HomeMy WebLinkAboutBLD2006-00173 • BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00173 Received Date 04/13/2006
SITE ADDRESS: 83 N PITTSBURG AVE Issue Date 06/2/2006
PORT TOWNSEND, 98368
APPLICANT: GORDON R MELING PHONE:
MICHEL A FOSTER
PO BOX 42
CHIMACUM WA 98325-0042
SUBDIVISION: IRONDALE Block: 117 Lot: 7,8,9
PARCEL NUMBER: 962111703 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
360-683-6001
Contractor's License: BUILDBC011MG Expires: 7/8/2006
PROJECT DESCRIPTION: NEW POLE BLDG/GARAGE 28 X 36 X 14- UNHEATED - NO
PLUMBING
CALL IN FOR THE REQUIRE/ I SPECTIONS THAT APPLY TO YOUR PROJECT. �L
SETBACKS: nk �/3O�A6 �/�JAIurtpu s-rQi�L �I�uE Tt�t2u FRAHIUC WS!)j�
UFFER: /V//4 /
Footing: Pos-T (-1 ES DK Gf3o/ (P&MOV P4pA,e 6/4 iv
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: k -tx-
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 HC)URS 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
06
itUILDING PERMIT APPLICAIN MRL viewType168
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00173 Received Date: 4/13/2006
SITE ADDRESS: 83 N PITTSBURG AVE
PORT TOWNSEND, 98368
OWNER: GORDON R MELING PHONE:
MICHEL A FOSTER
PO BOX 42
CHIMACUM WA 98325-0042 IRONDALE
SUBDIVISION: Block: 117 Lot: 4,5,6
PARCEL NUMBER: 962111702 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 07/08/2006
REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360)683-6216
PO BOX 3831
SEQUIM WA 98382
PROJECT DESCRIPTIOI` NEW POLE BLDG/GARAGE 28 X 36 X 14 - UNHEATED - NO
PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,174.00 ADD'L: HEAT TYPE UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,008 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: .4//370
6 U
Type Amount Paid By: Date: Receipt: -- i.Approved/Date
Permit $335.25 KAS 04/13/06 80972
Plan Check $217.91 KAS 04/13/06 80972 JUN 0 2006
-
State Building Code $4.50 KAS 04/13/06 80972
Jefferson County Planning
Total: $557.66 I I ^_&Building Department
tfic4-Acci
• •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 th General Contractor for the proposed project.
SSignature: r--C� r t — Date: 4(t 1(Y0
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
-b..)tL-D t r\DC-- ge2-2S n l�(rx�) fcG - (0, I (0 (3k)C))(CUB--(ooe) 1
MAILING ADDRESS: '({a (,OFS I {_wL/ tjti i r n t EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: V-t 1-6RC 0 1 t 1,�(1 NUMBER
ARCHITECT/ENGINEER: E.---i-C.E.---i-C. t ` PHONE ((0(5) 4 et .--)act6m,((oos) t-t-q G -.laC t'e
MAILING ADDRESS: - O4 ,QX 3c o I C--1 k so .4'0 ;,,<< EMAIL-
O
Project Type: ,Fjame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
/�c(\New /�( Wood Existing: U Sewer
J Addition U Steel Proposed: Bank L I Community System
J Alteration/Remodel U Concrete Total: HeightIndividual System
J Repair U Masonry /SEP Permit# O5.3 -1{- q
J Demolition U Other: Bedrooms: Water Supply:
Existing: Setback: U Private well U Two Party
Type of Heat Proposed: ,t'Public
Total. Name of SystemRt 0
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:,„_._..-----
Number of occupants(includes owners.to nts.employees.etc) Curr t Proposed
IBC Occupancy: IBC Type of construction: WIII you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Ta I Above ground Tank Size of Pro a Tank:
i Heat Stove - ook Stove I Woodstove i Fireplace Insert i H9t'Water Tank I Pellet Stove i Other
Is this appliance being installed in a Manufactured I Mobile Home? Yes m
When applying for a permit to install a propane tank you must also submit a ite 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 Office Use Only G ,� 1
Current Proposed r(IQ JC2
Main Floor Consistency Review: 1 5+g
2Nu Floor Base fee: /�
33S.
3m Floor AE4ditiei IA-Section:
Mezzanine: Plan Check fee; ' a 1 1
Heated Basement State Surcharge fee: 1
Unheated Basement Pot Water Review fee:
Other Unheated YO911/Rd Approach fee: Xt�`
Garage/Carport
1 CDO• I4t72%6 TOTAL: $ eirmi(QCj
Decks _ Receipt Number: Caotu1D
Other Cash/Check Number: - '8 8-11
•FairEST D COST(REQUIRED) Date:' ,i/ �� f o�
.Fair a et value of all labor and materials foundation to fi h
PO , )G& Initials:
2001 °3
C:\ ents and Settings\mochil\Desktop Permit Application 7-8-04.doc
4
,�i` °11 c t, JEFFERSAOUN1Y •
Ws,
' �} DEPARTMENT OF COMMUNITY DEVELOPMENT
"' N c" `<1 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450• 360/379-4451 Fax
�� p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: afi' ` 1 a
Project Description(include separate sheets as necessary)_.
....._
2) x t Lk -21-)(> 'uti 13o ) c___-- ) LAN ( C-)PC.4f—',1,-L,
Tax Parcel 1 Property —
Number: 9 a i k t Q a c Size:
CO
(acres/ uare feet),
Site Address and/or Directions to Property: , %� 1 3e.(q A V , )�. 1 , 012
Property Owner(s)of Record: Cl in't". 0li IL-' 01 E"i i\_)C--) PI ta41 C'{-te _ }()c-ZZ--CZ.
Telephone: Fax: email:
Mailing Address: ?,O t 2,c x1.4a
Applicant/Agent Of different from owner): 'hi 1 Z.DI 1k-)GI �,dj�C �j
Telephone:3 CO o - (U p p 3 - ( & 1 (0 Fax: ?vbQ-(0 2; - (boo 1 email: c�
Mailing Address: ii4g. (�E✓5 1 Gk.) PAkWlclt( I SCQJIYVl ( 1i06 n/ �vvQ
at kind of Permit?(Check each box that applies)
Bu U ilding Variance(Minor,Major or Reasonable Economic Use)
U Demolition Permit U Conditional Use[C(a),C(d),or CI**
U mgle Family U Discretionary"D"or Unnamed Use Classification
Garage Attached/ tach U Special Use(Essential Public Facilities)**
U anufactured Home U Boundary Line Adjustment
U Modular U Short Plat'"'
U Commercial* U Binding Site Plan**
Li Change of Use U Long Plat'*
❑ Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
U Propane U Plat Vacation/Alteration**
U Allowed"Yes"Use Consistency Analysis U Shoreline Master Program Exemption/Permit Revisions"
U Stormwater Management U Shoreline Management Substantial Development**
Li Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Variance
U Temporary Use U Comprehensive Plan/UDC/Land Use District Map Amendment
U Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment
U Forest Practices Act/Release of Sur-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 V V I L.011 ic, '2.OlcGe-S to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �1'`�E'C- - _ Date: "(//l/li
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 o,in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its en-ployees,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: l — Date: r` it r G
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,/�rA1 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: � Date: L1 L[/l;G
AA
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-QARju I
t l
L.
•
SPECIAL CONDITIONS FOR CASE A BLD06-00173 •
1.) THE FRONT YARD/ROAD SETBACK SHALL BE MEASURED FROM THE EDGE OF
THE PLATTED RIGHT-OF-WAY. THE PLATTED RIGHT-OF-WAY MAY NOT
NECESSARILY BE FROM THE EDGE OF THE CONSTRUCTED ROAD. IT IS THE
APPLICANT'S RESPONSIBILITY TO ENSURE THE RIGHT-OF-WAY LINE IS
ESTABLISHED AND THE 15.5 FT SETBACK IS MET.
2.) The road approach permit (RAP06-00091) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact the Department of Public Works at 360-385-9160 for the final
road approach inspection.
3.) 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.
4.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
6.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
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.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
� I
10.) 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).
11.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
12.) Setback from N. Pittsburgh Ave. right-of-way is no less than 15.5 ft., side and rear
setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then
the more restrictive setback shall apply.
13.) 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.
14.) 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.
15.) The building height is not to exceed 35 feet.
16.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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