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HomeMy WebLinkAboutBLD2008-00498 • MLA08-00488 BUILDING PERMIT APPLICAWN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00498 Received Date: 12/3/2008 SITE ADDRESS: 20 APPALOOSA PL BRINNON, 98320 OWNER: TODD K PETERSON PHONE: 360-796-2947 JACKI V STRATTON PO BOX 430 BRINNON WA 98320-0430 LAZY C RANCH DIV 1 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 966900004 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: TIMBER IRON ERECTORS PHONE: 360-670-6227 DAVID RICHARDSON PO BOX 516 CARLSBORG WA 98324 Contractor's License TIMBEI952QC Expires 11/3/2009 REPRESENTATIVE: DAVID RICHARDSON PHONE: 360-670-6227 TIMBER IRON ERECTORS PO BOX 516 PROJECT DESCRIPTION NEW POLE BLDG/GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 400 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Tot Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $167.25 LYK 12/03/08 102994 A1DRJVEr. Plan Check $108.71 LYK 12/03/08 102994 State Building Code $4.50 LYK 12/03/08 102994 FEB q 2009 Total: $280.46 J efferson'County Plannjnc & Building Department Jefferson County Building Eision Permit Nuer: BLD08-00498 Applicant: PETERSON 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 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 ALIT AJ r : M4KE Sii a -re 1111I7rAIN SErRAP..'S 512.611 Erosion Control Post Holes 2//2/O7 Framing 91/44/)9 Address Posted ?/ //,f c `-xr .��✓e=x1r z/A/o9 3/- 4/ FINAL INSPECTION Oyel 4i FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00498 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 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) Building setback from Appaloosa Place is no less than 20 feet. Side and rear setbacks are no less than 5 feet from property lines. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. • 10 -0" 10'-0" r ►_ 4030 AI �� i S1 J ' 4x6 HF#2 TRT. GOL. I6"cPx6" FOOTINGS, TYP. ALL AROUND, U.N.O. IM /��j'� 16'x8' O.H.D. ---70 /--- J13 4030 „ � 306S = 10'-0" / 10'-0" i Sil SCALE: 3/8" 1'-0" BUILDER STATEMENT The signer of this statement does hereby cert.4 iat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a min t esponsibility of the General Contractor for the proposed project. Signature' Date: L ikA/C'eK GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: t/44a 74, ..I 4 iti ---,eiF.c,tele5 (3io ) 6ro- 0,A? 40 ) 65'3- 71/C MAILING ADDRESS: j 0Y3©K!? C Al?L ,y /+n!S 4(( EMAIL: 7x &ere r4S C9'#dr/1A..r L-•C-0!� CONTRACTOR'S LICENSE � WAINS NUMBER: V fitE '61,Z QC i/.,3% NUMBER ARCHITECT/ENGINEER: [ PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: A New c ,Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 610 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type pf Heat: Proposed: 0 Public -IVO Total: Name of System: A O If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parki g Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Servi ? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove i Woodstove i Fireplace Insert 1 Hot Water Tank 1 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 seetic system components, including the reserve area. Square Footage Current Proposed For Office Use Only:,_ Amount .Revlsid Main Floor Heated EH BId App Review: J Floor Heated - Consistency Review: 1 r, Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: 102:7 Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: `� Garage/Carport1/41004 Kko SUBTOTAL M a7 4 Decks - 911/Rd Approach EY fee: i C t /t Other TOTAL: $ :5-(1: 4: 'fi Receipt Number: f O2 Cash/Check Number: l ESTIMATED TC.QJS (REQUIRED) Date: *Fair market al -or all rr labor a d terials fo dation to finish a rf .>?) 6 0Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ri4Z 77..;:sON C JEFFERSON�JNTY • 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax w c3 ww.co.jefferson.wa.us/commdevelopment 'IN Master Permit Application MLA: vz An _ Prooe,ct Description(include separate sheets as necessary): rilltl'el CoLit., (3,„ lkio !i a-A-7-;,- wA-7`ic__ Tax Parcel Number: q (p Loci pbptj N Property Size: %5 I et 06,y Sp, (acres quare t l Site Address and/or Directions to Property: I rl l- kzy "C"-- -rhe 20 F�ppei koosw, 1�lo.ce_ t3Q—A IQ fJo+J w� g c�33aD C% h/}oad +o-��e, Property Owner(s)of Record: --TOM tee e-rSor -+- 3 i.-r\c-, 0. *n Telephone: '(ob -7 i(o 4121 Fax: 4email: IynXbzga- h00.GDrA_ Mailing Address: pOS 430 I�ettioat,) 'W A' t1S32 0 -IOctd420 0, 42, Msn .o.ewn Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Whapdnd of Permit?(Check each box that applies Waruilding 0 Critical Areas Stewardship Plan O Demolition Permit / ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family arage Attached/Detached 0 Conditional Use[C(a),C(d),ror. ** --- -7 `❑ Manufactured Home 0 Modular 0 DiscretionaryD"or Unname ljse Classification ' -� ,.' I ❑ Commercial 0 Special Use(Essential Publl cFao�litiiis) :__ v _"—__-.,I± 1 ❑ Change of Use ❑ Boundary Line Adjustment ,+.,:-, ; ; + ❑ Address ❑ Road Approach ❑ Short Plat** i ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 's DEC — 3 2008 s� / ❑ Propane ❑ Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendmenik** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ialY i ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Relf7tis t`-'` ( �lS -f ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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: DA-aid d. R:G11,4,l/''cJ5(p /(.) d 1 ota i R T i?b iii efiE e-C oR S DESIGNATION OF AGENT I hereby designate C to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE "/P0 K. ��� ���' -' Date: /,2 -/- 0 K 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 applicati n that,be or ior notice. � / C Signature: 'lfr `� / Date: — 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-transf able�esponsiblit or a h ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: e7A 17 f . Date: /,2 / ClS-- `'ermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 6s : > m -I a sN -tea -T om �= =, ov. 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