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HomeMy WebLinkAboutBLD2006-00338 9ILDING PERMIT APPLICAMN MRLA06w00pe322 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00338 Received Date: 6/13/2006 SITE ADDRESS: 54 EVERGREEN LN PORT HADLOCK, 98339 OWNER: WILLIS E BERKEY PHONE: (360) 379-5605 RITA BERKEY 54 EVERGREEN LN PORT HADLOCK WA 98339-9591 TAMARACK VILLAGE SUBDIVISION: Block: Lot: 18 PARCEL NUMBER: 998300018 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: APEX CONSTRUCTION PHONE: (360)765-4374 PO BOX 807 PORT HADLOCK WA 98339 Contractor's License APEXC**000CZ Expires 03/29/2008 REPRESENTATIVE: APEX CONSTRUCTION PHONE: (360) 379-9636 PO BOX 807 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOI FREESTANDING ADDITION TO MFH WOOD FRAME 1 BEDROOM AND 1 BATHROOM TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 400 VALUATION 26,112.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 1 Prop: 1 Total: 3 Total: 3 Routing Date: to J 14 loco (P-, Type Amount Paid By: Date: Receipt: Approved/Date Permit $411.45 KAS 06/13/06 83553 APPfl \/ED Plan Check $267.45 KAS 06/13/06 83553 State Building Code $4.50 KAS 06/13/06 83553 JUL (3 2006 Total: $683.40 Jefferson County Planning & Building Department 9sALo9r741p1Re-"w4goq":A-A4.4A 1 j--fe.i ,iiI1i , .• v( : „1yidA 0/1 // :31.V „ 1 ,, _ll (09c 96 VM .ONAfh%. _ .:T:68? 94° 06 0N iis al Xh4 /1Z imtNsl L1 ) '.1:1 44).0} ) I ID REVISED SI LE,,'LAN ./--I r )1 i ,.., ,,,,.. • MI i dated' ill C) orir ' I 0 / i , >. f:-;--f,/e .eteiz) Afv, Rag been APPRO i6 /1/* by JEFFERSON ! 53k. 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BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00338 Received Date 06/13/2006 SITE ADDRESS: 54 EVERGREEN LN Issue Date 07/13/2006 PORT HADLOCK, 98339 APPLICANT: WILLIS E BERKEY PHONE: (360) 379-5605 RITA BERKEY 54 EVERGREEN LN PORT HADLOCK WA 98339-9591 SUBDIVISION: TAMARACK VILLAGE Block: Lot: 18 PARCEL NUMBER: 998300018 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: APEX CONSTRUCTION PHONE: (360)765-4374 PO BOX 807 PORT HADLOCK WA 98339 Contractor's License: APEXC**000CZ Expires: 3/29/2008 PROJECT DESCRIPTION: FREESTANDING ADDITION TO MFH WOOD FRAME 1 BEDROOM AND 1 BATHROOM CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: (: .i-�k-010 UFFER: f Footing: 1 3 m4.- f 0- t PRQf v-soiI-0- Foundation -ff"t1,-Q� Stormwater FINAL Approval: Underground Plumbing: Underground,1tsulation: Shear Wall :; , � .6, �,fi. iig fi Sheathing: kf t 11 Framing: afr fr/Znitipe a Goiti ars 46/23JQL, 1C.,a; - -/ off. OK 6 y R L� Plumbing: OK by re o et/2 70L / �/ Propane Tank/ Lines: Insulation: (454tAiS*-IZ .,7-scP Sheetrocl I L-& Septic Sytim nal Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/ Occupancy Approval: I- 30--07 HEALTH DEPARTMENT ND 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 • ' h1CFA\TEfl OWNER BUILDER STATEMENT • The signer at'this statement does -,.•. certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that - they will be assun ing the res... ;i..., General Contractor for the proposed pt�,je,L FJ(J1 1 3- 2006 - *nature:: / Date: .. t GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PtioniE: •, �.+ 11.i i S IJ RI t, -I f 11�'f� nPex C'anos7ieuc ms .�'ivc. , (36o)765-- 5'.3:7st (360 )76S-Y37Y-- MAtLMG ADDRESS: PO oX 2 07 —PoR-T 1-1 A 01.6 c k co to . EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: ‘OoZ —S cS•— 2 3 7 NUMBER ARCHT1EC11ENGINEER: D A IV ri I 1 t~ M C s s PHO^IE (360)30/—/r7 FAxc:( ) MAILING ADDRESS: PO d d X i l 9,4Q) PP RI T+wrL"s PN of 1!J 0 EMAIL Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal: New % Wood Existing: 2 \" u Sewer rAlteration/Rem del ci Concrete Total: I Height:�� ❑ ndivid-Community system 3tUnd+v+ciu�System C' Repair iJ Masonry _ I SEP Permit# SS- i? U Demolition D der pa Water Supply: Existing: — •Setback: r Prhrate well Two Party Type of Proposed: _ I ki 02k Total: • thi c �f System: P.It.p 0 , If this is a Commercial Protect you must answer the followinu: Number of Parking Spaces: Cu • Proposed: Num palidng Spaces: Number of occupants(includes owners, ,employees,etc) Current Proposed IBC Occupancy: IBC Type dart: Will you have Food Service? Yes I No if this is a Propane Tank andlor Appliance _ cation permit,mark'all items below that amply: I Underground Tank t Above ground Tank____---- Size of Propane Tank I Heat Stove I Cook Stove I •: ' -e I Fireplace In I Hot Water T I Pellet Stove I Other Is this appliance beino Installeki In a Manufactured I Mobile Home. es When applying for tiler it to install a propane tank you must also submit a site plan showing all of the buildings,ail properly lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic bysGirt►components, Including the reserve area. Square Footage For Office Use Only p.kte-PiZiS 1Z£y 105,� FloorCurrent Proposed { - Main2`�'Floor a it,0 ` ' 40D l a(9 llyd.00 l 5.3.0 tom— se fee: 4 I I .LIS 310 Floor Additional Section: - Mezzanine: . - - Tian Check fee: 41,45 Heated Basement - State Surcharge fed: , 1 . 5��1 Unheated Basement Pot Water Review fee: Other Unheated 911lRd Approach fee: Garage/Carport t`�I S 4 (rt G . `--6.)--- -19-- TOTAL: $ q Q 1.40 Decks . a 0 6 ' Receipt Number: 0 33 3 Other Cash/Check Number: 5 al+ . ESTIMATED COST(REQUIRED) Date: Iv r_ 'Fair market value of all labor and materials foundation to finish ( 1rJ /0 .O ° Initials:`d00 l C:\Documents and Settings\mocha\Desluop\Mistee Perrot AppEcatiort 7.4A4.doc �w'oN eO JEFFER COUNTY •, W ,.3 DEPARTMENT OF COMMUNITY DEVEIOPM�NT °' 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax .. p , Ufa 13 ZOOS p www.cojefferson.wa.us/commdevelopment meat Master Permit Application {fFERSON rriiwi '1 O(n -3 as R e Project Description(include separate sheets as necessary): ((11 1 it, Yt K ,5� j/ij A/.)f ,'.L. ..A.'=/flkq < , - 2i 'O r/2 i z "- Deo R(9o,r\ F' A c� F� 7 Tax Parcel Property Number. 9 g g 3 0 0 0/g Size: (acres/square feet) Site Address and/or Directions to Property: v-f?r;t-�2� � - 6 e'z,e',e f' j,ef- ,U in= /�", Property Owner(s)of Record: , /� d f,t'KF'c� Telephone: 36 o'-37 -- S 4,C S- Fax: f email: Mailing Address: 5-4V et/fR 9 e re er,) I- N , FO R-T i-i 1q D l..,:,c k. t J,L9 4 , Applicant/Agent(if different from owner): A P e X E,,i l s'Tie a c_Ti n iv _12 G. , Telephone: 31,0-765'-SL 3 r7 St Fax: 36 O -7G S- 41374/ email: R P EX 67/V c p L u S .IV 67- Mailing Address: PO 6 n x e 0 7 ) Pc RT J4 pia I-e;c.I ,, t A ' q 83,3 7 What kind of Permit?(Check each box that applies) ' x.uliding u Variance(Minor,Major or Reasonable Economic Use) u Demolition Permit a Conditional Use{C(a),C(d),or C)"" u Single Family a Discretionary"D"or Unnamed Use Classification Li Garage Attached/Detached a Special Use(Essential Public Facilities)** Li Manufactured Home u Boundary Line Adjustment u Modular u Short Plat" u Commercial* u Binding Site Plan"" U Change of Use Li Long Plat" u Address i Road Approach u Planned Rural Residential Development(PRRD)/Amendments"" u Propane U Plat Vacation/Alteration' u Allowed"Yes"Use Consistency Analysis u Shoreline Master Program Exemption/Permit Revisions"" u Stormwater Management u Shoreline Management Substantial Development" u Site Plan Approval Advance Determination(SPAAD)* Li Shoreline Management Variance u Temporary Use u Comprehensive Plan/UDC/Land Use District Map Amendment u Wireless Telecommunication* u Jefferson County Shoreline Master Program Amendment u 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 pe�rmit(s). OWNER SIGNATURE - , `/ •' *_ � j � t- .,.9 Date: /O --,2 g /OJ / By signing this application form,the owner/agent is that the information provided herein, 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 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 lat inspecti ns.Access and right of entry to this property shall be requested and shall occur only during regular business hours.Signature: Date: 10 'OwJ f`— C/ 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 are in m lia with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf ere n . ' fo adhering to and complying with the ESA. The Applicant has read this dis ' %and signs. n it below. Signatur • Date: 7d Sr C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • SPECIAL CONDITIONS FOR CAS BLD06-00338 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 Evergreen Lane 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 Jul 11 06 08:42a Clint Allen 360-732-4374 • p.3 � a � r s . ..t.- ii iii 2IL • • t. . i le O • . ' /.. }� .:cam • IN. .01 a N. :°"'� di A :. ::ram • • - -- 7. 3. 1 F. z i.r.C':::-.14rfQ • �'oai a — v. .41 .. ,.... ... •. S ,M do , • G_I I_ y _ - • a r cm 1.71 ° UCI 4'. ditii 1r ' t o goy1 11 41 • il:: ° ., .... 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Ct / ® c6e;\ IP © ly?S : aP k 3 ,° • O— < -o s*. m N-0(n ) O acoO' - ( �_ �_ DN 6 a o m m oo o m • . < •- O N U a n a * 5'trn o 2� 0) p Q xj c �_ _7 7_ n-ll • N O 3 cu N N n = C O 0 (D O 0 m O �. O c 0 O O CD (cr CD (D 7 g d • o w —fl co (•) C W •e a _O (D p (D d a) (D W 0 O ( O 3 co— n) N c j a) N np m _. 73 _. W c O V1 _ .-' O D- C) . 0 if,.-co a • �.n ' - "O p c c) 0 w O c (n S w — p N 2 7 1 d) a) W ( O O -w - W a) N (D (n 2 CO F O0 c�. 6- Cl. 0 ( (D CAD '' cn (D () . (D (D O o' m 7' m (D (D .. ,� C (D o _c C n -- N O n p O (D 5 °' S ci (D co (Q D- (CD 5- D 0• co-0 m m CO C) DD) (0 a1 CO y a) m W _. Nn) < P OD (D Oa -, 2i v m m y C) - - co O D _O O m n = c- m N Q CO) 5 3 Si) e) o °. m c, N c 0 a O 5'0 7 (D m DIMM G PLA �oo�m Acckion 2 CLIENT FJ� CTerket A i y Dan n ADDRESS 54 vercreen Lane P.O. BOX 1142 IV�N: sj • PORT TOWNSEND, WA. 98368b SIGN f bATE: 7/3�jp5 (360) 301-1779 DRAWN BY:pafttterness E COPS f%L