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UILDING PERMIT APPLICASN MLA08-00283
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00254 Received Date: 6/11/2008
SITE ADDRESS: 4900 CENTER RD
CHIMACUM, 98325
OWNER: FLORA C MACE PHONE: 206-545-2838
JOANN KIRKPATRICK JTWROS
4725 37TH AVE NE
SEATTLE WA 981053014
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801033001 Section: 3 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PAUL KAASE PHONE: 360-385-0221
2021 HILL ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION ADD HTD BATHROOM & MUDROOM TO EXIST GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD
VALUATION 30,000.00 MAIN: 336
CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: 0 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 1
Total: 0 Total: _1
Routing Date:
(.0— II-og
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $441.75 LYK 06/11/08 100339
Plan Check $287.14 LYK 06/11/08 100339 APPROVED
State Building Code $4.50 LYK 06/11/08 100339 JUL .3ic2008
otable Water Application $59.00 LYK 06/11/08 100339
Jefferson County Planning
Total: $792.39 & Building Department
Jefferson County Building Milton Permit Num BLD08-00254
Applicant: MACE
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
Erosion Control
Foundation Footing 2✓25fr9 421,
,,,�l/e_.x SUM
Footing Drains [
Foundation Stem Wall N>Q
Underground Plumbing 27,./file g
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing ',15--
crt ET-7
Framing -2171)tit
Airseal
Insulation:Walls `0((
Insulation: Floors
Insulation: Ceiling
Wallboard Nailing
Drywell/Alt Drainage BMP's.
Address Posted
FINAL INSPECTION 7 /g co
FINAL IN PECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD08-00254
1.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
2.) The project components are greater than 450 feet from the edge of the wetland. A
wetland buffer shall be permanently maintained. No filling, grading, clearing, or other
alteration of the wetland or its buffer is allowed.
3.) 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.
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.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) Minimum setback from Center Road right-of-way shall be 20 feet. Minimum setback from
wetland as depicted on the submitted site plan dated June 11, 2008 is greater than 450
feet. Minimum side yard setbacks shall be 5 feet.
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.) 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.
11.) The building height is not to exceed 35 feet.
III
O ON °off JEFFERSON OUNTY
� .
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
,� O www.co.jefferson.wa.us/commdevelopment JUN 1 1 2008
taster Permit Application —�
MLA: ,, �i3
o'ect Description(include separate sheets as necessary): - f7"" J
ock Olt Tl � c�
tr- CA71-IR670rM (,`?i,' 0.4 ..k t X 1 27--106 a tf2/44c
Tax Parcel Property
Number: get5 I— 0 3 3 e)0 t Size: 0 !4C t2�r-'S
(acres/square feet)
a Address and/or Directions to Property:
Sao C a wr i2 120*0
)perty Owner(s)of Record: M Ad g - N I(.I,(p,,4"j72- (4 id,
sphone: Zt)c' - .zR3s7 Fax: 2de nI Z. email:
ling Address: '`,BIZ® ( al&al Mr n Let t4&•., la`o7
)licant/Agent(if different from owner): ,
-1}U L t" f iA S 6.
!phone: 360 - 3rS 01-2. ( Fax: 3 60 -3K'..-csiV1 email:
ing Address: 2-G�a( (J ILG S r. P i( t `� DC...&) NO • ._
I kind of Permit?(Check each box that applies
gilding 0 Variance(Minor, Major or Reasonable Economic Use)
Demolition Permit 0 Conditional Use[C(a), C(d),or Cj**
Single Family ,Garage Attached/Detached ❑ 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 ❑ Road Approach 0 Binding Site Plan**
Dme Business 0 Cottagelndustry 0 Long Plat**
•opane 0 Planned Rural Residential Development(PRRD)/Amendments**
3n ❑ Plat Vacation/Alteration**
owed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
=rmwater Management 0 Shoreline Management Substantial Development**
Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance
nporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
eless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
sst Practices Act/Release of Six-Year Moratorium ❑Tree Vegetation Request
May require a Pre—Application Conference **Requires a Pre-Application Conference
identify any other local, state or federal permits required for this proposal, if known:
��vL s�� DESIGNATION OF AGENT
designate to act as my agent in matters relating to this application for permit(s).
GNATURE
Date: a O
this application form,the owner/agent attests that the information provided herein,and in any attachment ,is true and correct to the best of
is knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
n this permit being null and void.
.ie to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
iich may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
,e to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
ny required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
ipli I that he or e ants prior notice.
.e..— .' -•--6Pr"Date: --
X-1
actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
aecies and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
ipecies Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
.n issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
Iera i res onsibilitfl adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
ut-t.J..�/CJ_ —'—`` Date: 5.--Z-I — O Q
tat vnp mcttiiti\nnn cnnntcx Ni n,. :. n__i:__.:_._.-.,,,.,An, ,
• •
BUILDER STATEMENT
The signer of this statemen do s hereby certify that they are the Owners of the parcel referenced herein.th hey are not licensed contractors and that
they will eher o: uming,e re po sibility of the r Aneral Contractor for the proposed pro ect. �,
ry� Date: " ( (��!
Signature: ll - C�
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
( ) ( )
MAILING ADDRESS: EMAIL:
z...
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New xWood Existing: ❑ Sewer
X Addition ❑ Steel Proposed: I Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: I Height:_ ,Individual System
❑ Repair ❑ Masonry // SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: X Private well ❑ Two Party
Type of Heat: Proposed: - ❑ Public
Total: f�' �� Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Curr tf Proposed: Number of ADA Parking Spaces:
Number of occupants(inclu 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:
Underground Tank I Above g ound Tank Size of Propane Tank:
Heat Stove 1 Cook Stove I Woodstove i Fireplace Insert 1 Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a pe to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location size, distances from the propane tank to all property lines,buildings and septic system components,
including the rese a area.
Square Footage I Current Proposed For Office Use Only, Amount Revision
Main Floor Heated I 32 EH Bld App Review:
33 6 9 7, i--_h
2r4 Floor Heated �= Consistency Review: I:11
Other Heated Base fee:
Mezzanine Additional Section: _,
Heated Basement Plan Check fee: h Y-1 114
Unheated Basement State Surcharge fee: ,,
Other Unheated Pot Water Review fee: q b 43°
Garage/Carport 60 r/ — SUBTOTAL
Decks 911/Rd Approach fee: eY 1
Other TOTAL: $ R3 L,3C
Receipt Number: C Uo3q
Cash/Check Number: t59-10
ESTIMATED COSTAREOUFRED)-------------,... Date: ��1���
.Fair market val (all labor and materials foundation-to ish t0
Initials:
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APPROVED
SITE PLAN
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DEPT. OF O IOK 11. 11U Ya V LOPJ
10 % 24 PPJKTED OH NO. 1000" CIEMRWR.