HomeMy WebLinkAboutBLD2006-00162 Ilk I)UILDING PERMIT APPLICA N MLA06
Review Ty
154
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Jefferson County Department of Community Development
621 Sheridan Street Poit Townsend, WA 98368
PERMIT #: BLD06-00162 Received Date: 4/4/2006
SITE ADDRESS: 152 DENA LN
CHIMACUM, 98325
OWNER: BISHOP LOGGING COMPANY PHONE:
371 BISHOP HILL RD
CHIMACUM WA 983259709
BISHOP HEIGHTS DIV II
SUBDIVISION: Block: Lot: 13+
PARCEL NUMBER: 933500013 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 01/11/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE AND COVERED PORCH
ALSO A/G 500 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,114
VALUATION 210,000.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 557 SHORELINE:
CONST TYPE: DECK: 120 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date: z ( 5( 04,
Type Amount Paid By: Date: Receipt: Al
l
tYVED
Total: JUN o22006
Jefferson County Planning
&Building Department
e c9QS1 u rl
V
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00162 Received Date 04/4/2006
SITE ADDRESS: 152 DENA LN Issue Date 06/2/2006
CHIMACUM, 98325
APPLICANT: BISHOP LOGGING COMPANY PHONE:
371 BISHOP HILL RD
CHIMACUM WA 983259709
SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 13+
PARCEL NUMBER: 933500013 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License: BISHOBC093D6 Expires: 1/11/2007
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE AND COVERED PORCH
ALSO A/G 500 GAL PROPANE TANK
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: / (D `I
UFFER: Q�
Footing: %;"usii
Foundation:14
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insylation:
Shear Wall : CM-6-1-o•cbP6
Sheathing:
Framing: (1.. '. 6-12--0(• M GS 6-C eor ' va-
Plumbing: i-fC- . Z�eb
Propane Tank/ Lines: /iu 8 2, oe T 0(; ` /t -'i -Ok,
Insulation: b-q- I� t)rk w(j-mj1 v C
Sheetrock: WI(
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: Ip-,')-a,
HEALTH DEPARTMENT ND 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
• 410
SPECIAL CONDITIONS FOR CASE A BLD06-00162
1.) A Stormwater Plan for a medium project has been submitted and approved by the
Department of Community Development. Once the subject permit has been issued the
applicant shall fully implement the provisions of the submitted plan and contact the
Jefferson County Department of Community Development to arrange a schedule to
inspect the property for plan compliance. A Certificate of Occupancy will not be issued
until the Department verifies plan compliance. No clearing for roadways or utilities shall
occur on the project site until clearing necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
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.) The building setback from Whispering Cedars Lane and Dena Lane is 20 feet. The side
year setbacks are 5 feet.
8.) A minimum of two (2) on-site parking spaces is required for the single family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
•
/�,oN Coe,, JEFFERS COUNTY
//�� DEPARTMENT OF COMMUNITY DEVELOPMENT
f- ` r4 621 Sheridan Street • Port Townsend •Washington 98368
.,,i, 360/379-4450 • 360/379-44.j1-fax 4 200E
1, O, www.co.jefferson.wa.us/commdevelopment
SINGS
Master Permit Application MLA: 6 15
(0
Project Description(include separate1,..1
sheets as necessary):
.4/C',.i/ 4-,,„j-/�',n /t: ,..'1
Tax Parcel c� �/-3 Property
Number. ` 3' 00 Size: - 1 ,'e S (acres/square feet)
Site Address and/or Directions to Property: uc,ic. .C.e.;0e C4, ;,.....-, , 4✓f q 3d2 j
Property Owner(s)of Record: /3,s 4;;/ /3.- ,,, At-s Ca•-s
Telephone: 30/ - / '/ 7'! Fax: 7 3 2— /f`/..7 email:
Mailing Address: 3 it 13.3 4;,/? "/,// /i 1) C 4,rt a, c K,,•,. , 6,,f4 / 5,2"--
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
p Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI**
r Single Fa y_ 0 Discretionary"D"or Unnamed Use Classification
4t Garage Attached Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactureat-Tome ❑ Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD/Amendments**
tg 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 attomey'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: ���-7� r' -� c-r /�r�>/' Date: 4'1 `(-G 6
The action or actions 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 ponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: e Z-c.4.%f Date: 9 e/ _0 C
G:\PemutCenter\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 responsibility of the General Contractor for the proposed project.
Signature: Date: /• -0 6'
GE
NERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
6'._,�t,;,t, 3�`f e,.._, co,,-,3 / (36 ) ) 30 i -1 d 7? (3GU) 7J.,2_ - 1/l45'
MAILING ADDRESS: 3 2/ / cs-4 f, `f /. D (-4,,yr4i c c4 ink f✓�EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 8./-Si-it)(';1 0 C7 3 0 E NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: T
A New Wood Existing: 0 ❑Seof
rSewage Disposal:
❑ Addition ❑ Steel Proposed: 4 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: _) Height: g Individual System
❑ Repair ❑ Masonry Bedrooms: SEP Permit#
p Demolition ❑ Other: Water Supply:
Existing: ' Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: -' ,>31' Public
�qr.7 5 Total. 3 Name of System: P a !D
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 .$l Above ground Tank Size of Propane Tank: 5 U -' : r.
❑ Heat Stove fir Cook Stove ❑ Woodstove ❑ 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`O:ffice-Use Only �-` )) �I
Current ProposedJ. L.4 'New �5 ,
Main Floor Or IV I3eview: • ,
2Nu Floor Base fete, ! �x iYi
,..L ; lF q
3°Floor .Additional Section:
Mezzanine: ``Plant Check fee: 34
Heated Basement :Sut argefee: t,l
rt
Unheated Basement :Pot Water "' 4;` `��
Other Unheated -tu s t,' .
9f4��-APproach�e+e: //y'")(
Garage/Carport =f
6
h.5- 7 tag TOTAL: $ i)a 1 i �
I �
D-I' `s Co.reteacc / 0 . qs der, pt;N6 : ( {z '
Other r- cash eck Number: '�C� `'
ESTIMATED OST,(,REQUIRED) Date:
,%Fair market value of all latter and materials foundation o -4. 0
a2/O, OdO, \\) initials: , "/'� a .
/ 1
G:\P ORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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