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Home My WebLink AboutBLD2006-00391 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00391 Received Date 07/12/2006 SITE ADDRESS: 12 PETERSON RD Issue Date 08/3/2006 PORT TOWNSEND, 98368 APPLICANT: LARRY V COX PHONE: 360-732-0735 ANNE L VILVANDRE 12 PETERSON RD PORT TOWNSEND WA 983688723 SUBDIVISION: BROWN LARGE LOT SUB-DIV Block: Lot: 1 PARCEL NUMBER: 801065001 Section: 6 Township: 28 N Range: 01 W CONTRACTOR: KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License: KOZELHS027C3 Expires: 1/6/2007 PROJECT DESCRIPTION: NEW DETACHED GARAGE - UNHTD, NO PLMB CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 4., -I1 -01e9 UFFER: Footing: Wol)D ^11,i'(9(1 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,3\0 HEALTH DEPARTMENT D 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 •ILDING PERMIT APPLICATI,N MLA06-00383 Review Type: Jefferson County Department o` Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00391 Received Date: 7/12/2006 SITE ADDRESS: 12 PETERSON RD PORT TOWNSEND, 98368 OWNER: LARRY V COX PHONE: 360-732-0735 ANNE L VILVANDRE 12 PETERSON RD PORT TOWNSEND WA 983688723 BROWN LARGE LOT SUB-DIV SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 801065001 Section: 6 Township: 28 N Range: 01 W CONTRACTOR: KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License KOZELHS027C3 Expires 1/6/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13,576.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 576 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0- Rroo�u inq Date: (�vT£ I 1 Io l✓C_. Type Amount Paid By: Date: Receipt: Approved/Date Permit $237.25 LYK 07/12/06 83769 Plan Check $154.21 LYK 07/12/06 83769 State Building Code $4.50 LYK 07/12/06 83769 kus .3 Total: $395.96 J efter, F SPECIAL CONDITIONS FOR CASE # BLD06-00391 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 setback from Peterson Rd right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum setback from the adjacent designated commercial forest land is 70 ft (as depicted on the site plan). 7.) The building height is not to exceed 35 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/19 �.¢,sON c k� �r,� JEFFERSOUNTY ri `h ,a DEPARTMENT OF COMMUNITY DEVELOPMENT ' , 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax , -1,9 O� www.co.jefferson.wa.us/commdevelopment Master Permit Application Project Description (in lu a separate sheets a necessary) _Q s pr out--kepi- c ,urnbul Tax Parcel Number: C y 1 0(,,5 . Property r *� T—' `4' 1 Size: . 9 (acres/square feet) Site Address and/or Directions to Property: ,,,A J'c 7 s fl p ./, 1 .,_r, j ' / c, Property Owner(s)of Record: an l yi' Lou (Se. U jU)( h d r'e Telephone: -3t 0.. 73.L —c•735 Fax: email: Mailing Address: /:2 %c--r'rr se•ri ACr•j f'a;-•r%,,.,,;c1 SE 1�/ , - p} `ie 3 c,3'- Applicant/Agent(if different from owner): Telephone: F email: Mailing Address: What kind of Permit?(Check each box that applies) l t3uilding ❑ Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification Q'Garage Attacjtsl-/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ 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 ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment 0 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: OZ, I`St/9 DESIGNATION OF AGENT I hereby designate )� (( _ to act as my ag nt in matters relating to this application for permit(s). OWNER SIGNATURE U/06Qr ` , se ( r Date: 7 /A 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 a required later ins ections.Access nd right of entry to this property shall be requested and shall occur only during regular business hours. Vc Q � 7 Signature9iJJULdp rty i Date: I /D O 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 r71U1j.D onsibility for d ing to and co p n ith the ESThe Applicant has read this disclaimer and si ns and ates it below. Signature: ice ?: i;JEJLLdJ..•Q •' �Date: /�`j��f�cY 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 ming the res nsibility of the Ge eral Contractor for the proposed project. j 5� n' 71lal otv Signature:\ J�:YtiL�JC-/ �tG ( _I�+� Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: 0-. Koz-e-1 isky ''77 ( ) ( ) MAILING ADDRESS: I I v 2, r7 miller r� P T, EMAIL: CONTRACTOR'S LICENSE WAINS r NUMBER: 7(Oz.G le•.44'✓O?7C3 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: VNew A''Wood Existing: LI Sewer ❑ Addition [1 Steel Proposed: Bank Height: [1 Community System ❑ Alteration/Remodel 11 Concrete Total: Li Individual System ❑ Repair CI Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: // Setback: E.I Private well 0 Two Party Type of Heat: Proposed: C1 Public /1p��.. Total: Name of System: If this is a Commercial Protect you must answer the followin Number of Parking Spaces: Current: Prop sed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employe ,etc) Current Proposed IBC Occupancy: IBC Type of constru 'on: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Ins ation permit,mark all items below that apply: Li Underground Tank li Above ground Tan Size of Propane Tank: Cl Heat Stove I 1 Cook Stove ❑ Woo ove [1 Fireplace Insert CI Hot Water Tank 11 Pellet Stove LI Other Is this appliance being installed in anufactured/Mobile Home? Yes / No When applying for a permit to in all a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, stances 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: 2nd Floor Heated Consistency Review: 3 Other Heated Base fee: 3'1 Q Mezzanine Additional Section: Heated Basement Plan Check fee: l 5 .a Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: _ _ —. Garage/Serrport Q4I. 57�s�fto1�13,51I 5a. SUBTOTAL f` 3 G�/_P Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: S3-7(09 Cash/Check Number: --i(p53 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish 7 112 0 00 Initials: k af q00 -- -' C2-- G:\PermitCcnter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc P;13 Ac 0 .... c_ c,rcll mc „....„—1 z › v `4\t ..;'. ,„ _........7 ._____........_... 7 ,3 yo ------- I F---. , .,. IS`hi I . , c•,3'qt , . . S Z) •..... 1 —..., I . , `',.-------------•--- ..i'z'' - — . 0 ' °‘6/. M --e.c.:. ..› -^".... y• ...s. :j.* - -0 ( — 43-""c3 Gs.. . 0 0 1,, .„,„,,zar., cr....:„......s. c•••. y.._ f 2 Ls-- 1, 0 72 ... ,t . '., ... ;,' ;,-. ' F ' .. ' 4 "ft 0.1' , 4.0:- • n Lf,____,. ‘,., ,.., .— : -- - . 0 ,i "Iic-9 11 -r .,. — ......k. 0- 8 N; ? \ ft, • 1 - \ . • . • , , -rN 0 ........, - 0 . 1, —I Ill ...r.,'.. til 1 z.t --1 A ..., , ...,,.. 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