HomeMy WebLinkAboutBLD2006-00594 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00594 Received Date 10/17/2006
SITE ADDRESS: 295293 HWY 101 Issue Date 11/9/2006
QUILCENE, 98376
APPLICANT: RICHARD W BANCROFT PHONE: (360) 765-3418
JENNIFER L BANCROFT
PO BOX 231
QUILCENE WA 98376-0231
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 702242006 Section: 24 Township: 27 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 DETACHED GARAGE (POLE BUILDING)
UNHEATED AND NO PLUMBING
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: �/
UFFER:
Footing: ?Js� 6.1.4 .. c -- ((—f5'0t otAlAr
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: ? - \I-Q
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: ;Z - . (j v ('
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 BLD06-00594
1.) The project is located in close proximity to an identified wetland and is subject to the
delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code.
Based upon the proposed location of the project in relation to the identified wetland, the
applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer
requirements by fifty(50) percent. The applicant acknowledges the additional setback
and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland
delineation requirements of the Unified Development Code.
2.) 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.
3.) The identified Fish and Wildlife Habitat Area (Type 1 Stream), shall maintain a vegetative
buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed detached garage.
4.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed detached garage.
5.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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.
9.) Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum side yard setbacks
shall be 5 feet. Minimum setback from OHWM of stream shall be 155 feet.
10.) 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.
11.) 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.
12.) The building height is not to exceed 35 feet.
13.) 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
16ILDING PERMIT APPLICATS MRLA06-00 75
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00594 Received Date: 10/17/2006
SITE ADDRESS: 295293 HWY 101
QUILCENE, 98376
OWNER: RICHARD W BANCROFT PHONE: (360) 765-3418
JENNIFER L BANCROFT
PO BOX 231
QUILCENE WA 98376-0231
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 702242006 Section: 24 Township: 27 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 08/19/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE (POLE BUILDING)
UNHEATED AND NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 12,500.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 576 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL I
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $223.25 KAS 10/17/06 85120
Plan Check $145.12 KAS 10/17/06 85120 NOV r,
2006
State Building Code $4.50 KAS 10/17/06 85120 1
Total: $372.87 Jefferso County Plain rnj
Building Department
♦
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16,C Eid IR( r)
k40-sm cop. JEFFERSON COUNTY
a \y ,4 DEPARTMENT OF COMMUNITY DEVELOPMENT j t i�IJU
''� 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450 • 360/379-4451 Fax
�.6 www.co.jefferson.wa.us/commdevelopment �L�{ lil!!t i` U U�I!�hTINd� L t O N �U N f'
Master Permit Application MLA: C:Gj -5i5
Project Description(include separate sheets as necessary:
2 yX 24r' 2 cAR C.i9X13-l--� (,9c46 .Uo/L�//t )
Tax Parcel' 70c2,I/,,, 006, Property
Number: Size: ""-r A•C,/LE:-S (acres/square feet)
Site Address and/or Directions to Property: a 9'50,93 ii J C.h'/j f/y 1 0) S a
Property Owner(s)of Record: P.i c../4A/O W AN/) J-£N Pt i FE/L L. 8 ANC RCS r r
Telephone:(360) 765--32//$ Fax: email:
Mailing Address: /�o, 56 X . 3/ Cp u/ LC EN(---/ Gr/4 9 f,3 7 4
Applicant/Agent(if different from owner): RA yn innil) 4, /3 go )ERS•Otq
TelephoneQ6v) 7 -'6 —C C/_2 Fax: email:
Mailing Address: P. C - I3ox / / Q u t LC ENS , L.UA- 9'f.'2 E
W at kind of Permit?(Check each box that applies)
wilding ❑Variance(Minor,Major or Reasonable Economic Use)
d Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
d Single Family °Discretionary"D"or Unnamed Use Classification
LtrGarage Attached 6etach0 ❑Special Use(Essential Public Facilities)**
Q Manufactured Home °Boundary Line Adjustment
d Modular °Short Plat**
Q Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address i Road Approach liPlanned Rural Residential Development(PRRD)/Amendments**
Et Propane ❑Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions*"
OStormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary 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:
DESIGN1! O I OF AGENT ' �+ tdt
I hereby designate A ym 6 N) - ,B/2 Sib2d as my a ent in matters relating to this application for permit(s).
)L OWNER SIGNATURE Ct C Date: LCQ l 6 _p 6
By signing this application form,the owner/agent attests that the information pro ded 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 afnaterial fact made by the owner/agent with respect to this application packet
may result in this permit being null and void. 1
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. 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 sh�w is prior otice.
Signature:`��` p�" 7 Date: ' ' ..---(6 .-' 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-transfe ble responsi .f1t f r7adheri to and complying with the ESA. The Applicant has read this dis�lai er and signs dates it below.
Signature: 4 \! Date: — / b
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
.. 4 i 4.0 40' AI •
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: h w Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
'.)C 0.a/ (30 r 4-D/iUc SY.c7 n S ( ) ( )
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 0 Wood Existing: 6 ❑Sewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height:9 cl Individual System
❑ Repair 0 Masonry SEP Permit# g if— 9$
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: a Private well ❑Two Party
Type of Heat: Proposed: '-7'-``- 0 Public
/U t%' Total: Name of System:
0
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 ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank ❑ 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 l Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
LCO
2"d Floor HeatedIR Review
Other Heated � � � ;sistencY
e 1
fee:
Mezzanine O C T 1 7 2006 Additional Section:
Heated Basement Plan Check fee: (/'
Unheated Basement AR MIN
Mlle Hite Surcharge fee:
u U
Other Unheated Pot Water Review fee:
Garage/Carport S.j: SUBTOTAL
De POLE aLDt; S7C �a06ze 5cio• - 0 -
911/Rd Approach fee:
Other TOTAL: $ 5G1D,Fri
Receipt Number: t35 1 aG
Cash/Check Number: a,
ESTI A ED) Date: I G t
l�
air market value of all Obor add materials foundation to finish 0(0
1(' i'2Sco Initials: /�-�
1 G
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