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HomeMy WebLinkAboutBLD2006-00328 IIII ILDING PERMIT APPLIC�N MRAOW003e3 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00328 Received Date: 6/13/2006 SITE ADDRESS: 242 W FITCHBURG ST PORT HADLOCK, 98339 OWNER: RICHARD A NORDBERG PHONE: 360-385-1129 242 W FITCHBERG AVE PORT HADLOCK WA 983399590 SUBDIVISION: Block: Lot: T1624 PARCEL NUMBER: 901022006 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: CUSTOM BUILT STRUCTURES,INC PHONE: 9792 EDMONDS WAY#239 EDMONDS WA 98020 Contractor's License CUSTOBS950KB Expires 5/2/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW POLE BARN/GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 12,500.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 720 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: Routing Dater V�f (DI i C Z - Type Amount Paid Bv: Date: Receipt: Approved/Date JUL (o 2006 Total: Jefferson County Planning & Building Department CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD06-00328 SITE ADDRESS: 242 W FITCHBURG ST Issue Date: 07/6/2006 PORT HADLOCK, 98339 Final Date: 4/16/2013 APPLICANT: RICHARD A NORDBERG PHONE: 360-385-1129 242 W FITCHBERG AVE PORT HADLOCK WA 98339-9590 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901022006 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW POLE BARN/GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/16/2013 \\tidemark\data\forms\F_B LD_Occupa n cy.rpt 4/16/2013 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00328 Received Date 06/13/2006 SITE ADDRESS: 242 W FITCHBURG ST Issue Date 07/6/2006 PORT HADLOCK, 98339 APPLICANT: RICHARD A NORDBERG PHONE: 360-385-1129 242 W FITCHBERG AVE PORT HADLOCK WA 983399590 SUBDIVISION: Block: Lot: T162+ PARCEL NUMBER: 901022006 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: CUSTOM BUILT STRUCTURES,INC PHONE: 9792 EDMONDS WAY#239 EDMONDS WA 98020 Contractor's License: CUSTOBS950KB Expires: 5/2/2007 PROJECT DESCRIPTION: NEW POLE BARN/GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: er t t rk 7`�-7 UFFER: Footing: 1MQ5-4.Z712510 Foundation: 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: u NJ 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 BLD06-00328 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 West Fitchburg Avenue 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_B LD_Perm it_B uild ng.rpt 10/29/1999 ��,gON cirf %. JEFFE1 COUNTY le DEPARTMENT OF COMMUNLTY1DEVELOPMENT; ; ''d 621 Sheridan Street • Port7oviinsend •Washington-98368 "' 360/379-4450 • 360/379-4451 Fax �qS O'� www.co jefferson.wa.us/cbmmdevelogment 2 2006 'Ai-IN www.cojefferson.wa.us/cbmmdevelment II 1 Master Permit Application LA: Q(Q 33 Project Description(include separate sheets as necessary): ,cV I'L^ =AENL_ J/cv /i/' eiw>ei -ccYra7iii/(, `-_ Tax Parcel Number: 9Ql Property ? - 6y�6 ps (3P� C � Size: €7 (acres/square feet) Site Address and/or Directions to Prop, y: Y %4 % 6i- rc/ Ausz • iR a- c �/C k� G)q Property Owner(s)of Record: C.i C-6 cti-- /( 0)-- ,b i,-!c- Telephone: 3(60 - ,S) ss—//1Z�r Fax: email: Mailing Address:c?+Z f i-tGi7Aui.c I vQ. fl+_{-, r14& f/� coc,, ' 33j Applicant(if different from owner): �5 33/ //7S%,� l�ae. Telephone: S- 7 /.5"/ Fax: •.J/6 S �� � S"- email: Mailing Address: L - c4 Ln/7 lc k; What kind of Permit? (Check each box that applies) Jeeluilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family -V ❑ Discretionary"D"or Unnamed Use Classification ,0't;arage Attached Detac e ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use 0 Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑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 0 Temporary Use 0 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 design e , le to act as my agent in matters relating to this applicationfor ermit(s). OWNER SIGNAT Date: -- cS /? (7> By signing this application form,the owner/agent attests that the i ation 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,mayany way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provid 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 i_ns,p��o'ons. cess and right of entry to this property shall be requested and shall occur onl durin regular business hoyys. G eyC�l / �j 1 i� igVnattl� ���1 �- h Date: The action or actions Applicant will undertake as a result of the iss nce of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an en angered 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 viola(91SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you a e i compliance. e Jef e n County development code.The Applicant acknowledges that he,she or it holds individual and non- ( trpsfkrable r �onsibil for a om mg the ESA. The Applicant has read this disclaimer and signs and dates it below. C� iVgnatuTe' .ery e,U �C Date: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc Se 040 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: t, /3(//r ((/t;45.) 1/8 3/37 (i S) . 27`l -3/5 3 MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE ', t U '7 Q,)O WAINS NUMBER: �"� 01--5 4 t�s O A—B NUMBER ARCHITECT/ENGINEER: �N� PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: 4,11 Shoreline: Type of Sewage Disposal. ir XNew X Wood Existing: ,'Z /'/ 0 Sewer !! ❑ Addition ❑ Steel Proposed: Bank Height: I I Community System ❑ Alteration/Remodel 0 Concrete Total: ❑ Individual Systew ❑ Repair CI Masonry SEP Permit# X0- Y,P(( ❑ Demolition ❑ Other Bedrooms: p,, F) Water Supply: jVf/. f1•/t-' /34./ Existing: Setback: 11 Private well ❑ Two Party Type of Heat: Proposed: H Public /171 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: l:I Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove li Cook Stove LI Woodstove 1 I Fireplace Insert 0 Hot Water Tank [] Pellet Stove LI 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 locatic-n 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: w —00 2"d Floor Heated Consistency Review: �`'� Other Heated Base fee: g5c:3 Mezzanine Additional Section: ,--- Heated Basement Plan Check fee: i 45 j Unheated Basement State Surcharge fee: �j s' `1 Other Unheated Pot Water Review fee: ..____s-- CGarag9/Carport SUBTOTAL _., Decks 911/Rd A roachfee: _ Other - -TOTAL: $ 6-llJ. o Receipt Number: ?,,t t Cash/Check Number: 71 �' ���}: 1 2 2006 Qo‘ I EST� MA D COST REQUIRED) I 1L.' .F ' e o .V / (- tualut of all labor and materials foundation to finish cQ. �a1 0p Initials: „ I G:\ e tit enter'`FFRMS\DRD FORMS\Master Permit Application 12-3t D5.doc -- / 24'-p" • 12' p" / - / 12'-0" 't / P2X12 RAFTERS o N N g \ \ o x to --cs m zc) in I o0 c Z = co 0 2 N Cl CO z � � � z = im D p ID ram- H0 m DOCZ r0 ig, O � � N CZnN r On O o D ZOD a r II 0 ? 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