HomeMy WebLinkAboutBLD2007-00602 WILDING PERMIT APPLICA N M07 RL viewTy 647
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00602 Received Date: 12/12/2007
SITE ADDRESS: 121 REYNOLDS RD
PORT TOWNSEND, 98368
OWNER: JAMES REYNOLDS PHONE:
ROBIN REYNOLDS
91 MARINE VIEW PL
PORT TOWNSEND WA 983689424 PHILLIPS BAY VIEW ADDITION
SUBDIVISION: Block: 31 Lot: 1-3
PARCEL NUMBER: 986703102 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600
94 KALA SQUARE PLACE
PORT TOWNSEND WA 98368
Contractor's License HILINH*981BT Expires 2/10/2008 3Zci —34V
REPRESENTATIVE: JOHN MACKEY PHONE: 360-3-85-3-799
JOANNE MACKEY
926 M ST
PROJECT DESCRIPTION NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,642
VALUATION 240,064.00 ADD'L: 703 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 528
CONST TYPE: SETBACK:
DECK: 166
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Tot :
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,783.35 LYK 12/12/07 95609 A PPR ov E
Plan Check $1,159.18 LYK 12/12/07 95609
State Building Code $4.50 LYK 12/12/07 95609 FEB q 20
Potable Water Application $58.00 LYK 12/12/07 95609 Jefferson County Planing
Total: $3,005.03 &Building Department
Jefferson County Building Division Permit Nut:er. BLD07-00602
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 Internatio al Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks
Erosion Control /off N- EE CONDITIONS I &2 FOR DRYWELL SPECS. Silt fence not
equired at this time, unless needed. 61(
Foundation Footing la or
Footing Drains
Foundation Stem Wall /j�/G� t:nt-er,ox- R i$B.,SS, ear NOT PADS
•'�00 Lo o S u c r£ To N— s T Ewt co rift R.—L�AvC
Underground Plumbing
Under Floor Framing b 11oi / is,bb
Straps(hold downs) //4_70 .-$ 5c,
Ext. Shear Wall Nailing /it4r
. - p
Rough-in Plumbing .3,p
Framing Ce
Blocking
Airseal (0-9-.o 8 ‘,
Insulation:Walls LI t/ ttIS 14
Insulation:Floors
Insulation: Ceiling
Int. Shear Wall Nailing F13
Wallboard Nailing i I 1\\()
Gas Line: Interior or
Gas Line:Exterior /
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage SEE CONDITIONS I &2 FOR DRYWELL SPECS.
4/2-2/Of
Address Posted
FINAL INSPECTION t., ��
f'2.c-Cca{Y'Cg,tr-cor�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00602
1.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS.
DRYWELLS ARE 48 INCHES IN DIAMETER (MIIMUM)AND HAVE A DEPTH OF 5
FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
2.) DRYWELLS SHALL BE A MINIMUM OF 10 FEET FROM ANY STRUCTURE OR
PROPERTY LINE.
INFILTRATION SYSTEMS MUST BE DOWNGRADIENT C)F THE DRAINFIELD UNLESS
THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM
INTERSECTING THE DRAINFIELD.
3.) DIVERT DRAINAGE FROM ALL ONSITE SEWAGE COMPONENTS.
4.) 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.
5.) A Stormwater Site Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) Exterior lighting for residential us•hall not exceed twenty feet(20') in height the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
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.) The building height is not to exceed 35 feet.
13.) Minimum setback from Reynolds Road right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
��n�, JEFFERSOUNTY
(-;s0.1‘1"
4 -3 DEPARTMEN�OF COMMUNITY DEVELOPMENT •
-
~' ' cl `� 621 Sheridan Street • Port Townsend •Washington 98368 E v n ni 7
-�
360/379 4450 • 360/379-4451 Fax 1 LU
\� NG�0 www.co.jefferson.wa.us/commdevelopment
I r', oili,7 pp
Master Permit Application MLA: 0 7-(c/I "7
Project Description(include separate sheets as necessary): '*-" ce),,56rtic? c z3¢S sr. Ft S,,y/c cfd,.,;/, CeS Ar.,(c ,,,,i fc:.
/
cl* 1-,ec4, c.rc. .c.. a.i A• .MGL C e1,45. ,, dr�vCw: fo refer Z .
�� ctr�t
Tax Parcel
(Property ,al acres
Number: `)S 67 0310 2 Size: S , .
i�,5av k c f-- (acres/square feet)
Site Address and/or/Directions to Property: L
i i r /2 11 !d s Rd `, ,, Ir Tc,-,oS<„,✓
Property Owner(s)of Record: 71", "t- /?o 6,," fQe1,,-,, his
Telephone: 3b -3tsi-746s Fax:
email:
Mailing Address: 9/ /1-14tr,hc v .- /l e_ , j0c i T usez 1,w./ VS-A-.
Applicant/Agent(if different from owner): :Po A , 4 �1 F3a-i-le 44.,l,er
Telephone: ?-c - 3 7 S- 3 9 6 t: Fax: 3bc -3'S j -3-2 cr, email: Tut,,, 63 )fi fiq.c a.cam,,.,
Mailing Address: c/2 w --vt 5-1-/ P.:7' I a•.,.,, , t
a , .,,,.q cy s �J4_ — /` 1°
WI1at kind of Permit?(Check each box that applies
ullding 0 Variance(Minor, Major or Reasonable Economic Use)
)(Demolition Permit \ 0 Conditional Use[C(a), C(d),or C]**
Tingle Family jkGarage Attached/ etached 0 Discretionary"D"or Unnamed Use Classification
�❑ ll�illanufactured Home 0 Modula 0 Special Use (Essential Public Facilities
❑ Commercial*
)
❑Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address ❑ Road Approach ❑ Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
0 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**
❑Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance
❑Temporary Use 0 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 D 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 0 C,,, /1/ia�c
to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ./ Date: )a- II-0/
By signing this ap. ' ation : ,the owner/agent attests that the inform ' n provided herein,and in any attachments,is true and correct to the best of
his,her or it's kn. led• . 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.equired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the a I' ation th he or she wants prior notice.
Signature: - Date: /Z-A/ G 7
The action or actions Applicant will unde f e 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 ••tential"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 ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans able res onsi ilit.for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: c "7-
Date: f iJ(i/C-'1
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
IPBUILDER STATEMENT11111
The signer of this statement does hereby certify at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be a m' g the responsibility of the General Contractor for the proposed project.
Signature: 4• Date: /Z-/i((O-1
GENERAL CONTRACTOR OR MANUFA RED HOME INSTALLER: PHONE: FAX:
t I14Ne ftv.mc5 1.i;,c,. ( ?coo )379-099 ( 36o)379-5237
MAILING ADDRESS: CI &o la, Sq.„ e, t")1ac r EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: I}IL I NH lkgg l e r NUMBER
ARCHITECT/ENGINEER: xl'V;/I C. Rev PHONE (,pq)c47,90 ' FAX:( )
MAILING ADDRESS: g2ds 5u4sef(A/,(2a sco, ,,j 4 /9 3.0/ EMAIL
Project Type: F me Type: Bathrooms: i Shoreline: Type of Sewage Disposal:
ew Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: Z '/z Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: 2. 'I z Height: individual System
❑ Repair 0 Masonry SEP Permit#SEPOE.-Do479
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed: 3 Public
Ccictel E/eci C. Total: 3 Nanje of System: Gdy of
friar-f 7v.,.,so,d
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 l 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.
,p= ;. n i' ` 'r `.: . .. ..fI1)tlrl .. '' ,43x�)r} ,,,.
Square Footage Current Proposed •
,,,r4,,,
:n . 1�. _EH Bid App Review: Ct�
Main Floor Heated , ( 4 z .u�. j tlk _G
2nd Floor Heated .r=d i ivie` Consistency Review: .(' �
70 3 ,' \5
Other Heated -. X Base fee:
1���3�
Mezzanine :4 �,.44, . 4 Additional Section: 4_...__----
a ,. , .e Plan Check fee: ,
Heated Basement � �� . �
Unheated Basement i� u ' State Surcharge fee:
'firaa
Other Unheated i:: ,A f, µ Pot Water Review fee: (� ,L
Garage/Carportj,N SUBTOTAL
Decks t f .' 911/Rd Approach fee:
b(� , . 5,. , u" n►
Other r ' TOTAL: $390I 0
city" s. ` Receipt Number: 0.1c
t;, �;, -.sh/Check Number: I (o`
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish IZ-I2-•0 1
li 14 7,2.3 i Initials:
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