HomeMy WebLinkAboutBLD2010-00310 ItILDING PERMIT APPLICA1ti! MLAIew00325
Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00310 Received Date: 8/26/2010
SITE ADDRESS: 10 W MAPLE ST
PORT LUDLOW, 98365
OWNER: ROBERT J ROGERS PHONE: 702-755-4544
3532 ISLE ROYALE DR
LAS VEGAS NV 89122-4009
PARADISE BAY ESTATES
SUBDIVISION: Block: 12 Lot: 1
PARCEL NUMBER: 983401201 Section: 22 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: ray_r___ (Acte. t PHONE: 3 i®-
PROJECT DESCRIPTIOr ADDITION TO EXISTING CARPORT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 2,846.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: 160 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 TataI: 0 - -
Routing Date:
Type Amour t.iaard----SV: Date: Receipt: Approved/Date
Permit $83.25 LYK 08/26/10 120001
Plan Check $54.01 LYK 08/26/10 120001 APPROVE
Q
State Building Code $4.50 LYK 08/26/10 120001
Total: $141.76 JUN CG:i
Jefferson County Plannin
&Building Deoartmpro
Jefferson County Building Division Permit Numb• BLD10-00310
Applicant: ROGERS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 �' ./�i ki
Erosion Control L 6
Post Holes
Framing 5=�� 'Z_ /'
1-3
Blocking. C
Drywell/Alt Drainage / ,
Address Posted L ���
- �
FINAL INSPECTION S 1T -f Z (
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00310
1.) Approval of this permit does not provide any assurance of future approvals for onsite
sewage disposal on the property or use of any existing septic systems. Actions taken to
date and proposed as part of this project may limit or prevent future development of an
onsite sewage system. Future proposals must meet current code at the time of
application.
2.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
4.) 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.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Building setback from Maple St. riglf way is no less than 8 feet. A road setb
reduction was requested and granted from 20 feet to 8 feet(see memo dated Sep ember
20, 2010). Side and rear setbacks are no less than 5 feet.
rok;s0/4 co, •
JEFFERSON OUNTY
' lk DEPARTMENT OF COMMUNITY DEVELOPMENT
'� 621 Sheridan Street• Port Townsend •Washington 98368
' 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
FiTlve
Master Permit Application MLA: I b_ 3 3
Project Description(include separate sheets as necessary): Yid f/ /o ' f X f.,.h,± 61s --t, g A)5 4 ;r,g ?[,e/,
- Ia„ 2 c,c,,51Y� e-fe J Cav'e✓' r-rt, Ti2r7rre / 'TizA> lrr-I —1—' Aq 14) l-
Tax Parcel Number: (/ g 3 y 0 / OLC, / Property Size: Se, 'X /O U ' (acres/square feet)
Site Address and/or Directions to Property: / D 4°' Ill /� ' & --P,r 71" j-ti 1) LEe., e-t-", . 9 F ?1 S
.13
4K A4/..2 Zo f / ise- `3n 4ales, i "" Lc o,-1 [-4.,E57ng,317-4-5- Wrfki'Srbe-
Property Owner(s)of Record: o -1 3-
Telephone: 70 - -75-6-- z/5'y,e, Fax: email:
Mailing Address: -? 3�- /Si- t t,jia r- Lets 1,4, Af i;, 1'di/2 Z- 'i oS'
Applicant/Agent(if different from owner): #moo c/e r,-, R- LA £t im
Telephone:(. 6oi 2!3 7- 9G 3 5" Fax: email: T)o/r r4//A) 0/7` Q n.,. „•
Mailing Address: /Go et.), )r3-1 ip /, 717, ' ',,-t--L14bLOw , z4/ a. 9 P3t S
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
l Building 0 Critical Ar-- tewardship Plan
❑ Demolition Permit WK'ariance!Mino Major or Reasonable Economic Use)
❑ Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]'"
❑ Manufactured Home .❑ Modular - ❑Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use El Boundary Line Adjustment
❑ Address ❑ Road Approach ❑Short Plat**
❑ Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane ❑Long Plat**
❑ Sign - '• ❑Planned Rural Residential Development(PRRD)/Amendments** .
❑Allowed"Yes"Use Consistency Analysis 0 Plat VacatioNAlteration**
❑Stormwater Management 0 Shoreline Master Program ExemptioNPermit Revisions`*
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Us 'Dist)ctMapiAmendment
0 Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
S,2_t 1-, c 1) ) lA /v C. €.;. -
DESIGNATION OF AGENT
I hereby designate ocQ - t c.J ..-cio. f to act as my agent in matters relating to this application for permit(s).
j
OWNER SIGNATURE - /` !‘l" Z 7.- 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 access and right,o entry t Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any uired n h later inspections. Staffs s and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap lica' e`r he wants pri of
Signature: ,� Date: e/?/e -/,
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,,An 'ndividual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even' are in compliance with the Jeffe n County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferab r p ns. 'li for adhering to complying with the ESA. The Applicant has read this discclai er and igns and dates it below.
Signature: f/L / Date: Ci ��� d/l�
•\PP.n,;rf rnt'r\###FORMS###\DRi)FORMS\(,runt DRO Fnrmc\Maci"r Permit Annliear;nn 5-99-OR dcv-
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.
�ignature: Date:
f ~—
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: 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:
A' New 'ill Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
✓ Alteration/Remodel 0 Concrete Total: Height: 'li Individual System
O Repair 0 Masonry SEP Permit#`1 t4 Do $»
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: SIB * Public
/1/,G A.,c Total: ter Name of System: •
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,em yees,etc) urrent Proposed
IBC Occupancy: IBC Type of constructi : Will you have Food'Service? Yes / No v
If this is a Propane Tank and/or Appliance Installation it,mark all items below that apply:
Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Firepl Insert i Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance being installed in a Manufactured Mobile Ho e? Yes iNo
When applying for a permit to install a propane tank you must !so 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 *Office U_ ` ,;, a .' mount , a to "
Main Floor Heated ,`.L EH Bid App Review: 2 i —1
2"d Floor Heated '— C9Consistency Review: (� i
Other Heated Base fee: t,
Mezzanine Additional Section: --
Heated Basement Plan Check fee: 5V • 1� I /
Unheated Basement
State Surcharge fee: U
Other Unheated Pot Water Review fee: __.___..---
Garage/Carport /-/D F*o s�. too 'x SUBTOTA /
Decks �� 1��
Other TOTAL: $ C"'�"" % a ( -I
Receipt Number: 1(Qa3°\
; Cash/Check Number: `l,`-[�
ESTIMATED COST(REQUIRED) 45.7.cao l',f- Date: g
.Fair market value of all labor and materials foundation to f '
Initials:
C.----
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRL Forms\Master Permit Application 5-29-08.doc
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