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HomeMy WebLinkAboutBLD2008-00361 08 illUILDING PERMIT APPLICA N MRL Review Ty 379 ype Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 L__PERMIT #: BLD08-00361 Received Date: 8/8/2008 SITE ADDRESS: 35 W FIR ST PORT LUDLOW, 98365 OWNER: HARVEY J MINNIHAN TRSTEE PHONE: (360) 381-0002 CAROLYN J MINNIHAN TRSTEE PO BOX 65278 PORT LUDLOW WA 98365-0278 SUBDIVISION: Block: Lot: TX 13 PARCEL NUMBER: 821271008 Section: 27 Township: 28 N Range: 01 E CONTRACTOR: HANS VODDER CONST PHONE: (360)732-4985 231 BELFRAGE RD PORT LUDLOW WA 98365 Contractor's License HANSVC*198MH Expires 8/30/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION FOUNDATION ONLY FOR EXISTING SFR & COVERED PORCHES (c�-LLyG� AS P TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 21��' AIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: PRO OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: 313k, #OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 27 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 0 Total: 2 Total: 1 Routing Date: gilt 105 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $251.25 KAS 08/08/08 102457 A } HOVE) Plan Check $163.31 KAS 08/08/08 102457 t� J' State Building Code $4.50 KAS 08/08/08 102457 SEP (GJ, 2008 Potable Water Application $59.00 KAS 08/08/08 102459 Jefferson County Planning Total: $478.06 &Building Department Jeff�;son County Building Dillon Permit Num. BLD08-00361 Applicant: MINNIHAN TRSTEE 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 9/&/o? Foundation Footing 9/36j68 O/ Footing Drains lt�6l�� gv r Foundation Stem Wall / --Z-08 )•"..-- Rough-in Plumbing NA Framing f i itie rr Insulation: Floors itigi v a v %FINAL_INSPECTION 0744/e ? `f f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED I-— THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00361 1.) A 50' SETBACK SHALL BE MAINTAINED FROM THE WELL HEAD TO ANY BUILDING SEWER/TRANSPORT LINE OR PLUMBING STUBOUT. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) This building approval accounts for 240 GPD of septic capacity, as designed and approved SEP01-00165 is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD. 4.) The identified Fish and Wildlife Habitat Area (Type Ns Stream), shall maintain a setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Foundation. The Site Plan has 60' setback to Teal Creek. This meets UDC requirements. 5.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Foundation. 6.) 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. 7.) The building height is not to exceed 35 feet. 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. I 1%1cU�� JEFFERSOIr IUNTYIII ,� DEPARTMENT ui- COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax K& s. N Np� www.co.jefferson.wa.us/commdevelopmen ,i _ 8 20 08 Master Permit Application }{t ( (t �`��`7y (M�Lj_A: OE'j—. 7 q Project t Description (include separate sheets as necessary): v'[.f l J iJ t,,4 l�IY! I U h Ut Tax Parcel Number:# S, /•-rt /-(� j C-� Property Size: (acres/square feet) Site Address and/or Directions to Property:�G` �L / �, 1 �'}�/ id � 3V ") -VP I SiV-1.CFd/z) G�/1� %Q7�t 5— Property Owner(s)of Record:Telephone;-- /2 )' Fax:,:3,61—v ^&68' emaiV6/(1.t",.- k-0)046/Esp _c/rdC 1 Mailing Address: s L2, RtzYl, i-.7--/d s/,'JO, :'r pi-; /q-rV'LiSZez,)f/e) , '-:. 6."5 Applicant/Agent(if different from owner): .---- Telephone: J Fax: email: Mailing Address: What kind of Permit?(Check each box that applies uilding 0 Critical Areas Stewardship Plan O Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use . ❑ Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **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 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 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 ap cation that he or`khe is prioj�otice. i Signature: >d1g -G n -/ Z11.�1 2CJ Date: h / o/a o 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 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-tra••ferable res•onsibi,;��adh,.i•e ..mplyfig with e ESA. The Applicant has read this disclaimer and signs and dates it below. Signature _ e� ..e _' i_ 4 . ;r2�i`Z�'—�i1-'� Date: ./e- =1 r//j ,0D " G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are nct licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL ONTRACTOR OR MANUFA TURED HOME INSTAL ER: PHONE: FAX: r ` r/ ,Is 1/3c-icier ( ) AJ W MAILING ADDRESS: d/i 1 g f_r��� . 1 riLta/otv EMAIL: CONTRACTOR'S LICENSE tea-i 98-3 L,5` WAINS NUMBER: tea/r/S V0, *- /98/frili NUMBER RCHITECT ENGINEER: /5 Q 1i^or Al�i �iv PHONE ( )� -�4,,, FAX:( ) MAILING ADDRESS: a R 7r 36.VVr1�7d7/n,5' a IL Project Type: Frame Typ : Bathroom,-$ Shoreline: Type of Sewage Disposal: X New 0 Wood Existing: _ _ ❑ Sewer ❑ Addition 0 Steel Proposed: _ • _ Bank ❑ Community System 0 Alteration/Remodel Concrete Total: p' Height: ❑ Individual System _ ❑ Repair ❑ Masonry SEP Permit# O/' /li 6 0 Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ _ Setback: X Private well ❑ Two Party Type of Heat: Proposed: ❑ Public - o ph4 it)_ Total: Name of System: 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 Under round Tank i Above ground Tank ,1 --5 Size of Propane Tank:A ,C.)3c( / i k s (Heat Stove I Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i Other `Ts tltfs app lance 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�rom4he propane tank to all property lines,buildin•s and septic system components, includin• the reserve area:; - 4 • • !t d''` I ►' '1• • x Square Footage Current Proposed ,or Office Use;.eT ` t #` x, Main Floor Heated AUG - 8 4 ')''. EH BId App Review: 10, . 2na Floor Heated Consistency Review: _ NeRffpa. .t Other Heated j[i. HS)�t Cup . ��'i U t Base fee: 33571a5 , a5 t; Mezzanine Additional Section: Heated Basement Plan Check fee: q I Z 11. 1 L93.3 I 51 . 6-°1 Unheated Basement State Surcharge fee: �, 4-50 Other Unheated Pot Water Review fee: q5.OD Garage/Carport SUBTOTAL • Deck>/ 92�dr p 1 t 7 6 o 1-a, 911/Rd Approach fee: - Othe/' l am ,.` ... �" 03 21 4G TOTAL: $ 5144•0 W � •(co , 7Z ,, `', '` :_.j3sh!Check Receipt Number: I cL57 /I a 15y Io7 rl Number: ll/ ESTIMATED COST(REQUIRED) - Date: •Fair market value of all labor and materials foundabot u fint-* ,Oct s�fi'"- J 1 t i y 27 - �s Initials: f L_ G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc vo n i d..--_ - z o -_:. i _�Y_-CI 'It'd :( -.1��1 a •Qo-4M), � 1 1� 'A0 \ \ \ \`/ kl-- - -IciziO9LZ.-1--4, 1- ,9- -ljz-ig .114R. ,___ 11 d 6oO1-4)."1d 1d k7001 1-1bM Q V. s ly a-if ,z, ti o,� �� �X''� �� '" ti0- /,,k` npld -,2�n,y�td \. , r �J ovo O-17 f (..-"Am-k ! ---.711== . d� Oqt' � O �, �_tC 1 i1,.(0.0 0 • ,,\ ' , i • sir (�I)�nN1NiQ w1°ZI.=, Ili ill-11V21 d 1\14H ‘.7-11 ki. fl \ (') 11 r -N3:71._. 0 _ v 7 31111111111minmii ...I 7l1 4S- I> /-. ----ill :7;---it. . 111111111111 11 I 1)s; i - -.--- . rck- k, ----P 71-I -.1 T. 0_ Mit' ' I . 1 1 ,,o-.z -. _ — —— — - <" --i------ , .. —7---N,A--- 3,- _ � r ,__,. ii c ,ik ' ` ' )- 111 ° l' L. �j � Ii 11t, \ oO I N0 I A 00 I >< \y , 0 \\ 'T— (—T 1-1SIT I _ 1 i I I d /�ol•1 �1 __ -,-Al\ 1 14, 111111i1111 f 1 c\ I I 1 H.1 A1'1-- .?..,h , - 0_ 1 li-,3-134 r. 3 1 • 1 1 I I _, ��lfZ „, h.. t, •.''. • ijao-1 -.--. 17/ • V "1 _c7c7 -1 ...ow !..sii. sTlYM MAN -.1 1A0.1(-1 'ag 01_ s-rivi,i --)1,111G1)( -- s-1-1Y11 ei,Ilisl-Xa---- . / c.1 t-1 _____ / tlo,roZ __ -• - - - -- -G- 3-s;-1 ----4c3-c ...... _ _. , . _ _ ,._ 110...ig --,z4r,o1-. 1._•-2 ..0 , 11.4-11 --- ----"o I) 1 V Irsowv,2 ,, x02,- ssa. ifn_. . <, ''a- , ---- ... ----‘......1 1 -7Z 0 , , ! 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Suite C•18621 Highway 99•Lynnwood,WA 9eo37.3te1 Please Check After Doing Site Plan: Septic and drainfield 0 Lot size _� 0 Elevation of property e POST FRAME BUILDINGS Exsrett(426)258-4171 Puyallup:(263)840-9552 ('Property dimensions CI lines awmON OF Administrative Headquarters: (426)743.1555 [�Existing buildingsolialilmasil 'Setbacks of proposed&existing buildings ❑Bodies of water FAX: (425)742-4378 Toll Free: 1.800.824.9552 L�Prgposed building Cs�Main road with name 0 Floorplan PE �IABILT Contractor's Lic,0:TOWNCPF099LT 0 Access to proposed building ❑.Slopes&Contours(5'increments) ❑Easements Si Quality:Our Future Depends On I:," Job Name: i ''' /'" " Job Site Address: 3 c t"�• Legal Description: 1 L 4"c/%t•1 '7?J..� Tax Aocountk: (1. / pl-7 / or �' �c. >l ..__ 'P )f• L .Alopr o x. , II 0 2 OCv • (.10 SibCk- P1 OS POs}- .rarnt.. a 1 1 a' .N . `f'''''._: Q, EV(17-tin C'elltrt< aivo.A-i‘ot_ ail-elk._ q I---4- t6 iALe_dZio( -Q, �, I i b�� A' I W (A t • . / 1 \ ',Ilk ''' •ill14di_ D s 1 IOC t -CR \ \ p ..ter ..a . `� /N fr/ ,..... +F L., ' •�. w • C� .1 " f c�i liar• _. r \ \.► —..� 741' F' a �C r4. r.. ,e �n 1 N'' O `�rrig51 \ n ^ i r, \ C41^G v\ N �..0 ) • \,1. fro, c-i, 8r♦) tern I - - 1 . wies 1 ,2 6 . it.ki (NJ o 0'. 10 I ‘C: DO:NOT SIGN INCOMPLETE SITE PLAN!_..j� Customer has verified and approv the location of the 4uilding, silo of the building to a North,and verifies that all White-Customer Copy . White-Office Copy utilities are shown on this dripi t t?te'correct locatio6,� --j,. CUSTOMER SIGNATURE,- �:-e--"; 2' �--LEAD# L/ 3 ©1995 Perma•Bilt Industries FR-34 6/07 1111111111111111 II