HomeMy WebLinkAboutBLD2006-00597 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00597 Received Date 10/17/2006
SITE ADDRESS: 131 E RHODODENDRON DR Issue Date 11/21/2006
PORT TOWNSEND, 98368
APPLICANT: SANDRA B SMITH PHONE: 608-592-4611
MICHAEL W SMITH
225 PALMER PKWY
LODI WI 535551124
SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 5 Lot: 23
PARCEL NUMBER: 938400522 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DECK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: C : I Ci -(: l t -IA LAI ______.__
UFFER:
Footing: -V. I I (y;l
Foundation: _
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing: -
Framing: CM_ I I-)Ac.I C-1 1 .k: 1 T1-1 _)
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:?.-co,r- c , t2-2 D 07
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 t BLD06-00597
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 East Rhododendron Drive 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
setbacks 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_Perm it_Bu ild ng.rpt 10/29/19
1
BUILDING PERMIT APPLICATILM ML v
Reviewiew T Ty 577
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00597 Received Date: 10/17/2006
SITE ADDRESS: 131 E RHODODENDRON DR
PORT TOWNSEND, 98368
OWNER: SANDRA B SMITH PHONE: 608-592-4611
MICHAEL W SMITH
225 PALMER PKWY
LODI WI 535551124 CAPE GEORGE COLONY DIV 3
SUBDIVISION: Block: 5 Lot: 23
PARCEL NUMBER: 938400522 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DECK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 7,542.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
GARA
CONST TYPE: DECKLE 320 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $153.25 LYK 10/17/06 85099 `'"
Plan Check $99.61 LYK 10/17/06 85099
State Building Code $4.50 LYK 10/17/06 85099 NOV2.1 2006
Total: $257.36
Jeffersim
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,r��Q`gON co JEFFERSO OUNTY •
rt ' DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend -Washington 98368
4, , 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
xyS, NGO
Master Permit Application
MLA: CL 31-7
Project Description (include separate sheets as necessary):
Tax Parcel
Number: 3 8.1400 52.Z Property
Size: (acres/square feet)
Site Address and/or Directions to Property: f 3 ( [- -L,,;,A .l
0 z,,.A r c;:, D,.
Property Owner(s)of Record: M : ct-k t I . S`N A.
SY•1:+(--,
Telephone: / - ( G,- 5 c] ) - c1 L.,
l Fax: _ email:
Z2 Mailing Address: S �a l re— Plctyy 1 L oc(i W-I
S S S
Applicant/Agent(if different from owner): ‘-Jprtjd 1-1 SiM,i { %.
Telephone: 300. 3-4 q. '-I Y L{c( Fax:
Mailing Address: 7.o . �jp 2 o2. 2 email: CCLS/"tA,()@[-{ A-IL- Cry,.
Wes` ka a4
What kind of Permit?(Check each box that applies)
HAI wilding DEC k. r ClVariance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit
❑Single Family ❑ Conditional Use[C(a), C(d),or C]**
❑Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Special Use(Essential Public Facilities)**
❑Modular ❑ Boundary Line Adjustment
❑Commercial* ❑ Short Plat**
❑Change of Use ❑ Binding Site Plan**
❑Address GI Long Plat**
Li 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
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:rence
A.
i I hereby designate ord air' LAzkvi:. DESIGNATION OF AGENT
to act as my agent in matters relating to this application for permit(s).
I OWNER SIGNATURE�� c�1.G,34264,
't� c-r."--;; -•cx..., �-./'74.-.-=r,C% Date: /eZ/a !/Ur
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 fad 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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: ,
61-1-.•--e-roa>.--7/'
s-k% c-3_-,,&, -''sc.e.t.{e_,. Date: .Z/ 0 s^
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 adheri g to and complying with the ESA. The Applicant has read this disclaimer nd signs and dates it below.
Signature:,/ .01 Q L,/
�'i rYL-!o'f� Date: 47/2./ 65
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
OWNER 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 Tesponsibility of le General Contractor for the proposed project.
Signature: 6%-"-R.(A . Date: /1-11d 0 5
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:
1.3'New Wood Existing: Li Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
Total: Height: ❑ Individual System
❑ Alteration/Remodel ❑ Concrete SEP Permit#
❑ Repair ❑ Masonry
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Proposed: ❑ Public
Type of Heat: 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:
Li Underground Tank Ci Above ground Tank Size of Propane Tank:
❑ Heat Stove I 1 Cook Stove 0 Woodstove [l Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove Cl 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 For Office Use Only /ib
Current Proposed Re etiv Amount
Main Floor Consisten vie : C 1
3 f°
2Nu Floor Base fee: i 53 .Z
3-Floor • Additional Section: ---- �
3 - _
J
Mezzanine: Plan Check fee: -1 I I
Heated Basement State Surcharge fee: /(I 0)Unheated Basement Pot Water Review fee: 4-
Other Unheated 911/Rd Approach fee: ___ __...
Garage/Carport , TOTAL: $ 4( J-7____5.3t;
Decks n ix �' Receipt Number: 9�
3�0 18 �� � ' Number:
Other ,- Cash/Check 31493
ESTIMATED COST(REQUIRED) Date: 1dr_`-�`
•Fair mark t value of all labor and materials foundation to finish
�7� nCo
/f o Initials: 'r
G:\PemutCentcr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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