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Home My WebLink AboutBLD2006-00356 tJILDING PERMIT APPLICATN ML Revviewiew Ty Ty 346 pe:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00356 Received Date: 6/22/2006 SITE ADDRESS: 194 PROSPECT AVE PORT TOWNSEND, 98368 OWNER: CHARLES R JOHNSON PHONE: (360) 385-2065 PO BOX 1660 PORT HADLOCK WA 98339-1660 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 001342021 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 08/19/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW POLE BUILDING/GARAGE - NO HEAT - NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,918.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 616 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: aaloco Type Amount Paid By: Date: Receipt: A Approved/Date Permit $181.25 KAS 06/22/06 83578 Plan Check $117.82 KAS 06/22/06 83578 JUL 18 2 006 State Building Code $4.50 KAS 06/22/06 83578 Total: $303.57 Jefferson County Plannine & Building Department BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00356 Received Date 06/22/2006 SITE ADDRESS: 194 PROSPECT AVE Issue Date 07/18/2006 PORT TOWNSEND, 98368 APPLICANT: CHARLES R JOHNSON PHONE: (360) 385-2065 PO BOX 1660 PORT HADLOCK WA 98339-1660 SUBDIVISION. Block: Lot: 1+ PARCEL NUMBER: 001342021 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 360-437-1218 Contractor's License: SOUNDBS027NM Expires: 8/19/2006 PROJECT DESCRIPTION: NEW POLE BUILDING/GARAGE - NO HEAT - NO PLUMBING CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 606 UFFER: rr Footing: I.( ' e2 666' Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: .,OI13-(sk, Plumbing: 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: �'3 10 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 CAt BLD06-00356 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.) 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. 4.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative buffer setback of 55 feet as depicted on the WE & MJ Short Plat. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the pole building/garage. 5.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 6.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) 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. 10.) Minimum setback from Prospect Ave is 20 feet. Minimum side and rear setbacks are 5 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 wr N �� m 0 0 O 0 .A o 2. rn m m F m O c� oo D ; —1 > y D X DM Mc •c� m N C m N C m N C O) vm : rn mcm m D. \ — N� 0 rZO�� 6Zj GO Mr1 ('- M�1 ` � MOrr �( Zco W7 r �' zFOF F0 - Q A og 3 V) m rn rn 0 rn mv , • N N z Z E-IXX8 Z) � Z� ZZ,-. zZ.-.NZO` � v� mFILE COpy ; M Z, vTm z vo �oozv 0 (n oZlliay �FZ v v�� o Ocn z 8 D 3i) zC .i . Z � iA * D or' nzg Z Q. mz =vz • � zr� z Z�. rri ox 0 0 o c. 13 13 m a Z i NO o rn O m N m - m cn ZO co - > m I Z p ND m - W 0 I-� mxi D ar rn co > Aau �o� ��s3i r PERMIT RlD_� o Fr,' D rm v A t' (N ' JEFFERSON COUNTY DCU C 21. O naa a�, \�,- SW > l�1 cc O DOUBLE 2X12 #2 D-F RAFTER(' . I ,r II �•F�R 4° J 0 0 0 • O 0 _ DOUBLE TRUSS O N Iii> a. m 2v'0 C.4 A -vr �� N -+L"z �S t 010 o_ r$ C O O O L Z r'Vr w Im�4 J O Z r� a O ,N� o O * O m * 9 D N f U g, a` •o N 5 o salDOUBLE 2X12 #2 U- rcAr fLkS cn • =. toZ K 5 Ci7Z 0 0 8 O R '. o; rn 2 14'--0" 14'-0" Jk O- ONx om 28 r tCt rn �yJ rill Z r8 0 Off= � , li .P o 4 1 -Z V ��4r¢501V Cod,, JEFFER.J COUNTYII ti A DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax . .q4,S.— www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0(0 3`t( Project Description(include separate sheets as necessary):::', ' ' , ttrtt�)ij N LIMN I C`,„:,, rr-t:c ftr,,,t , f` ,2*- X .1.1'x ct ' pole tit,. Iv,,,• c�tzra /(/U 1�1 Ury, t n� -Property Tax Parcel Number: OOj 3'- - r7 z I Size: fee(acres/square t) Site Address and/or Directions to Property: I g y Prc s p e c.r f(ve._ R.-t T c wl1,c,id Property Owner(s)of Record: ,,i,to r l e, R I:A,i s c.t Telephone: 3w G- 3 g.a- -2 o 4 s Fax: email: Mailing Address: PO /3c< I44,0 P -r /f<<d/t'rr tf.A 76/ y Applicant/Agent(if different from owner): S tt A ci fq a,Id my S y 5 fe n• ,zc Telephone: 3i.c - il3 i - LIr i Fax: email: Mailing Address: 3 "yb• 11'.d,-,„(y/cc-- hive a Art 2uc1/c. i,JA 7Y3aS" What kind of Permit?(Check each box that applies) 6/Building ❑ Variance(Minor, Major or Reasonable Economic Use) 0 Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification VGarage Attache De at c�ie ❑ Special Use(Essential Public Facilities)** 0 Manufactured Horn ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ 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 ❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 So,., c .,,I d,,, S • e 41• - to acl:as my agent in matters relating to this application for permit(s). r `Jl OWNER SIGNATURE h iJyL..Zt . Date: / -7- 0 � 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 ins ections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. , r Signature: j ",y �_ -,--, Date: ._�z - 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 assurance:.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 th Jefferson County development code. The Applicant acknowledges that he,she or it holds individual and non- transferable responsibilit for adh g to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: si Date: C� '.-90-" 6 L, 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( 3Ec )1137• l<:z1 i ( 3LL' )`I37-1x rb Sr%arrd �w% lf.lir�t• J��/S I F ernS 1 I'(� MAILING ADDRESS: J3.s`7 t, 1l1,,r r d yk r, Re 4 d EMAIL: CONTRACTORS LICENSE Pe, t Lt.:oflow, tt%s{ c`,r's'F•s" WAINS NUMBER: S0L1,Vbi 027 Af P'l NUMBER ARCHITECT/ENGINEER: PHONE ( So j)5-y _ i?Z i FAX: (Ye)3 )5 y- ,7. 4/1,4ar�. ChJ doe er,n5 MAILING ADDRESS:j-leo l'I,,,,k,t st.4,/C Ste 4 Sa le_c,a, CR i 73p l EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: [t/New [YWood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: c) Bank Height: [I Community System ❑ Alteration/Remodel ❑ Concrete Total: 4. Individual System ❑ Repair ❑ Masonry SEP Permit#02._• �-I 0 ❑ Demolition [] Other: Bedrooms: Water Supply: Existing: Setback: lP rivate well ❑ Two Party Type of Heat: Proposed: El �/ ❑ Public Total: /, Name of System: A 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 Li Above ground Tank Size of Propane Tank: I 1 Heat Stove Ll Cook Stove [1 Woodstove i i Fireplace Insert Li Hot Water Tank [i 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 Bid App Review: . t 4)5_00 2nd Floor Heated -r Consistency Review: \53 Other Heated Base fee: 1S1. a5 Mezzanine Additional Section: Heated Basement If t " Plan Check fee: 1t11 —1 , GUa Unheated Basement State Surcharge fee: 7 � 1 1.5 ;' Other Unheated Pot Water Review fee: ,-- Garage/Carport SUBTOTAL I40 cif-7,t(b ) 5Di.5- 1 Decks 911/Rd Approach fee: . i5k-trC Other TOTAL: $ D 1.5 Receipt Number: SA5- 7 S Cash/Check Number: 15°1 1 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish cjo Initials: G:\Permit enter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc Char ie. R .Tv hn5c2 el T / scale f „y ..5-0 " ,M,, 1 9 `1 P ra s p e t Ave _ . ' T 1—o r t ' e.cl UU i I `l Sl 3(o`✓ �,,,f / T_ I *VS Pare/ 4( OO1 - 3`11 - U 1 3S,p',---.''".. 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