HomeMy WebLinkAboutBLD2006-00720 • •
BUILDING PERMIT
Jefferson County m
621 SheridanDepart Street, Portentof TownsendCommunity, WADevelopment 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00720 Received Date 12/26/2006
SITE ADDRESS: 500 DENNIS BLVD Issue Date 01/8/2007
PORT TOWNSEND, 98368
APPLICANT: PHILIP C SHIPMAN PHONE: 360-385-1598
KATHY L SHIPMAN
500 DENNIS BLVD
PORT TOWNSEND WA 983689482
SUBDIVISION: CAPE GEORGE VILLAGE DIV 1 Block: Lot: 14
PARCEL NUMBER: 939900015 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADDITION UNHEATED SUNROOM / REMOVE GREEHOUSE
CALL IN FOR THE REQt,JRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: I-'
UFFER:
Footing: >M1100)\4;2- J
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing: VS'
Framing: 5" Its 11
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: n
Final/Occupancy Approval: `/L._-'1-Z5—C77
HEALTH DEPARTMENT ADD 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 BLD06-00720
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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
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.) 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.
6.) Setback from Dennis Blvd. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
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.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
MILDING PERMIT APPLICATIA MRL Review Ty
680
ype
Jefferson County Department of Community Development
621 Sheridan Street Part Townsend, WA 98368
PERMIT #: BLD06-00720 Received Date: 12/26/2006
SITE ADDRESS: 500 DENNIS BLVD
PORT TOWNSEND, 98368
OWNER: PHILIP C SHIPMAN PHONE: 360-385-1598
KATHY L SHIPMAN
500 DENNIS BLVD
PORT TOWNSEND WA 98368948.2 CAPE GEORGE VILLAGE DIV 1
SUBDIVISION: Block: Lot: 14
PARCEL NUMBER: 939900015 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ADDITION UNHEATED SUNROOM / REMOVE GREEHOUSE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 7,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: 288 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: Q0
, , (016(C t------
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $139.25 CJZ 12/26/06 86976 / , D
Plan Check $90.51 CJZ 12/26/06 86976
State Building Code $4.50 CJZ 12/26/06 86976 JAN no?
Total: $234.26
,
-----e,' lair c0� JEFFERS AUNTY ________(
, S �.� DEPARTMENT F COMMUNITY DEVELOPMENT r',' t�"
13 4\ 621 Sheridan Street • Port Townsend •Washington-98368 - i
360/379-4450 • 360/379-4451 Fax
�q O� www.co.jefferson.wa.us/commdevelopment
SNOBS I DEC 2 6 2006 i,--J
Master Permit Application MLA: 60
- _ (080
I
Pr j ct Descri tion (include separate sheets as necessary): -c
Y�r 110 ,.�ti�e.4 Sl,,rroc, w. rP,A1 fv� (3/N4f, pticc
� Property
Tax Parcel Number: f 3 rj f1 C(1 e I Size: ��r X /./c i (acres/square feet)
Site Address and/or Directions to Property: , .(-•C b,;,y,.i;c L h41. ('1` (,,,t e ,, )/c �t, C �,�� E C .k ,"
Property Owner(s)of Record: pk.) p :i- ,- h�/ _S)r,.DryI ( V
Telephone:_I(C' ' . iN
� ?5 -.15 cj 5 Fax: email: p S L" in,,n is c .,aja x ,
Mailing Address: .S[t^ 1) i1Mty, RIvJ. Kt,rT Tow},,,, 4) vvi) 5 z;)6g
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
'I7 Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or CI**
' Single Family ❑ Discretionary"D"or Unnamed Use Classification
0 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 n Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
0 Allowed"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 ❑ Comprehensive 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 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'nspection .Access and right of entry to this property shall be requested and shall occur only during regular business
hours. , j J
Signature: Date: l,9\—t�C - 0h
The action or actions pplicant 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 re si ility fora her' g o and complying with the ESA. The Applicant has read this disclaimer and signs and date it below.
Signature:
Date: i 12.— 6 0
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 respo sibility of the General Contractor for the proposed project. --' ii a^ _ .-
Signature: # . Date: r
GENERAL CONT CTOR OR MANUFACTURED HOME INSTALLER: PHONE: I'
( I D EI �' 6) _2006 J I
MAILING ADDRESS: EMAIL: 1
CONTRACTOR'S LICENSE WAINS 1%Vt I.Orf�tENT
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New N Wood Existing: ;X. L Sewer
❑ Addition ❑ Steel Proposed: Bank Height: t, Community System
`" i Alteration/Remodel ❑ Concrete Total: iii, I I Individual Systern
❑ Repair ❑ Masonry SEP Permit# "..
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: . Setback: 11 Private well 11 Two Party
Type of Heat: Proposed: f, t-1 Public
Total: ii- Name of System: a
If this is a Commercial Protect 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:
t1 Underground Tank LI Above ground Tank Size of Propane Tank:
I I Heat Stove I 1 Cook Stove 11 Woodstove H Fireplace Insert [i Hot Water Tank t 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 BId App Review: ( 5
2T° Floor Heated Consistency Review: 1 r 3
Other Heated Base fee: t 31.
Mezzanine Additional Section:
_ire
Heated Basement Plan Check fee: 90.61
Unheated Basement State Surcharge fee: EC)
Other Unheated Pot Water Review fee: ---.._-.
Garage/Carport SUBTOTAL 5a a(p
Decks 911/Rd Approach fee: l' .
Others � �
kntvcr `‘ + nhaR� .4 4)j-Ng [ TOTAL: $A ba • J
Receipt Number: ei � c 91
Cash/Check Number: !`C� t.b
ESTIMATED COST(REQUIRED) Date: (,aIQ 6/(t/
.Fair adce�vc�ki all labor and materials foundation to finish `(G
Initials:
PermitCenter\FORMS\ FORMS\Master Permit Application 12-30-05.doc
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