HomeMy WebLinkAboutBLD2007-00461 �UILDING PERMIT APPLICA1N MRe 0wType: 9
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00461 Received Date: 8/20/2007
SITE ADDRESS: 472 SENTINEL FIRS RD
PORT HADLOCK, 98339
OWNER: TODD W HARALSON PHONE: 360-437-7678
VICKI J KELAS
472 SENTINAL FIRS RD
PORT HADLOCK WA 983399736
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921193018 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED GARAGE - NO HEAT - NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 22,627.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 864 SHORELINE:
CONST TYPE: DECK: 96 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: 8 100/O�
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $391.25 CJZ 08/20/07 92975 AIDIDRO%/E[
Plan Check $254.31 CJZ 08/20/07 92975
State Building Code $4.50 CJZ 08/20/07 92975 MAR 31 nog
Total: $650.06 Jefferson County Plannin{
& Buildino Oenartmnn+
Jefferson County Building Dillon Permit Numb BLD07-00461
Applicant: HARALSON
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks ibiba
Erosion Control q/ f623
Foundation Footing +'/s/r 6,� �asT FTGS F" Weise
Footing Drains
Foundation Stem Wall eor / dK
Underground Plumbing P/11.
Straps(hold downs) chit n�
Ext. Shear Wall Nailing Oiya
Framing / /'g
br7/
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION q l,5 L �K
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD07-00461
1.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
2.) 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.
3.) The building height is not to exceed 35 feet.
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) 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.
6.) 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.
7.) Minimum setback from Sentinel Firs Rd right-of-way is 20 ft. Minimum setback from the
northern property bounday(adjacent parcel zoned Rural Forest) is 100 ft. Minimum
setback from the western property boundary (adjacent parcel zoned Commercial Forest)
is 84 ft. Minimum side yard setback is 5 ft.
8.) System permitted under SEP08-20 for replacement due to failure of existing onsite
sewage system must be finaled/completed prior to final of this building permit.
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JEFFERSAOUf TY : � tr:
,,3 DEPARTMENT OF COMMUNITY DEVELOPMENT
{') '\ , ' 621 Sheridan Street • Port Townsend •Washington 98368
_ , 360/379-4450 • 360/379-4451 Fax
.q�, N0�0- www.co.jefferson.wa.us/commdeveloprnent
Master Permit Application MLA: C) 1 - 11.P
Project Description(include separate sheets as/yt necessary):
Dc?ril`i-4 t i gc-E- Cee 4i z-,I art
Tax Parcel
Number: 7,2 I ' ' ' Property 1/square feet)
3 U 11 Size: I S acre
Site AddressL/ and/or Directions to Property: //
T Z2 J ti'' , C
- go yr 71-4-di•bc
Property Owner(s)of Record: tit f:.KI fLrtc,,q S
Telephone: .3 l:a y3'7- 71,'7? Fax: Sit C email:
d Mailing Address: Y72 5 E T,av t. �;a s iZ0 A.4-% J1-4DLcc K. rJ , 337
-Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
❑Building 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
0 Single Family I garage Attached/ Detached 0 Discretionary"D"or Unnamed Use Classification
0 Manufactured Home (0 Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
0 Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination (SPAAD)* 0 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 ❑Tree Vegetaion Request
*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 acce nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any qui teri pections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap or she wants prior notice.
Signature: 8 lc' -. 07
Date:
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' sue. w U not v'.•ate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even' • G - in, 'lance lance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trap e •...• '.. . .nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: /�j' �
Date: .'Zv"U7
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
BUILDER STATEMENT
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The signer of thi t 'i't doe ereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be as/zi - e sibility of the retie Contractor for the proposed project.
Signature: C , Date: " 7 ti'ij 7
GENERAL CONTRACTO gt
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 e,Wood Existing: ❑ Sewer
O Addition Steel Proposed: air Bank ❑Community System
0 Alteration/Remodel 0 Concrete Total: .� Height: ,� Individual System
O Repair 0 Masonry SEP Permit#Bedrooms: Water Supply: 47y- I Z..S
O Demolition 0 Other:
Existing: Aft. ' Setback: $ Private well 0 Two Party
Type of Heat: Proposed: la ❑ Public
Ale P/C Total: 7 I 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.
4
Square Footage Current Proposed , .•,ti®Jcel s Moil
Main Floor Heated : EH Bld App Review:
irat:W:-.;;,.; 6 S
2nd Floor Heated '"�,, 6 Consistency Review: , 5 3
Other Heated -::- Base fee: rj
, A} ? l
Mezzanine IgrAkii,:.4,. Additional Section:
Heated Basement ;n Plan Check fee:
RSA
Unheated Basement �r i' State Surcharge fee: Q SO
1 •
Other Unheated ._ "'`. Pot Water Review fee:
Garage/Carport qj ;/ 34
Decks 1f3`� SUBTOTAL
t 911/Rd Approach fee:
Xts4'nc,
Other /' � .� TOTAL: $.�9 ` O(to
(. `PO a-cm 9 6 ' Receip Nmber:
-
TO
Cash/Check Number: ��ESTIMATED COST REQUIRED) i ��� 2 ���.Fair market value of all rand materials foundfinish 6100( "
i Initials: ---- °-)6
G:\PcrmitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
Notes: \\
1) Pump tank to be used as a 2nd septic tank. A 4" watertight outlet to be made 2" lower than inlet elevation. Ng
2) The entire area South & East of the existing driveway and North of the Existing Rockwall is designated
Primary & Reserve drainfield areas.
3) Waterlines to maintain >10' from all septic components.
150.03' N
SCALE: 1"=50'
THIS IS NOT A SURVEY
Nathan Cleaver Septic Design, Inc.
Phone: (360) 598-6546,Fax: 360-598-6548
6 , CUSTOMER:Haralson,Todd •
r t TAX ID#: 921-193-018
LOCATION: 472 Sentinels Firs Rd Port Hadloc:
s DRAWN BY:RMC
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DESIGN BY: NATHAN CLEAVER
`�e�2'J r,,. DATE: 4 January 2008
DV
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LEGEND
10' No Build
• 100% Reserve Area r Soil Log
(fl O ———— Building Envelope
.4- t
d) SI 3 Setback
EtOM ---- Existing Componet Ilk
0 100% Primary I;� . Tree
8/0 E (5) 54' laterals 6' 0.C. • 0, Property Corner
Sli 1 "\ EL-6 and/or Elevation
4" Inspection ports (A) Clean Out
��COC000000: (B) Existing Septic Tank
I Existing Rockwall 8B C (C) Existing Filter Sock
(Nv e. 8 Existing Septic Tank
(D) Existing Pump Tank
' ` 8 ♦co EL 0
8 Note 1 (Existing Pump tank) (E) D-Box
c) 150.01 ' D
--
A lid Vicinity Map
Existing Glendon is failing
EL 15 .. ` (to be abandoned)
15
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Proposed 3 car garage X
73Il ,..c.
IISentinel Firs Rd
150'
Existing Well House IvQC, NCSD sign
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