HomeMy WebLinkAboutBLD2006-00309 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00309 Received Date 06/1/2006
SITE ADDRESS: 2281 HASTINGS AVE W Issue Date 06/14/2006
PORT TOWNSEND, 98368
APPLICANT: BERNT P ERICSEN PHONE: 360 301-0324
MARLENE J ERICSEN
2281 HASTINGS WEST FAx 5k-G730
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 001054009 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: Remove Old Deck- Put in new and larger 216 sq ft
CALL IN FOR THEREQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ((pp
UFFER:
Footing: %Ly(P.Db
Foundation: 7'
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: • lei,
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 A BLD06-00309
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.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) Minimum setback from Hastings Avenue West right-of-way shall be 20 feet. Minimum
side and rear yard setbacks shall be 5 feet.
7.) 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.
8.) 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.
9.) The building height is not to exceed 35 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
!UILDING PERMIT APPLICASN MRLA06r0 0e85
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMITBLD06-00309 Received Date: 6/1/2006
SITE ADf 2281 HASTINGS AVE W
PORT TOWNSEND, 98368
OWNER BERNT P ERICSEN PHONE: 360 301-0324
MARLENE J ERICSEN
2281 HASTINGS WEST
PORT TOWNSEND WA 98368
SUE Block: Lot: +
PAF IR: 001054009 Section: 5 Township: 30 N Range: 01 W
CONTRF- . OWNER/BUILDER PHONE:
REI E: PHONE:
PROJECT :.ESCRIPTIOP Remove Old Deck - Put in new and larger 216 sq ft
TYF RES SQUARE FOOTAGE:
TY: DEK MAIN:
VAL( 5,000.00 ADD'L: HEAT TYPE:
COE 2003 HEAT BASE: HEAT TYPE:
OCC ' UNHEATED: #OF STORIES:
OCr OTHER:
CON. GARAGE: SHORELINE:
cot,' DECK: 216 SETBACK:
BANK HEIGHT:
SE`v °.L: CON
WA_. CITY
BEE BATHROOMS:
ExiF' Exist: 2
Prod. Prop: 0
Tot<z' Total: 2
RoL' L— Z—� YJ
APPflçvrTyr Amount Paid Bv: Date: Receipt: Approved te '
Per $125.25 RAC 06/01/06 81272 JUN 11 2006
PI $81.41 RAC 06/01/06 81272 Jefferson Cour4
Stn• or? $4.50 RAC 06/01/06 81272 . 17111nt�
&Building C'Epartment
$211.16
A c��c Ict
t ° S
tifyi /hc 1,Lia-t -
4--vvt.,--- 3 40.44
1` I - 3--
"Zi I I I
t‘i Al i I
I -Cy, i-(1.,-- c. i
1 s
'dt.2 AV i
I I
4
N.
--..
I:\ t t•- - ..„ _
"r"ck 4.-t
,s ue.4....e.,..“,
,..
1- -1 '-. 2'
"
____ , .1'I
cis. 4.-6,4 4
(.-_-x. Delc_ -.v. — 6111•
"f*,, t 1 61
I _ •
1 Sci ir
Zi — L ' t
of..fric,..5,
< AI 4 I
1 ak.SI:40
.:21'x3c1
1 .1 --1
ii axis' IA
\. 1 51-s.v. / •......... I 1
I-
, EX, 6 rez.i;c1:
4t:. '.1), • -..... \ _, f,. *iK Zs'' 'le
-).-
sk7
is) \
-.,
op
— , r
- \_... -
1 --
6-)(' 3t-se,
, ,c ,
/ Owner: 'Berra ,t
a resc
1 I A Az
Vr-k, 1 Parcel# 00 1 05-4 0 0 ci
/ Designed by: .
cA-
APPROVED . PERMIT # OLD
AN - 0 6 - 0 3 C le-
1 1
__SITE PL
RStorinw, JUN 1 4 2006 JahilgillityUNTY BCD
„.. • -4 - ,rf i., r\k 1
wquire• lito, I
'
loPr/,‘ _)i. JEF' ' ,ey UNiii
- ---"W D .0FC,, DEyEL '
s SIGNATUR•. IL O
A
141/ 44
(110N c�� JEFFERS OUNTY r.: , t
if ' \� ,'A DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washings 2006
360/379-4450 • 360/379-4451 Fax
.,spy www.co.jefferson.wa.us/commdevelopment
JEFFERSON COUNTY DCD
Master Permit Application MLA:
Project Description (include separate sheets as necessary):
/F.0 t (14:).i'1 I fn iC/41 iivi (Ir i'. ', )lu,(( (al `�� ` d, (k
Property
Tax Parcel Number: Q O 16 - noel Size: '5 aLr . (acres/square feet)
Site Address and/or Directions to Property: ,;0...51*j We.S-ti/V s nyi, , �4/6k- SI& lrwlw send 11.34.9
Property Owner(s)of Record: ,e ttt $ 1 -/te_ Erie..4e4-1
Telephone: i;4C - 35ec - ff-,24,1 Fax: 'i.6- 4'I30 email: n1 h [4-1(:.8'41 A. CAhL401e4eiei/A •
Mailing Address: St-rrle As. 0.4040c .
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building --,� `O Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit �` ' El❑ Conditional Use[C(a), C(d),or C]**
❑ Single Family j_ 1 ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached V k'�'1' �� 'Q '� ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home '4- --C .i .r ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
0 Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
El 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:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 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.
Signature: k4144A.1C_./`A i rdin, Date: 5 2 5r O 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 res sibility for hering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: • � i(li„ Date: 9—3/ -ec
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• 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 the General Contractor for the proposed project.
Signature: `.� Date: ` —j1/- C'6-
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
15e4m,, 6vicA (3t0,:• ) 38c-364 . ( 3& ) 3c- 693o
MAILING ADDRESS: O yX,' l �1 y�l/ki( At,��,, LiA)/L EMAIL: b �i�61 • 1
CONTRACTOR'S LICENSE WAINS
NUMBER: . 1/e ��-*fi e, 0
P� ' -7 '?C NUMBER
ARCHITECT/ENGINEER: "•�. PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
$ New 'k Wood, Existing: 2- ❑ Sewer
' Addition 0 Steel Proposed: C Bank Height: ❑ Community System
,, Alteration/Remodel ❑ Concrete Total: L )(9 Individual System
❑ Repair ❑ Masonry SEP Permit# 8ti - do17
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 3 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: C' g Public
4.(e ,�L Total: , Name of System: -Pe, t
nwA Seal .
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 ❑ 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 Bld App Review: / `0
b
2nd Floor Heated Consistency Review: -1
Vc", :,) .C.) :4\
Other Heated Base fee: ����� �
Mezzanine Additional Section:
Heated Basement Plan Check fee: — '
Unheated Basement State Surcharge fee: -0
Other Unheated Pot Water Review fee:
w
Garage/Carport SUBTOTAL _ • '
Decks -
/�a,I • 1/Rd Approach fee:
-Z1414 i ,d erk (2 i ? _ ,,�0 _` �
Other 1 TOTAL: $
Receipt Number: b.,-
.,-7 2
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: (( II I_
•Fair market value of all labor and materials foundation to finish l9 — l—C )Q
Initials:
s+ 0D CaL-----
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc