HomeMy WebLinkAboutBLD2006-00694 • •
BUILDING PERMIT
Jeffen Coupmi
621rso Sheridannty De Streetart, Portent of Townsend,Commun Wty AD
98368 Development
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00694 Received Date 12/8/2006
SITE ADDRESS: 350 RENIER RD Issue Date 12/19/2006
NORDLAND, 98358
APPLICANT: DALE A GARBO PHONE: 360-379-0218
JOYCE ROBERTS GARBO
PO BOX 204
NORDLAND WA 983580204
SUBDIVISION: OLSON & HAMBLETON'S Block: 8 Lot:
PARCEL NUMBER: 977700029 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR: VIKING FENCE CO PHONE: (360)373-7918
3015 STATE HWY 3
BREMERTON WA 98312-5015
Contractor's License: VI KINFC159JC Expires: 8/23/2008
PROJECT DESCRIPTION: INSTALL NEW CEDAR SLATS TO EXISTING 6'WIRE FENCE
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: 17 -71-E(r) 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-# BLD06-00694 •
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.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
4.) 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.
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.) 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.
8.) 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.
9.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
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.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
•UILDING PERMIT APPLICA1ON ML Review Ty Ty 664
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00694 Received Date: 12/8/2006
SITE ADDRESS: 350 RENIER RD
NORDLAND, 98358
OWNER: DALE A GARBO PHONE: 360-379-0218
JOYCE ROBERTS GARBO
PO BOX 204
NORDLAND WA 983580204 OLSON & HAMBLETON'S
SUBDIVISION: Block: 8 Lot:
PARCEL NUMBER: 977700029 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR: VIKING FENCE CO PHONE: (360)373-7918
3015 STATE HWY 3
BREMERTON WA 98312-5015
Contractor's License VI KINFC159JC Expires 8/23/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr INSTALL NEW CEDAR SLATS TO EXISTING 6' WIRE FENCE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 3,300.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: --\
Q\S,co
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $97.25 LYK 12/08/06 37004
Plan Check $63.21 LYK 12/08/06 37004 J
State Building Code $4.50 LYK 12/08/06 87004 q
2006
Total: $164.96 DEC
C« ...71a3 a:pN . li_
¢SON cad JEFFERSO!OUNTY •
'� 1 DEPARTMENT OF COMMUNITY DEVELOPMENT
h ' `� 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�" p www.co.jefferson.wa.us/commdevelopment
�S�3'7Np�S
Master Permit Application �-MLA: l `t�'
Project Description(include separate sheets as necessary):.
it) t.w CEDg-- 6 ' SG., -Ts TO Cx/S�ir,sU vt1/ r� l�fiL,'c- `t
Tax Parcel y 7 _7 0 z Property ,
Number: g Size: Z (�creysquare feet)
Site Address and/or Directions to Property: 3 5z% 2 (-^-,i f r i2 c4-0 A)Gi rO L.4-r'(,-,J, (.tJ4 47d'3JY
Property Owner(s)of Record:
Telephone: 3 6 0 3.7 9 °a"' Fax: email:
Mailing Address: P ° 6 e X 2 U `f A) o r D L .4.c,.o w`I- 3J
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
1---113uilding t Variance(Minor, Major or Reasonable Economic Use)
I Demolition Permit i Conditional Use[C(a), C(d), or C]**
1 Single Family 1 Discretionary"D"or Unnamed Use Classification
1 Garage Attached/Detached 1 Special Use(Essential Public Facilities)**
i Manufactured Home I Boundary Line Adjustment
I Modular I Short Plat**
1 Commercial* i Binding Site Plan**
i Change of Use 1 Long Plat**
I Address I Road Approach i Planned Rural Residential Development(PRRD)/Amendments**
i Propane i Plat Vacation/Alteration**
I Allowed"Yes"Use Consistency Analysis 1 Shoreline Master Program Exemption/Permit Revisions**
1 Stormwater Management I Shoreline Management Substantial Development**
1 Site Plan Approval Advance Determination(SPAAD)* 1 Shoreline Management Variance
1 Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment
I Wireless Telecommunication* 1 Jefferson County Shoreline Master Program Amendment
i 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 inspeens. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap ation/that he o;s, ants prior notice.
Signature: /�` ` Date: ,L'/s/0 tv
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 1:o 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 r spon ilit or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs nd dates it below.
Signature: !/..,- Date: 72 /1 / a
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc
• BUILDER STATEMENT 411
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:
V//61 K)6-- i�f/L-1(., L ( ) ( )
MAILING ADDRESS: 3 G/S 37-4-/ A- /-{W y 3 EMAIL:
CONTRACTOR'S LICENSE 1 f•'' 'j U4- l8 S' L- WAINS
NUMBER: V 11 1 10/-C- /C9 ,J f C— NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ❑ Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well Li 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:
i Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I 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 Bid App Review:
2`d Floor Heated Consistency Review: 53c j
Other Heated Base fee: q a5
Mezzanine Additional Section: `.'
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: t
Other Unheated Pot Water Review fee: _—
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $ 31 I
Receipt Number: U Q"i t-�r1CT�..
Cash/Check Number: �4l J5 '
ESTIMATED COST(REQUIRED) Date:
•Fair m iket value of all labor and materials foundation to finish
•3 3 d 0 . 00 Initials:
G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 07-142006.doc
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