HomeMy WebLinkAboutBLD2008-00110 MILDING PERMIT APPLICATIIJ MRL Review Ty
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00110 Received Date: 3/20/2008
SITE ADDRESS: 733 CROCKER LAKE RD
QUILCENE, 98376
OWNER: SAM KNOY PHONE: 928-713-1946
TINA KNOY
1046 SPIRE DR
PRESCOTT AZ 863053728
SUBDIVISION: Block: Lot: TX 3
PARCEL NUMBER: 802123007 Section: 12 Township: 28 N Range: 02 W
CONTRACTOR: J BARD CONSTRUCTION INC PHONE: 360-509-0119
PO BOX 2302
BELFAIR WA 98528
Contractor's License JBARDBD940D2 Expires 3/22/2010
REPRESENTATIVE: JESSE WALLACE PHONE: 360-509-0119
PO BOX 2302
BELFAIR WA 98528
PROJECT DESCRIPTIOF NEW STEEL STORAGE BLDG - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 37,470.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 1 500
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $522.55 LYK 03/20/08 97116 APPROVED
Plan Check $339.30 LYK 03/20/08 97116
State Building Code $4.50 LYK 03/20/08 97116 MAY 52008
Total: $866.35 Jefferson County Planning
&Building Department
•
CONDITIONS for Building Permit# :BLD08-00110
1.) 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 LACED AT EACH DOWNSPOUT DISCHARGE
POINT.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) Minimum setback from Crocker Lake Road right-of-way shall be 20 feet. Minimum side
and rear yard setbacks shall be 5 feet.
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.) 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.) The building height is not to exceed 35 feet.
Jefferson County Building Diision Permit Num, BLD08-00110
Applicant: KNOY
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 ;C j_
Erosion Control 3/z/6
Foundation Footing 1A J20 -0\ •
Framing 5
j /4 y,
Drywell/Alt Drainage 0 bhg fr' SEE CONDITION 1 FOR SPLASHBLOCK DESIGN CRITERIA.
Address Posted ,..*Ag /9J
Miscellaneous e/05 4J special inspection bolts 07/0; 17 6iz44-AN /ts ,,
FINAL INSPECTION a ��8 4 �i
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
I
(-!--',,,,..s-ON--ci, oa JEFFERSON LINTY
W %‘,f_,1DEPARTMENT OF COMMUNITY:dEVE �NIIENT,,'.?` ' ' ` .. •
621 Sheridan Street • Port Townsend •Washington 583
360/379-4450 • 360/379-4451 Fax
:,/* 0. www.co.jefferson.wa.us/commdeveloprrteni ( 2oe8
Master Permit Application r�[p p �y MLA: i y
Project Description (include separate sheets as necessary): �II:ffERJLIN CM ote
—\--i: c-: 1....1.1.z --- vim-€ i 1\C' v` 5) Mr, L.0 ti� b 1 i i L'�Tax Parcel J Property
Number: r ,) i --4 C 0 7 _ Size: 3 (acres/square feet)
Site Address and/or Directions to Property:
r• t
1 13 C t c c �.; v Lc--c 1�: k .C, C` . .. . \ C c .. f: L 7A ni S `7 t ,
Property Owner(s)of Record: t r„•-=.t 1 %VN r:, h Y'\c,s i
Telephone: �' r—
P -a n 1 i '� t c' 4 Cr Fax: 9 -) '� 1 `Y 1 1` �, `1 email: (4...v•-/ G+, i J i ►.C`�
Mailing Address: l r Li (,' j � z. t.' v IM v -L.c] c_,".,"t'.S_ /A -e-
i C. 3c'
Applicant/Agent(if different from finer): j,<,64" )t.A1:4-i I I9., 3"c g )( fir 2 _r i n 4
Telephone: 3(o0' Oct 0 t t'( Fax: 3i0 27S—Ic740 email:.JBR+'4)Hl1Ni -zteAGc�416141Ce.:vi
Mailing Address: TO (J c.7 c�►2:1-2g
What kind of Permit? (Check each box that applies
1Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or CI**
❑ Single Family 0 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 ShDrt Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
0 Home Business 0 Cottagelndustry 0 Long Plat**
0 Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
0 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)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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,,_I- s"), k ( r r,A_ k 1 Ct C(_ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATIFRE`-_ 1 ;.7.:,`,. _ t.._. , Date: j r,' t) U, 7
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 aly omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and v9id.
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 n 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 that he or she wants prior notice.
Signature:------- r,, \ t Date: I L' . -C-
The action or actions Applicant will undJce a a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lea to a potent al"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jeffersostounty makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the E 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature -( 7. ^..c_.�_... _ Date: i f)' fin' /
__ _
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
•
• BUILDER STATEMENT alk
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-..-._.- c I r\ Date: IC. •-..)- 4_ ._. -?
GENERAL CONTRACTOR ORrMANUUFACTUR D HOME INSTALLER: PHONE: FAX:
ck .v tit C /Cjit a. -. c }ji-(4
\ C�i �'J\ 1f ( (?)161)).� c.) /- ) )ii (. . i ,4.7s iUe)�'.
MAILING ADDRESS: t J2 J '� 2 /��C_ i-kz/ Via EMAIL:J g(+i 2b iul 2 r'rg/nSAt',C_CrA-
CONTRACTORS LICENSE 313 fa 2..C3144-01)Z WAINS i
NUMBER: •r7„^,p ,-�,�,it&�-4��Yl- NUMBER \ \I v 1 ') t 'Z,�
ARCHITECT/ENGINEER: �}" fJ PHONE ( ) FAX: ( )
MAILING ADDRESS: M Z3d 2,,. ali2, t,,t,JA ieY2 71$ EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ❑ Wood Existing: .__ ❑ Sewer
❑ Addition -f( Steel Proposed: — Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: •— Height: ❑ Individual System ,
❑ Repair ❑ Masonry SEP Permit# 6er ot.,, �C�
(01
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: • Proposed: ❑ Public
MP -r^ Total: Name of System: N 0 1�� t7l+S ptilJ(,r
If this is a Commercial Project you must answer the following: /
Number of Parking Spaces: Current: N/ilk Proposed: 1% ( A- / umber of ADA Parking Spaces:,.
Number of occupants(i cl des owners,tenants,employees,etc) C rr nt AI Proposed k/ A.
IBC Occupancy: /AT IBC Type of construction: N Pc Wi I you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit, rk all items below that apply:/.
I Underground Tank i Above ground Tank Size of Propane Tank: f A<- t `
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert i Hot Water Tank I Pellet Stove I Other N/ /t
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No I
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: 00
•
2"a Floor Heated Consistency Review: 1 ---1 tR°
Other Heated Base fee: J22 JS
Mezzanine Additional Section: ________
Heated Basement Plan Check fee: 33('� .
Unheated Basement State Surcharge fee: ``�)
Other Unheated Pot Water Review fee: ( �' -
Garage/Carport -co-
�� SUBTOTAL {��
Decks 911/Rd Approach fee:
1. 1 r
Other TOTAL: $( 3 J
Receipt Number: G 1 I '(0
Cash/Check Number: J (44
I
ESTIMATED COST(REQUIRED) Date: _ C
.Fair market value of all labor and materials foundation to finish 2 4
.�',��/}i^,/Y2 Initials:
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