HomeMy WebLinkAboutBLD2010-00217 • BUILDING PERMIT APPLICIION MRLA e0 Typ2e: I
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00217 Received Date: 6/16/2010
SITE ADDRESS: 113 STAGECOACH LN
QUILCENE, 98376
OWNER: CHRISTINE M CREASMAN PHONE: 360-765-3281
PO BOX 880
QUILCENE WA 98376-0880
SUBDIVISION: Block: Lot: TX 7
PARCEL NUMBER: 702273009 Section: 27 Township: 27 N Range: 02 W
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 13,163.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 576
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
Routing Date: -
(-1-
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $237.25 LYK 06/16/10 117862 AP P R O VED
Plan Check $152.21 LYK 06/16/10 117862
State Building Code $4.50 LYK 06/16/10 117862 SEP�I 2010
Total: $393.96 Jefferson County Planning
&Building Department
•
CONDITIONS for Building Permit# :BLD10-00217
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.) Builiding setback from Stagecoach Lane is 20 feet. Side setbacks are 5 feet. Rear
setback from Highway 101 right of way is 50 feet.
9.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
Jefferson County Building Dion Permit Num r: BLD10 00217
I�'fs
Applicant: CREASMAN
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 J
Esosian Cantrol
Post Holes tp
wraps(hold downs,
Ext.SSh_ear Wall Nailing
Framing _S _10 r
Blocking
-,DspoialWAlt-Brafrta9e'
Address Posted , �, v 76
FINAL INSPECTION t , _co
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
���•goN cow\ JEFFER COUNTY
'� DEPARTMENT OF COMMUNITY DEVELOPMENT
`' ` `4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
' O� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: (0 `' '1 I
Project Description(includede separate sheets as necessary): r_f �j
C orvS "wc-flo ti C9-3 �4' )- ��{' c t d' pdk_ btttJctt hl 7Q,ra.3-._. l/A/A a�to ,//' f7Um1 i'Li
Tax Parcel Number: 1() Z 21'j 0 69 Property Size: (acres/square feet)
Site Address and/or Directions to Property:
113 S+t CIA.iGh J--�nz &tt'd nVe , V34 e/F 74
Property Owner(i)of Record: C 116 S. C-1-•ZAsf11a.ry
Telephone: 3(00— 'J(9S- 2$l( Fax: email:
Mailing Address: 1 1 3 die coq h. Lcu a.ttiI u4t•e_ 14/l- e n 37f
Applicant/Agent(if different from owner): �o ct► is,al t`n]- 5 pi*in S
Telephone: '3I00—)11-1- 12-1 M Fax: 3ce0'-N3 1- 1 z-/ Sl email: rwc14.er6tyurway,Cyh
Mailing Address: 3SI1(P `]7lory c%k•e_ K,oa�( , Pr}- L iO..' 1,4)4- g 8 34S- 1 1
What kind of Permit?(Check each box that applies
uilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family f arage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Esschiti l Pil lic€ ities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan'"`
0 Propane ❑ Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
0 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 ❑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:
n DESIGNATION OF AGENT
I hereby designate cauN i. ' I I n"q s s�'e,,t S to act as my agent in matters relating to this application for permit(s).
��� n� l , ,t
OWNER SIGNATURE C/!UI.L 4 t AA,
' C//ji1LCGh' Date: 6''/`>`' /D
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 application,9 he or she wants/!/r/lpriorr notice. �/ /
Signature: (;' v Ll 2244 4- Date: ‘ /`r
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-transferatfJefesponsibility for adherinin t�omplying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: v �Ae M 1t-a-P- Date: 4, - /Li " /Z5
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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
_ S00 n d gild/hey S TUY6 S (34'O) L13`7 . i-24 9 (3ipO) q3)_iz151
MAILING ADDRESS: 35 f[( I hDR"rxd i �- 4,14 MAIL.
CONTRACTOR'S LICENSE I` qi S--- WAINS
NUMBER: SflO tIV,ASO s't1 N IVl NUMBER
ARCHITECT/ENGINEER: BF(- y Et ,,iq ,,,,,, �' �PHQNE (go)so9-7sg . FAx:(S ) 13/p-� 5]
MAILING ADDRESS: xltyD M, � icimbIS.. 6ATSI' gt1.idl. q`ir3sz �+r/�t
MAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank 0/Community System
❑ Alteration/Remodel 0 Concrete Total: Heigh giii Individual Syste
❑ Repair 0 Masonry SEP Permit# 02—
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: D Setback: ❑ Private well C Two Party
Type of Heat: Proposed: 0 -- 0 Public
Total: 6 Name of System:
If this is a Commercial Proiectyou 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 I 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:
_ �73�
2"0 Floor Heated Consistency Review:
Other Heated Base fee: ► z
J c -7
Mezzanine Additional Section: .,„-----.
-Heated Basement Plan Check fee: I a 1
Unheated Basement State Surcharge fee: 11 5 D
Other Unheated Pot Water Review fee:
fib (iIl(,
Garage/Carport SUBTOTAL
•
Decks 911/Rd Approach fee:
Other TOTAL: $ ,`-•I'` ,
Receipt Number: ' (1 Q31„2
Cash/Check Number: y�jIU7tt'�
ESTIMATED COST. 3EQUIRI=13)----_.__ Date: `-�
•Fair mark v of all labor and materials foun • n to finish a•.L J
5�� 2l., Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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r) d > 2600 N.COLUMBIA CENTER CHRIS CREASMAN \ /
0 o m o BLVD.SUITE#208 24'x24'x10'POLE BUILDING
m B ER K F Y RICHLAND,WA 99352 FOUNDATION PLAN
O -C 1 13 STAGECOACH LN
C' O - n PHONE:(509)736-7552 ][ QUILCENE,WA 98376
< d 8 Engineering FAX: (509)736-7557 JEFFERSON COUNTY J ` J
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