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HomeMy WebLinkAboutBLD2006-00196 BU IZS ILDING PERMIT APPLICATN MRep Review 89 y� Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00196 Received Date: 4/24/2006 SITE ADDRESS: 173 LAW AVE PORT TOWNSEND, 98368 OWNER: MICHAEL BLACK PHONE: 360-379-5569 27 MAPLELEAF LN NEW HYDE PARK NY 110402111 IRONDALE SUBDIVISION: Block: Lot: PARCEL NUMBER: 962113711 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 11,314.00 • ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 480 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD `- BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 1 la4 loco Er Type Amount Paid By: Date: Receipt: APApproovv at� Permit $209.25 LYK 04/24/06 81084 MAY la 2006 Plan Check $136.00 LYK 04/24/06 81084 State Building Code $4.50 LYK 04/24/06 81084 Jefferson County Planning &Building Department Total: $349.75 Cepk QCk • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00196 Received Date 04/24/2006 SITE ADDRESS: 173 LAW AVE Issue Date 05/12/2006 PORT TOWNSEND, 98368 APPLICANT: MICHAEL BLACK PHONE: 360-379-5569 27 MAPLELEAF LN NEW HYDE PARK NY 110402111 SUBDIVISION: IRONDALE Block: Lot: PARCEL NUMBER: 962113711 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DETACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ��. 0./1-042 UFFER: Footing Foundation: . ( 12 - )circle Stormwater FtINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: <)k 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: ill Final/Occupancy Approval: y - Aeke7 HEALTH DEPARTMENT AF,�ID 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 BLD06-00196 • 1.) 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. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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). 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 1 • 10.) Minumum setback from Law Avenue right-of-way shall be 20 feet. Minimum and rear setbacks shall be 5 feet. 11.) 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. 12.) 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. 13.) The building height is not to exceed 35 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 ---- .�ozv c �� o�,� JEFFERS COUNTY �- - ( (( r7 DEPARTMENT OF COMMUNITY DEVELOPME�l1j ta'~ i[� l: Vi. L— [ 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ,.4.tirrro`�.0 www.co.jefferson.wa.us/commdevelopment APR 2 4 2006 Master Permit Application MLA: oc , - I SQ Project Description (include separate sheets as necessary): /Vew rOC Nu 0 i`./4 E{ ri 6 �y Property /,J�©00 Tax Parcel Number: •7 .6 2// 3 I/ Size: /i0)(Ma `A'Z k. (acres/(6.-rare fe_ Site Address and/or Directions to Property: /7 3 L,4(,j Ave, /f' Top f.,J,[' Property Owner(s)of Record: M J( I-1 A`e L eLitic c Telephone: '3 6 0 1)1 r.s-6 c[ Fax: email: RA 0— qcKION Ayp G Mailing Address: ReA Lf a c pi. T6tLaus v 13 J Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ii Building ❑ Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** 0 Single Family ❑ Discretionary"D"or Unnamed Use Ctassffication ji4 Garage Attached Ileagto, ❑ Special Use(Essential Public Facilities)** 0 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 El Plat Vacation/Alteration** 0 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: J ,1� DESIGNATION OF AGENT I hereby designate YL� Leto act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE . I ,,. Date: ti 2 O ) 6 6 By signing this application form,the owner. 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 false ood 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 u s employees, representatives or agents for the sole purpose of application review and any requir a er inspections.Access and right of entry to this property shall be requested and shall occur only du ing regular business hours. Signature: Q-0Date: 9 / t9 ti The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatenedh 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 co fiance with the,\efferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable respo i I. adheri tb and complying with the ESA. The Applicant has read this disclaimer and signs a date it below. Signature: ( 1JLJA./, Date: Q Z) et (/ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc S • 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 assu ing the respo ability of e General Contractor for the proposed project.Signature: Date: t)i; jj GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) 11 MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New 1 Wood Existing: ❑ Sewer ❑ Addition I Steel Proposed: ___r_ Bank Height: ❑ Community System ❑ Alteration/Remodel [1 Concrete Total: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: H Public ,tlOW, Total: ---,7— Name of System: 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 ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove [7 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 Current Proposed For Office Use Only Amount , Revision Main Floor Heated EH BId App Review: 65da 2nd Floor Heated Consistency Review: �� "�3 1 1 Other Heated Base fee: 1 La— Additional Section: Mezzanine ���O� �I r �----- Heated Basement Plan Check fee: VV. I old t(pfi Unheated Basement State Surcharge fee: ' I�� Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL zoo 113)i] _ 56 .75 Decks r 1/Rd Approach fee: ..------- Other �•,-- -- '' TdTAL: $ �5 .r � Receipt Number: 1 b 64 13 `` ,,. ::) Cash/Check Number: t ESTIMATED COST(REQUIRED) / Date: � ) allU .Fair market value of all labor and materials foundation o finish Li /O 0©� Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 1- IMP__ '4.%7K.... • d2 F. . a e ,G od E It r iiii I 1 } 1 © 6 b } N a o , Q i I I I st C 4-- i rim v , k .;i.., .I \ gill.. 0 Nvl ic.,L-k L --.......,,, --, • ..-:..-_-.: 9— a-- • ..... „ .,..... i .....„ •9•1 '"1/01 1 i =3 '2Z 3 1‘.....) c'''''''I =3 I wa•IN•4 ::. '....e m....... 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