HomeMy WebLinkAboutBLD2008-00477 UILDING PERMIT APPLICAD MLA08-00459ON Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00477 Received Date: 11/10/2008
SITE ADDRESS: 1771 S DISCOVERY RD
PORT TOWNSEND, 98368
OWNER: TODD E LEE PHONE: 360-385-6693
ANGELA F LEE
1771 S DISCOVERY RD
PORT TOWNSEND WA 983689289
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001202007 Section: 20 Township: 30 N Range: 01 W
CONTRACTOR: H K CONSTRUCTION PHONE: 360-385-7351
241 CHIMACUM CREEK DR
PORT HADLOCK WA 98339
Contractor's License HKCON**981 DL Expires 3/13/2010
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DECK TO EXISTING M/H
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 10,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 288
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: f I ! I'D— tin n
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $181.25 AMS 11/10/08 102970 ����®���
Plan Check $117.81 AMS 11/10/08 102970
State Building Code $4.50 AMS 11/10/08 102970
Total: $303.56 DEC 2008
Jefferson County Planning
& Building Department
Jefferson County Building esion Permit Nu r: BLD08 00477
Applicant: LEE
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 clay'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 Minimum setback from South Discovery Road right-of-way shall be 20
l , feet. Minimum side and rear yard setbacks shall be 5 feet.
Foundation Footing /7.:),_t,l_tA _7
Under Flour Framing
Framing
cc-q 0
FINAL INSPECTION °{'
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD08-00477
1.) 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.
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 automobile 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 requirements 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) 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.
9.) 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.
10.) Minimum setback from South Discovery Road right-of-way shall be 20 feet. Minimum side
and rear yard setbacks shall be 5 feet.
� $ON oo&. JEFFERSOlUNTY •
�4 N-2'
� r3 DEPARTMENT OF COMMUNITY DEVELOPMENT
W .d
`-' A\ , 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
&qS fr,,N gyp$ www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: (2�T y Jc)
Project Description(include separate sheets as necessary):
rc"r Pe'IT LI 40411 1
ec r rif? t-1 /0 Xi'Si 7/'ki. "14n/Le_ l-fo:+.► c
Tax Parcel Number: 0 0 I 2 0 L 0 07 Property Size:Z,ci.Z I,2.7/9 S' (acres/square feet)
Site 5 L
•Ad/ Dt-dress and/or Directions to Property: l l
1 7 ( Sou 1y•_5 ( otier-t 4 ) 74. ,- T 7oG,Jvf�rt C!
Property Owner(s)of Record: "?'(•el G t1 14 1, , e(.44 L C- C---
Telephone: 3 - ‘ 6 9 3 Fax: 3f3S-S / U email: -to A d. tee_ CI,.,etyi i-i7 c0.
Mailing Address: 1771 S acs%Li 0,'S ec'i V e/-, E 11 tic l'T "roc t i. e a.d iu r/ q S E�
Applicant/Agent(if different from owner): N/f
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies it i/
Building Froi-,T f a t T C in Ad d iy-1'0 cl 0.1 Iy 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
IASingle Family 0 Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home ❑ Modular 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 0 Binding Site Plan**
❑ Propane ❑Long Plat**
❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Substantial Development**
❑ Temporary Use ❑ Shoreline Management Variance
❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 ---rctici Lee to act as my agent in matters relatingg to this application for permit(s).
OWNER SIGNATURE r
Date: / 1 /0 0 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 application that he or she wants prior notice.
Signature: (rer. -EPZJPA /- -f,--- Date: I 1 ^ / 0 ^ 0
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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: -r�..e- Date: I I - /(y or
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
1
• 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: 8
V - t ` -'�— Date: ( / — 1 0 - 0 C9
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
4 v, C o't S-r`r 0.0 "t't'6 c.--k ,>u rr�� ( ) ( )
MAILING ADDRESS: 'Z.L ` C LI f N„t (( t.Y,I.- ( . - EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: ti-V% `. C 0 C4 L G�g 1 b f NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: ,Shoreline: Type of Sewage Disposal:
❑ New fl Wood Existing: (l Sewer
S.Addition Ll Steel Proposed: Ba i I Community System
❑ Alteration/Remodel ❑ Concrete Total: Heigh : 14 Individual System
❑ Repair ❑ Masonry SEP Permit# q'7 --2-`)-Z
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Se ack: O..Private well H Two Party
Type of Heat: Proposed: l Public
Total: Name of System:
19' F F_ - c
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 For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: O�O
2n°Floor Heated Consistency Review: rsb
Other Heated • Base fee: L ei` d�
Mezzanine Additional Section: I\
Heated Basement Plan Check fee: 1 -7lc6 I
Unheated Basement State Surcharge fee: V
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL 3
Co
Decks Co V iZe A ?ere $ --j 3$ ay 911/Rd Approach fee: C X 1 5 tl(-\__.
Other TOTAL: $ 5' 0,G,,
Receipt Number: toa,ci7 b
Cash/Check Number:
_ 5Gfn
ESTIMATED COST(REQUI Date:
•Fair market value of all/ and materials foundation finish I 110 j o
4 l O% 0 d C� Initials:
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