Approach fee: r L ( c-r Other TOTAL: $ Receipt Number: - /q 1 . (ic Cash/Check Number: 1 ,3•P)619 ES IMATEL COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to-firth, / I �� c,,,,,,_______I �` Initials: G`.\1' tC...., PO&dMfS\nRr1 FORM \Maste.t.Ecnnit implication 12-30-05.doc ,. .•..y � .ti 'i +�' r.:.. >rMr,r�+�,�a{• y 4e.'v�'Jy'"�' 'Mx+ti,��+' s�``,'J�rL'+.��Hw� y',r 4' l t i•...j 1 yt • r• , r• .. ).4..,". :. • W� yyty+44-':, p1 J+' 7ww(� . F'R,, z L jl '.. . , . . t• lYT!� 44�'sSst ^ �, 'Drfrr.17r,'f'1� 'T4; f {. * ate.. 'F 7` a .r ..•'. •, .� rti t•.y,!_ `x; Yo '1M' + �� '"`r ... ..,� ti {'+� f • .r '� .r '.,' +y' L' 1 '1. 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