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BLD2006-00284
BUILDING PERMIT APPLICATN MLLA06r002263 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00284 Received Date: 5/23/2006 SITE ADDRESS: 1270 IRONDALE RD PORT HADLOCK, 98339 OWNER: ALBERT W PORTER PHONE: (360) 385-3228 1310 IRONDALE RD PORT HADLOCK WA 98339-9529 SOUTH PORT TOWNSEND SUBDIVISION: Block: 2 Lot: 9+ PARCEL NUMBER: 996400205 Section: 2 Township: 29 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 DESCRIPTIOP NEW POLE BUILDING - NO HEATING-NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,962.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 480 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date5p,I.00 (� Type Amount Paid By: Date: Receipt: Approved/Date Permit $167.25 KAS 05/23/06 81242 A'. Plan Check $108.71 KAS 05/23/06 81242 State Building Code $4.50 KAS 05/23/06 81242 JUNK 20% Total: $280.46 Jefferson Cou Planning & Building epartn1ent nty BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00284 Received Date 05/23/2006 SITE ADDRESS: 1270 IRON DALE RD Issue Date 06/22/2006 PORT HADLOCK, 98339 APPLICANT: ALBERT W PORTER PHONE: (360) 385-3228 1310 IRONDALE RD PORT HADLOCK WA 98339-9529 SUBDIVISION: SOUTH PORT TOWNSEND Block: 2 Lot: 9+ PARCEL NUMBER: 996400205 Section: 2 Township: 29 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: 7/8/2008 PROJECT DESCRIPTION: NEW POLE BUILDING - NO HEATING-NO PLUMBING CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: (Joc>b JTAK<S &-'r 06 UFFER: // _ Footing: �5 `f pC Foundation: (5L4B iJJA Stormwater FINAL Approval: sin/ Underground Plumbing: N/01, Underground Insulation: AyA Shear Wall : AJ/A Sheathing: 5,t2/4f Framing: S/i2/0.6 gi Plumbing: 1,VA Propane Tank/ Lines: IU/A Insulation: )0/4 Sheetrock: VA Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: n Final/Occupancy Approval: OK -0er 4 ,;a I {Jt:_/GS' 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 BLD06-00284 • 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.) 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. 3.) 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. 4.) 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. 5.) 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. 6.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) Minimum setback from Irondale Road right-of-way shall be 30 feet. Minimum side and rear yard setbacks shall be 5 feet. 12.) 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. 13.) 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. 14.) The building height is not to exceed 35 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 JEFFEROUNTY � �_ • DEPARTMEN'IF COMMUNITY DEVELOPMENT ' 1.4 621 Sheridan Street•Port Townsend•Washington 98368 $ 360/379-4450. 360/379-4451 Fax 2 3 2006 p www.co.jefferson.wa.us/commdeveloprilW 1 Master Permit Application —MLA: C(o - a(025 Project Description(include separate sheets as necessary 20 "r,?`f x /.9,<?/96, (/4� viL7) //0 Tax Parcel Property. /J Number. ?q((_)I (C) O5 Size: / J l (acre uare feet) U Site Address and/or Directions to Property: L 1C / / Cg1. O. / / I< r l ,0 0(+`- Property Owners)of Record: IQL.�62,7-- a). C),eT - Telephone:3)0-3 gs -.322, Fax: -' LL email: Mailing Address: /:3/0 /gQr<.�17t�Le ?O,, ?oLT / L)LQrL1 L/ei 98 ,3 • Applicant/Agent(if different�ep�� from owner):/ C)/L,C9/!U O,� S Telephone:,g t O-6E53 - 6-2/6 Fax: k3 6O-&'83 (oc/ email: Mailing Address:--!'O, t30X 3 03/ / S60U//Y// W 9'&3g2 Xt kind of Permit?(Check each box that applies) ng ClVariance(Minor,Major or Reasonable Economic Use) u Demolition Permit ❑ Conditional Use[C(a),C(d),or c)" )ieSIngle Family / ❑ [Nscretionary"IX or Unnamed Use Classification Garage Attached "•cached P©� �C1/L,O/�t1L7 ❑ Special Use(Essential Public Facilities)** i Manufactured Ho ❑ Boundary line Adjustment (_! Modular i7 Short Plat" ❑ Commercial* El Binding Site Plan'• ❑ Change of Use ❑ Long Plat" ii Address i Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments Propane ❑ Flat Vacation/Alteration ❑ Mowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions" !-1 Stormwater Management C I Shoreline Management Substantial Development ❑ Site Plan Approval Advance Determination(SPAAD)• Ct Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Wireless Telecommunication• Cl 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: ATION OF AGENT I hereby designate(. i L Q//�6a 'O to act as my agent in matters relating to this application for permit(s). {{ OWNER SIGNATURE X l'i �r� Q• Date:/6`-'J? Qc5 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 its 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. n Signature: ) �lf c JL 10411J-1)1' Date: /0 /9' — The action or actions Applicant will undertake as a result of the icsnance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential'fake"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 wilt 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 responsibility for adherin'9�to j�co lying with the ESA. The Applicant has read this disclaimer and signs and dates it below. /Signature: Zi; /� (ab. 'ti- l�j Date:/V I7—i ekir C:\Documents and Settings\mochil\Desktop\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 theQ responsibility of the General �C(°/ ctorr for the proposed project. Signature: X/ 4 r2_.L 0. !44-b?.., Date: l b /7 015' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: L .v "--"-- ik tD�S 66o) 6&3- 62i 6 (36o ) 6 - boa( MAILING ADDRESS: 9.O, 649)( 4 3/ QUatit EMAIL: CONTRACTOR'S LICENSE / WAINS NUMBER: Ui1-O SC 07/ /21 NUMBER ARCHITECT/ENGINEER: �7-3'/ / PHONE )t f 98-/2. FAX:(6oS)(�g.`/z9 MAILING ADDRESS: ,0,6o/3og , 26r EMAL Wit,4A,. eGJ'1'CcJt, 6€0/91 P oject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: J 11 Sewer CI Addition ti Steel Proposed: / Bank Ci Community stem ❑ Alteration/Remodel ❑ Concrete Total: / Height: Individu ystern CI Repair Li Masonry SEP Pe it#1- `/y— /' l e' ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: U. Private well wo Party Type of Heat i Proposed: I Public j/ Total: i Name of m: If this is a Commercial Project you must answer the following: • Number of Parking Spaces: Curve Proposed: Num A Parking Spaces: Number of occupants(includ wners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: ill you have Food Service? Yes / No If this is a Propan ank . • , or Appliance Installation permit,mark all items-below that apply: i Underground Tank Above ground Tank Size�of e Tank: i Heat Stove I •• Stove i Woodstove j Fireplace Insert.__YHot Water Tank i Pellet Stove I Other Is this appr nce being installed in a Manufactured/Mobi Home? Yes No When applying for a permit to install a propane tank you must also sub • ' • 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 � •� I Current Proposed • E l-I SQ-pi-t�t�,iU CQ 5 Main Floor Consistency Review: 7 2""Floor / Base fee: 1/e'7• . 3fa Floor Additional Section: ` r Mezzanine: Plan Check fee: b� 11 Heated Basement State Surcharge fee: /. 1. Unheated Basement Pot Water Review fee: Other Unheated /—* 911/Rd Approach fee: bD- Garage/Carport if O 001 q -1 a% TOTAL: $ (Q ,4(r) Decks r ,------./ Receipt Number: O I a4a Other Cash/Check Number / O ESTIMATED COST(REQUIRED)_ Date: .Fair market value of all labor and materials- ndattion to finish 1 a 3(a -` ' g-p b2 Fa Initials: { c�, ' / t UMAY232006 C:\DocumenL p Master Permit Application 7-8-04.doc _..7 AVE LCrmLNT - lat1,11.,11'Si,,`,,'' ,,••..ap' . .,. ,,, , , , ,, ,' ,., , , ,i . ,,,,., -,., ,,.;.,.,..,','',.., ,'(,,,,,4,„;:,ktiko:'',,,,,15,•v7"$,;,P`,',1::.'"..2 .,,,, "•;!'',44i,' • . -, , - ,,, .,. ,,:,.,...„,„;,,,,'..,,.,. -., ....t',,,.,. ...'.-,,,,,,,,,,;,•:,,.,'.;',',",'''',:,.'',,,,'',.':'',,,'!.:.'",1..;,,,.'".':',.;,:.t.•,'4.,.,'144,+,,„,j,,,4.4,54,,,';',;',",,,*.,,'°-!,,.'',4"1,v;.. , . , .,...... . ..', ,-,,,,,,,m.1,,,,,,,,--,,,,,;.,•,.,:f.,:,,,,...,,.,„1..; ;;:,:i,;,:,.?„:,,......,,,,,,,:„.,,,,,,,,,,,,,,,,.,.,,,.;‘,...,,,:::;:,,,,,,,';;,,,„: ,,,,.:‘,.,,- ,-,',',,,.-:'":!,,,,,';•,,l,„..10.'41'*,11tzti.,`,•$"..!e•,':',;11:';'''''".,p.,;.'• ' ' ' ' ' •••. . - , , ' '''' • ' •••'',:.' 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