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HomeMy WebLinkAboutBLD2006-00276 ItILDING PERMIT APPLICATTN ML v Reviewiew T Ty 258 ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00276 Received Date: 5/22/2006 SITE ADDRESS: 1893 WILDWOOD RD QUILCENE, 98376 OWNER: PHILIP G ROYER PHONE: (360) 779-3955 KRISTYN E ROYER 20149 VIKING AVE NW POULSBO WA 98370-9440 SUBDIVISION: Block: Lot: TX 2+ PARCEL NUMBER: 702101004 Section: 10 Township: 27 N Range: 02 W CONTRACTOR: FIELDS CUSTOM CARPENTRY PHONE: (360) 697-8613 25871 CANYON RD NW POULSBO WA 98370 Contractor's License FIELDCC093Q6 Expires 10/28/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE (500 SQ FT HEATED MEZZANINE) ALSO U/G 1000 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 3,412 VALUATION 435,750.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: 500 CONST TYPE: 5N GARAGE: 1,060 SHORELINE: CONST TYPE: SETBACK: DECK: 1,000 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 4 Total: 3 Total: 4 Routing Date: 5 1 a'\bcp Type Amount Paid Bv: Date: Receipt: AptPProved/Date Permit $2,875.35 KAS 05/22/06 8'1198 Plan Check $1,868.98 KAS 05/22/06 81198 JUL rl 2006 State Building Code $4.50 KAS 05/22/06 81198 Potable Water Application $55.00 KAS 05/22/06 81198 Jefferson County Planning Total: $4,803.83 & Building Department COS. , BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00276 Received Date 05/22/2006 SITE ADDRESS: 1893 WILDWOOD RD Issue Date 07/7/2006 QUILCENE, 98376 APPLICANT: PHILIP G ROYER PHONE: (360) 779-3955 KRISTYN E ROYER 20149 VIKING AVE NW POULSBO WA 98370-9440 SUBDIVISION: Block: Lot: TX 2+ PARCEL NUMBER: 702101004 Section: 10 Township: 27 N Range: 02 W CONTRACTOR: FIELDS CUSTOM CARPENTRY PHONE: (360) 697-8613 25871 CANYON RD NW POULSBO WA 98370 (360) 697-4773 Contractor's License: FIELDCC093Q6 Expires: 10/28/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE (500 SQ FT HEATED MEZZANINE) ALSO U/G 1000 GAL PROPANE TANK CALL IN FOR THE QUIR D INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 7 2S14-6 UFFER: Footing: 7/a/� Founda ion:?-Crc.oiu�5:.'rter-) $-1'-Qb Stormwater FINAL Approval: Underground Plumbing: S'-1K-Q( t)q L) Or_ 5.*-2' -C(c, usieics -10- b Underground Insulation: .-30"17‘" Shear Wall : Q-'C1-716 Sheathing: Framing: bej.91, —etfiPvt, Plumbing: I,$ —CIO-- Propane Tank/ Lines: L /d)' 4 `'u' a--- : '-2 Z` (-,✓0 Insulation: O- W-- JC i • Sheetrock:(),?.- ! I -"'. s-r"/>c 1• t,,;[., Septic Sytem Final Approval M obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: r Final/ Occupancy Approval: 2 AL • 01 �,�r 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 BLD06-00276 1.) Septic approval for home and home site only. NOT approving shown septic tank location as tanks must be 50' or more from the existing well. 2.) 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. 3.) 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. 4.) 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." 5.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 6.) 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. 7.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Single Family Residence. 8.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Single Family Residence. 9.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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). 13.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building setback from the Wildwood Road (Northern Boundary) is 190 feet. Side and rear building setbacks are 250 feet. 15.) The building height is not to exceed 35 feet. 16.) A minimun of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 �� # , cod JEFFERSAOUNTY • w ,\ rA DEPARTMENT OF COMMUNITY DEVELOPMENT ''' v 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax gslIrr N0o www.co.jefferson.wa.us/commdeveloprnent Master Permit Application MLA: 0 Cl _ ,c) Project Description (include separate heets as necessary): ,t) . �'f!G� W/.�-Qo ve,2 Re--S r-xc.e (get 3 W tZ 6l,�tx>'� c2 . reZC— .. 0 Icel.-Ye) Property Tax Parcel Number: 702 ' 0 I DDY Size: 8e2. 41 A 4CreS (acres/square feet) Site Address and/or Directions to Property: 1 '393 (Ark 1.,,,t,u6 Rd. G-ujiceJe., GJC;.. 9 is-376 ("Jo evto.li) Property Owner(s)of Record: P V1%' 1 p G `Z o..( e.g. c It,a.t STCf N £. ao'j� Telephone: ,3i`rL Y? — 35 SS Fax: 36O�77�j. (oG 4(o email: ICr1STyN20(5 AOC.“.241 Mailing Address: o2 p Ili/ V t V-.ItiC full NIA/ T G u-tS bo W Ct . CMS 70 Applicant/Agent(if different from owner): 5 A tits-. Telephone: tot Pr Fax: IQ A- email: N 14 Mailing Address: Nt IA What kind of Permit? (Check each box that Ic ) , X Building 4 a ; f 1 0 Variance M'] �� I �� (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ' ❑ Conditional Use[C(a), C(d),or C]** )(Single Fa r' ❑ Discretionary"D"or Unnamed Use Classification )(Garage Att. he. Detached ne❑ Special Use (Essential Public Facilities)** ❑ Manufactured Home NAY 2 2 20UOL Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* { (1 0 Binding Site Plan ** O Change of Use JErfERSON CDIJ,u 111Long Plat** ❑Address ❑ Road Approach b Planned Rural Residential Development(PRRD)/Amendments** X Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** X Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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: %N 11-b 6 ill. ID kik5 DESIGNATION OF AGENT I hereby designate Oa F-T l O(.. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATUR Poc."- 2 L Date: S-19"-G[o By signing this application form,the owner/agent attests that the informa provided rein,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 ac cr we ainst Jefferson County as a result of or in consequence of the granting of this permit. I further agree . . .vid- access nd right f entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and an :.uire• later inspectio .Access and right o entry to this property shall be requested and shall occur only during regular business hours. Signature: /,e t� g , / �_ Date: S-/F- The action or actions Applicant will undertake as a result of the issuance h;s permit y negatively impact upon one or more threatened or endangered species and co ad to - potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Spe '- •ct" r"ESA."Je erson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been i -ue• ill n.t viol a the E •. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are i'co, pliance with t - Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable es.o•s ty for ad 'ring to and com• ing •th the ES•. The A 'cant has read this disclaimer and signs and dates it below. Signat re: [ �/ {-ti , �-/ ..,. �.,iai Date ��` �(O e/ 411 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc • • BUILDER STATEMENT The signer t is s teme t does ereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be s u g the resp sibility of the ener I Contractor foorr-the proposed project. Signatur : Kc te: , -(S - i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAL R: PHONE: C,47-SC, / 3 FAX: Bob �'ds /eXds Cv rl s:D. C y- ii_. 36049 7- 773� (36r776�7-.L(773 MAILING ADDRESS: 0)5- 47( C4,#yO/1 , NW EMAIL: >�•e_e_.6 s 77 301.6) M s ov. co CONTRACTOR'S LICENSE O K.I.$4,0r LAX,. . q e.3 7 0 WAINS NUMBER: l'e.,4 C CO Q,3 0./_ NUMBER ARCHITECT/ENGINEER: tL,,tII. Cons�L ` F s SOPS, PHONE (360-)8?l_Sy33FAx: (3Lp^)87/_.6 33 MAILING ADDRESS: $(2 7S Er15 j CA gig i R4, p;' or%'i,1,, Ltt . 78366 Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: XNew D( Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Li Bank Height: Cl Community System ❑ Alteration/Remodel ❑ Concrete Total: iiX❑ Repair ❑ Masonry to SEIndividua P Perrin tI#System ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: x Private well [7 Two Party Type of Heat: Proposed: ire 3 ❑ Public (LAo(i A+rr Floe.. Haiti- Total: 3 Name of System: A) . l( ( propiwQ. 9.0;te.R. 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: X Underground Tank ❑ Above ground Tank Size of Propane Tank: 1000 &*4LOV\ ❑ Heat Stove X Cook Stove I I Woodstove i I Fireplace Insert K Hot Water Tank ❑ Pellet Stove ❑ Other . Is this appliance being installed in a Manufactured/Mobile Home? Yes /Eb 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 r-EH Bld App Review: 1 C 2n0 Floor Heated t Consistency Review: k CO Other Heated Base fee: 55" Mezzanine a wire ��Rrr'S Sri t c Additional Section: . . Dt.5• Heated Basement (, ,i ', { Plan Check fee: (cig r Unheated Basement State Surcharge fee: "! YA 2 2 2006 �. JC-� Other Unheated Pot Water Review fee: Garage/Carport ifrif646 44aaD SUBTOTAL Decks 911/Rd Approach fee: 45fr-tr 61 Other Co tgr20 /0*-7 O I�aG) a3 c?-) TOTAL: $ �����. 3 i Receipt Number: %11(kC Cash/Check Number: ESTIMATED COST(REQ IREU)y3S 7SO O�--' Date: �: •Fair market value of all labor d materials foundatignto finish �,)\Cal O Initials: , Mci ri),(1,i61 6.-:), G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc glen _ 33pu t 1[G,* .7 1,01 . l'olo" ::_±_.___jEr___8 .o'' -.... r P . . 5°8°,.o/HbaR, 441 ' 9-°8�o/No ale i 10'84 dNoale 1 i. ...�,..,,c I ,6r f g'gn 9'G�6 I 'I • S�Be9 Gl.a 0 J • (%81 =NI ait E --. -- _ —.—__— _---- t, I. N .� x6 P! .. .tl o ..q 1 ouWv pn R II .. 6- I G In -- to l0 I I o_ 3tt.0 I�I ,1 Aloof - D w"/ w Z� 'o i. '1,' 6- ,..., Nr,..,,,(11 ,n . • • O IA �� �_:OTiTZ J I w R 7 L ,�,w A I` . ...0, �I _ I N tiQ uill ynn \t yy i� m t '� Is C N10 X :G2 'p JI p:0 IY I I :}' ® y W: b' .' 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