HomeMy WebLinkAboutBLD2006-00664 IPUILDING PERMIT APPLICAltN ML Review T Ty y 644
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00664 Received Date: 11/21/2006
SITE ADDRESS: 194 PROSPECT AVE
PORT TOWNSEND, 98368
OWNER: CHARLES R JOHNSON PHONE: 360-385-2065
PO BOX 1660
PORT HADLOCK WA 983391660
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 001342021 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2008
REPRESENTATIVE: SOUND BUILDING SYSTEMS INC PHONE: (360)437-1219
3546 THORNDYKE RD
PROJECT DESCRIPTIOP NEW POLE BLDG GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,866.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,296 SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
11 /0 I /&( --
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $335.25 LYK 11/21/06 86795
Plan Check $217.92 LYK 11/21/06 86795 �1 �-
��� �� -_
State Building Code $4.50 LYK 11/21/06 86795 NOV �fr
Total: $557.67 N 30206
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00664 Received Date 11/21/2006
SITE ADDRESS: 194 PROSPECT AVE Issue Date 11/30/2006
PORT TOWNSEND, 98368
APPLICANT: CHARLES R JOHNSON PHONE: 360-385-2065
PO BOX 1660
PORT HADLOCK WA 983391660
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 001342021 Section: 34 Township: 30 N Range: 01 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 POLE BLDG GARAGE - UNHTD, NO PLMB
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: ~-
Footing: d/P[ f�SGL
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:-.),— D?
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
411
SPECIAL CONDITIONS FOR CASE A BLD06-00664
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 identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative
buffer setback of 50-feet per the recorded plat of W.E. & M.J. Seton Short Plat filed under
AFN 426503 on September 3, 1999. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to the proposed pole building.
3.) 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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
7.) Minimum setback from Prospect Avenue shall be 20 feet. Minimum side and rear
setbacks are 5 feet. If an ESA is present, then the more stricter setback(s) shall apply.
8.) 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.
9.) 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.
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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w goN cow JEFFERS COUNTY A " '<
i� DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax NOV 2 1 2��b
�ltx, 0� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: (p9
Project Description.(include separate sheets as necessary):
ecns tru, fien c f 3t:.X3e/ X i ' pole hal (cirne3 cc;rae
3 J j Property
Tax Parcel Number: v U/ - 3 y.2 -0.2 I Size: (acres/square feet)
Site Address and/or Directions to Property: 194 Pr.spc t Ave /3,-t 'rcc)n5e.n.d
Property Owner(s) of Record: e her le.s R J h n s..m
Telephone: 34.,v --3yS- 2C4.5- Fax: email:
Mailing Address: P O f3o. ibipo r P .-t Nad lcc k , u/A 1 Y J j q
Applican gen (if different from owner): Sc.=nd (3,4,Id,ni S y s te.,as :Inc
Telephone: 3 ie c - 'i 3 i- /a ( I Fax: 3c,c- 4 3 7 - r.2 i y email:
Mailing Address: 35.4 I rnciyke Rc.act, P'-i Lcdlc� , l,tlA y1(3t5--
What kind of Permit? (Check each box that applies)
1/Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address [1 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)* [1 Shoreline Management Variance
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* C] 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 Sound 13 L.,Id,,,��i�5 vs te..K s�T,,n,J . to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE t�'(.1C✓L• /t ` 6 Ms6', .
` Date: //--..2 I -a,
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: ` Veroz `- XJ C-,, iy�_I'`r/ /
Date: /j—.2-l —06
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 adheringg to d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 7/4cL: !,-7 .r ' ./l„.„-,.1
ii` Date: 7(/,9 /c-'(';
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: FAX:
Svl;ncl 8uildrti Systems -tnc_ ( 36c' )y3 i -1,2I e/ ( 34o) 4137- 12lb
MAILING ADDRESS: 35a14 rbcrec1t1k� Read EMAIL:
CONTRACTOR'S LICENSE Per t-kdtecv) Wit ib'3t< S WAINS
NUMBER: 50 NUMBER
ARCHITECT/ENGINEER: PHONE (SD 3)j yg.. /7.2.7 FAX: ( -0 3 )Ste- /7.L SJ
A iflance. El—Toter-tny
MAILING ADDRESS: ,,1 700 Marker 5freei N1= 5,;!ern, OR 5'1.30 1 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
V'New CVWood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: _() Bank Height: u Community System
❑ Alteration/Remodel ❑ Concrete Total: [Individual System
❑ Repair ❑ Masonry SEP Permit#
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: I:4' Private well f] Two Party
Type of Heat: Proposed: I 1 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 [1 Woodstove l] Fireplace Insert ❑ Hot Water Tank [I 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 Revision
Main Floor Heated EH Bld App Review:
(o5•bn
2na Floor Heated Consistency Review: 105
OC)
Other Heated Base fee: (55 a
Mezzanine Additional Section:
•
Heated Basement Plan Check fee:
an .9a
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
I a 940 , Dt cC.01O 1 T15.V
Decks �_ 911/Rd Approach fee: / 51- `
n el
Other TOTAL: $ —7-7 5•6,-7
Receipt Number: c3(0-r1Cn
Cash/Check Number:
1( 3
ESTIMATED COST(REQUIRED) Date:
•Fain market value of all labor and materials foundation to finish I I a' {0$
/ Initials:
66y Os
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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