HomeMy WebLinkAboutBLD2006-00520 ILDING PERMIT APPLICATION ML 507
Review T Tyype:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00520 Received Date: 9/8/2006
SITE ADDRESS: 30 S PALMER DR
PORT TOWNSEND, 98368
OWNER: JAY LOWENSTEIN PHONE: 360-379-3436
CHERYL L LOWENSTEIN
30 S PALMER DR
PORT TOWNSEND WA 983689499 CAPE GEORGE COLONY DIV 2
SUBDIVISION: Block: 4 Lot: 4
PARCEL NUMBER: 938100404 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP REPLACE EXIST 70SQ FT DECK W/ 112 SQ FT HTD SPACE & 112 SQ
FT UNHTD STORAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 112
VALUATION 12,678.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 112 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total:
Roi q Qate:
C°
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $223.25 LYK 09/08/06 84844
Plan Check $145.11 LYK 09/08/06 84844
State Building Code $4.50 LYK 09/08/06 84844rT
Total: $372.86
I •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00520 Received Date 09/8/2006
SITE ADDRESS: 30 S PALMER DR Issue Date 10/24/2006
PORT TOWNSEND, 98368
APPLICANT: JAY LOWENSTEIN PHONE: 360-379-3436
CHERYL L LOWENSTEIN
30 S PALMER DR
PORT TOWNSEND WA 983689499
SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 4 Lot: 4
PARCEL NUMBER: 938100404 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REPLACE EXIST 70SQ FT DECK W/ 112 SQ FT HTD SPACE & 112
SQ FT UNHTD STORAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: n�
FootingiDa / Of6ek- 7Zr1 �-���`�Cir�v' /�`01103 Z O?
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: `410'7 Di<< O\ST •
fi
Plumbing:
Propane TTnk/ i e
Insulation: P7
Sheetrock,;' `,2 ( 240
Septic Sytem Final Approval MUST be obtained before firal of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: C•25 -O7 u.4
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 A BLD06-00520
1.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
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 South Palmer Drive 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.
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 10/29/19
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aex JEFFERSON COUNTY
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y, DEPARTMENT OF COMMUNITY DEVELOPMENT
i: 621 Sheridan Street- Port Townsend•Washington 98368 SEP o 8 2006
360/379-4450 • 360/379-4451 Fax
-'' c www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( i }
Project Description(include separate sheets
reilif_
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a,.V a, .J3 /U u ._, c f-Qcf- Property -
Number. / Size: r /'r (acres/square feet)
Site Address and/or Directions to Property: r (J (}(,•tf h I-0_1 r Os'" I"
I
Property Owner(s)of Record: ► t r, t m r s, T j h_c/mac)Q_n -'e.-i r
Telephone: .3'd1 3 1-1.8 Lir Fax: email:
Mailing Address: 30 oS.O L,,4J41 If a ( {ty41,p t 0 r t,.,1(,..4,,-
Applicant/•git rr
(if different from owner): L t t'1 1301tr.e, S m) 774 141,1—117" ,1°
Telephone: 3(/l?r ��' ."'a l io Fax:3Q 1452.—fib. email:COOrA 11" 11U� , LOW)
Mailing Address: �/4 5 p,13'j L17p//) "JT• PL)2-f AN ,n; vvN ‘4 /./Z
What kind of Permit?(Check each box that applies) '
uilding i Variance(Minor, Major or Reasonable Economic Use)
Ij Demolition Permit Single Family
❑Conditional Use[C(a),C(d),or C]"
❑Discretionary"D"or Unnamed Use Classification
Elarage Attached/Detached OSpecial Use(Essential Public Facilities)**
Q Manufactured Home I lBoundary Line Adjustment
Et Modular I°Short Plat"
El Commercial* ❑Binding Site Plan--
Q Change of Use ❑Long Plat"
El Address i Road Approach iiPlanned Rural Residential Development(PRRD)/Amendments**
P Propane ❑Plat Vacation/Alteration**
DAllowed"Yes'Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
OStormwater Management ❑Shoreline Management Substantial Development**
DSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary 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 t act as my agent in matters relating to this a plica• n for permit(s).
OWNER SIGNATURE ...t,..,.--N, Date: 74-7
By signing this applica orm, 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 again efferson County as a result of or in consequence of the granting of this permit.
I further agree to pro/de access and right en to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any re. d later inspectio •. .ffs access and right^fen . 'II be assumed unless the applicant inform the C unty in writing at the
time of the appli - . that he or she =nts prior noti;,-.
Signature: ✓L .; IA VIa , r Date: 4 u
The action or-ir
s Appr 1.nt will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered s es and Luld lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered pecies Act"or"ESA."Jefferson C ty makes no assurances to the applicant that the actions that will be undertaken because this
permit has been iss -, will not violate the ES individual,group or agency can file a lawsuit on behalf of an endanger d species regarding your
action(s)even if y. . - in compliance with t efferson County de lopment code.The Applicant acknowledges that he, he o it holds individu
and non-transfer.. - responsibility f n to and omplyin A. The Applicant has read this disclai a • qpr�dg • w.
Signature: ���F Date: �/�'
D:\PermitCeuter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
BUILDER STATEMENT
The signer of this statement does er y certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass i g the resp i ity of the Gen I Contractor for the proposed project.
Signature: Q Date: c . p/
GENERAL 0 RACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE (r� WAINS
NUMBER: Li / cli �f�'SMI I{i t A(ChI13 UMBER
ARCHITECT/ENGINEER: `3 1 Ci 7 0 0 rt .SuAti PHONE' U Lia9• (I f }FAX:,- )) -f .O QL
MAILING ADDRESS: L EMAIL CO a (."f'( I I ♦ K-1 C fl',CO
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: 0 Individual System
❑ Repair 0 Masonry SEP Permit# b y-37✓
❑ Demolition 0 Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 0 Public
Total: Name of System:
If this is a Commercial Protect 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:
In Underground Tank 0 Above ground Tank Size of Propane Tank:
❑Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert ❑Hot Water Tank 0 Pellet Stove p Other
Is this appliance beinq 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.
'� � � ��"'aC '�, s ,�>�'�4h* Mks.. a ...� ;
Square Footage Current Proposed :Fort_ e c n , ,;„ ;:zi.�,.�, ,l g4tpountx+_ ,,Revision , ,, ,,
Main Floor Heated 1 ?��v l l 2 = EH Bid App Review: �6
s
2"°Floor Heated y ,,$ 's4 Consistency Review. 153
Other Heated 1 'T1 Base fee:
oA -fit kt; aa�a5
Mezzanine cZ Additional Section:
Heated Basement i Plan Check fee: 1'
Unheated Basement '�1 �F State Surcharge fee:
Al 5C)
Other Unheated W i Pot Water Review fee:
, , N/ac
Garage/Carports s,, pub SUBTOTAL G g�j
911/Rd Approach fee:
Decks ,,.4-V,:_ C xr
�
x gP
Other(id
1 h t 6 T(<it� S'('0 ii_Aci 1 $)./ .;>k' TOTAL: $
e�'" `* 'eceiptNumber:
, ny
' 1�fG; g� lJ t
Cash/Check Number: 13
ESTIMATED COST(REQUIRED) Date: �i�, '
Fair *et value of all labor and materials foundation to finish `�
11' 10 Initials:
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
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319 South Peabody St. ,
DATE: ,
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ii[NDIBLa7'74 RS 14 S iL _I - Suite B . \-1/4Z; \REmsflIRED 1 ___FEIldilie."....,4.../4120111
ARCHITECT
Port Angeles, WA 98362 REVISED: IrM.-4 IvIK ,31,)/ Lo4at5rtiN
ARCIFEETECTS Phone:(360) 452-6116 COMM. NO. \i%TiFs;i7:CTON'I .
I Fax:(360) 452-7064 1.-------1 -----eAfe -,Wt2^,*:CrAillY• Pr."r0rA1443eNV NPV
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