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Home My WebLink AboutBLD2006-00628 BUILDING PERMIT APPLICAN ML Review Ty Review 610 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00628 Received Date: 11/2/2006 SITE ADDRESS: 141 RIDGE DR PORT TOWNSEND, 98368 OWNER: DOROTHY J MAJOR PHONE: (253) 851-6725 SANDRA L MAJOR/MARK L STAHL 13071 MADRONA RD SW PORT ORCHARD WA 98367 CAPE GEORGE VILLAGE DIV 4 SUBDIVISION: Block: Lot: 5 PARCEL NUMBER: 940800005 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: JERRY R LINDSEY EXCAVATING PHONE: 360-385-1076 1865 W UNCAS RD PORT TOWNSEND WA 98368 Contractor's License JERRYRL962QR Expires 11/9/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMOLISH MFH, GARAGE, WOOD SHED G)► c)/ 4 L (ENTIRE LOT WILL BE CLEAR) TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: \ 3La cat, et--- Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $51.00 KAS 11/02/06 86756 State Building Code $4.50 KAS 11/02/06 86756 Total: $55.50 NOV 152006 -• w DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00628 Received Date 11/2/2006 SITE ADDRESS: 141 RIDGE DR Issue Date 11/15/2006 PORT TOWNSEND, 98368 APPLICANT: DOROTHY J MAJOR PHONE: (253) 851-6725 SANDRA L MAJOR/MARK L STAHL 13071 MADRONA RD SW PORT ORCHARD WA 98367 5 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: PARCEL NUMBER: 940800005 Section: 13 Township: 30N Range: 02W CONTRACTOR: JERRY R LINDSEY EXCAVATING PHONE: 360-385-1076 1865 W UNCAS RD PORT TOWNSEND WA 98368 Contractor's License JERRYRL962QR Expires 11/9/2008 OWNER, DOROTHY J MAJOR PHONE: (253) 851-6725 if different: SANDRA L MAJOR/MARK L STAHL 13071 MADRONA RD SW PORT ORCHARD WA 98367 PROJECT DESCRIPTION: DEMOLISH MFH, GARAGE, WOOD SHED AND CONCRETE PAD THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 11/15/2007. REQUIRED INSPECTION: FinalApproval — k" C-57 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY 410 • SPECIAL CONDITIONS FOR CASE#BLD06-00628: 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) The project shall adhere to the Best Management Practices (BMPs)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.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 4.) The site plan as submitted with the demolition permit application on November 2, 2006 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated November 10, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for a demolition of manufactured home, garage, wood shed and concrete pad only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) At time of building construction, minimum setbacks from Ridge Drive and Goss Road rights-of-ways shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 9.) 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. 10.) 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. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) A minimum of two (2) on-site parking spaces shall be provided at time of single family residential construction. 14.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 15.) The lot was created through the Cape George Village Division 4 Subdivsion on August 26, 1965 under AFN 184865. 16.) An address of 141 Ridge Drive, Port Towsend has been assigned to the lot. Ridge Drive is a private road (P145). 17.) A survey of the lot has been filed by American Land Science on August 23, 2005 under AFN 514734. 18.) The lot is currently served by the Cape George Colony water system (ID#11050C). I:\F_BLD_Permit_Propane.rpt 10/29/19 09/26/2006 13:24 FAX 360 491 6308 ORCAA EA 001 ' ,I PERMIT* Q..E6. APPROVEDR ".. _ L . I CONDITIONALLY APPROVED_..,,....,._. e, ;+ \` : CA A - '' I NOT APPROVED y �. + ,}f ;ii''�� r ..� x: i��w- FOR COMPLIANCE WITH T`" ORCAA RELATOi �,.urrs Notification of Demolition Pexmi. .�—.---=-- It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition *rules* the owner or operator has obtained Written approval from ORCAA. A 'written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in tbe area of the structure. [� RProject ��ite Address: tr`!�1 lr • Comity: J____f. v �� 1� City: Po r+ I O(. f15 1r1d, State: 011 ' Zip: 9 0 .3_ Starting.Date: C`f. 9 ,) 1 r ...., ,,, - -, Completion Date: TT t�1 1 i d<L"07 *(There is a 10 working,day advance notification period from receipt of permit application) / „- .r-c_ ('f1 co Property Owner: ro-1-\^r� [}lf oC Telephone:( 3)6 I `l0 7 3 Fax: Mailirn ddress: r? C7-7/ 01 Q - _ro► c 5 (,� . City: or - O(C. +(-c state: V1/4 Zip: 9'S3 7 Demolition ContractoiTeif f 1 i-1 O.IS 5E1 Ey.C.G\Vtd iioA State License#: ¶1 -//R'3 g 7 Mailin.� ddress: + City:- Y -1 c 0 a Qt` - State: _ Ai Zip: q 3‘f) Contact Person: cJe.,rNi Li 1\ S -' J Telephone: 3 Or-(}- !c L Fax: YES NO f Demolition by Wrecking or Dismantling? ($25.00 fee) check# t- '' iV Training Fire Demolition? (If yes, attach fire department request for training fire) t� enovation,Alteration, Remodeling, Maintenance, or other Construction? i/ Asbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be s mined prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbest,c� fl or t�(Cn _ie r potentially friable asbestos must be removed before anydemolition begins. t 4 r 1 Refer to ORCAA Regulation 1 Article I4 for �d' requirements that may apply. Asbestos Survey Completed by AHERA Certified Inspector Lc._\_,t, p�,A a - Certification# G ,9 C)A C- O(12- 6. . r/ )/8/ 4 JFf} 8S(ik ,:IIuNf)JI'D This approved permit must Enclose$25 z Certification of the Asbestos Survey mustbe available at the job site Proceing Fee accompany tsis form 1 - ' - - 0.15r5 Oiiii . g•2k.' 440$Limited Lane NW,Olympia,Wss t gt L �F, a ,<�'+/;,:..1 r? •�?. 360 586-1044 * 800 422-56.r3 " fax 360-491-6308 xt ,+ homepage: www.orcai.org * email: in,fo@orca_a.or CK. NO. �l'74 1 Rev.07;11/02 DATE / ON coo. JEFFEF N COUNTY • 1 ' \: DEPARTMENT OF COMMUNITY DEVELOPMENT ►C 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax tt -qS, N0�0� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: C (63- (0 f& Project Description (include separa e sheets as necessary( :: )h -�.,.c)rl �� \A T(�c..)l-‘..1.'Ce-(4. h nom I!iwilik , St-<rki (� Property Tax Parcel Number: (�o(_)D ] Size: �! I 160 f (acres/square feet) Site Address and/or Directions to Property: / y/ /? cJci e D t-, ram„ -j- Gc i)S v\rI 1FI A C' 3&,y Property Owner(s)of Record: 1 via( k `3-i a `\k -1 _)(l i\c- r /z 1 4& c i' _jo►'-G A l\ J"4O `(( Telephone:6;-5 3) S5 f -h 7-g `3 Fax: email: Culdr-cl i -/ -tui) f Mailing Address: / 3(-`)-7 I MCt d rcin a � , T. . (,(i 11 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies) ,.Building ❑Variance(Minor,Major or Reasonable Economic Use) 'Demolition Permit ❑ Conditional Use[C(a),C(d),or C]'"' ❑ Single Fami ,� ❑ Discretionary"D"or Unnamed Use Classification �� _ eta / 22) ❑ Special Use(Essential Public Facilities)** ❑ Boundary Line Adjustment ❑ Modular 0 Short Plat** ❑ Commercial* ❑ Binding Site Plan** 0 Change of Use ❑ Long Plat** ❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments'"' o Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 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 o 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date:• 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 inspec ions.Access and right of entry to this property shall be requested and shall occur only during regular business hours. J/ Signature: ...," c: �� / (�' t l Date: / L C 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 f adherin o and comp i g,with fhe E—S .. The Applicant has read this disclaimer nd signs an 'dates it be ow. Signature: �' / 9 ` �' L Date: C.i -- G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.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: F FAX: MAILING ADDRESS: CONTRACTORS LICENSE .-- �.r =1 WAINS NUMBER: (u..-S y 'L 9( 2 j� NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New .1 Wood Existing: ❑ Sewer ❑ Addition Steel Proposed: Bank Height: ❑ Community System ❑ Alteration/Remodel Cl Concrete Total: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 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: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 i- r- Revision Main Floor Heated EH Bld App Review: 1 J. GCS 2n°Floor Heated Consistency Review: 153.00 Other Heated Base fee: 5} - 0l Mezzanine Additional Section: Heated Basement • Plan Check fee: Unheated Basement State Surcharge fee: 2 U5c: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 9 `� Decks 911/Rd Approach fee: S t 1r Other TOTAL: $ ` _ 3 1'_"' Receipt Number: C6/_1 1/ Cash/Check Number: Li l(� ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish Li 07 Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc '1G (-- )/tel e / q bic.. \, ,t, ,-, . ,_____ ....\ ______. ___ ___________ _ _.....„......._ . ____ ________ ___________._____ 74,, ) __ , ‘_ ,__ ___,„,/,}..,,-,z_____, ' -------,-------...„23 7tc..,„„ ill//f5- -,-, D4.,,- fl'I+/46,' `1:-bit,)EK Ca IN m ill v f`\ /' O/i) Z/')z— • POI 0 z —1 4 __ WE m — r-_ EI In :1: p�� i �C Da moo. 1 OZ . , \ w ---4 Z \-..,..._ -..,,,,... 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