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Home My WebLink AboutBLD2008-00190 P ILDING PERMIT APPLICAT MLA08-0022iew Type: 1 Rev Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: SITE ADDRESS: BLD08 00190 93 DOE RUN RD Received Date: 5/6/2008 QUILCENE, 98376 OWNER: DAVID J HAAKENSON PHONE: (360) 765-0935 KATHLEEN A KLER PO BOX 145 QUILCENE WA 98376-0145 SUBDIVISION: Block: Lot: 7X18i PARCEL NUMBER: 802353007 Section: 35 Township: 28 N Range: 02 W CONTRACTOR: CUSTOM & PRODUCTION WOODWORK PHONE: (206) 579-8903 PO BOX 145 QUILCENE WA 98376-0145 Contractor's License CUSTOPW082QS Expires 11/2/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr` NEW SFR W/ U/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,344 VALUATION 148,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 2 Total: 1 Total: 2 Routing Date: 5�1-11 08 _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,262.55 KAS 05/06/08 97244 APPROVEE) Plan Check $820.66 KAS 05/06/08 97244 State Building Code $4.50 KAS 05/06/08 97244 JUL 222008 Potable Water Application $59.00 KAS 05/06/08 97244 Total: $2,146.71 Jefferson County Planning & Building Department Jefferson County Building Dition Permit Numb!.' BLD08-00190 Applicant: HAAKENSON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks exist Erosion Control Footing Drains 7/25/Og- 4k Underground Plumbing N4 Under Floor Framing 'r LSfrg & la.- Fee_ to-gteekiLt lusr Straps(hold downs) gi/S/G6 Ext. Shear Wall Nailing 9 Ji is Rough-in Plumbing q /5/4g / T1zfp Framing sjk-cxtr ec � p acik-k-/FiRg1T Blocking 8fis/c 9 ///JDERFLOORL cAirsraar J' ,nsulgon:Walls G,AReJ Insulation: Floors /J_5 IneulatiorirCeTrig Lint Shear Well Nailing ' Wallboard Nailing h/$//t Gas Line: Interior IJ/2//oft Gas Line: Exterior ///y/D61 6 1 9i' Propane Tank ///Z// nt/ A/100 PA�/�� 4#. Heat/Chimney Clearance rains e SPLASHBLOCKS/GUTTERS Address Posted V , FINAL INSPECTION --itIts,...pCt f h FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00190 1.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 2.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK COMPONENT. 3.) 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. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) Setback from Doe Run Road right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 10.) 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. 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.) GUTTERS TO DOWNSPOUTS •PLASHBLOCK SHOULD BE SUFFICIE•OR 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. 13.) A vegetative buffer of 30 feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 14.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 15.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 16.) All construction activities shall not encroach upon the 30 foot landslide hazard buffer. This includes the storage or preparation of materials. 17.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. ,. •1 r-',ram ;,•r p,__, dig Orr Cow JEFFERSON JNTY Y� + � i',its ( ;, ,' A DEPARTMENT OF COMMUNITY DEVELOPMENT ti 44- ` 1 621 Sheridan Street • Port Townsend •Washington 98368 MAY — 6 2008 360/379-4450 • 360/379-4451 Fax �qs�p� www.co.jefferson.wa.us/commdevelopment I , �n �i`,4 ( Dell Master Permit Application MLA: OS - aa� Project Description (include se arate sheets as necessary): r - ( DEn CE l;ArT t_ C 'C-62, S 1-. t f) �ef� .sG/siC Tax Parcel Property - b ` , to t0 Number: SOc 3 5 3D03- Size: c' (acres/square feet) Site Address and/or Directions to Property: ROM IQ j S, -{-t) t tj-i 10,iYl e, CR)&.v LoY-ddc &ke_ (Bag - 93 to Ru rk ?oct,S, (^I%w e,,t Lords Lake laoe-� l e-ti Cw.ix, soeLcu i`cn .Doe 0-u,n) Property Owner(s)of Record: Kai )1,es-n KIQr evilit t O.urot 1-1AgIce,yiSo i Telephone: 3(o D• - 5. OR 3 5 Fax: email: Cew•has kern sa,n, & i(peon. cam Mailing Address: -Ro. o)C HS QtxiiCevy,e tWi71 1233-6 •01L5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies j` Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit a Conditional Use[C(a),C(d),or CI** X'Single Family Garage Attached/' ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** 4 Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ 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)* 0 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 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 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 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 n ice. 1 Signature: T e^^ `1 (nk-\ 0-A[°(NLS-eyt---- Date: ! 1 'D g 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 spec,es 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 responsibility for adherin to and c lying ''h t E-SP. The Applicant has read this disclaimer and signs and dates it below. Signature: d 'w -4� C Qi cG : Date: q (5-. 0 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 MANUFACTURED HOME INSTALLER: PHONE: FAX: Cli. owA VDU CT(C/lA WOO()WOu1C_ (206 )579 a`to3 ( ) MAILING ADDRESS: YC) 11/41 L ` C> lX/L ,t L-C�� - EMAIL: CONTRACTOR'S LICENSE � WAINS NUMBER: S-Cc''U./ CD g 2 GLs NUMBER ARCHITECT/ENGINEER: pRfevykiev r)( G S'Ce S PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreli : Type of Sewage Disposal: g New e►us4-i' -Gu,Acla t0-n ❑ Wood Existing: ❑ Sewer ❑ Addition r rc ❑ Steel Proposed: Q. Ba rv" ❑ Community System ❑ Alteration/Remodel r) ❑ Concrete Total: 2 Height: (Individual System ❑ Repair ❑ Masonry SEP Permit# oa—oOa5g ❑ Demolition X Other: S 1 P Bedrooms: Water Supply: PreInve 8ua:kLt Existing: Setback: )I( Private well ❑ Two Party Type of Heat: St�uc�u,ra1L � Proposed: �_ ❑ Public l7YapAv�� hydra�(C TIsukc ec� To. Total: I Name of System: 1 If this is a Commercial Project you must answer the following: N A 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 r round Ta i Above ground Tank Size of Propane Tank: t a i eat Stov rook Sto_vj . Noodstove 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 �317t �� H Bld App Review: T. OQ 2"a Floor Heated Consistency Review: t 5 op Other Heated Base fee: t R(04Q. 55 Mezzanine Additional Section: Heated Basement Plan Check fee: Sao. Unheated Basement State Surcharge fee: t✓(-c.wksrace 4.50 Other Unheated Pot Water Review fee: ,5 DO Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ q LA .1I Receipt Number: 91 a 441 Cash/Check Number: I 45 ESTIMATED C EQUIRED) Date: I i IDo •Fa• t aarlce�t value of all labor d materials undation to finish t ` 0 i 48 poo ' Initials: I G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc - 'Zi pZ I-- - — mot - - - - --I - - - - - -b - - - - -r 1 1 t [ I 5 1 k— °€ - • ' j Ts- � _ 1 -4 -1-A I X\ . g) 0 i _ fi 1 0 E 1 1 , I I I _ I • r I I I m It l. 1 I d 1 ( rn 1 C j _" z z I o 1 D 1 I ,A 1 o � o o 1 1I 1 W '�I r j0 1 I 1 03 / I v 11 I o ' I "1- 0 CT > I r I— `—I I0 1 i z 1 1 fi d 1 _1Ir_il I - 0 L. a I i I D I 1 8 �E z I P • ' 1-4I `, 1 1 8 1 a Wo ' I � owl N ‘ i j \ c i . -= I 1 1 �. 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