HomeMy WebLinkAboutBLD2006-00283 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00283 Received Date 05/23/2006
SITE ADDRESS: 495 THUNDER RD Issue Date 07/7/2006
PORT TOWNSEND, 98368
APPLICANT: DAVID B KELLUM PHONE: 360-774-6285
2716 SE 26TH AVE#
PORTLAND WA 97207
SUBDIVISION: MARIAH HEIGHTS Block: Lot: 3+
PARCEL NUMBER: 002125003 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW GARAGE tiv'I gov,p 1r \ kr L4.4 4 9 GWeCk-
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.,
SETBACKS:
UFFER:
Footing: �1rwr ' ;•.. k Eut.1t CL4tS is_ i-tov1 'PC,(0,,(ott
n.
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation,
Shear Wall : c,c e-t (Di �-- Q '
Sheathing:
Framing: A IfZSa}L. 0 vt 1`Z t 5'1t)7o. -A✓Ca-.c 113IoSr
Plumbing:
Propane Tank / Lines:
Insulation:?Alt&
Sheetrock:p` ,vir�t..�j1, 9
Septic Sytem inal ppro I M ST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:' IC; -K-01
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 BLD06-00283 410
1.) 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.
2.) A Stormwater Plan for a large 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.
3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) Thunder Road building setback is 20 feet. Rear and side yard building setbacks are 5 feet.
5.) A minimum of two (2) on-site parking spaces are required for the single family residence.
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.) CONDITIONED: STORMWATER SWALE MUST BE 30 FEET MIN. DOWNSLOPE OF
THE SEPTIC SYSTEM DRAINFIELD.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
Esil1ILDING PERMIT APPLICAT•N MRL Review Ty
260
ype
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00283 Received Date: 5/23/2006
SITE ADDRESS: 495 THUNDER RD
PORT TOWNSEND, 98368
OWNER: MARTHA PFANSCHMIDT PHONE: 503-233-4705
2716 SE 26TH AVE
PORTLAND OR 972021277
MARIAH HEIGHTS
SUBDIVISION: Block: Lot: 3+
PARCEL NUMBER: 002125003 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: DAVID B KELLUM PHONE: 360-774-6285
2716 SE 26TH AVE#4
PORTLAND WA 97202
.De -a t htA
PROJECT DESCRIPTIOr NEW GARAGE KV iSkdn 31,2 bR
6500 4k .-v Shop ' coB i LatheaA-w e.ora9e.. tP 1 12a,t r to v9
TYPE OF WORK GAR SQUARE FOOTAGE: k r` uhC1-tD
TYPE OF IMP NEW z�P C{�n2�-
VALUATION 44,642.00'Ba5''' •
ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: (4250 HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:t lh•5'1'R� -9 4�6
CONST TYPE: GARAGE: q_. SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing D te:
l3D
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $593.25 LYK 05/23/06 81368 JUL
Plan Check $385.61 LYK 05/23/06 81368
State Building Code $4.50 LYK 05/23/06 81368 Jefferson County Planning
Total: $983.36 & Building Department
��e�0
•
• . _
Ncod,, JEFFERSON COUNTY I e3 I
ti ` '44, DEPARTMENT OF COMMUNITY DEVELOPMENT l i)
621 Sheridan stye MAY 2 3 2006 .
Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
O' www.co.jefferson.wa.us/commdevelopment
XIINc
Master Permit Application t MLA: OCO_a(0O
Project qes'cription (include separate sheets as necessary):. "�' �, J it a...lGA
jN,es-J (c crc ,o , W as,
o to \k)t rvibt rtC\ rv. U-nb1/4-1D`* yr _a,4aa
Property
Tax Parcel Number: pc,2. \2-5 0 0 3 Size: S- G c vQ._S (acres/square feet)
Site Address and/or Directions to Property: `-.o\S- `T\.s,,, .,.,c)_if- �&
Property Owner(s)of Record: V\Aci-A-\.--,c,, 'N'-�,, s,\,w,.a A-
Telephone: ($'c 233-`-i.Zo5- Fax: email: 'MwVkm-. C- -c,,..sc.1n,,.AA.0
Mailing Address: PI l L S- D.(., A,/.1z- i 1 ,.-k.\.,. ` px_ q 1 - -o Z
Applicant/Aaent(if different from owner): -po,.., ,Si_ M"vvN 1
Telephone:_3 Lo -T T_y - 62'6s I Fax: 5b,. a.3 3--I.7 o s- email: "-��_4.Q__i -C.-.h s c�rr,&_jt. Cs
Mailing Address: 'c,,v ..+t_ 4a&:.1,0c.What kind of Permit?(Check each box that applies)
KBuilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition 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)**
U 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**
❑ ,.,owed"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 �a—".. J to act as my agent in matters relating to this application for permit(s).
Iffelffe5,-„--OWNER SIGNATURE — Date: 4,447. 0
By signing this application fo �he ow -r/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. A ' ma , 'al 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.
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 requi d later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: — Date: g—/'' C:!'�j
The action or actions A cant w' undertake as a result of the issuance or this permit may negatively impact upon one or more threatened or
endangered species and tout 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 respo sibility for ad ring to and complying with the ESA. The Applicant has read this disclaimer an signs and dates it below.
Signature: / Date: /7 — O ,
I
BUILDER STATEMENT ' iI E ; '? i ti , i_,t, i
The signer of this statement does hereby cerf 1 t .t they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will b suming the responsibility f t . al Contractor for the proposed proje . 3
Signature: ° ( Date: 1 7irsic- MAY 2 2Gi t1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: C) Shoreline: Type of Sewage Disposal:
X New tk, Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: _ _ Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: _L_ lif
Repair ❑ Masonryin Individual System
❑ Re
P SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: _�' Setback: X Private well ❑ Two Party
Tvpe of HeatProposed: — ❑ Public
—
V�\rer'"Lk
Total: __ n 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 X. Above ground Tank Size of Propane Tank: 2 5 q c.1
Heat Stove k4 Cook Stove ❑ Woodstove [3 Fireplace Insert X Hot W ter Tank ❑ Pellet Stove ❑ Other bo.1-Qv-
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 properly lines,buildings and septic system components,
including the reserve area. R��j
si LN D -. L `-.,�'w b� ti y � x.r i r.�r c s" ' ^,s,i� 3'-' -i
Square Footage Current Pro osed For Office, ,l. _ , , ,,g ., 0�: mound_; ;,,, ftev io
Main Floor Heated Z.IQ/01 EH Bld App Review: 1.,
Floor Heated Consistency Review:
Other Heated Base fee:
`l ' S93.95 15, Sn
Mezzanine Additional Section:
Heated Basement * tOp Plan Check fee:
650 s+ , I 571Coe! 335.(i)1 l9a.
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport (('' n
"z°c �Dt,Q- ,A 'w ', - SUBTOTAL
a5,3 • P
1 Decks +y /Rd A roac e a I i S.�'
Y Other d C\ b0 �;c �., Y (�XtSs� /
�O�(�- Q `�- '�` TOTAL: $ `iF8. p lQ 11. 5E
C -...'474 .7 9.---- Receipt Number:. , �12�t R' F�8-1 Di O
Cash/Check Number: wd
I. I-19 115a
ESTIMATED COST(REQUIRED) (---„MQrf) ,5a_ Date: a t� 10�
•Fair market value of all labor and materialsndation to finish
z 00 C., Initials:
BUILDER STATEMENT D 6(O'dg3
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 the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
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:
❑ New ❑ Wood Existing: u Sewer
❑ Addition Cl Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 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:
1 Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove 1 Cook Stove 1 Woodstove Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 Bld App Review: // m
-2na Floor Heated Consistency Review:
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: r� ��(
1 I lit.�)
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL I V6
Decks 911/Rd Approach fee: l/
Other TOTAL: $
Receipt Number: I o5 5 S
Cash/Check Number: In
ESTIMATED COST(REQUIRED) Date: lip
•Fair market value of all labor and materials foundation to finish ct 1 Cjq
Initials:
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