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HomeMy WebLinkAboutBLD2006-00478 • MLA06-00469 BUILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Porl: Townsend, WA 98368 PERMIT #: BLD06-00478 Received Date: 8/18/2006 SITE ADDRESS: 157 S EDWARDS RD PORT TOWNSEND, 98368 OWNER: SUSAN M EDWARDS PHONE: 360-379-9754 EDWARD B EDWARDS 2526 HAI N ES ST PORT TOWNSEND WA 983686217 EDWARD EDWARDS LARGE LOT SUB-D SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 001175013 Section: 17 Township: 30 N Range: 01 W CONTRACTOR. OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW GARAGE W/ BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 32,150.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 1,364 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 Total: Routnq Date: t -P L'9 la( ir C7 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $472.05 LYK 08/18/06 81442 a 6 )\JEED Plan Check $306.83 LYK 08/18/06 81442 State Building Code $4.50 LYK 08/18/06 81442 SE' I 2006 Total: $783.38 Jefferson County Planning & Building Department 0 BUILDING PERMIT i Jefferson County Department of Community Develo 621 Sheridan Street, Port Townsend, WA 98368 ent PERMIT#: (360)379-44.50 FAX (360)379-4451 SITE ADDRESS: BLD06-00478 157 S EDWARDS RD PORT TOWNSEND Received Date 08/18/2006 APPLICANT: 98368 Issue Date 09/11/2006 SUSAN M EDWARDS EDWARD B EDWARDS 2526 HAINES ST PHONE: 360-379-9754 PORT TOWNSEND WA 983686217 SUBDIVISION: EDWARD EDWARDS LARGE LOT SUB-D Block: Lot: 4 PARCEL NUMBER: 001175013 Section: 17 CONTRACTOR: Township: 30 N OWNER/BUILDER Range: 01 W PHONE: PROJECT DESCRIPTION: CALL IN FOR THE REQUIRED INSPEW ECTIONS THARAGE W/ T SETBACKS: TO YOUR PROJECT. UFFER: A Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: IG--q-a, Underground Insula ion: Shear Wall : - Sheathing: '`--' Framing: Plumbing: /o c• Propane Tank/Lines: Insulation: ,i A Sheetrock: Al A Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final A Zoning Final A PProval: Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS ,L ' io a APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY BUILDING INSPECTION HOT-LINE 379-44�. CALL 24 HOUR Office Hours 9:00 a. S IN ADVANCE TOORENEWED SSCHCHEDULE INSPECTIONS. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE REVERSE SPECIAL CONDITIONS FOR CASE t BL - •D06 00478 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 S. Edwards Road right-of-way shall be 20 feet. Minimum side and rear yard 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 Permit_Buildng.rpt 10/29/1999 �?IVSON c JEFFERS COUNTY 0 DEPARTMENT OF COMMUNITY DEVELOPMENT R ijk/1h41`V EI) $kii.0144 -0 621 Sheridan Street• Port Townsend •Washin ton g 98368 360/379-4450 • 360/379-4451 Fax qs, �O www.co.jefferson.wa.us/commdeveloprnent KING Master Permit Application c__ ��' *, _ L.L Project Description(include separate sheets as necessa rY) `� �'�' „ /2 (-.-e.- ei 4f-rt ,3 C .'— Tax Parcel Property Number: F--'C-5 / 1 -75- a Size: ✓ (acres/sc rare feet) Site Address and/or Directions to Property: / 5 '7 5 , 2 ct4....-- ca r a.s Z a, (�r� S e I_ R.4 Property Owner(s)of Record: Fql �., I ,5',, <� ,C, ,„../..; ) Telephone:jI t- . ' '7 J- `i 75'V Fax: email:,1 c§K f Mailing Address: l2 Ll c) �-. it s �i ` g' '.-. l.0�zr .max.5'/J F � .-t % ��s r'.�� , �.-- +'i ri �'-' �f��' �/ ', Applicant/Agent(if different from owner): d ' Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) lig-S ilding 0 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 ifivGfarage Attee /Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat"* ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** 0 Propane El Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions'"' ❑Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 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 attorneys 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 arrpcs 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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ��> Signature:`C.t!.r _ ) Ce -C7r �� �/ �� Date: �/ " F/r 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-transf rable responsibility for adhering to and lying with the ESA. The Applicant has read this disclaimer and sjgns and dates it below. Signature `- Date: // S'/O 4 G:\PeimitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc OWNER BUILDER STATEMENT 1111 • t 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 respgnsibility of the General Contractor for the proposed project. Signature: eC�2'�--.«f Jl.,--..1--..-' Date: P/i> GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRFSS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Fir-g-ew livWood Existing: /4/19 0 Sewer ❑ Addition 0 Steel Proposed: I Bank ❑ Community System O Alteration/Remodel 0 Concrete Total i Height: r-ii5dividual System ❑ Repair ❑ Masonry SEP Permit#54 f' 73-ems' Water Supply: • Demolition ❑ Other: Bedrooms: Existing: Setback: ' mate well ilwo Party Type of Heat: Proposed: ❑ Public J1 cr 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: O Underground Tank 0 Above ground Tank Size of Propane Tank: ❑ Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 Other Is this appliance being Installed in a Manufactured I 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 For Office Use Only J 5 - Current Proposed I K�' k Main Floor f,, Consistency Review i 3 2t't"Floor Rase fee: 3°Floor Additional Section: Menanine: Plan Chedcfee: gap g3 Heated Basement State e fee: 5txxat8rg' t Unheated Basement Pot Water 1tevidvfee: Other Unheated 911/Rd Approach fee:. . ;- 13arage/Carport A 5 i-4 207 pn,ti TOTAL: S f tO I Decks •J Receipt Number. Other Cash/Check Numboit ; ,--, ESTIMATED COST ' z • 1 Date: Q .Fair mark: • r�: • all labor and-mat• foundation to finish �J , l 63 _ Initials: '� - . i 1 S c� G:\PemritCenter\FO 4' II 41II •' S\Master Permit Application 7-8-04.doc \-\\ q_4...) . CZ C-1--, 940 a(P ..,__ A 4-r--- c; I v, -7=r:-3 ---t ' -''r)til �- 1 ten` • c c- Z, Its/5f "l'i �a atefl-- Lla ,-- es a -v QA -d--I 7i 07nA �7 v 4. 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