HomeMy WebLinkAboutBLD2006-00428 BUILDING PERMIT APPLICATION Review
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00428 Received Date: 7/24/2006
SITE ADDRESS: 334 PORT HADLOCK HEIGHTS RD
PORT HADLOCK, 98339
OWNER: BRODERS INC PHONE: 360-797-7722
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
PORT HADLOCK HEIGHTS MH PARK
SUBDIVISION: Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: RAYO CONSTRUCTION PHONE: 360-310-0426
71 ELIZABETH LN
SEQUIM WA 98382
Contractor's License RAYOCC*964BZ Expires 1/9/2008
REPRESENTATIVE: RAYO CONSTRUCTION PHONE: 360-310-0426
71 ELIZABETH LN
SEQUIM WA 98382
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,750.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 576 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: CT . --:-._
aS
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $335.25 LYK 07/24/06 83907 <�
Plan Check $217.91 LYK 07/24/06 83907 �,,, �,�
State Building Code $4.50 LYK 07/24/06 83907 AUG 14 2006
Total: $557.66
Jefferson County PIanmr�c
& Build nj gepartment 4
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00428 Received Date 07/24/2006
SITE ADDRESS: 334 PORT HADLOCK HEIGHTS RD Issue Date 08/15/2006
PORT HADLOCK, 98339
APPLICANT: BRODERS INC PHONE: 360-797-7722
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: RAYO CONSTRUCTION PHONE: 360-310-0426
71 ELIZABETH LN
SEQUIM WA 98382
Contractor's License: RAYOCC*964BZ Expires: 1/9/2008
PROJECT DESCRIPTION: NEW DETACHED GARAGE - IJNHTD, NO PLMB
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: MAtate
Final/Occupancy Approval:
HEALTH DEPARTMENT AND PUBLIC WORKS AP ROVAL 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 A BLD06-00428 •
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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
5.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
6.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
7.) 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.
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 or inoperable 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
automobile 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 requirements 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.) Minimum setback from Port Hadlock Heights Road right-of-way is 20 feet. Minimum side
yard setbacks are 5 feet and rear yard setback is 25 feet per recorded Binding Site Plan.
11.) 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.
12.) 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.
13.) The building height is not to exceed 35 feet.
14.) 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 10/29/19
,40.' Ci14
C06 JEFFERS. COUNTY • RECEIVED
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368
• 360/379-4450 •• 360/379-4451 Fax :i i t `9 4 L(iit7
•*p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: iftfigtaiitilY ico
Project Description (include separate sheets as necessary):
12`7._k _ c -
14
(... Property
Tax Parcel Number: j3 0Q �`, Size: (acres/square feet)
Site Address and/or Directions to Property: /i Jprj)/d Lc(�' J���', �d fc;.j h[�dLLcic A,4 e3 jy
Property Owner(s)of Record: L-'E +�6�- ' UC7l1 e, r xiI4 k -die() .D .
Telephone: 62tL4) c2 I9O —67 a 0 Fax: email:
Mailing Address: SAM( %5 !buts,
Applicant/Agent(if different from owner): --S i') C Aim r, yt.
Telephone: to c. Fax:
email:
Mailing Address: /c �, v � � r. ;n (. w
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 Family ❑ Discretionary"D"or Unnamed Use Classification
iGarage 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 ❑ Road Approach 0 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)* ❑ Shoreline Management Variance
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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 f I, to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:I G'
(�
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.A ess and right of entry to this pro ert shall be requested and shall occur only during regular business
hours. ,/
Signature: • / . { Date: 7�,4/ 4
The action or actions Applicant will unde ake 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. he Applicant acknowledges that he,she or it holds individual and non-
transferable r nsibili r adh to and complyin with E e . pplicant has read this disclaimer and.signs and dates it below.
Signature:' Date: 7/ty06
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:
G(E�NERAL CONTRACTOR OR MANUFACTURED HO E INSTALLER: PHONE: FAX:
(Kc�-''SQ C .DAs jt-1 C_ rGYN (i :.4 ''SIc, C� 7r' K ( )
MAILING ADDRESS: 3K. EMAIL:
CONTRACTOR'S LICENSE �f `� q (� WAINS
NUMBER: C CO g J� °(`L*, �16 J NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
F'New "--Wood Existing: ' ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank Height: Community System
❑ Alteration/Remodel ❑ Concrete Total: ❑ Individual System /
❑ Repair ❑ Masonry SEP Permit# no -lOn
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: C.' Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
l 11 ,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:
i 1 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 Revision
Main Floor Heated EH Bld App Review: , r
Floor Heated Consistency Review: 00
1
Other Heated Base fee: 55.... 31
Mezzanine Additional Section:
Heated Basement Plan Check fee:
a► '-i
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport � ,7 i357t,&2. SUBTOTAL r t
5•
Decks 911/Rd Approach fee:
06)
Other TOTAL: $ 9-7 1 (c(
Receipt Number: ' 3)0---)
Cash/Check Number: Io`
ESTIMATED COST(REQUIRED) I35-.114,,:S1 Date:
*Fair market value"o3 all labor-And materials foundation to finish
• \ Initials: I
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