HomeMy WebLinkAboutBLD2008-00386 itILDING PERMIT APPLICATC M ReviewT0401
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00386 Received Date: 8/28/2008
SITE ADDRESS: 20 KALA POINT DR
PORT TOWNSEND, 98368
OWNER: JOHN W BEAL PHONE: 360-379-9277
NICHOLE M BEAL
PO BOX 36
CHIMACUM WA 983250036 IRONDALE
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 962113508 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: JIM COYNE PHONE: 360-379-4450
DCD
PROJECT DESCRIPTION NEW DETACHED GARAGE, NO HEAT & NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 22,606.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 896 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
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 $363.25 AMS 08/28/08 100790 APPROVED
Plan Check $236.11 AMS 08/28/08 100790
State Building Code $4.50 AMS 08/28/08 100790 SEP 23 2008
Total: $603.86 Jefferson County Planning
& Building Department
I Jefferson County Building D tion Permit Num.: BLD08-00386 —'
Applicant: BEAL
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks .7/I y/o7 `.
Erosion Control
Foundation Footing 7l/y/
Foundation Stem Wall /
Ext. Shear Wall Nailing 4 2,
Framing
Blocking
Drywell/Alt Drainage �`� v
I Address Posted 22-r
FINAL INSPECTION
FINAL INSPECTION MUST
BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
I —
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00386
1 ) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
2.) This parcel is within a no shooting area per JCC 8.50.
3 ) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) North setback 5'
South setback from vacated alley 42'
East setback 5'
West 42' from existing driveway
Meets UDC requirements
5 ) The building height is not to exceed 35 feet.
7
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"6, JEFFERSON�JNTY W
w DEPARTMENT OF COMMUNITY DEVELOPMENT
+-' 621 Sheridan Street • Port Townsend •Washington 9836$ AUG 2 8 2008
360/379-4450 • 360/379-4451 Fax
,�S�p� www.co.jefferson.wa.us/commdevelopment
JEFEERSON COUNIY OCO
Master Permit Application MLA: 1_. - go ]
Project Description(include separate sheets as necessary): \
e t;-�:'
.fit; �,) `.-a `A }V)t7 V\--CQ-a--} NA4 Nl n1 b
Tax Parcel Number:Q l0, \\3SOa?Q loa\\3SOc\ Property Size: (acres/square feet)
Site Address and/or Directions to Property:
as Ka\a is- 61 A.A. b,, N Q PON a �cxs,- v"Se‘1-', \ W A G 31c)2
Property Owner(s)of Record: Jc''r 0.h6., YC.‘00ls. sec`\
Telephone: 3`1 C(- C1 7.-11 Fax:
email:sy;hYAw��\\ G.;:\:.\ -,CO,C Ctivx
Mailing Address: PO Ec( "Lp CV V\ CLCt,tlA` V.jV1 C183a�j
Applicant/Agent(if different from owner): 71 e.p yj`f
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ia Garage Attached/(etached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home 0 Modular '------ J 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address ❑ Road Approach 0 Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
0 Propane ❑ Long Plat**
❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration'"
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑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-2j Mel L e,yn f'_ C to a Its my agent in matters relating to this application for permit(s).
OWNER SIGNATURE \.`Lk 4\-i.,Ll\ i C, ‘`• . �----\ Date: , 1 C
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 4 i f that.. or stte wants prior notice.
Signature: ` ``mod. ,,— q\�-i t.` ..-lS ( '.c�c Date: S �,`1 - (�C
The action or ctions 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 w he Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra era le sponsiqtfor a a ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: \, ,+ h^ T ,,„ `-11,t, ti,0c-c 6,.•, C ��,
Date: - I - C\ '',
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 not licensed contractors and that
they will be<aasssuum ng the r pond lity of the General Contractor for the proposed project.
Signature: 1 1�A ` ilk( it el kC < —Cki Date: A 0
GENERAL CONTRACTOR OR 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:
¢3, New l4 Wood Existing: _ — ❑ Sewer
O Addition ❑ Steel Proposed: Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: 0 Height: Individual System
❑ Repair 0 Masonry SEP Permit#
❑ Demolition III Other: Bedrooms: Water Supply:
Existing: _e_ Setback: ❑ Private well ill Two Party
Type of Heat: Proposed: XPublic
l to h T'ut Total: `j 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 Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i 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 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.
fret'
Square Footage Current Proposed a or.Office Use Only ,Amount Revision,
Main Floor Heated Y;;' EH Bld App Review: (r)
2nd Floor Heated Consistency Review: 1 51 a4
Other Heated Base fee: '3C-5 ` .—
Mezzanine Additional Section: -------_�
Heated Basement Plan Check fee: '), '
Unheated Basement State Surcharge fee: 5 a
Other Unheated Pot Water Review fee:
N0P1m1.°
Garage/Carport 8gtO �a14. i0C: SUBTOTAL 5S30 .
Decks 911/Rd Approach fee:
Other TOTAL: $830 .oG
Receipt Number: Ion-1 C,i J
Cash/Check Number:
3
ESTIMATED COST(REQUIRED) Date: qt���I j�,
•Fair market value of all labor and materials foundation to finish
cS
S I )i OO cc) Initials: Oks,D
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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