HomeMy WebLinkAboutBLD2010-00166 •UILDING PERMIT APPLICAcAN MLA10-00195
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00166 Received Date: 5/19/2010
SITE ADDRESS: 2410 CAPE GEORGE RD
PORT TOWNSEND, 98368
OWNER: MICHAEL M HENERY PHONE: 360-379-4148
MICHELE M HENERY
406 BENEDICT ST
PORT TOWNSEND WA 98368-4628 HICKMAN SHORT PLAT
SUBDIVISION: Block: Lot 1
PARCEL NUMBER: 002124026 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: TK2B INC PHONE: 360-379-8254
292 SUTTER RD
PORT TOWNSEND WA 98368
Contractor's License TK2BII*941CF Expires 1/28/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN
VALUATION 41,680.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,600 SHORELINE:
CONST TYPE: DECK: SETBACK:
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 aid Bv: Date: Receipt: Approved/Date
Permit $562.95 LYK 05/19/10 117725
Plan Check $365.92 LYK 05/19/10 117725 APPROVED
State Building Code $4.50 LYK 05/19/10 117725
Total: $933.37 AUG 2010
Jefferson County Plannint
&Building Department
Jefferson County Building •sion Permit Nu r: BLD10-00166
Applicant: HENERY
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 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 ?l,`f/�j,�l o
Erosion Control
Foundation Footing
Footin D i g rains
Foundation Stem Wall
Straps(hold downs)
Ext. Shear Wall Nailing /� r0
Framing
;12 —VD iL---
Blocking
Drywell/Alt Drainage
Address Posted , , ,�,�
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FINAL INSPECTION i('2�_�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD 0166 •
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.) Building setback from Cape George Road is no less than 20 feet. Side and rear setbacks
are no less than 5 feet.
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/ 0 JEFFERSON COUNTY
t er. DEPARTMENT OF COMMUNITY DEVELOPMENT
1-2 621 Sheridan Street• Port Townsend • Washington 98368
IG SB 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MLA: . 101- I 5
Project Descjiption( dud bseparate sets as necessary):
�a ` toy ot-" aik HD•€e f 90 'er't" ( a r -Onf )-d- in fMb
Tax Parcel Number: _la 90 au I Property Size: I (acres/square feet)
t,Site Address and/or Directions to Property:
t)V:-.g.I. r 1 i aCi \ /C?F+ 1 I5C0k,,PJ q (173 _
Property YOwneK s)of itecord: fa; 5ViN14.koMe, Hue
Telephone: �(n0 - - �'( (-1 Fax: email:
Mailing Address: c t0 (rife (came Ec L 4,--i- et gr o
Applicant/Agent(if different from owner):
Telephone: — Fax: — email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation Y 1 9 2010
)tilBuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family 14Garage Attache 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address ❑ Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane ❑ Long Plat**
❑ 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
❑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:
S NATION OF AGENT
I hereby designate ' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE / / Y'Date: Q(L, `e 1()0V
By signing this applicatid form,the owne gent attests t the information provided herein,and in any attachme ts,is true and correct to the best of
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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 ha less Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in an. -y accrue agai .t Je Fr-rson County as a result of or in consequence of the granting of this permit.
I further agree to provi.- at,-ss • d right o'entry,to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requi -d la -r in '-ct ns: o1i_ -.. . ,- . entry will be assumed unless the applicant informs the County in writing at the
time of the applica •n tha h: .1 • .r oh.-
Signature: ' i Date: /e l
The a on . actions Applicant will unde - e as a result of the issuance •f this permit may negatively impact upon one or more threatened or
endan.; d species and could lead to a potential"take"of an endang- -d species as those terms are defined in the tederal law known as the
"Endangered Species Act"or"ESA." -,erson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issue• will not viola- t e ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you :re in c. rplia'ce ith the Jefferson County development code.The Applicant acknowledges that he, he or it holds individual
and non-transferabl /respMfi1a. . enng . : d complying with the ESA. The Applicant has read this disclaim can igns and dates it below.
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Signature:_ - ` Date: IC
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BUILDER STATEMENT
The signer of thi state ent oes hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass m/ing r ponsibility of the General Contractor for the proposed project.��'' II �
Signature: /� Date: V�Vf 6� ~ tV
GENE L CONTRACT A CTURED HOME INSTALLER: PHONE: FAX:
MAILING ADDRESS: EMAIL: (Olb '
CONTRACTORS LICENSE I _ WAINS
NUMBER: C O i �l Ct-. NUMBER
ARCHITECT/ENGINEER: frt f. Q�rfP ` Wail- PHONE ( ) )'zfv_ii(,1 FAX:( )
MAILING ADDRESS: i EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Ng New Nt Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: — Bank ❑ Community System
Total: � ei ht: ❑ Individual S stem
❑ Alteration/Remodel ❑ Concrete — � y —7
❑ Repair ❑ Masonry SEP Permit# — �� 1
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 4.___ Setback: iir Private well ❑ Two Party
Type of:feat: Proposed: ❑ Public
tt``�� Total: Name of System:�w� 1/
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: v ff' 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 /6
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank i Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water T k 1 Pellet Stove 1 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.
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Square Footage Current Proposed j= Office Use t?pIjr • �-A.��, ;*Vision : -
Main Floor Heated ' ,.. EH Bld App Review: 473
2nd Floor Heated Consistency Review: r'1 I��
Other Heated Base fee: .3(02 1S-
Mezzanine Additional Section: - 1
Heated Basement Plan Check fee: L Q Z
Unheated Basement State Surcharge fee: 5°
Other Unheated Pot Water Review fee: Kb pr6
Garage/Carport r/ „� 1 110g�, SUBTOTAL
`1�1J� l a lq' t-0
Decks 911/Rd Approach fee:
3(1
Other TOTAL: $ fa ( 3
Receipt Number: I t l' —
Cash/Check Number: )-2TD
ESTIMATED COST(REQUIRED) Date:
•Fair met value of all labor and materials foundation to finish .?-_-_a=-10-
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