HomeMy WebLinkAboutBLD2010-00169 aUILDING PERMIT APPLIC AIIDN MLA
Review Type:
87
I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00169 Received Date: 5/24/2010
SITE ADDRESS: SENTINEL FIRS RD
PORT HADLOCK, 98339
OWNER: MICHAEL H OLSEN PHONE: 360-437-7807
CATHY J OLSEN
290 SENTINEL FIRS RD
PORT HADLOCK WA 98339-9765
SUBDIVISION: Block: Lot: T 36+
PARCEL NUMBER: 921193009 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2010
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED POLE BLD/GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 19,213.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: 1,080 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: A PPROVPermit $321.25 LYK 05/24/10 117742 E D
Plan Check $208.81 LYK 05/24/10 117742 JUL c 2010
State Building Code $4.50 LYK 05/24/10 117742
Total: $534.56 Jefferson County Planning
& Building Department
Jefferson County Building •sion Permit Nu•r: BLD10-00169
Applicant: OLSEN
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 -r)�(
Erosion Control / �l BMPs
Post Holes raj/y�
Foundation Stem Wall
Straps(hold downs)
Ext. Shear Wall Nailing
Framing p.Z_)c
9``
Blocking 0
Drywell/Alt Drainage Gutters, downspouts, splashblocks to native veg- 50'. BMPs
Address Posted
FINAL INSPECTION -Z— h -
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD•0169
1.) 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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.
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) Minimum setback from Sentinel Firs Rd right-of-way is 20 feet. Minimum side and rear
setback is 5 feet.
7.) 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.
• •
a
i t,IN.
q , .4
,_ .,,,, z...
/
IA//b _______ t-�• . �~
�� L
cD
_ L 3 4
ili
c�i 0, a
L
t
9)
9,
Ar
vs
aA
n WZ o W 0�
N __IwI� � o i _.
C, `., w z
A 0� t N ,V .
‘,.._ ,.8;sg
4.
vM '�., tv,,
moo ` - ' 4--
Se,,, /;,vim; / Fir s
1s-,e. oly cob JEFFERSOFOUNIY S
f DEPARTMENT OF COMMUNITY DEVELOPMENT
ril
I, " '4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
kq _ O0. www.co.jefferson.wa.us/commdevelopment
81N
Master Permit Application MLA: to - i8 7
Project Description (include separate sheets as necessary):
Co ±rtici A jib le_ (3 J 1d i @Ar`AGi't l/o j'�)U_ry,I,;�
Tax Parcel Number: 9�I /9 3 oo4 I Property Size: 3 3k 935 (acres/square feet)
Site Address an �irections to Prop x /"�
� fe.' l lat }---uS In O _ , t- .
Property Owner(s)of Record: 71'/i./<e /'/Sri..✓
Telephone: .? D -4 '7 - 7 8o 7 Fax: email:
Mailing Address: , 91) SF.--75.
,.-A` Firs" Pt, H4cc k WA: 9.P3 79
Applicant/Agent(if different from owner): Sv ',,,.1 /3,,, IQ v Sy s-to k,, s L�c
Telephone: 7G-O-'ice-- L/77 -I 9 Fax: WO - if 7•/2/f email: Twr.-11-e. - ,�7/v,/.(::.y i
Mailing Address: ?.51/ "Ti.,,„ Ix1<e. F J_ f-(- Lvihww L).A, 9P7-
Wh3t kind of Permit?(Check each box that applies
lEguilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ifrGarage Attached/ ached, 0 Conditional Use[C(a),C(d),or C]""`
❑ Manufactured Home El Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑Home Business 0 Cottage Industry 0 Binding Site Plan'"` it.'n,' 2 4 `,-
❑ Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments
❑Allowed"Yes"Use Consistency Analysis ❑ 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 loc.I, state or federal permits required for this proposal, if known:
444. p4i1t:f/ y��e
9 ,DESIGNATION OF AGENT
I hereby designate .- -- - —__'== _ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Kl/`liC r' a Date: 37:0940
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 ofthis 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,t0 he as is prior notice.
Signature:C- 1 G"��l•--- -- Date: +2//��
1z
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•res onsi 'ty�fo/r adhering to and complying with the ESA. The Applicant has read this disclaim r and signs and dates it below.
Signature:'��€I [7 ' Date: ".3 dgVI/Q
G:\PermitCenter\###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 assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
(GENERAL CONTRALTO R MANUFACTURED HOME INSTALLER: PHONE: FAX:
_ �o✓,,,d L,, .:—`y rir_'r, s2—/.-c (F?6D) 407-/2/' (760) '.(77-/21 e
MAILING ADDRESS: 35 tt(, . gf a!<e_ N.1,1/..,s tu,. /sxPAIL: r A)R, e��f,,y ws�1 . C +^
o -,
CONTRACTOR'S LICENSE / WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: R PHONE .. c,9) 8--29 1 g FAX:(50.3) 7 7z, -755-)
``zr Kr r`,..,1,,,-eer 4 n•y
MAILING ADDRESS:„Zoo,y,G_,u,,, g G°.v r -F#0$F,a l,ovtlr WA 9v35E IL WWW. i3 er • Ip:L
Prgject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage isposal:
New Wood Existing: 0 ❑ Se er
❑ Addition ❑ Steel Proposed: o' Bank ❑ Corn 'y System
❑ Alteration/Remodel ❑ Concrete Total: r, • ❑ In ' dual m
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: o Setba : ❑ Private II Two Party
Tl__ Mat: Proposed: n ❑ Public
) ICY') Total: 6.2 Name of System:
If this is a Commercial Proiect 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 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.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: A 1 �
2nd Floor Heated Consistency Review: 01
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: °1bs7 8 1
Unheated Basement State Surcharge fee: .-4 '
Other Unheated Pot Water Review fee: A n1e
Garage/Carport SUBTOTAL
1ve� 1g213 rik-11.3
Decks 911/Rd Approach fee:
Other TOTAL: $rp.41.
Receipt Number: l (1-7k-12_
- Cash/Check Number: I
ESTIMATED COST(REQUIRED) Date: _�r'�
it market value of all labor and materials foundation to finish ,c am hL-�r
je; 2 LU• 0C-) Initials: (___._______.______
G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc