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HomeMy WebLinkAboutBLD2006-00408 • I BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD06-00408 Received Date 07/17/2006 SITE ADDRESS: 21 SMITH RD Issue Date 09/28/2006 NORDLAND, 98358 APPLICANT: EDWARD G STOCKUNAS PHONE: 206-242-4919 16020 21ST AVE SW BURIEN WA 981662632 SUBDIVISION: Block: Lot: T 28+ PARCEL NUMBER: 921051030 Section: 5 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW DINING ROOM ADDITION CALL IN FOR THE REQUIR.D INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: f0- -e,[ o UFFER: N�0 Footing: \ 2Tt Vito"-€D Foundation. Stormwater FINAL Approval: WA Underground Plumbing: kVA Underground Insulation: 14 YJ Shear Wall : O/�( .5/2.07 Sheathing: bk .. /2-21 7 at Framing: QK /2. jln/! —1"" Fuct Dk Z,/"114'91 Plumbing: /VA Propane Tank/ Lines: ►J�A Insulation: _ SU-94 -M ie 2 �J /,JJ " Sheetrock: i K. I �- Septic Sytem Final Ap.r. al M'••T be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ()1 �� �',K,,� 0_ d9 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE UIRED 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 Review T Ty 394 tUILDING PERMIT APPLICATI-t�N ML ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00408 Received Date: 7/17/2006 SITE ADDRESS: 21 SMITH RD NORDLAND, 98358 OWNER: EDWARD G STOCKUNAS PHONE: 206-242-4919 16020 21ST AVE SW BURIEN WA 981662632 SUBDIVISION: Block: Lot: T 28+ PARCEL NUMBER: 921051030 Section: 5 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DINING ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 9,600.00 MAIN: 96 CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 0 Total: 2 of : 1 Rou inp Date: 11 Fl OD Type Amount Paid By: Date: Receipt: Approved/Date Permit $965.75 LYK 07/17/06 82,828 AppO\ : Er Plan Check $627.73 LYK 07/17/06 82828 State Building Code $4.50 LYK 07/17/06 83828 SEP A 2006 Total: $1,597.98 Jefferson County Planning & Building Department SPECIAL CONDITIONS FOR CAM BLD06-00408 • 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 2 unlicensed or inoperable vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor 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 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 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 Flagler Road (SR 116) right-of-way shall be 30 feet. Minimum setback from Smith Road right-of-way shall be 20 feet. Minimum side and rear 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_Perm it_Bu ildng.rpt 10/29/1999 • Job ' 4\ 1 Nei / I� t O `,(2/I.,c k 3 S" € k/ 1Nz 4� t / I bpi ,'y i F f a s - ' 15'y ,',r'A r ' _ t i. ,r ,tKw6e .s�u�f �� f}/d ��a�i ��. 5 )/2 G 3yXa6' qi rdK ' ` ��� 2� x�z� / J pbrte`rSloer < t Ar' x ?twee je \ ) 6-ete __\ --- —----.7.-- / N. ,sel r �.i i,S dao'K ay ' < Llo , ? 2: t? r- -'44:---A'r'" ecleti v—e 1 f- 4' "g:1 " Ph 10‘—a?tio I-Y9/P 5 / 1;'4e �r.\. i A_____ t{ yop S5jr►Ar IP( / 5 P fits trtR Qf �+ n D-1,6K E +STryr;'i - l i e /,c I r G S' t ..--m- \C`, , !t eCe J2 J� (� I x 90 Se aT, c —I k3 i 0 / . © -� I401 • 1 i I /"lIt)'& U 1 o Ke; Hof) !" J ' hS APPROVED SITE PLAN AUG -- 3 i.G06 JEF O j� D1PT.OF DE • ME Le611-4 b er6a r(710,'f .F SIGr ATUR : cif UCderJ»1ENr /d?% ?/ Ter Tea A/ t - w,Y S 443 a 9 N, i y9'``ei-g-' 01 StormWate je r- P0sarr Ca yy We. Required PER IT # BLD 0 - 0 4 0 8 RECEIVED JEFFERSON COUNTY DCib o. ?c ' j Caa , / /!G uJ lc e/,,S >o e PS 7.- JEFFEUSON COUNFY OCO likl w • r , • T ,,-.., . ir y ` a` va r o r-- f \ o - : Z = N.) 4 o cr.) o r 0 `? _ 70 II -a No I z oz x o 4p I o * x' i c tr. Ca 2 0 31 p o rni o, '" rn -1 X O' er 0 Iz in l �° X N 1-1 ( *( Z Z D G) FI z z x coX GEC,) p O � 3 On z _ ! 1 z N H I 1 =immor: .¢,SON 0 O1111 k�� JEFFERS"COUNTY W ,\ ,.; DEPARTMENT OF COMMUNITY DEVELOPMENT ~' .N `-4 621 Sheridan Street • Port Townsend •Washingtorj 8368 -7 y.,E T� r 360/379-4450 • 360/379-4451 Fax L Its "y// W*1 ,q�, 1\1 0 0 www.co.jefferson.wa.us/commdevelopment 'I Master Permit Application la!eP A''' ' MLA: O(c 3q4 Project Description(include ssee�arate sheets as necessary):--�t [CCr (� P i lY r�/� %'� /) R /1/1 n,' JEFWf8S ; ," .'I.tt p,' /� Property Tax Parcel Number: �,1 f '.) J— C/ 0 Size: /, 6; (acres/square feet) Site Address and/or Directions to Property: ; . 1/4 ,?,,,fir, //L),,�/ / �) '9'd 19 h� _ Property Owner(s)of Record: . :,c!' •r Q' _) i . ,y "- c, Telephone: ,X C)0 ' pi y g — y T G Fax: email: Lc A kea o'? ky7( t Mailing Address: / ( S'T Ale ,,C, ill; /)c,�,,,✓, t, C) ,�'0 c Alee- / bi . /G•G Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) X Building ❑ Variance (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** 54 Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/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 ❑ 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 Date: 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 inspections. ccess and right of entry to this property shall be requested and shall occur only during regular business hours. � /�/ J Signature: i R�« (f/ ,4���i�,>..- Date: �-e // /�� 6 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 respoc.Ribility for adtterinkxo and lying with the ESA. The Applicant has read this disclaimer an signs and dates it below. Signature: / A. ( its tr-._ Date: ✓ I t / O 1, G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0 • 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 resp, si ity o General Contractor for the proposed project. f Signature: C (44=z_,, " �' . c%�1- `—‘c.s. Date: :ft.( if / 06, GENERAL CONTRACTOR 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: O New I Wood Existing: f ❑ Sewer yet Addition Li Steel Proposed: Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: / ,Vs Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Private well Li Two Party Type of Heat: Proposed: 0 Public ,'E'> 7 l;/r C_ Total: ) Name of System:_ 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 0 Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove [1 Woodstove Li Fireplace Insert 0 Hot Water Tank ❑ 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 �> ; 8i EH Bld App Review: (p5' 2n0 Floor Heated Consistency Review: i 53' Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: so Other Unheated Pot Water Review fee: ,— _, Garage/Carport SUBTOTAL n p IZ15 Decks 911/Rd Approach fee: eXASTI 06I �Q Other TOTAL: $ i 3 qg Receipt Number: -5 Cash/Check Number: 3n4 ESTIMATED COST EQUIRED) ,bgg Date: `-� .F i taluenf aii labor a aterials foundation to finish` �'d'C?i t� a Initials: I G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc _—