HomeMy WebLinkAboutBLD2006-00713 •JILDING PERMIT APPLICATILIN ML ReviewTy 677
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00713 Received Date: 12/21/2006
SITE ADDRESS: 140 W ARDEN ST
PORT HADLOCK, 98339
OWNER: MIRO LUND PHONE: 360-643-1793
2103 HAI N ES ST
PORT TOWNSEND WA 98368
IRONDALE
SUBDIVISION: Block: 64 Lot: 25+
PARCEL NUMBER: 961806408 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP DEMO EXISTING M/H
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP DEM MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date:
►aim c-----
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $51.00 LYK 12/21/06 87025 AFPRD\JEIDState Building Code $4.50 LYK 12/21/06 87025
Total: $55.50 'FEB 3 2007
Jefferson County Planning
&Building Department
• •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00713 Received Date 12/21/2006
SITE ADDRESS: 140 W ARDEN ST Issue Date 2/13/2007
PORT HADLOCK, 98339
APPLICANT: MIRO LUND PHONE: 360-643-1793
2103 HAINES ST
PORT TOWNSEND WA 98368
25+
SUBDIVISION: IRONDALE Block: 64 Lot:
PARCEL NUMBER: 961806408 Section: 34 Township: 30N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, MIRO LUND PHONE: 360-643-1793
if different: 2103 HAINES ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION: DEMO EXISTING M/H (BLD06-00713)
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 2/13/2008.
REQUIRED INSPECTION:
FinalApproval: V^ ¢/0 4g
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
• •
SPECIAL CONDITIONS FOR CASE#BLD06-00713: •
1.) A building permit(BLD06-00714) for a new single family residence and a building permit
(BLD06-00715)for a new unheated garage & shop with heatted office & bathroom are
both pending on additional information to be submitted to the county.
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.) The proponent shall comply wirh any State and OAPCA for disposal of or handling of any
hazardous material(s).
4.) 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.
5.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(2)(f).
6.) The site plan as submitted with the building permit application on December 21, 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 February 12, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
7.) This approval is for a demolition permit for the existing manufactured home 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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.
10.) Setbacks from 8th Ave right-of-way (C674709 ) and W. Arden Street right-of-way (P572)
are 20 ft from the edge of the right-of-way. Minimum setbacks from the western and
northern property lines are 5 ft.
11.) 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.
12.) 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.
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) The proposal is to develop across separate parcels. Setback requirements will not allow
for the development to span over lot lines. For the purpose of meeting bulk and
dimensional requirements and minimum land area, a Declaration of Restrictive Covenant
has been recorded under AFN 473276.
16.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
• •
17.) W Arden St is a private road (P572). The road approach was reviewed under RAp
03-00202 and an address of 140 W Arden St has been assigned to the parcel.
18.) A septic permit (SEP03-00202)was approved on August 21, 2006 for a system of 240
gallons per day
19.) This parcel was created through the Irondale Division No. 2 & 3 under AFN 29135 and
AFN 29470, filed of record January 11, 1910 in Plat Book 2, page 129 and February 19,
1910 in Plat Book 2, page 131 with Jefferson County Auditor's office.
20.) A minimum of two (2) on-site parking spaces are required for the single family residence.
21.) The removal of the exsiting manufactured home would not create or add over 2,000
square feet of impervious surface and would not result in over 7,000 square feet of land
disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development
Code requires that your proposal submit a Stormwater Plan for a Small Project, which are
construction best management practices.
I:\F_BLD_Permit_Propane.rpt 10/29/19
• •
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'r= 9RCAA , `"
�`"'�rEmesoe•was �ty
Notification of Demolition Permit
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 unless 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 the area of the
structure.
Project Site Address: 7t^ w A re) .?--1---- unty: -�''
•
City: .- ` P.'"- .)‘t• /� w/-\--
State: _ Zip: ���3`1
Starting Date: — Or Completion Date: re- , O 7
*(There is a 10 working day advance notification period from receipt of permit application)
Property Owner: / Telephone: ` "` 1 7! 3 Fax: 2' �e5I-
Mailing Ad ss: 21 `' >-4 �z, i �e�
Jrf v_ ✓ .J
City: -- State: �' ' Zip: ,36/'
Demolition Contractor: (i`�"-'�� State License#:
Mailing Address:
City: State: Zip:
Contact Person: Telephone: Fax:
YES NO
X Demolition by Wrecking or Dismantling? ($25.00 fee) check#
Training Fire Demolition? (If yes,attach fire department request for training fire)
Renovation, Alteration, Remodeling, Maintenance, or other Construction?
Asbestos found or suspected*
*An ORCAA"Notice of Intent to Remove or Encapsulate Asbestos"form and appro ate must be submitted prior to any asbestos
removal work. Asbestos removal projects iiively>g dem- it o must preformed b a Certifie Asbestos Contractor and all friable or
potentially friable asbestos must removed before any demolition begins. Refe ORCAA Regulation 1 Article 14 for additional
requirements that may apply. /
\ Asbestos Survey Completed by
AHERA Certified Inspector',
Certification#. ~�----
This approved permit must Enclose S25 Certification of the Asbestos Survey must
be available at the job site Processing Fee accompany this form
2940 B Limited Lane NW,Olympia,Washington 98502
360-586-1044 * 800422-5623 * fax 360491-6308
homepage:www.orcaa.org * email: info(cilorcaa.org C-!', !,1 V
Rev.07/11/02
�iI ON cob JEFFERSOt OUNTY •
�'� ti-, DEPARTMENT OF COMMUNITY DEVELOPMENT
"' 621 Sheridan Street • Port Townsend •Washington 98368
�0. , 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: CO-- (ail
Project Description(include separate sheets as necessary):
,,, C 6�,)r r.,5 P::J.'," 1•�s k) l A_ '_..
Tax Parcel / Property
Number: 6/E? pc �� Size: / • 2 _ el C (acres/square feet)
Site Address and/or Directions to Property: /lft L^1' Al'e ?`"'' ,,L-�irr,�.,, /e' v--/A- 1< ' 3 f `/
Property Owner(s)of Record: --..'t''l i I� C 4"'I, 9
Telephone: 'G C 6�(J5 — i 7j.1ax: _ email:
Mailing Address: 2,/o . G•.,, ',Ai , 7 R-, r l, .�,". na,i "''A- 4-3 L .9-
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
I Building I Variance(Minor, Major or Reasonable Economic Use)
;Demolition Permit i Conditional Use[C(a), C(d),or C]**
I Single Family i Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached I Special Use(Essential Public Facilities)**
I Manufactured Home i Boundary Line Adjustment
1 Modular 1 Short Plat**
I Commercial* i Binding Site Plan**
i Change of Use i 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 i Shoreline Master Program Exemption/Permit Revisions**
Stormwater Management i Shoreline Management Substantial Development**
I Site Plan Approval Advance Determination(SPAAD)* i Shoreline Management Variance
i Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment
I Wireless Telecommunication* i 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 inspection Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appliciayon that he or shewa s prior notice.
Signature: '::)-- `--1- Date: / 1- l C 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 indivual,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 Jeffersdri ounty development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable a onsibility for adheri and mplying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 1 . Date: i 2"_ T,Rit ,z/ C (,
+'/
G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.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 Je General Contractor for the proposed project.
Signature: - ---- Date: K2--2/ 06
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:
❑ New i i Wood Existing: 7 U Sewer
❑ Addition 'Steel Proposed: Bank Li Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: [I Individual System
❑ Repair ❑ Masonry SEP Permit#
Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 1 Setback: 1-1 Private well ❑ Two Party
Type of Heat: Proposed: [H Public
✓;.r < 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 I Above ground Tank Size of Propane Tank:
Heat Stove i Cook Stove i Woodstove i Fireplace Insert Hot Water Tank 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 CC, EH Bld App Review:
2na Floor Heated /'" Consistency Review:
Other Heated Base fee: SI •
(77
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL S5 )
Decks 911/Rd Approach fee:
Other TOTAL: $
Receipt Number:
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish la)al 1_0(
�0 0Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc
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