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HomeMy WebLinkAboutBLD2009-00085 MLA09-00098 QUILDING PERMIT APPLICAAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00085 Received Date: 3/24/2009 SITE ADDRESS: 291 FAWN MEADOW RD CHIMACUM, 98325 OWNER: CAROLYN SU MARQUETTE PHONE: (360) 732-0850 PO BOX 337 CHIMACUM WA 98325-0337 FAWN MEADOW SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 901225008 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: CASAL HOMES PHONE: (360)301-1778 260 MUMBY RD NORDLAND WA 98358 Contractor's License CASALH*031C4 Expires 2/9/2011 REPRESENTATIVE: RICHARD LINDELL PHONE: 360-732-0850 PO BOX 337 CHIMACUM WA 98325 PROJECT DESCRIPTIOI' NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 60,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 1,500 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 - Routing Date: —" Type Amount Paid By: Date: Receipt: APPhab Permit $713.75 LYK 03/24/09 105658 V E D Plan Check $463.94 LYK 03/24/09 105658 APR LAState Building Code $4.50 LYK 03/24/09 105658009 Total: $1,182.19 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD09-00085 1.) Maximum lot coverage for lot 8 shall not exceed 25 percent. 2.) Minimum setback from Fawn Meadow Drive easement line (a private road) shall be 20 feet. Minimum sideyard setbacks shall be 5 feet. Minimum rear yard setbac shall be 5 feet. The submitted site plan for the proposed detached gargage meets the minimum setback with a 45' setback fro the north side of the existing house. 3.) The building height is not to exceed 35 feet. 4.) 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. 5.) 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. Jefferson County Building 111. sion Permit Null: BLD09-00085 Applicant: MARQUETTE 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 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 1 • Erosion Control Post Holes Foundation Footing 4140'1 - Footing Drains Foundation Stem Wall 41 ,1.l Iv( Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing L Framing 7/2t` Lr 1 / r e4, Blocking Wallboard Nailing Drywell/Alt Drainage Address Posted l 2 ((: q URI t P�SOG (,_1}-a ✓_ FINAL INSPECTION -\w\ozo c. ,/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR %'/WSF' lin q cob. JEFFERSON LINTY • . g ,�,3 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 621 Sheridan Street • Port Townsend • Washington 98368 � ,..7<" › 360/379-4450 • 360/379-4451 Fax.q O$ www.co.jefferson.wa.us/commdevelopment S�N��L Master Permit Application MAR 2 O].Q09 01 - c/D Project De cripti n(include separate sheets as nec ss ) '_` Tax Parcel q Property ,p Number: C'I — 22 — C70 Size: a C, Z j 7g'�)p c, ( ids/square feet) Site Address and/or Directions to Property: 2,C1 j F%P\-\r'\`ki INV E..t,' C> ) 12-0 t4 6 , (✓F{( 04 A- U t \ \i\J, F' ,- Property Owner(s of Record: (�,s►tt'1O tr.'{ N S , ,Ai ✓ L a-t2Q , .C-1 1—e �[!TelephoneC ,tj� 73 2 Fax: email:C' oi911- YtCX 0b ' I Mailing Address: P,0 eC)X 3 7 C i-I I Val fi-u..r W , \`sJ A- (18-3 S GOw--- Applicant/Agent(if different from owner): 2 I (1-t, - L l No c- I--L Telephone _]�l, L —O �l C7 Fax: email: r i ctA- 1_t kl U 6) 1,�t,-�-► `, 1, Mailing Address: ¢' 6 0 DX 3.�' 7 C:ti Irv)ta-(.L'w iArio q, -5 L S am What kind of Permit?(Check each box that applies !I:uilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑ Single Family Garage Attache /Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** O Address 0 Road Approach 0 Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **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 ¶Q 0..'-- 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 it's 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 shes prior n tice. Signature: .I/� CJ-2 e_ Ci±`r �►v.-'f 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-transferable responsibility for adheri to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /4 5 e_ U-f4-�A t'�""\'J Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT b The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractor and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL(� CONTRACTOR( OR MAN FACTURED HOME INSTALLER: PHONE: FAX: bid ti C,06CUA ( `.0.-03 t'"l O Ilk 44S (.OW)3 L i - 1 77 p O ( ) MAILING ADDRESS: I() e).01( c -1 NA- tiC,[1 lo( t 4A , EMAIL: CONTRACTOR'S LICENSE 9 G:3 3 r WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Dispoal: 0. New A Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: /�I — Height: ❑ Individual System ❑ Repair El Masonry SEP Permit# ppdrooms: Water Su I ❑ Demolition 0 Other: Be yi Existing: Setback: ❑ Private well ❑ TW o Type of Heat: Proposed: ❑ Public Party Total: _IF 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 I 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 propel, 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: '?3.00 2"6-Floor Heated Consistency Review: q 1- _ Other Heated Base fee: '7 13.15 Mezzanine Additional Section: Heated Basement Plan Check fee: 4(05 Unheated Basement State Surcharge fee: 4 0 Other Unheated Pot Water Review fee: Qa (b r, Garage/Carport SUBTOTAL isCO,r0 , aL5 L "1(D 19 ,�Decks 911/Rd Approach fee: Other TOTAL: $ [ !4 to ,I 0, Receipt Number: )Cr_D(C) — Cash/Check Number: ESTIM COST1E—QUI Date: --m n arket v ue f all labor and materials foundation to nish i Ci-2L)" 1 64-0 p d 0 Initials: { --- G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc ♦ 30' ♦ 15' 15' S' T ♦ yo • - SS sST�/6 /6 0 ---y 4XSNDR -- / / BP 5'-4" 304 SL (B01) BP 5'-4" C I `11-)KC.) 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