HomeMy WebLinkAboutBLD2009-00105 •UILDING PERMIT APPLICON MLLA09-00p114
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-001 05 Received Date: 4/8/2009
SITE ADDRESS: 133 10TH AVE
PORT HADLOCK, 98339
OWNER: JOHN D SAKRISON PHONE: 360-531-0397
BRENDA J SAKRISON
224 OWL CREEK CT
KELSO WA 98626-8944 IRONDALE
SUBDIVISION: Block: 91 Lot: 1+
PARCEL NUMBER: 961809101 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP ADDITION OF KITCHEN, BATHROOM, OFFICE AND CARPORT
ADDITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 448
VALUATION 45,748.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 680
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 1
Prop: 0 Prop: 1 ___
Total: 1 a :
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $603.35 LYK 04/08/09 105642 \PIDR \JEIJ®
Plan Check $392.18 LYK 04/08/09 105642
State Building Code $4.50 LYK 04/08/09 105642 5
Total: $1,000.03 Jefferson County Plannint
&Building Department
• •
CONDITIONS for Building Permit# :BLD09-00105
1.) This parcel is within a no shooting area per JCC 8.50.
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.) The building height is not to exceed 35 feet.
7.) Building Setback from 10th Ave right-of-way is no less than 20 ft., side and rear setbacks
are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
Jefferson County Building Dion Permit Nur, BLD09-00105
Applicant: SAKRISON
BUILDING PERMIT INSPECTION APPROVAILS 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 ciay'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
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
Airseal
Insulation: Walls
Insulation: Ceiling
Address Posted
Miscellaneous Perimeter Insulation At foundation At Heated Space
VVIA—IJ 00c i(•-• ct LAa04._ �AI
FINAL INSPECTION ,';1-,)f, ir
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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i� oN cow JEFFERSON (NTY •
4, ' ``� DEPARTMENT OF COMMUNITY DEVELOPMENT APR - 8 2009
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
\� �p� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: o ct - \ \
Project Description (include separate sheets as necessary):
ADA h OA) to EXAS4) i- •th2V 41 s N t o f-ri c:E/ S fto/IL.� , ifh K,fkl4E it)
Tax Parcel Number: 9 I- $o�1 - 101 Property Size: r
j� 7J O (acres/ ar
Site Address and/or Directions to Property:
13_3 iOth E, Pod ) L o(Y WA. 1 431-ocx__ EA ' fezo JJAC E i2O ct- girjQij ii?
Property Owner(s)of Record: .T0/3"A) AND Re-F-UQ/9 5j9,k /SO/J
Telephone:31,0 .&,3J - 039) Fax:3G0 38S 387j email:
Mailing Address: 224 cWL C0wi2d ICeiLSU Iq • 98636
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check�ea box that applies 0 Lot or Road Segregation
f$(Building A-- Ld-CT 1' 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
'4 Single Family•-7 r0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)*"
Wha fde 0 Boundary Line Adjustment
A ress 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan'`*
❑ Propane ❑ Long Plat**
0 Sign - 0 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)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
0 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:
,VI.'NE j4A)DW 41
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 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 access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appl• i• that •- or she wafts prior notice.
Signature:;.-/1M 4 . ',f 9
Date: fc L G 7L,C1/
The actier 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 a¢te res nsi i rty f f adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 4f l� z— Date: .fir%Ze C`7 Z"-10c2
V
r•\PP. ..('P..r,,\fttft PrPMOfftlf!\TIP TI PARTY¢\!'.,, iwn=,-, ,.\w4,......_n_�:. n__,._.. . r -,r,..r
•
t+Ath - .3 BUILDER STATEMENT
—he 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 ass i the r ponsi ility f the General Contractor for the proposed project.
Signature: -"� Date: 19QZ/L 6.7 c,2oQ5
GENE , CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
I Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
0 New , Wood Existing: i ❑ Sewer
A. Addition 0 Steel Proposed: I Bank 0 Community System
Alteration/Remodel 0 Concrete Total: 2_ Height: 'Individual System
p Repair ❑ Masonry SEP Permit#00-o(kD g16
Bedrooms: Water Supply:
p Demolition ❑ Other: Existing:
i Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: 1 Public
L,LLGti`:I t.- Total: i ame of System: t RD
_ ivcv0 StoVt (, P i) fPoUG
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
1f 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 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.
a k' atL �d��$-� ✓Ka v i5 d`"� �f xtx.rr a�
W�Qi:�-."fir+p..5 s z�y r'';;; `y ,rya. j;r�' }r -sr r.`�r 3 t,.
Square Footage Current Proposed z s..._ <:.) ,., , A..,- x �,,
Main Floor Heated q ;' * EH Bld App Review: QQ
'� � ConsistencyReview: ��
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2 Floor Heated x12 •60
4, t
Other Heate' �" Base fee:
A�
Mezzanine Additional Section:
-Heated Basement Plan Check fee: 3 zo
unilecltbu uuai.rnc ii • viate Surcha�ye fee: L/
S
Pot Water Review fee:
-Other Unheated - — r ' ------"—
o
Garag(`(�\/Carp i' d '' , 1'1* ' SUBTOTAL /,g. Q 3
Decks _ 11/Rd Approach fee:
Other — y� > ,? TOTAL $/A 0-6 03
'' ,� Receipt Number: /o 6 g-2
1 Cash/Check Number: //
ESTIMATED COST(REQUIRED) Date: ,�j _�
.Fair value of all labor and materials foundation to finish 7 ^0 /
Initials:
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