HomeMy WebLinkAboutBLD2006-00574 AILDING PERMIT APPLICATt M Review T0559
Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00574 Received Date: 10/4/2006
SITE ADDRESS: 714 FOUR CORNERS RD
PORT TOWNSEND, 98368
OWNER: DAVID S OWEN PHONE: 360-379-3694
APRIL D OWEN
PO BOX 706
CHIMACUM WA 983250706
SUBDIVISION: Block: Lot: 72
PARCEL NUMBER: 001334004 Section: :33 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 7/8/2008
REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360)683-6216
PO BOX 3831
SEQUIM WA 98382
PROJECT DESCRIPTIOt NEW POLE BLDG/GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 15,000.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
GARAGE: 768 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
j(4 CGD -
Type Amount al By: Date: Receipt: Approved/Date
Permit $251.25 LYK 10/04/06 85070 r.
Plan Check $163.31 LYK 10/04/06 85070
State Building Code $4.50 LYK 10/04/06 85070 NOV at 2006
Total: $419.06 Jeffr�s if! l;Cw i y NIa lhuiy
& I ;iildii 1 OE'mrient
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BUILDING PERMIT A
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00574
SITE ADDRESS: 714 FOUR CORNERS RD Received Date 1
PORT TOWNSEND, 98368 Issue Date 11//21/2006
06
1/2
APPLICANT: DAVID S OWEN
APRIL D OWEN PHONE: 360-379-3694
PO BOX 706
CHIMACUM WA 983250706
SUBDIVISION:
Block: Lot: 72
PARCEL NUMBER: 001334004
Section: 33 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST
P 0 BOX 3831 PHONE: (360)683-6216
SEQUIM WA 98382-5071
Contractor's License: BUILDBC011MG Expires: 7/8 2008 6001
PROJECT DESCRIPTION: NEW POLE BLDG/GARAGE - UNHTD, NO PLMB
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing7s'z-44 , k)__--$^_9g0
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
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 )-.J(p a7
HEALTH DEPARTMENT AND PUB IC 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 CASA BLD06-005 74
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 Four Corners Road right-of-way shall be 20 feet. Minimum side
and rear 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
06,
JEFFERS.JN COUNTY
W, , 'ice DEPARTMENT OF COMMUNITY DEVELOPMENT
"‘ , k4 621 Sheridan Street• Port Townsend • Washington 98368
.. 360/379-4450 • 360/379-4451 Fax
qe, eckO www.co.jefferson.wa.us/commdevelopment
Master Permit Application I
MLA: boo"Project Description(include separate sheets as necessary):
Tax Parcel Number: 0 U I 331-) 0` 1 Property
Site Address and/or Directions to Property: SIZe. C� �� ri( (acres/square feet)
Property Owner(s of Record:-14- y(� 6* n i �'✓1.�
Telephone: 3 3 — Lncj(�
Fax: email:
Mailing Address: t7 O . 6 s �p/n Lj,�,v- uti,,,
Applicant/Agent(if different from owner):_[�jJV� \f�v y,.c �✓61��S
Telephone:_ — —"'
Fax:
MailingAddress: (jj(?— (�o ( email:
What kind of Permit?(Check each box that applies)
I Building
I Demolition Permit I Variance(Minor, Major or Reasonable Economic Use)
I Conditional Use[C(a), C(d),or C]**
I Single Family Garage Attached/Detached I Discretionary"D"or Unnamed Use Classification
1 Manufactured Home 1 Special Use(Essential Public Facilities)**
Modular I Boundary Line Adjustment
I Commercial* I Short Plat
I Change of Use I Binding Site Plan**
I Address I Road Approach I Long Plat**
I Propane I Planned Rural Residential Development(PRRD)/Amendments
I Allowed"Yes"Use Consistency Analysis 1 Plat Vacation/Alteration**
I Showed ter Management I Shoreline Master Program Exemption/Permit Revisions--
I
1 Site Plan Approval Advance Determination(SPAAD)* Shoreline Management Substantial Development**
I Temporary Use Shoreline Management Variance
I Comprehensive Plan/UDC/Land Use District Map Amendment
I Wireless Telecommunication*
I Forest Practices Act/Release of Six-Year Moratorium 1 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference
uires a Pre-
Please identify any other local,state or federal permits required for this proposal,rcation if kn wnerence
I hereby designate t� ,(, ^� DESIGNATION OF AGENT
to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 1
Date: C\ \LI( - Ole
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 inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: '
Date: Ci /1-Oee,
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
even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-
9 g your action(s)
Signature: ponsibiljty for ad ' g to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ��---i .- % ,
Date: 9 -•/raj -CV-
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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 assing the responsibili of the General Contractor for the proposed project.
q
Signature: 1 Q L J' L C ;P IN Date: `{" or.
GENERAL CONTRACTOR 0 MANUFACTURED HOME INSTALLER: PHONE:� FAX:
�.%\L\lr A�t 1j G-4 (3( r(9(0 (p )to (. (.1) (x-• " (s(-il; i
MAILING ADDRESS: J �-u `- C(j\ EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: r v,\:0 G 1 1 VA NUMBER
ARCHITECT/ENGINEER: , PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Existing: ❑ Sewer
Li Addition ❑ SteelNew ll Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: q/Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: Kri Private well l I Two Party
Type of Heat: Proposed: i 1 c\ZN\._C4— 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:
I Underground Tank I Above ground Tank Size of Propane Tank:
i Heat Stove I Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove i 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 BId App Review. t?
2"d Floor Heated Consistency Review. t`Base fee: �
Other Heated 851 •Z
Mezzanine Additional Section:
Heated Basement Plan Check fee:
1(..p3.3 1
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
o Reef)
Garage/Carport SUBTOTAL
7(.9% IZ, IIC33 (..OJT• O(o
Decks 911/Rd Approach fee:
Other TOTAL: $ (037 0P
Receipt Number: 13-0
Cash/Check Number: 9111
I (1 q
ESTIMATED COS : •UIRED) 1'stp4$b Date: ICI.Fair maeya7 - • - :boran. -terialsfoundationtofinish
no1J4 rwInitials: C
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