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Home My WebLink AboutBLD2010-00053 •LDING PERMIT APPLICATI MLA Review 71 ew T Typype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00053 Received Date: 2/25/2010 SITE ADDRESS: 83 SPRUCE LN PORT HADLOCK, 98339 OWNER: AUSTIN E LEWIS PHONE: 360-385-7902 ELINOR R LEWIS PO BOX 313 PORT HADLOCK WA 98339-0313 TAMARACK VILLAGE SUBDIVISION: Block: Lot: 10 PARCEL NUMBER: 998300010 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW DECK & LANDING FOR M/H TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 7,502.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: 288 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: — Routing Date: —�1 2-25--ty Type Amount Paid By: Date: Receipt: Approved/Date Permit $153.25 LYK 02/25/10 113925 /\1 p H�JV Plan Check $99.61 LYK 02/25/10 113925 State Building Code $4.50 LYK 02/25/10 113925 APR 2010 Total: $257.36 Jefferson County Planning & Building Department Jefferson County Building Divis Permit Number. D10-00053 Applicant: LEWIS 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 Framing ki--to Fli7 FINAL INSPECTION /4 1N"' l--(3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD10-00053 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.) Building setbacks from Spruce Lane and Patison St. rights of way is no less than 20 feet. Side setbacks are no less than 5 feet. °N C • raw , JEFFERSON CO NTY ` a DEPARTMENT OF COMMUNITY DEVELOPMENT 1-7 i� 621 Sheridan Street • Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax � www.co.jefferson.wa.us/commdevelopment Cs Master Permit Application MLA: ' Project Description(include separate sheets as necessary): PE+ 1.. .. F 0 k xi ai: / C.� rkoKir eAL.dt-‹ PEC./t Tax Parcel Number: qq,.503 —01 Q Property Size: , ;) 7 (acre square feet) Site Address and/or Directions to Property: '3 Sf r a. Lan`Z' , P t- -c'd i s k 1 jV A qg 3 3 9 OFF i kw c \j_E, R D Property Owner ss)of7cord: rat nnr- R. Lett 1 i 5 Telephone: 3k�0 3 5 -?9 O �- Fax: fJ/A email: pin kyr 3140 @ ylptma r i. CO/)-) Mailing Address: PO a S i y Pt- Nadi ock, Vt/A (VA 539 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C)** Manufactured Home .0 Modular • ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** El Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑ Sign . . 0 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)* 0 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 ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conferfende L 0 cU iu 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 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 acation that he or she wan prior notice. /,, Signature: >?4s > C.C.Ul.(U Date: / / '! /c D/i) The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impacttuupon 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 tederal 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-tra ferable responsibility fo dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature j/�G�1�4-f� Date: 1/7/`dd/O /`.\n_�:.!`__..._\4 4444r lD114CI4+{u\rinr 1W,,A r c\c__ _ nn r,n ,•r .. . ..,, .... . !!f • BUILDER STATEMENT II 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 a u ing the responsibility of th eneral Contractor for the proposed project. Signature:.01 � —��%L / Date: 1/7/off 0 /0 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: g New 0 Wood Existing: ❑ Sewer O Addition 0 Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: X-Individual System ❑ Repair ❑ Masonry SEP Permit# O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: yC Public Total: 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: 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 -fit;office 44043Amount - ....Re*en ;, , Main Floor Heated z. EH Bld App Review: ' i l 2"i Floor Heated Consistency Review: . Other Heated Base fee: 3 `2 Mezzanine Additional Section: Heated Basement Plan Check fee: C19 .(01 1 (0 I � Unheated Basement State Surcharge fee: "�(�-1 Other Unheated Pot Water Review fee: 2t e Garage/Carport SUBTOTAL ._..______.- Decks t 911/Rd Approach fee: •ram; ,^ Other • TOTAL: $ 3 3W Receipt Number: l t5q2-6 Cash/Check Number:• l t ESTIMATED COST(REQUIRED) Date: 'Fair market value of all labor and materials foundation to finish - - ID _ 5dco.a0 Initials: r".\n,........ro...o.\}ktttfRrlR MCtttttf\TIR Tl Pr1R MC\C,,..P.,r TIP Tl Fn.mc\NA, ,,r P,..,,:r A.,.,1,,,,N,,.,S_7(1.l1R a..,- a) O a O Z � Pr) N Z a) ocr) ' J II 0 Q N Y $ I d M 0 CO Q . CO 0 Z O (/) N U CO CD _ w LO _ 0 �o n W U CI W � O JDQ 0 IAIL in I N Z � ~ LEI (X � = Z 1- O _Z H Z W O N 1- O Z o N W � � O SO � � r70 < o CZ - a_ a_ 0wcca CO Li_ CC () o CV LC) CN.1 Co LL1 L- \ A \. 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