HomeMy WebLinkAboutBLD2006-00353 B!ILDING PERMIT APPLICATION MLA06-00340
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00353 Received Date: 6/21/2006
SITE ADDRESS: 3078 CHICKEN COOP RD
SEQUIM, 98382
OWNER: DAVID A PETERSON PHONE: 360-681-2133
DEBRA PETERSON
3078 CHICKEN COOP ROAD
SEQUIM WA 98382
SUBDIVISION: Block: Lot: T 28+
PARCEL NUMBER: 002333011 Section: 33 Township: 30 N Range: 02 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 7/8/2008
REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360)683-6216
PO BOX 3831
SEQUIM WA 98382
PROJECT DESCRIPTIOr NEW GARAGE POLE BLDG UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 816 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
(Clcg I /Qr
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $251.25 LYK 06/21/06 83621 AppFcvEc
Plan Check $163.31 LYK 06/21/06 83621
State Building Code $4.50 LYK 06/21/06 83621 JUL 25 ZO
Total: $419.06
Jefferson County Planning
&Building Department
PERMIT # BID
06 - 0353
_ 1F11 B! cn1INTY RIM
BUILDING PERMIT 110
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00353 I'S' QR(Yrni2 Lk)0 Received Date 06/21/2006
SITE ADDRESS: Issue Date 07/25/2006
SEQUIM, 98382
APPLICANT: DAVID A PETERSON PHONE: 360-681-2133
DEBRA PETERSON
3078 CHICKEN COOP ROAD
SEQUIM WA 98382
SUBDIVISION: Block: Lot: T 28+
PARCEL NUMBE ' 002333011 Section: 33 Township: 30 N Range: 02 W
CONTRACTOR' J BUILDING BROKERS CONST PHONE: (360)683-6216
o ,.3 P O BOX 3831
�C '-'1 SEQUIM WA 98382-5071
A' 360-683-6001
Contractor's License: BUILDBC011MG Expires: 7/8/2008
PROJECT DESCRIPTION: NEW GARAGE POLE BLDG - UNHTD, NO PLMB
CALL IN FOR THE REQUIRED INSPECTIONS THAT AFTILTO YOUR PROJECT.
SETBACKS: AL/ „ /L, O(-,
UFFER: / �
-foattng. PL ;I tiot__t�. _`> /'v 10 D(-. 1
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathin :
Framing: A-�6
Plum bin .
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before fiial of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: lb 2 -OJ..
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
SPECIAL CONDITIONS FOR CAM BLD06-00353 •
1.) 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.
2.) 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.
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 setbach from the ingress, egress and utility easement is 20 ft. Minimum side
and rear setbacks are 5 ft.
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_Perm it_Bu i Id ng.rpt 10/29/1999
ON 006 JEFFERS COUNTY •
(-----
al \� DEPARTMENT OF COMMUNITY DEVELOPMENT
`' `.' 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
IA, 0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: CY,o -340
Project Description(include separate sheets as necessary):31
t-t I, '4A ` -�5V POL_ \ /.,t, 1441
Property
Tax Parcel Number: G 1,
4 r Size: t-V, g 3 (acres/square feet)
Site Address and/or Directions to Property: ��L. )K L,h',LK-Q vA (:.L,(,
Property Owner(s)of Record: .1 .kAi 4 Ca t �,2 h\ri.e ,,r. r")
Telephone: is S t -,..)\ 1 Fax: email:
Mailing Address: -4)(' l4; C.V,'s(r,l(S„-, CC,C?')
Applicant/Agent(if different from owner): l).,ti. \6. rt 6v-i:3 l�r
Telephone: to 3- (.�•a111..E Fax: ts%'33- (too ► email: tA. \&,r10 V7E: J.6 ealpeo.LuM
Mailing Address: 141 a vo-e i�,,,, Pz✓ k,,,,,;„1 `�e_cikk,yl,
What kind of Permit?(Check each box that applies) J
I Building I Variance(Minor, Major or Reasonable Economic Use)
I Demolition Permit 1 Conditional Use[C(a), C(d), or C]**
I Single Family I Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached I Special Use(Essential Public Facilities)**
I Manufactured Home I Boundary Line Adjustment
I Modular I Short Plat**
I Commercial* I Binding Site Plan*"
I Change of Use I Long Plat**
I Address I Road Approach I Planned Rural Residential Development(PRRD)/Amendments**
I Propane I Plat Vacation/Alteration*"
1 Allowed"Yes"Use Consistency Analysis I Shoreline Master Program Exemption/Permit Revisions*"
I Stormwater Management I Shoreline Management Substantial Development**
I Site Plan Approval Advance Determination(SPAAD)* I Shoreline Management Variance
I Temporary Use 1 Comprehensive Plan/UDC/Land Use District Map Amendment
I Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment
I 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 , ^ r 1
Date: `r r-y• _ ‘.
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 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 required later inspections.Access an right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature. Date: ( 12 1 )C.1,'
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 onsibility for adhe"n to and comply with the ESA. The Applicant has read this disclaimer nd s' ns an dates it below.
Signature: r �� Date: �0 k3[ i DLe•
•
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\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 min the res nsibi' of the General Contractor for the proposed project. I ' 0
Signature:0 Date:
Co
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER:
PHONE: FAX.
"..'e\61\IIG (` ) ( `�3 ' (�aILt (3tU) v'3 - ( oo 1
� ��f1.3�V`J '
MAILING ADDRESS: t(.I a. l�-�d,�1CUY, {� ✓IL%-,364- � EMAIL: 6i~, id , nc, Y)v b it,,,„) (, 14 QQ„-,.`c 0 Pt
CONTRACTOR'S LICENSE J WAINS
NUMBER: NUMBER
_?)t A,\0 1�(..1.)t 1 t-`1 k,:' PHONE ( ) FAX:( }
ARCHITECT/ENGINEER: L TS1
MAILING ADDRESS: EMAIL
Type of Sewage Disposal:
Project Type: Frame Type: Bathrooms: Shoreline: ❑ Sewer
7 New ,kr Wood Existing:
❑ Steel Proposed: Bank Height ❑ Community System
❑ Addition Total: .�l'Individual System
❑ Alteration/Remodel II Concrete SEP Permit#
❑ Repairmo ❑ Masonryther: Bedrooms: Water Supply:
❑ Demolition ❑ Other: Existing: Setback: . T Private well ❑ Two Party
Proposed: Li Public
Type of Heat: Total: Name of System:
If this is a Commercial Proiect you must answer the following: Number of ADA Parking Spaces:
Number of Parking Spaces: Current: Proposed:
ed
Number of occupants(includes owners,tenants,employees,etc) Current Will you have Food S Propoesrvice? Yes / No
IBC Occupancy: IBC Type of construction:
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
I Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove 1 Cook Stove I Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove I 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.
Current Proposed For Office Use Only Amount Revision
Square Footage p EH Bld App Review:
Main Floor Heated ,t°
2na Floor Heated Consistency Review. '5, (30
Other Heated Base fee: a5I 5
Mezzanine
Additional Section:
Heated Basement Plan Check fee: 14.51
Unheated Basement State Surcharge fee: 51)
Other Unheated Pot Review fee:
Mr
Garage/Carport 13 i 31 4o SUBTOTAL
Decks 911/Rd Approach fee:
EX-1 S )iN.-
Other TOTAL: $ (051 O°
Receipt Number:
Cash/Check Number:
ESTIMATED COST REQUIRED) 1.5131WD Date:
,F or a aterials foundation to finish
!� Initials:
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