HomeMy WebLinkAboutBLD2010-00190 BUILDING PERMIT APPLICA•N MLLA1e0 00p218
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00190 Received Date: 6/3/2010
SITE ADDRESS: 2673 HASTINGS AVE W
PORT TOWNSEND, 98368
OWNER: WILLIAM F KENNEWEG PHONE: 360-379-1738
RONNI G GANAPOLER
PO BOX 395
PORT TOWNSEND WA 983680395
SUBDIVISION: Block: Lot: TX 50
PARCEL NUMBER: 001053014 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: KIT AFRICA PHONE: 360-385Z42
1673 WOODLAWN DR
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOr NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 672
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
5outinp Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $321.25 LYK 06/03/10 117791 APPRJ\JE1
Plan Check $208.81 LYK 06/03/10 117791
State Building Code $4.50 LYK 06/03/10 117791 JUL ' am
Total: $534.56
Jefferson County Planninc
&Building Department
Jefferson County Building Elision Permit Nurr: BLD10-00190
Applicant: KENNEWEG
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
Setbacks ,, 1 D
Erosion Control
Foundation Footing .7 /41
Footing Drains Q ,
Foundation Stem Wall .V2 jl Q HV
Ext. Shear Wall Nailing -7 -z_bl 1,, y/-
Framing
Blocking
Drywell/Alt Drainage
Address Posted (� ,i , ( 0/7
—
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00190
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.) 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 Hastings Ave W. right of way is no less than 20 feet. Side and rear
setbacks are no less than 5 feet.
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JEFFERSON
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4 ' DEPARTMENT OF COMMUNITY DEVELOPMENT
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'' ` `4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
,"WitIN��p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 16 -(: t
Project Description(include separate sheets as necessary):
1 i-r&cl4iD rrA2A4C
Tax Parcel Number: 00 I 053 O 1 ( Property Size: y. / 5 arip square feet)
Site Address and/or Directions to Property:
'2. 6 7 3 Ahl5 77,1 6-s fat J. l 7D,-)IJ5 f/v0, pi, 9cP3 6 e Property Owner(s)of Record: kJ/t-LlAM )2 iv?I) t</t (r Acacfr 6,4"A /O Lam
Telephone: 3 h b 7 9 173F Fax: email: tl l F s'✓d 6- Cc'
Mailing Address: /o 4 . q 5— P1. 404. 9,0 6 a' e� nrt tf Sri fd.LO^I
Applicant/Agent(if different from owner): X/r A�2,c.6
Telephone: 313 t- S3`l-1— Fax: email:
Mailing Address: 1673 t,Joo b t��rJ Dt2. Qi�3 be
w at kind of Permit?(Check each box that applies 0 Lot or Road Segregation
ullding 0 Critical Areas Stewardship Plan
Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family Garage Attache Detache ❑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)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane 0 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 MasVter Program,Amendment
May require a Pre—Application Conference 0 Tree Vegetation Request 0 UU
**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 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 a s and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any req ired I inspections.i taffs acce s and right of entry will be assumed unless the applicant info s the Co my in writing at the
time of the p L
a picati t a r she want nor notice
Signature: p - Date: 5 2 0 I v
The action or actions Applicant will undertake as a result of th 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 a e in .fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf a le r •'•• lity for adherii to and corn ying wi the ESA. The Applicant has read this disclaime and igns and dates it below.
Signature: • Date: 57�20 (0
III •
BUILDER STATEMENT
The signer of this stat t does h r(---...._.)-1--"
y certify that t are the Owners of the parcel referenced h ein,that they are not licensed contractors and that
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Issu�In 'responsi Iif the Ge ontractor for the proposed project.: i v Date: 6
GENERAL CONTRACT
OR OR MANUFACTURED HOME IN TALLER: 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:
New Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
O Alteration/Remodel 0 Concrete Total: Height: 0 Individual Sys
❑ Repair 0 Masonry SEP Permit# 1D� � I!1
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System
If this is a Commercial Projectyou 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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 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. x,
Square Footage Current Proposed �u ice jU , fry
Main Floor Heated . Y EH Bld App Review: 113
2nd Floor Heated rY Consistency Review: ii
Other Heated t Base fee: .� -
Mezzanine Additional Section: -----
Z" ` r , Plan Check fee:
Heated Basement !3/�
-Unheated Basement State Surcharge fee: r c'-�C)
Other Unheated .. • Pot Water Review fee:
• Garage/Carport / SUBTOTAL
Decks , 911/Rd Approach fee: -- 1 -
.-�f'
Other TOTAL: $ '`"r
Receipt Number: t Mq I
"T, Cash/Check Number
, ESTIMATED COST(REQUIRED) Date: �r`
*Fair m et value of all labor and materials foundation to finish _
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