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HomeMy WebLinkAboutBLD2006-00438 PUILDING PERMIT APPLICATION Review Reviewiew T Ty vy426 pe: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00438 Received Date: 7/27/2006 SITE ADDRESS: 389 ARCADIA WEST PORT TOWNSEND, 98368 OWNER: LONNIE E HOLBROOK PHONE: 360-344-4067 REBECCA R HOLBROOK PO BOX 946 PORT TOWNSEND WA 983680004 SUBDIVISION: Block: Lot: TX35-i PARCEL NUMBER: 001171015 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-804-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*98'BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,112 VALUATION 210,418.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 896 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: icg-1l� Type Amount Paid-__By: Date: Receipt: Approved/Date Permit $1,615.35 LYK 07/27/06 83919 Plan Check $1,049.98 LYK 07/27/06 83919 State Building Code $4.50 LYK 07/27/06 83919 a Potable Water Application $55.00 LYK 07/27/06 83919 l.�;S 2006 Total: $2,724.83 3 ECG f C(!)11 lIC �oG66 1 ,c$E eC� al.o�v�J lE I oc,$QcbK 3�o-3�`I-4o�� ��,E �&c • 3(.0- 31- 509ct C.,C(L z d 3�� A�c.�D►l� t,��r _ 1Tokr TOc $Exg , 983 1 ,Ik.f. cry - 3 �1.71 d 'is E.-: cc.)4k._ 1 4F ___4=,. _ ;5.4 C 5.le, acres __.- miasumurs qRE PiPPi2oX trh41 ' i 73`1 SrORmt�A1# ro NATV Vra rto V Syr.— - _ _ i Imo. .. \. .1 _.Fr r u.S. 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Z Cm) s C ea 0 { cri o, i -- k`/ -- .� - - Lb alms MD oo - tell ll Norio 1110 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00438 Received Date 07/27/2006 SITE ADDRESS: 389 ARCADIA WEST Issue Date 08/31/2006 PORT TOWNSEND, 98368 APPLICANT: LONNIE E HOLBROOK PHONE: 360-344-4067 REBECCA R HOLBROOK PO BOX 946 PORT TOWNSEND WA 983680004 SUBDIVISION: Block: Lot: TX35-i PARCEL NUMBER: 001171015 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-804-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License: HILINH*981BT Expires: 2/10/2008 PROJECT DESCRIPTION: NSFR CALL IN FOR THE REQUIRED INSP CTI!N THAT APPLY TO YOUR PROJECT. SETBACKS: Ok 0/!� ; �' UFFER: 4 /D,+ !i Footing: dk,d Va Foundation: j'D- /-o6 rb Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : 10-3\-Ota Sheathing: Framing: . Plumbing 17 X`Y '7 Propane Tank/ Lines: Insulation: l‘--i AT- .c1 WYI-U ` t,✓ll° kirLSevtc_at /Z43+6 Sheetrock: 0 '-k"c('-e,) ;r tteic+%C1 t-L-`fit-Vt; Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: OJP 2l 101 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 CASE BLD06-00438 • 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.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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. 6.) A Building setback of 20 feet is required from Arcadia West right-of-way. The side and rear building setbacks are 5 feet each. 7.) 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. 8.) The building height is not to exceed 35 feet. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. I:\F_BLD_Permit_Buildng.rpt 10/29/19 i;°°N °b6. JEFFERSCTQ COUNTY • RE CErv1E D W DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 JUL.360/379-4450 • 360/379-4451 Fax UL 2 7 www.co.jefferson.wa.us/commdevelopment Master Permit Application 441.ER, i �` ►�r11 Project Description (include separate sheets as necessary): t ea �i��/ F'2S(�211Ce �- Property Tax Parcel Number: ( i ( 1 0/_) Size: rJ 3. I Q 4�0«S (acres/square feet) Site Address and/or Directions to Property: 9 /�f`(;t jet/� (AJE 1 , ("0 j T0(,;_;tiSak,b, (,�}f� q (n� Property Owner(s)of Record: 1-to )K Telephone: 3(.G 3q Lj-140(.0 1 Fax: email: Mailing Address: I1.0. fjox (11L, )C,kT Tnc:NS(,16JL )ft cic3(7: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: • What kind of Permit?(Check each box that applies) Building ID Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** );Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)*" ❑ Manufactured Home 0 Boundary Line Adjustment ❑ Modular 0 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* 0 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 s ections.Ac and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: ke.te,a. Date: 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;an file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson ou ty development code.The Applicant acknowledges that he,she or it holds individual and non- transferable responsibility for h ring to and p n wit the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: f✓=- Date: ��atl�(I(? 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: 1liLitiC HOrnES` ('S(4.)) 1t5._I�O Q ( v,) MAILING ADDRESS: j 1q1 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) I I n(0 loam A�Uc. � MAILING ADDRESS: Pe A-(-uf . W kl- CIS x'-, ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: XNew % Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: )( Individual System ❑ Repair ❑ Masonry SEP Permit# 0(0--I 1 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: X Private well ❑ Two Party Type of Heat: Proposed: ❑ Public U,.r-tu, to PT S Total: _3 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 ❑ Above ground Tank Size of Propane Tank: Li Heat Stove L I Cook Stove El Woodstove L 1 Fireplace Insert ❑ Hot Water Tank ii 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 IS93.9 EH Bld App Review: I C( W 2n0 Floor Heated Consistency Review: 1 �ap Other Heated Base fee: Mezzanine Additional Section: FD.35 Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: cp Garage/Carport SUBTOTAL "� Decks al I j5.-12 911/Rd Approach fee: I 1 1�n 1 E.Jcznkki (.50 Other TOTAL: $3 7 , 33 Receipt Number: 2Q tq Cash/Check Number: �1 1 (-.o5( j' ESTIMATED COST(REQUIRED) 21014 I Date: �-y -1 •Fair market value of all labor and materials foundation t�sh- t p/ f Co Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc rPt V 9' O' 1a (+.' 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