HomeMy WebLinkAboutBLD2006-00350 • 0
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00350 Received Date 06/20/2006
SITE ADDRESS: 91 W FITCHBURG AVE Issue Date 07/17/2006
PORT HADLOCK, 98339
APPLICANT: THOMAS G GAMBILL PHONE: 360-385-0468
KARIN J GAMBILL
91 W FITCHBERG AVE
PORT HADLOCK WA 983399544
SUBDIVISION: WOODLAND ACRES#1 Block: Lot: 3
PARCEL NUMBER: 999501003 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: CONVERT EXIST UNHTD GARAGE TO HTD SPACE, NEW ATT
GARAGE& NEW ATT CARPORT
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Pe, eA,...N;r iL o, i.Tl= V-I-or--
UFFER:
Footing: 1�X/5i//J<% 5i-4
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : ,i' ,-0 Una'{ O -00
Sheathing:
Framing c _ -,Q'pi„, / T
Plumbing. e'7?—O6,O7
Propane ank/ Lines:
Insulation. 6'�72.-b6
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: 61-2_3 -fit
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 CAtt BLD06-00350
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.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) Minimum setback from W Fitchberg St right-of-way is 20 ft. Minimum setbacks from the
easements along the western and southern boundaries are 20 ft. Minimum side and rear
setbacks are 5 ft.
8.) 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.
9.) 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.
10.) The building height is not to exceed 35 feet.
I:\F_BLD_Perm it_Build ng.rpt 10/29/1999
• MLA06-00335
olJILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00350 Received Date: 6/20/2006
SITE ADDRESS: 91 W FITCHBERG ST
PORT HADLOCK, 98339
OWNER: THOMAS G GAMBILL PHONE: 360-385-0468
KARIN J GAMBILL
91 W FITCHBERG AVE
PORT HADLOCK WA 983399544 WOODLAND ACRES #1
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 999501003 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: TAMARA HALLIGAN PHONE: (360) 385-2628
PO BOX 862
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION CONVERT EXIST UNHTD GARAGE TO HTD SPACE, NEW ATT I-t jl Aer
GARAGE & NEW ATT CARPORT t.,,;yr<_A:WV:-
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW .MAIN: 44
VALUATION 65,000.00 TciX) ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: 3ZC HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2
Routing Date:
COI at(p �j
Type Amount Paid By: Date: Receipt: a ed/Approv t
Permit $748.75 LYK 06/20/06 83611 A n i V E c
Plan Check $486.69 LYK 06/20/06 83611
State Building Code $4.50 LYK 06/20/06 83611 JUL" (12006
Total: $1,239.94 Jefferson County Planning
&Building Department
��¢soN cod JEFFERSCOUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend ••Washington 98368
360/379-4450 • 360/379-4451 Fax
1S N �O5 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 0( -33 5
Project Description (include separate sheets as necessary):
N.) -6\r\V k Ci-r \'t‘\\ v-r rmo&L\ t c)Cw a . 4-�o f eta Ipo A c A -
Property
Tax Parcel Number: Cj cj q- .51b( ' bt) Size:,.7 c� •.k., '" , 41 (acres/square feet)
Site Address and/or Directions to Property: q/ lit/ -Ti dl�-7
Property Ow er(s)of Record: au."(\ t1c,c kn 61Gc.✓v\(0t\\
Telephone:MO)38S- g Fax: i(//f4- email: 4//,
Mailing Address: 9'/ G✓ .i�!-//l.6C s-27 //z/"— 4122y- tla61/4 /yc �t�73?
Applicant/Agent(if different from owner): ---t�,�,,�A,�7, �k�;���� A-�� , c 0,
Telephone: (..3(oa.-Y3 g5 a b "a-$ Fax:
email:y{rat P _> Cx—TT .n�a
Mailing Address: ss1::), "9.,¢.,X $tom ._.• RU,C --r,,,,),,,S t_„-,� f i..04 �1$ 3Cp5,
Wpat kind of Permit?(Check each box that applies)
(Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI**
0 Single Famil ❑ Discretionary"D"or Unnamed Use Classification
Garage Attache Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
Change of Use 0 Long Plat**
Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management ❑ Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination (SPAAD)* 0 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 CQ,2Gri6 it to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ,— Date: )//J��l p
By signing this on 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 pr e'a and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any eq' yired ater• c ions.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. ----`
Signature: � ����
" Date: / `�
r
The aZR oTn 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 %i the erson County development code.The Applicant acknowledges that he,she or it holds individual and non-
transferable responsibil r ad g to and eompl ing with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: j/s/
Date: /
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
•
• BUILDER STATEMENT
The signer of this statement do ,hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu a ponsibility of the General Contractor for the proposed project95M
Signature: Date:
GENth*L-C; NTRACTOR 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:
VNew Er-Wood Existing: 2— ❑ Sewer
V ddition 0 Steel Proposed: D Bank Height: ❑ Community System
[V Alteration/Remodel ❑ Concrete Total: `L Vlndividual System
0 Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 0 Ey Public
CI L-V i c Y U�A.- CAA-( Total: 3 Name of System:
If this is a Commercial Project you must answer the following: hf
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,-1 (j�
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove Cl 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 �� if q .l35S092 EH Bld App Review: L05 o0
2"°Floor Heated Consistency Review: ' 53 o0
Other Heated , Base fee: „_ r—y/1 I�Oj
/'� .
Mezzanine Additional Section:
Heated Basement Plan Check fee: (i ��'-{,
Unheated Basement State Surcharge fee:
4' S- -
Other Unheated — Pot Water eview fee:
Nc7
Garage/Carport ��t-f13-1(o9:g$ SUBTOTAL li-IVT(}`L
Decks 911/Rd Approach fee:
Other .- TOTAL: $ 145-0+ 50
Receipt Number: (gip 1 1 ' as-
Cash/Check Number: tvO rN C033
I
ESTIMATED COST(REQUIRED) 7 icks. Date:'Fair market a1Ue f all labor nd ma r ation to finish (D --7 2 I.
Initials:
IM,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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\--.9t.,;5\ REGISTERED I
ARCHiTECT
2a '
, TAMARA OEE HAUJGAN
'11 NEW / STATE OF WASHINGTON
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PERM 6,06:004
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