HomeMy WebLinkAboutBLD2008-00046 UILDING PERMIT APPLICA•N MLA08-00040
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00046 Received Date: 2/4/2008
SITE ADDRESS: 53 ELIZABETH ST
PORT TOWNSEND, 98368
OWNER: SUSAN G HAGGE PHONE: 360-491-7288
6810 CONDOR LOOP NE
OLYMPIA WA 98516-2705
EISENBEIS BAY VIEW
SUBDIVISION: Block: 3 Lot: 4+
PARCEL NUMBER: 948600302 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 576
VALUATION 45,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 96 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $593.25 KAS 02/04/08 95824 APPROVED
Plan Check $385.62 KAS 02/04/08 95824
State Building Code $4.50 KAS 02/04/08 95824 MAY i3 200$
Potable Water Application $59.00 KAS 02/04/08 95824
Jefferson County Planning
Total: $1,042.37 & Building Deaartment
Jefferson County Building [Vision Permit Nurir: BLD08-00046
Applicant: HAGGE
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 �,1.Z40Y 9-
Erosion Control
Foundation Footing 5 f—z.pf 0 9 f- rcef
Footing Drains
Foundation Stem Wall --;-4Zof
Under Floor Framing I 411)Y Aii /(<A"" `LDb`"` `'• A u 12 (v �i 8 v'TMo.' .
/JA-cl O t-- q-o MA)0 %\
Straps(hold downs) (p_1 a..o
Ext. Shear Wall Nailing 1 I (I[ppji
Rough-in Plumbing q rl6/oe) J,
Framing 604,/69
/ �"
Airseal qiu D� •
Insulation:Walls :/q ,
Insulation: Floors r
/ Y
Insulation: Ceiling -!;
Int. Shear Wall Nailing G O "A/
Wallboard Nailing 141
Heat/Chimney Clearance /L/f/eF • kVA
Drywell/Alt Drainage f,147fe( A SEE CONDITION 10.
Address Posted
FINAL INSPECTION ir-Nel '1‹ -tar
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD08-00046
1.) THE SEPTIC SYSTEM IS SIZED FOR ONLY ONE RESIDENCE. A SECOND
RESIDENCE OR ADU IS NOT ALLOWED.
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
6.) 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.
7.) Setback from Elizabeth Steet right-of-way is no less than 20 ft., left/south side setbacks
are no less than 25 ft, right/north side setbacks are no less than 5 ft and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
8.) 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.
9.) 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.
10.) GUTTERS TO DOWNSPOUTS TO SPLASHBLOCK SHOULD BE SUFFICIENT FOR
STORMWATER DISPERSION.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MY DRAIN TO EACH
SPLASHBLOCK..
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE OR OTHER IMPERVIOUS SURFACE.
A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
Ar¢SON cod, JEFFERSOOUNTY •
r.4 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
.qS ENO C www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: O '- 4o
Project DeaFiption (include separate sheets as necessary): . i
Tax Parcel )j��,` Property . v
Number: (--- b uL, -- O Pro e ! 9//-i (acres/s uare feet)
c. Size: %% L ��
Site Address and/or) Directions to Property: a
1 - Eli?!i hr1 I) \ , Pot-- Trti')'1`-)c�jf',r-4 �.'l,) /1 cl c) .- &, `
Property Owner(s)of Record: �) i,i ,(:, a� 1-4(--, C-.—. -0
Telephone:_:,'•( C- L(Cjl. `7r U Fax: i i email:sat>d4,a r9FYc l^C'i11`i�s�.)'1► -
MailingAddress: / i 7r' ` -, C/1 i - .t?in_ k',// 9 7/E
Applicant/Agent(if different from owner): i'!4°i,
fift
Telephone: % ; '-� : '
.�3rA�-tf� 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]**
KSingle Family ❑ Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
❑ Address ❑ Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry ❑ Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign ❑ 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 0 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 designate1 l C L L/i.S to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE"). -"I_/X.-,/ C7//c_ C: ll-FYI -, mi l
Date: i
` '"= '(-
By signing this application form,the owner/agent attests that the information provided herein,and in any achments,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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application at he or she wants p'o notice.
Signature: -Y., `//r„� Y
7 yCi /,� Date: (j
The action or actions Applicant will undertake as a re ult of the issuance of this permit may negatively imp 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 sponsibility for adheringg and complying with the ESA. The Applicant has read this disclaimer and signs and datess iitt b w.
Signature: >I- Via,�- � `��v Date 7�7 c-f' f
1
G-\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.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 of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR pi
ANUFAC'TURED HOME INSTALLER: PHONE: FAX:
MAILING ADDRESS: 1/ EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New Y Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: ) Height: *Individual System L}
❑ Repair ❑ Masonry SEP Permit# 07. -21 7
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: Li Private well ❑ Two Party
Type of Heat: Proposed: _L ` L Public
C . Total: I Name of System: CA 6
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.
Square Footage _ Current Proposed For Office Use;Only Amount Revision
Main Floor Heated sit7H Bld App Review:
2nd Floor Heated • Consistency Review: JC cc
Other Heated Base fee: C /-/3 a5
Mezzanine ,, Additional Section: __ �__._____
Heated Basement ,. Plan Check fee: 3S5 a
FEB — 4n r>>.
Unheated Basement S�t�aIWSurcharge fee:V `-t!I .
Other Unheated Pot Water Review fee:
q 5 00
Garage/Carport } SUBTOTAL CS.3-1
Decks n� 911/Rd Approach fee:
co
Other TOTAL: $ L 3 C.37
Receipt Number: .5a4
L--t Cash/Check Number: 5 -1/ 7
ESTIMATED COST(REQUIRED) Llaac-1E,7 Co Date: a `,`I roS
*Fair market value of all labor and materials fou ' Pr to finistr
Initials: CI
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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