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BLD2006-00437
ObILDING PERMIT APPLICAT�N MLA 06-00421 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00437 Received Date: 7/26/2006 SITE ADDRESS: 461 PLEASANT HARBOR RD BRINNON, 98320 OWNER: MICHAEL L GRABER PHONE: (425) 501-9058 BARBRA JANE GRABER 6264 NE 154TH ST KENMORE WA 98028-4334 PLEASANT HARBOR SUBDIVISION: Block: 1 Lot: 9 PARCEL NUMBER: 988200109 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI REPLACE EXISTING DECK W/SMALLER DECK STAIRS AND PLATFORM OF EXISTING DECK TO BE REMOVED (ORIG DECK 268 SQ FT NEW DECK 212 SQ FT) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 4,997.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 212 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: ri /15) Type Amount Paid By: Date: Receipt: Approved/Date Total: SEP 8 2006 Jefferson County Planning & 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 #: BLD06-00437 Received Date 07/26/2006 SITE ADDRESS: 461 PLEASANT HARBOR RD Issue Date 09/8/2006 BRINNON, 98320 APPLICANT: MICHAEL L GRABER PHONE: (425) 501-9058 BARBRA JANE GRABER 6264 NE 154TH ST KENMORE WA 98028-4334 SUBDIVISION: PLEASANT HARBOR Block: 1 Lot: 9 PARCEL NUMBER: 988200109 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: REPLACE EXISTING DECK W/SMALLER DECK STAIRS AND PLATFORM OF EXISTING DECK TO BE REMOVED (ORIG DECK 268 SQ FT NEW DECK 212 SQ FT) CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: 4a) Pc-57)54,f-eic &--1.4-9 0--7 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 '2/ // 2 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 CAS! BLD06-00437 • 1.) 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. 2.) A building setback from Pleasant Harbor road of 20 feet is required. Side yard building setbacks are 5 feet each. Shoreline building setback is 30 feet. 3.) 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. 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 2 unlicensed 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 autormobile 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 requriements 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. I:\F_BLD_Perm it_B uild ng.rpt 10/29/19 • • 4.i¢ ON C©�. JEFFERSON COUNTY ' fi,, A DEPARTMENT OF COMMUNITY DEVELOPMENT 03 v r_ '4 621 Sheridan Street• Port Townsend •Washington 98368 W t_ is 360/379-4450 • 360/379-4451 Fax q Q'. www.cojefferson.wa.us/commdevelopment SZr/NG,�S Master Permit Application MLA: C) ,-�Z Project Description(include separate sheets as necessary): Pt IAC-dr�r 2c-�zlcrcj e a,A F� Deck ,,, c„.(t/,P.- net/c it,/0 -T-c,...� +- A tCoZI, I L-"'.>�.�!'.,,.` Tax Parcel (�fi (/aq Property Number:: �" Size: (acres/square feet) Site Address and/or Directions to Property: L/( i rp kc i ,,t I-L.,;/ ,._ Roc. r, f8,2,f1,01CN: 1L'r1 IIPQ(-} Property Owner(s)of Record: f'/icAta L. ' r'b/rZ.Ta/j C-ca d ems - Telephone:4/2-5---C-Pi gaCer Cell Kaki A/ 4f Zs" '4 t''7 3 email: Mailing Address: &r -4,9 met-/� h/JteLP1 lUj¢111'D Zi- (e�c �inrnvte.� Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: W at kind of Permit?(Check each box that applies) L3Building ❑Variance(Minor, Major or Reasonable Economic Use) [j Demolition Permit ❑Conditional Use[C(a),C(d),or C]** U Single Family °Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached OSpecial Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment C1 Modular °Short Plat** ❑Commercial* °Binding Site Plan** Q Change of Use °Long Plat** El Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments** R Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment OForest 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or wa prior otice. Signatur 77 ( �/ /� " ' J � a-��i Date: 774 `t/ 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 Jeffer County development code.The Applicant acknowledges that he,she or it holds individual and non-tr rable respo ty fora eeng t d mplying with the ESA. The Applicant has read this disclaimer and/signs nd dates it below. Signature: z 7 .!� ,�� Date: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.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 respqnsibility cOhe General Contractor for the proposed project. ,6 Signature: c,f -. t'" - Date: '" Il 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: ❑ New I Wood Existing: ❑Sewer ❑ ASJditlon 0 Steel Proposed: Bank 0 Community System IYAlteration/Remodel ❑ Concrete Total: Height: 0 Individual System ❑ Repair ❑ Masonry I SEPPermit# �-12/ / ?3-136 1/L1 t i --BcrYtelition ue,4.v� ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ITwo Party Type of Heat: Proposed: 0 Public Total: I Name of System: 0 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: C]Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p 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 see ki,,a. -<,), '�%EIrl:,,,',z iv', Main Floor Heated EH Bld App Review: 2"°Floor Heated ''r"` ' +' Consistency Review: l i 15.3) OD Other Heated Base fee: 11 I, �J� Mezzanine 1 t:_ E kit Additional Section: Heated Basement - Plan Check fee: Unheated Basement ` State Surcharge fee: 4. 50 Other Unheated Pot Water Review fee: Q Garage/Carport �o ''�"� SUBTOTAL rDecks \Y $'I Rd Approach fee: a � 212l''J 4i361(0 61{' fltSkr•,q Other TOTAL: $ 40(.011 Receipt Number: 13-11-1 S Cash/Check Number: cb� ESTIMATED COST(REQUIRED) Date: �l( .Fair market value of all labor and materials foundation to finish 1 i !C) 4 ,y a� Initials: 626) D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc 70 rn 70 •® rn N N SS • • oO O O g g g � gg Nrn ww �ao Zrn p, D i c> oN o �-O mC.. m 9 g D = rn7O — = G> O 2 uN '4 or 4 4 r., a o n o D D ,,L z z aa z C7 u o t . 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