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HomeMy WebLinkAboutBLD2010-00200 • BUILDING PERMIT APPLITION MLA10-00221 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD10-00200 SITE ADDRESS: 91 GUSTAVSEN RD Received Date: 6/7/2010 QUILCENE, 98376 OWNER: KARLA A WATERMAN GARY L WATERMAN PHONE: 206 842 6105 6886 WING POINT RD NE BAINBRIDGE ISLAND WA 981102985 SUBDIVISION: PICKBlo SHORT PLAT(COUNTY) PARCEL NUMBER: 701323006 Block: Lot: 2 Section: 32 Township: 27 N Range: 01 W CONTRACTOR: D N n 1-v c, S . 13 o „,,l o y c , 26 1 1 �l ► Z Si- PHONE: (, 2S3 �aC am a) W'v4- cpvi 07 ?`� al - Lib PHONE: REPRESENTATIVE: ROBERT JONES PO BOX 595 PHONE: 360 297 4181 INDIANOLA WA 98342 PROJECT DESCRIPTIOP NEW HTD GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: IMP MAIN: NEW VALUATION MAIN: ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 672 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Permit Approved/De to $633.65 LYK 06/07/10 1177802 APIDROVE D Permit $497.00 LYK 06/07/10 1177802 State Building Code $4.50 LYK 06/07/10 1177802 JUL 1 2010 Plan Check $411.87 LYK 06/07/10 1177802 Total: $1,547.02 Jefferson County Planning &Building Department Jefferson County Building •ision Permit Nu oer: BLD10 00200 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 Erosion Control Foundation Footing —1-C) 91.-- Footing Drains Foundation Stem ,Nall Straps(hold downs) AO g' ��"l°'I n'��` K c •v Jam" Ext. Shear Wall Nailing /� tr Framing (/ Blocking I(_J,5 t'��:ham •Li' -,,u,z Wallboard Nailing Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BL•-00200 • 1.) See SPAAD ZON08-00005 for conditions that apply to this property and may apply to this project. 2.) 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. 3.) 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 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.) Minimum building setback from Gustaysen Rd is 20 feet. Side and rear setbacks are no less than 5 feet. �sON CO g4110 41/ w �, JEFFERSON COUNTY W - 'i\ Irk DEPARTMENT OF COMMUNITY DEVELOPMENT JUN 7 2010 ~ ` 621 Sheridan Street• Port Townsend • Washington 98368 360/379 4450• 360/379-4451 Fax q O www.co.jefferson.wa.us/commdevelopment S NOB J Master Permit Application MLA: / (� �� / Project Description(include separate sheets as necessary): ` 672 SF GARAGE Tax Parcel 701323006 Property Number: Size: 1.0 ACRES (acres/square feet) Site Address and/or Directions to Property: 91 GUSTAVSON ROAD, QUILCENE, WA Property Owner(s)of Record: GARY&KARLA WATERMAN Telephone:206.842.8500 Fax: email: Mailing Address: 6886 Wing Point Way,Bainbridge Island,WA 98110 Applicant/Agent(if different from owner): Robert L.Jones Telephone:360.297.4181 Fax: email: heron2@silverlink.net Mailing Address: PO Box 595,Indianola,WA 98342 What kind of Permit?(Check each box that applies JBuilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** ❑Single Family VJ Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: Robert L.Jones DESIG TION OF AGENT I hereby designate to act as my agent in matters relating toY this appl'cation for permit(s). Date: OWNER SIGNATURE s// '7� ft? By signing this application form,the o ner/agent attests that the information provided herein,and in any attachments,is rue and correct to the best of his,her or it's 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 wa accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide ac s and ght f entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required I insp i ns. Staff's access arid right of entry will be assumed unless the applicant informs e C unty in writing at the time of the application th o,s a s p' 'otice. Signature: l �f / n Date: [�.'n The action or actions Appl t will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and ul lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act" ' SA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued w' of vi late,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 1! corn an with the Jefferson County development code.The Applicant acknowledges that h sh or it holds individual and non-transferable re si i f r adhe• to and complying with the ESA. The Applicant has read this disclair1/�,r r a d si ns ditebit below. Signature: U Date: C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 0 0 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: DENNIS S.BOWLBY COMPANY ( 253)759-6461 ( ) MAILING ADDRESS: dennisbowlby@msn.com EMAIL: dennisbowlby@msn.com CONTRACTOR'S LICENSE WAINS NUMBER: DENNISB1100E NUMBER ARCHITECT/ENGINEER: Robert L.Jones PHONE (360 )297.4181 FAx:( ) MAILING ADDRESS: PO Box 595,Indianola,WA 98342 EMAIL heron2@silverlink.net Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: I New x Wood Existing: Sewer Addition Steel Proposed: Bank Community System Alteration/Remodel Concrete Total: 4 Height: Individual Sy n Repair Masonry SEP Permit# '"�"� Demolition Other: Bedrooms: Water Supply: Existing: Setback: Private well Two Party Type of Ht Proposed: Public ELECTRIC ea : Total: J Name of Systems 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: ❑Underground Tank °Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove ❑Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 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: -7 3 do 2na Floor Heated Consistency Review: / a �"► J DC) cZ/ Other Heated Base fee: j t t(�� •� Mezzanine Additional Section: Heated Basement Plan Check fee: // l 73'7 Unheated Basement State Surcharge fee: YYl Other Unheated Pot Water Review fee: / V Garage/Carport G SUBTOTAL 06 0 4 672 O '2 ,� `)( _0 Decks 911/Rd Approach fee: Other OTAL: / q 3 b.O2 t83 :0 2— Receipt Number: f 1 1 8-02„ Cash/Check Number: ` / ESTIMATED COST(REQUIRED) Date: / ��U .Fair market value of all labor a d materials foundation to finish (�'--RA- � 4/ 4 f Initials: f'cJ (> 11 / C:\Documents and Settings\caral\LocakSettings\Temporary Intern/Files\OLK86\Master Permit Application 12-19-2006.doc • . CV z, d- G) CO /� '^ (0 r.,,�Stir . ; T r'- •' °'t.. : 7 R t7.. 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