HomeMy WebLinkAboutBLD2008-00206 08
�UILDING PERMIT APPLICAIT�N MRL Review Ty
238
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00206 Received Date: 5/15/2008
SITE ADDRESS: 104 EVANS LN
PORT LUDLOW, 98365
OWNER: JERRY A SMITH PHONE: (360)437-4066
MARY JO SMITH
104 EVANS LN
PORT LUDLOW WA 98365-9625 PORT LUDLOW NO. 1 AREA 3
SUBDIVISION: Block: Lot: 49
PARCEL NUMBER: 990400349 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP ADDITION TO EXISTING SFR (RELOCATE BATH &ADD STUDY)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 416
VALUATION 39,899.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date: C � l 5I U6C_
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $542.75 KAS 05/15/08 100205 APPROVED
Plan Check $352.79 KAS 05/15/08 100205
State Building Code $4.50 KAS 05/15/08 100205 JUL I 2Q00
Total: $900.04 Jefferson County Planning
&Building Department
•
CONDITIONS for Building Permit# :BLD08-00206
1.) 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.
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.) This parcel is within a no shooting area per JCC 8.50.
6.) Per MPR Code Section 3.17, accessory dwelling units (ADUs) shall not be allowed in the
MPR-SF zone.
7.) Building Setback from Evans Lane 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.
Jefferson County Building Dion Permit Nur,: BLD08-00206
Applicant: SMITH
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 ✓
S mat. t2'
Foundation Footing /bg 11/
,,
5T 1-rLS 't IS� Za x ZO X 0 toi0
Footing Drains '%z ry+/c�e
Foundation Stem Wall 7/Z44g /
Under Floor Framing 7/z Li re
Straps(hold downs) ) A
Ext. Shear Wall Nailing sit//hg
Rough-in Plumbing fD/u/De
Framing ti/3/e 4 1/
Airseal ;//5/0 u
Insulation:Walls #/i
it/u/cg,,
Insulation: Floors j/'wir '
Insulation: Ceiling ,1/Zo/C0 �l
Wallboard Nailing 1c/4/1/
'' IIU lI ✓�'
Drywell/Alt Drainage T/z/PS 14/
Address Posted (/o/i'
rl�
FINAL INSPECTION 24_0'7
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
���SON c06 JEFFERSON`POUNTY •
al
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street - Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax q O, www.co.jefferson.wa.us/commdevelopment
S Ne-
Master Permit Application MLA: a,-•D5
Project Description(include separate sheets as necessary):
/ 0O/ !7 ) x- /ti '%cO Si /ot /-i7m/ /Ji
Tax Parcel '7 In0� �j Property
Number: 97 Size:
a/4, g-7(,2 (acr /square fee ;f
Site Address and/or Directions to Property:
7. •-6 Z' c 647t/& ,O'if-r 4'..4V/4td % 56 OFF' 77fzv
Property Owner(s)of Record: eJ Ff AkO M/{ do 'M(711
Telephone:-36 ' 4s?- VO Fax: email:,Jn)if4 )cMin1J tssv CJIlA
Mailing Address: 1 ott, 6:"1JI LL /..r'}xJ 17, 7-1 j)/)L AtJ� L,A.' ei fr'' S�
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
,Kuilding 0 Valance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit El Conditional Use[C(a), C(d),or C]**
[Single Family ❑Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
ii Manufactured Home 0 Modular ❑Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ,tiAt ' 1 5 2OL Short Plat**
❑ Address 0 Road Approach Binding Site Plan**
❑ Home Business ❑ Cottagelndustry 0 Long Plat**
❑ Propane r• rpPfi '0
❑Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign +)tfrt.:• JN LSO AFi '❑"Plat Vacation/Alteration**
0 Allowed"Yes"Use Consistency Analysis Cl 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 ❑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 Vegetation 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:
DESIGN ION OF AGENT
I hereby designate SEL. • 'f . act as my agent in matters relating to this application for permit(s).
OWNER SIGNATU( _ Date: 5--�.1 5j
By signing this ap i ion form, he owner/agent attests that the information provided herein,and in any attachments,is(true and correct to the best of
his, her or its 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 J erson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Je on County as a result of or in consequence of the granting of this permit.
I further agree to .r. -_ - •s and right of en o Jeffer on County and its employees,representatives or agents for the sole purpose of application
review an. - required later• spections. S s acce and right of entry will be assumed unless the applicant informs the County in writing at the
time o e application that or she wa for • .
Signature: i.` - Date: S 175 L�ZZ�
The action or- tio.-Applic.nt will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangere• .: es and could lead to a pote ial"take"of an endangered species as those terms are defined in the federal law known as the
"Endangere: Specie " r"ESA."Jeffers County makes no assurances to the applicant that the actions that will be undertaken because this
permit has bee ssued will of violate th SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even you are• complian ith the efferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfera onsibili` h • g to and complying with the ESA. The Applicant has read this disclaimer and signs dates it below.
Signature: /
"5--- S'_. Date: ' / - �
• BUILDER STATEMENT
The signer ois-st nt does hereby ce ' that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will b assuming the esponsibility of 'e Gen Contractor for the proposed project. ��
Signature: .1 Date: (5- -` U
GENERAL N CTOR 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:
O New l›` Wood Existing: Z- ❑ Sewer
Addition 0 Steel Proposed: O Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: 2— Height: individual System
O Repair U Masonry $EP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 2 Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: C'> XPublic
f=er z i C Total: 'Z Name of System: Po t(i'9t
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 Fo f iee_Use Only Amount Revision
Main Floor Heated /3 ZU 4/6 ' 1 S�FiH Bld App Review: .70 Cl�,1, .
2nd Floor Heated -- Consistency Review: 1 51 DO
Other Heated ,tomC2 Base fee:
Mezzanine . Additional Section:
Heated Basement /31 ;. Plan Check fee:
Unheated Basement ,./gc_i 0State aurchar e fee:
Other Unheated .IA? 1 r 2�r��Water Review fee:
Garage/Carport SUBTOTAL �-
Decks 7N-- 911/Rd Approach fee:
Other TOTAL: $ 1 1 a'7. m..
Receipt Number: i 00;a05
Cash/Check Number: s i 1
ESTIMATED COST(REQUIRED) Date:
•F market value of all labor and materials foundation to finish 5 b 5 1 Q
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DATE: -I I REVISED
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DRAWING NUMBER
11 X 22 PRINTED ON NO. t000N CUPARPRINT 6