HomeMy WebLinkAboutBLD2006-00517 ILDING PERMIT APPLICATI�J ML view
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Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00517 Received Date: 9/7/2006
SITE ADDRESS: 92 MC KINLEY
PORT HADLOCK, 98339
OWNER: BEN WEIDNER PHONE: 360-732-6881
DION WEIDNER
92 MCKINLEY RD
PORT HADLOCK WA 983399791 IRONDALE AC TRACTS
SUBDIVISION: Block: Lot: 49+
PARCEL NUMBER: 962700051 Section: 12 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW STEEL GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 26,398.00 ADDL: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,120 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
9 IS Ian r�
Type Amount Paid By: Date: Receipt: ihfrApproved/Date
Permit $411.45 LYK 09/07/06 84787 Y 1 V M
Plan Check $267.44 LYK 09/07/06 84787 OCT _I 2006
State Building Code $4.50 LYK 09/07/06 84787
Total: $683.39 Jefferson County Planning
& Building Department
0 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00517
SITE ADDRESS: 92 MC KINLEY Received Date 09/7/2006
Issue Date 10/9/2006
PORT HADLOCK, 98339
APPLICANT: BEN WEIDNER
DION WEIDNER PHONE: 360-732-6881
92 MCKINLEY RD
PORT HADLOCK WA 983399791
SUBDIVISION: IRONDALE AC TRACTS
Block: Lot: 49+
PARCEL NUMBER: 962700051
Section: 12 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION: NEW STEEL GARAGE/SHOE' - UNHTD, NO PLMB -CALL IN FOR THE REQUjRED INSPECTIONS THAT APPLY TO Y• . -
SETBACKS: cvi AS �� ' 'OJECT.
GICr STY . - i--11 sat-to eaG6S f A
�.e Sr+
UFFER: Me
cRpDE ns a WNA
Footing: ak 9-�zO/b'] 0 •
�£auulR�►" r.�sv�cllo �c�le � �/
� 2FMDr �i2G�?e , /
Foundation: SLAB Ok 4/zo/a7� V
Stormwater FINAL Approval: Ok 3143/oS
Underground Plumbing: N/A
Underground Insulation: N A
Shear Wall : Dr_ 3 f/g OOP CA8465
Sheathing: OIL. //a 6$ 1 tioritc.
Framing: OM 38 0$
f •
Plumbing: N/A
Propane Tank/ Lines: Nis.
Insulation: getoNC OK 3/i8/o8 L
A
Sheetrock: N J'
Septic Sytem Final Approval MUST be obtained before final of structure can be attem ted.
Road Approach Final Approval: p
Zoning Final Approval:
Final/Occupancy Approval: ' col-- 4 p g.( .3/49
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
INSPECTION
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 BLD06-00517 •
1.) Should ensure that the septic system components are protected from vehicle traffic, and
the transport line has been double-cased, or equivalent, where vehicles may operate.
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.) 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.
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.) Minimum setback from McKinley Street, Washington Street and Jefferson Street
rights-of-ways shall be 20 feet. Minimum west property line setback 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.
10.) 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 10/29/1999
Sep 06 2006 12: 37PM HP •SERJET FAX p, 2
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TM 37396 RUBEN LANE
_ SANDY, OR 97055
WWW.WEBSTEEL.COM
B Li I L D I N G S
A Division of Web Steel"Sales, Inc.
RECEIVED
P a 7 2006
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800-782-7742 • 503-668-3267 • FAX 503-668-9441 •
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N Cb& JEFFERSON COUNTY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
~' 621 Sheridan Street• Port Townsend •Washington 98368 SEP 0 7 2006
360/379-4450• 360/379-4451 Fax
, N ,Sp$ www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MLA: LAD
Project Description(include separate sheets as necessary):
Ai 6 r/ cx/eeli 41i A- r,:'
Tax Parcel Property
Number: q4- 2 7 0_0d$/ Size: 2_.7 f Acre S (acres/squarefeet)
Site Address and/or Directions to Property: 7 ? /n a/c r`A/c t7,! //4 a L 0(. /c
Property Owner(s)of Record: A G� &p,(. /40�el f
3.€
Telephone:1 O ) 7 i Z - 1 9P / o"f-L it ?-Co- 3 ("j -1/56 %email:
Mailing Address: 12 plc k/jj/L 2 y Hiw C O C /r W/f} ' 7$.33 f
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
❑Building ❑Variance(Minor,Major or Reasonable Economic Use)
d Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
Ci Single Family °Discretionary"D"or Unnamed Use Classification
.!i Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
Q Manufactured Home ClBoundary Line Adjustment
I❑Modular °Short Plat**
Q Commercial* °Binding Site Plan**
El Change of Use 0 Long Plat**
Q Address I 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
OWireless 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 attomey'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 she wapts prior notice.
Signature: /5.r� Ig/•e,Wi(. /tom Date: 7— 2-5-0-6-
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 responsibility for adhering to and,Fomplying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ,8 6,1 Ait Date: 8— Z, 0-6
D:\PennitCenter\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 responsibility of the General Contractor for the proposed project.
Signature: 4 t.55'/ /-t'. �,t/j/ Date: 5-- Z 5- 0--C
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 ® Wood Existing: *Sewer
❑ Addition ® Steel Proposed: Bank ❑Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: CI Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: _ Setback: $Private well ❑Two Party
Type of Heat: Proposed: _ _ ❑Public
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 0 Cook Stove ❑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 Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review: , 5 3
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: ''``��-� L�11
C?CIQ _�"'1
Unheated Basement State Surcharge fee: d 5°
Other Unheated Pot Water Review fee:
1
Garage/Carport SUBTOTAL 90(
Decks •11/Rd Approach fee:
Other TOTAL: $
r v�
Receipt Number: U"7grl
Cash/Check Number: V I
ESTIMATED COST(REQUIRED) Date: ��
.Fair market value of all labor and materials foundation to finish
`r. - Initials: C'7
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
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