HomeMy WebLinkAboutBLD2006-00548 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00548 Received Date 09/26/2006
SITE ADDRESS: 100 GRAN RD Issue Date 10/26/2006
BRINNON, 98320
APPLICANT: MICHAEL J HYDE PHONE: 360-796-4163
JUDI M HYDE
PO BOX 190
BRINNON WA 983200190
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502162005 Section: 16 Township: 25 N Range: 02 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
360-437-1218
Contractor's License: SOUNDBS027NM Expires: 8/19/2008
PROJECT DESCRIPTION: New Pole Building
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: -)es-- �J 4 c 11—z-r74?
UFFER: (( � + _(�f
Footing:'. , Ills j I-Z- 7
Foundati n:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: 1-1-0(o
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: (-cf-06
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR (DR 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
1
SPECIAL CONDITIONS FOR CASE A BLD06-00548
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 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.
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 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.
5.) Minimum setback from Gran Road right-of-way or private ingress/egress easement
rights-of-ways shall be 20 feet. Minimum side yard setbacks shall be 5 feet. If an ESA is
present, then the more stricter setback(s) shall apply.
6.) 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.
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
MILDING PERMIT APPLICATIi+I MLRA06-005e33
eview Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00548 Received Date: 9/26/2006
SITE ADDRESS: 100 GRAN RD
BRINNON, 98320
OWNER: MICHAEL J HYDE PHONE: 360-796-4163
JUDI M HYDE
PO BOX 190
BRINNON WA 983200190
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502162005 Section: 16 Township: 25 N Range: 02 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr New Pole Building
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 24,343.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 1,512 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: 0 Total: 0
Routing Date: c/a(Q /0co
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $391.25 CJZ 09/26/06 84980
/1yy
Plan Check $51.00 CJZ 09/26/06 84980
State Building Code $4.50 CJZ 09/26/06 84980 OCT a n
Total: $446.75 i
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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:
50,0,4 IL ,ici,o:5 5y5t—erns -lht.. ( 3(vU) k37— I.1Iri ( 30) )`13-1 — /.Zt6.
MAILING ADDRESS: 3i yk) I creel y ke kcc cl EMAIL:
CONTRACTOR'S LICENSE Pc,-t1- u4 l c u.,, vJ 1. 9£f 3(,-S WAINS
NUMBER: 56 U Ai 0 es 0,1 7 Al ivI NUMBER
ARCHITECT/ENGINEER:
Ailian..e. kN4ineertnf PHONE (6'()3)ja"/_ i7zti FAX: (�03)J�!`t t7�Ff
MAILING ADDRESS: .1-70 Mur/ie_t st_ J5, tom,QI 77301 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
G/New V Wood Existing: G ❑ Sewer
❑ Addition ❑ Steel Proposed: 0 Bank Height: ❑ Community System
❑ Alteration/Remodel Li Concrete Total:
k Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other:._____ Bedrooms:. Water Supply:
Existing: 0 Setback: f1 Private well [I 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 11 Woodstove ❑ Fireplace Insert 0 Hot Water Tank Li Pellet Stove H 1 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:
2n1 Floor Heated Consistency Review:
I3
Other Heated Base fee: ) IGD
Mezzanine Additional Section: _
Heated Basement Plan Check fee:;,iew _ F; I
- 5 ID OE: C ?G: 1l
Unheated Basement State Surcharge fee: —1 U
Other Unheated Pot Water Review fee: ,
Garage/Carport f 7�' SUBTOTAL r % ;�5
Decks 911/Rd Approach fee: X‘, (1
Other j
' TOTAL: $
Receipt Number: %I\CV'3
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: (A(I a0 _
•Fair market value of all labor and materials foundation to finish v` L. (,�(p
4 ; 3 , 81 s Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
•
,�4�``i'S0N c0,. JEFFER COUNTY
tig�o ` i DEPARTMENT OF COMMUNITY DEVELOPMENT l ^r �._ ,
621 Sheridan Street • Port Townsend • Washington 98368 I' F ' I,
360/379-4450 • 360/379-4451 Fax -1
�qS, 0 www.co.jefferson.wa.us/commdevelopment SEP 2 6 2006ilibid
Master Permit Application MLA: 0(o-533 _J
Project Description (include separate sheets as necessary): ,-%';f.J
eons i-r(-Lc tic)vt of 3G,' X 1i' pole. ha,Idi.:,j, skrcy.,
Property
Tax Parcel Number: f1,2 /6.1-- 003- Size: y,p . are square feet)
Site Address and/or Directions to Property: /v0 G ra rt Road , Q r,. n nc.t ) WA 9 5'3 h
Property Owner(s)of Record: M, ke_ kiycl e.
Telephone: 3 b 0- 1'/b - y/6 3 Fax: email:
Mailing Address: p0 i/cx Ho. 6rr „port i tid A 9?3 Z v
Applicant/Agent(if different from owner): Sc«,.i ,Q,,(d,K)-- Systems i t c
Telephone: 3 G.o - 9 3 7- r-2- 1 9' Fax: 3/v o- y 3 7 - i1 1 Er email:
Mailing Address: 35 yW 70-nd y kz Rc;cel, Pc t l-ar(/oc,', WA 98'3 iv$
What kind of Permit? (Check each box that applies)
[V uilding ❑ Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
GvGarage Attached Detach ❑ Special Use (Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ 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**
O Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑ Temporary Use ❑ 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 x i(2 'i'W"r..y �t-1 e-yris to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE f X.c / Date: — I —O(r,
i
By signing this application form,the wner/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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. /!) ��
Signature: Xr/j.. _ J� / " Date: 4. ��'��
The action or actions Applil‘t 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 r ' ilit or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:,X Date: 9 '"L"
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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