HomeMy WebLinkAboutBLD2006-00139 !UILDING PERMIT APPLICAA N ML vy 135
Review T Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00139 Received Date: 3/27/2006
SITE ADDRESS: 225 MAXWELL AVE
PORT TOWNSEND, 98368
OWNER: DAVID R LARSON JR PHONE: 360-379-6462
KELLY A LARSON
225 MAXWELL AVE
PORT TOWNSEND WA 983689488 CAPE GEORGE VILLAGE DIV 7
SUBDIVISION: Block: Lot: 33
PARCEL NUMBER: 941500033 Section: 18 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,408
VALUATION 113,127.00 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: 900 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
' l
Type Amount Paid By: Date: Receipt: A P R V E D
Permit $1,072.15 LYK 03/27/06 80912
Plan Check $696.89 LYK 03/27/06 80912 MAY 't) 2006
State Building Code $4.50 LYK 03/27/06 80912 Jefferson County Planning
Potable Water Application $55.00 LYK 03/27/06 80912 & Building Denartment
Total: $1,828.541)Q3,
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00139 Received Date 03/27/2006
SITE ADDRESS: 225 MAXWELL AVE Issue Date 05/10/2006
PORT TOWNSEND, 98368
APPLICANT: DAVID R LARSON JR PHONE: 360-379-6462
KELLY A LARSON
225 MAXWELL AVE
PORT TOWNSEND WA 983689488
SUBDIVISION: CAPE GEORGE VILLAGE DIV 7 Block: Lot: 33
PARCEL NUMBER: 941500033 Section: 18 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR
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: C c.-1M1,C f- . • - .
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 t BLD06-00139
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
3.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
4.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
6.) 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.
7.) 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) 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.
13.) 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.
14.) Minimum setbacks from Maxwell and Johnson Avenue rights-of-ways shall be 20 feet.
Minimum side yard setbacks shall be 5 feet. If an ESA is present, then the more stricter
setbacks shall apply.
15.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
I:\F_BLD_Perm it_B uild ng.rpt 10/29/1999
(4/--i$9-t1- Cot, JEFFEiN COUNTY ���I" 3--
�j 1g r4 DEPARTMENT OF COMMUNITY DEVELOPMENT i 2-2-
f' o `4 621 Sheridan Street • Port Townsend • Washington 98368 ;''
, . ,� 360/379-4450 • 360/379-4451 Fax -- —
qS.4rING�O www.co.jefferson.wa.us/commdeveopment
MAR 2 7 2006 f
'Master Permit Application MLA:r � 'Project Description (inc de separate eets as necessa
t 61 SST i G! >Gi ( 1 ,. l� _ -
Tax Parcel Number: V� Property '
O3�j Size: 00 t• " `1 (acres/square feet)
Site Address and/or Directions to Prq{erty: 27.5I )( //� E P t 4, 1 �I�✓
Property Owner(s)of Record: Llhill,,( f ` ' --� �
Telephone: 5 C,C :57 f--i '6 Z- Fax: email:
Mailing Address: 5 -f'11--`-
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
Wha and of Permit?(Check each box that applies)
" dIng ❑Variance(Minor, Major or Reasonable Economic Use)
Opemolition 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)* ❑ 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 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. L�/� /� 'r j
Signature: ,?
��y- Date: �/ /4/
The action or actions Applicant will undertake
as a result of the issuance ot'this permit may negativelyimpact upon one or
endangered species and could lead to a potential lake" esas P P more federal law knthrown as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions ose terms are that w in ell be undertaken because this has been issued will not violate the ESA. Anyindividual,groupor agency permit
9 cy 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 respon . ility for adherin . Ind g with the . The Applicant has read this disclaimer and ns and dates it below.
Signature: C��,�z, _.�•��// Date: 2 //3CM(
s ff
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• •
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 assum the responsibij of e General Contra r the proposed project.
Signature: G� i"`�s.,..-- 1' — Z f Date: -•//
/3/cl
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL: MAK 2 i
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER -
ARCHITECT/ENGINEER: ,, , PHONE AX'
MAILING ADDRESS: � / '?it S-f- P7iLIA7g �,g EMAIL `a— �I
Project� � Type: ra a Type: Bathrooms: Shoreline: Type of Sewage Disposal:
IL-1 ew [V Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Z— Bank He' ht: [I Community System
[1 Alteration/Remodel ❑ Concrete Total: �I f [Individual Syste
[i Repair ❑ Masonry / / l'7 m SEP Permit# f,3"'/ -
❑ Demolition [I Other: Bedrooms: Water Supply:
Existing: Setback: [I rivate well ❑ Two Party
Type of Heat Proposed: :i ���� ['Public
6&✓,if / 1 ,v- Total: /1'-/11 Name of System: 6?-,4-/>"e
6-ecr,.
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:
11 Underground Tank [1 Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove [i Fireplace Insert [1 Hot Water Tank ❑ Pellet Stove [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 fi jai CO q i t I 60EH BId App Review: 65. 00
2n°Floor Heated I Consistency Review:
Other Heated Base fee: I 0-72 - 1 S
,
Mezzanine Additional Section:
iti
Heated Basement Plan Check fee: • q (• 8C�
Unheated Basement State Surcharge fee: W p
y •s
Other Unheated Pot Water Review fee: q O . 0 O
Garage/Carport SUBTOTAL
2}0%l •sal
Decks i! 911/Rd Approach fee:
(& 21,2.13 exsh `
Other TOTAL: $
Receipt Number: GOG ) ` _
1 11 1 2 - ash/Check Number: OLpI 2:4
ESTIMATED COST(REQUIRED) Date: 31�-�-/b�
•Fair market value of all labor and materials foun a ion o inish V
Initials:
15-- ,06 L--e----
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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