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Home My WebLink AboutBLD2008-00519 AUILDING PERMIT APPLICA•N MLLA08 00p512 Review Ty I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00519 Received Date: 12/29/2008 SITE ADDRESS: 15 LUPINE ST PORT TOWNSEND, 98368 OWNER: PERNEL N TICHGELAAR PHONE: 360-385-4834 WOODROW W DRIVER PO BOX 1958 PORT TOWNSEND WA 98368-0067 MARLOW SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 001093021 Section: 9 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW DETACHED POLE BLDG/GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 34,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 1,500 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT 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 $482.15 LYK 12/29/08 105193 APPROVEr Plan Check $313.40 LYK 12/29/08 105193 State Building Code $4.50 LYK 12/29/08 105193 FEB 5 2009 Total: $800.05 Jefferson County Plannink &Building Department , • Jefferson County Building Divien Permit Number. Applicant: TICHGELAAR 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 ,z l+�t Setback from South Jacob Miller Rd, shall be 20 feet from the edge of the right of way. Setback from Lupine Street shall be 20 feet from the edge of the right-of-way. Adjacent property setbacks shall be 5 feet. Erosion ControlI ►�, BMP's �,\d' ,\ x' Post Holes ^ Framing Drywell/Alt Drainage _ tii Drywell. Address Posted / FINAL INSPECTION p . FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 40 • CONDITIONS for Building Permit# :BLD08-00519 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.) 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.) Setback from South Jacob Miller Rd, shall be 20 feet from the edge of the right-of-way. Setback from Lupine Street shall be 20 feet from the edge of the right-of-way. Adjacent property setbacks shall be 5 feet. 11.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. , goN oo� JEFFERSONWUNTY • W � , a DEPARTMENT OF COMMUNITY DEVELOPMENT 0-3 621 Sheridan Street• Port Townsend • Washington 98368 ,.14141400. 360/379-4450 • 360/379-4451 Fax �qS pp� www.co.jefferson.wa.us/commdevelopment HIN Master Permit Application MLA: ( I1 )` 17 Project Description (includesep�rate sheets as necess ): L�,,II /0e.Li J e c lee t1� • p 2'IL) n Tax Parcel Number: COI(1 JD I Prope rty Size: Z. . 3 (acres/square feet) Site Address and/or Directions to Property: Ig) %u191 Pe -r- T P 1s€ W . 45 Property Owner(s of Record: W E. . t�. Telephone: — Fax: -r� email: �r @ 111 .CDV Mailing Address: �. - 1 G L0 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 'Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ,Kj Garage Attached Detac 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** n rn 0 r L ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑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 ❑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 4 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 a s and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatio tat e r she wants prio notic Signature: ✓ Date: 12-.2 7"e 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 c mpliance with the Je rson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab espo% ..li y foi ad r ng to d'co�m�pllying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 4 /it" ,O, ../'�(/(/ Date: )2 -77-6 G:\PemvtCenter\###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 assu ng th'esponsibility o the Gl�i er�CJ or for the proposed project. Signature:/t/ 102 G�„4/' l-�/\!✓/ Date: 1.2 -.2 9 -Or 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: X New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ ommunity System ❑ Alteration/Remodel ❑ Concrete Total: Heightj� individual System ❑ Repair ❑ Masonry �]ri SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of He t: i Proposed: �1 Public MA Nee-tee( Total: r1J 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: 1 Underground Tank 1 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: 11O. QD 2"°Floor Heated Consistency Review: 151. CO Other Heated Base fee: zi Oa, i5 Mezzanine Additional Section: Heated Basement Plan Check fee: 315' Q Unheated Basement State Surcharge fee: 4,GO Other Unheated Pot Water Review fee: `___._____ , Garage/Carport SUBTOTAL IC9a) ,41 lob. foal.c)5 Decks 911/Rd Approach fee: e)(r sk t noJ Other TOTAL: $ 1 Q al.O5 Receipt Number: 1 OE') 19 3 Cash/Check Number: i I, +i9 ESTIMATED COST E0 -ED) Date: � -°, - .Fair market e of all I-•or a • .•aterials foundation to finish _ .t 1:5CD Initials: ' ( L. • G:\PemitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 1 r s, x' -,dV k, /i .. .- 77\ . /// // i o ---2 (5 el -- .), ,f) '();,' . ( 1-j-- r / ,,.,•..•.:.;:•. i....l ' /. / / �t / c ii IN /( "?.: :t), / „„ ,c„. . / ( ,...N (.(..kl..s.6....), 0 .. . t.,;..',.....'.....!.. 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