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Home My WebLink AboutBLD2006-00610 itILDING PERMIT APPLICATI MRLA06r00pe5: i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00610 Received Date: 10/23/2006 SITE ADDRESS: 12 PETERSON RD PORT TOWNSEND, 98368 OWNER: LARRY V COX PHONE: 360-732-0735 ANNE L VILVANDRE 12 PETERSON RD PORT TOWNSEND WA 98368-8723 BROWN LARGE LOT SUB-DIV SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 801065001 Section: 6 Township: 28 N Range: 01 W CONTRACTOR: KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License KOZELHS027C3 Expires 01/06/2007 REPRESENTATIVE: JAIME KOZELISKY PHONE: (360) 385-3215 1112 S JACOB MILLER RD (360) 385-3215 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOt FREESTANDING DECK FOR MFH TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 6,788.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 288 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: /0744 0,3 Type Amount Paid By: Date: Receipt: Approved/Date Permit $139.25 KAS 10/23/06 85134 Plan Check $90.52 KAS 10/23/06 85134 ss State Building Code $4.50 KAS 10/23/06 85134 NOV q 2006 Total: $234.27 .iettevm Cnunr ,. b Pla,�,� zi: R4 nenartmer • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00610 Received Date 10/23/2006 SITE ADDRESS: 12 PETERSON RD Issue Date 11/9/2006 PORT TOWNSEND, 98368 APPLICANT: LARRY V COX PHONE: 360-732-0735 ANNE L VILVANDRE 12 PETERSON RD PORT TOWNSEND WA 98368-8723 SUBDIVISION: BROWN LARGE LOT SUB-DIV Block: Lot: 1 PARCEL NUMBER: 801065001 Section: 6 Township: 28 N Range: 01 W CONTRACTOR: KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License: KOZELHS027C3 Expires: 1/6/2007 PROJECT DESCRIPTION: FREESTANDING DECK FOR MFH CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: 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:k 5I?4,1 e') 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 # BLD06-00610 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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. 4.) Minimum setback from Peterson Road right-of-way is 20 feet. Minimum side yard setbacks are 5 feet. Minimum setback from the adjacent designated commercial forest land is greater than 140 feet. 5.) 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. 6.) 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. 7.) The building height is not to exceed 35 feet. 8.) 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_B uild ng.rpt 10/29/19 • ` F It Is„,i,,__ , _zir� /I .,, 4 2 \-2e. -'...... ......„ I .... . I\ ; ; ... ' '''\\:....\\'-' I...'''', (. I 'N c \;,e' Ait , ` m - n S � .14 I , , i E i i ��60 i i �y , 1 / ti I To , rn \ i �. i t Ii O' air I - �-- I L. I i I I I ! i i 1 tir -\. - 1 L 6 -r"I ' , N V Z v O X \ i D �' o v NO N (� d1 4 ci G^ m to qt \ .n rap 4 m 1e i CON I I -!, -i (J1 C° 0 3) m • • 4,4`` CIf Th OG. JEFFERSON COUNTY 1 ��(- ��it li ;1 S A DEPARTMENT OF COMMUNITY DEVELOPMENT 04 621 Sheridan Street• Port Townsend •Washington 98368 • 360/379-4450• 360/379-4451 Fax 4.q $ www.co.jefferson.wa.us/commdevelopment S�NO2� Master Permit Application CSERSP-Ail Project Description(include separate sheets as necessary): ( 2 K ? ,/ ii c:=C (t_ F- D t-_--.-, .F,ai ct S-i-,).v,- ,. .R- 6'Z 1 -7 r-f-C,,.---C Tax Parcel Property Number: 6L. ( — C (r r _ cc, ( Size: /C-}- A-C A---2 (acres/square feet) Site Address and/or Directions to Property: f 2 4't'Tc S' -' 02 I) Property Owner(s)of Record: 0,"k / G'i L L'v,"-;A 2 c_ Telephone: 3 4'C- 7 3 Z-c-7;cax: email: Mailing Address: Applicant/Agent(if different from owner): _V I ryl 1� VVc 7 c l-(.S Ic c'. Telephone: 3C—' 3•kS'- 7 i 1j Fax: 5fc - ,SC' - 3? i.( email: Mailing Address: l(►? S . Mc ce> 'Lill(t 1C Pt t''1 r j0-4-••-4-,) What kind of Permit?(Check each box that applies) (Building ❑Variance(Minor,Major or Reasonable Economic Use) Q Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Ej Single Family °Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment El Modular °Short Plat** ❑Commercial* Minding Site Plan** El Change of Use °Long Plat** El Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments** C7 Propane ❑Plat Vacation/Alteration** DAllowed"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 OComprehensive 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 4 WI le k)S1L Sk 1; to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE a f (OECD 1•U F I'C , Date: IC 1'. -. l C" 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio that he r She wants prior notice. Signature: t Date:4 G—r*Z- - 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-tran erab a responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 0.-,, Date: /0 — Z C't( D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • • 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: i/c qtr S. . LC-(2) (1 ,.' _ S V c t :`,( ( ) 7j�c _ 3-2 , 1- ( ) SA ,`---C MAILING ADDRESS: /f( z 1k( �Il) let t((y.7 itL EMAIL: CONTRACTOR'S LICENSE 1 J WAINS / NUMBER: NUMBER 6. ABeHt-Twri C9INEER: PHONE (3t );)'c-_,2,t-FAx:( ) S'<.„--E MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New [,'1 Wood Existing: / ❑Sewer fEl- Addition i Cam- t' — 0 Steel Proposed: / Bank /' 0 Community System ❑ Alteration/Remodel 0 Concrete ,J Tot,�l: Height: r ,pIndividual System ❑ Repair ❑ Masonry Iv: Al.jT— g44SEP Permit# ❑ Demolition 0 Other: Bedrooms': Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ElPublic 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: °Underground Tank 0 Above ground Tank Size of Propane Tank: Cl Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: R I-,( f. A . ,1 ) 153.cC Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: RC.5a Unheated Basement `I "'' (,, " State Surcharge fee: AK ;.3; JNlYDCD g q -5D Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 43a.al Decks 2 / 1p� /�/R_9 d Approach fee: t �l,5 i- I 7 W.(CE, '1 Other TOTAL: $ Receipt Number: ,.?5i 34_ Cash/Check Number: a 4 r-/ ESTIMATED COST(REQUIRED) Date: tU l!1 .Fair market value of all labor and materials foundation to finish (Q D, /0.0 Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc n-0 0 z A< 0 . i c— m .. .0 , C. z ; E • ' -. : . , , . , , Ritk‘71 . . . . , . • , . . • . . ' . , ,3 Y 0 , , ,• i , ...... ........ .... .... ... ..... ...... - . , . , , .. . : . ., , • , , . . , 9 ' . i' . . . : . • . c .v . - r --. > . : , . ''',1 '', 73 ' i . . . . .- . . /TN 0 ', ' . . . :. - M , C•\* IIIjib.., • --....„ :',:`,.Z%.,, . , A •(-4,:,;, ,-,,,, -co -\.,, . ' 1 . ,::,;—% -','. 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