Loading...
HomeMy WebLinkAboutBLD2011-00081 itILDING PERMIT APPLICA1N MRAIew000 74 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00081 Received Date: 4/11/2011 SITE ADDRESS: MOUNTAIN TRAIL RD BRINNON, 98320 OWNER: ROBERT SEAMANS PHONE: 360-674-2597 PO BOX 423 BELFAIR WA 985280423 OLYMPIC CANAL ADDITION 5 SUBDIVISION: Block: 15 Lot: 11-12 PARCEL NUMBER: 981301510 Section: 16 Township: 25 N Range: 02 W CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2011 REPRESENTATIVE: TOWN & COUNTRY POST FRAME PHONE: (425) 743-1555 WES AYERS (425) 742-4378 16521 HWY 99 STE C PROJECT DESCRIPTION NEW POLE BLD GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 672 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 1- It Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $251.25 LYK 04/11/11 123384 APPROVED Plan Check $163.31 LYK 04/11/11 123384 State Building Code $4.50 LYK 04/11/11 123384 MAY4 2u:1 Total: $419.06 Jefferson County Planning & Building Department Jefferson County Building Dillon Permit Num. BLD11-00081 Applicant: SEAMANS 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 Erosion Control l� Post Holes (9- Framing 6 Blocking Drywell/Alt Drainage Address Posted FINAL INSPECTION .) S / ( fr4)3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00081 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 2.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 3.) 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. 4.) 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. 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.) The building height is not to exceed 35 feet. 7.) Building setback from Mountain Trail Road is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 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. • IP 411N6i- °Nc . JEFFERSON COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 _. ._ 360/379-4450 • 360/379-4451 Fax 4�'�' 0 www.co.jefferson.wa.us/commdevelopment W7N ,, if Master Permit Application MLA: li '_� `i' Project Description(include separate sheets as necessary): C,ovrSk•11ASA LDZ2 SF' cie..-kaG\qQ.c‘ poSk -Frame Cyorct, C.. Tax Parcel Number: g n 1 3 O t S t C) Property Size: 1. 1 ,p (acres/square feet) perty:No A' e.SS Ass: Yrc..a ' t-_ Site Address and/or Directions to Pro o,n Troy\wood ID L ovr M3r. -TroZ.s1�Hwy 101 +o O.tic-k.a.b.�Sh, F., or Co,rko,,\ v�e,‘„3, K. , 1— a . )(r K- ct_NA C,orate,. L-C. Property Owner(s)of Record: 12o b¢.,Y•\ Se c r^rn.0.Yx Telephone:(3to(D} 1Gilt- 2Sa1-1 Fax:_ - email: - Mailing Address: PO Box H+23 r Be,1-eaxr 1A1) 4185 23 Applicant/Asent(if different from owner): 1kJ1 firs Telephone:`1425'Z43- 15 5 5 Fax: ( tis)1/-1Z--•i,3-7 8 email:P6,mt--sZpev mct.bi 1}.carry Mailing Address:31Q52t 1-1w1 cIci, sulk.G, LyvrviW eoc wA g8o3-1 What kind of Permit?(Check each box that applies ti4Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or R .n'•,-� .•,,Tirifii�(l/,fi ❑Single Family Garage Attached(Detachea) CI Conditional Use[C(a),C(d), .j \ IL �\YY i Li j ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)*" ❑ Change of Use ❑Boundary Line Adjustment APR 112011 ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ,,p g, O PropaneignEl Long e t R" � „nova O Sign Planned❑ Rural Residential D " is** O Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration** O Stomiwater Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'`* ❑Temporary Use ❑Shoreline Management Variance O Wireless Telecommunication* O Comprehensive Plan/UDC/Land Use District Map Amendment O 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: DESIGNATION OF AGENT I hereby designate 1 °i''riv 4- Le2J to act as my agent in matters relating to this application for permit(s). t ,. OWNER SIGNATURE 0 Date: 3 -- t.,2 10 " / 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 attorneys 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 requir d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the apph t he or re wants pp�notice. Signature: • r? ,..► J L�;�t,C Sge . Date: L 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 y are I compli nce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf ponsi .. r Bring to and complying`with� the ESA. The Applicant has read this disclaimerr and signs and dates it below. Signature: syi+F'(rY Date: _) L' l/ G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc i-t .� ;6r.._. : i. i i t¢ i. ,r- is F,Jifs`.N:t ..:_. III • 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: TOw\n naval CO...r,-k'-.-t Post F'Ycktm E, Ev,ikk1rac ( 12 "7113- S V L(41.S)1�'�, -ASS S MAILING ADDRESS: ,�s 21 l-kw 'VI r Svti i¢. C. EMAIL:pexw� 'vi��G1° CONTRACTOR'S LICENSE J-kinv�W OOd, WA q$o3i WAINS �� 11��!!�� NUMBER: T owme-PF n AA 1-1- NUMBER ARCHITECT/ENGINEER: -`eAr r y vow" Q--t-5E PHONE (pa ) 1+I I,�l,( `.f A> (2Q11 MAILING ADDRESS: EMAIL `C t'V Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: yi New X. Wood Existing: rJ)A y,r ❑ Addition ❑ Steel Proposed: N JA Bank ktta o Alteration/Remodel ❑ Concrete Total: N41k Height: D Individual System ❑ Repair ❑ Masonry 141 A SEP Permit# o° - ow o ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: a_. Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: NO NIA Name of System: If this is a Commercial Projectyou must answer the following: NJ I A Number of Parking Spaces: Current: - Proposed: - Number of ADA Parking Spaces: - Number of occupants(indudes 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: N yA 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 i 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. ti.rJ =� :a 1 , w� g er .. x Ai 7 r. Square Footage Current Proposed For f r , Z40.4, .W '= Main Floor Heated EH BId App Review: 2 -r 4r* �. '-- 2"0 Floor Heated -5s;;4'� Y,�. Consistency Review: Other Heated i p'.t Base fee: `� aY k?, r.. L "L1- Mezzanine :• Additional Section: 4 Heated Basement . Plan Check fee: 3 i -Li - -) Unheated Basement _ State Surcharge fee: Other Unheated Pot Water Review fee: `.- I `,i5 t_. kF a.- Garage/Carport l' ` SUBTOTAL toy12 5E x, Decks I 1 1/Rd Approach feed Other f E rya TOTAL: $C 1g. (ye K Receipt Number: 1 D3 3U L) ,ice' Cash/Check Number: 1(f) I ESTIMATED COST(REQUIRED) Date: L I I__� •Fair market value of all labor and materials foundation to finish 1 5l OQ O Initials: ' �- /, G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc �T & larz North Arrow in Circle �� 10W11 C�ul � suite C•16521 Highway 99•Lymwood,WA 98037-3161 � • ��. P.OST FRAME BUILDINGS Everett: a25)25e a ' D omsloe of AdministrativeX: (45) Headquarters: : 5)1-743-100-82 59 (1) �`"� PERMABILT FAX: (425)742-4378 Toll Free: 1 800 824 9552 Contractor's Lic.#:TOWNCPF099LT Quality:Our Future Depends On It TM ..G:I.Oie. 1., PLfiPcSE CHECK er Wind MPH .11-uI3TR dors fit in Bays G —Trosure Eave Heiht• ir w Load Minimum Clearance FLOOR PLAN I" IL) t E i i I � 1 i i I I I i SSi 1 r _ M t . N . I_ }— ..—.._i.._.,_......._—_,..f.. .-- i t` ,1 ra P �2I7 . + 1 � _ (.__ 1 j..__ I.____..__ _L..__...- , E I { � -I i ► Y �< r2s t +. I - }.._ _ . .. . • , 1 I � f } I I i. , I �T L r t r y i { , y' t 1 i , - .. j T- , ry C — � I � ES+I� =P v Ald i C - -r I ; I I I 1 I T i I � I , I • . 121(649) i 1 i .....__. -._. VL e..-lf, r— r4 y + r ,. . _ ; a Y ,*I —_.gj -tS NI ; • M---. ,....n __,4=0.. it4._, _....1._ .. (iv.. ,,,,, .,,..i___i . • I BUILDING ELEVATION Customer has verified andapproved the orientationi of the building to the North and verifies It/hat all items specified in Paragraph B of the� contract are shown on this drawing and vice versa. I Into IIII IIII Customer Name:it/ 0 6Q... ----C-�" ``� '� 4 Lead#:—74 -2-Customer Signature: � t,Ga + ,,. -.ram'4 ..-j 0 8 White-Customer Copy Canary-Office Copy ®1995 Perma-Bill Industries FR-85 3/10 * ® vnaa. . 11.411 �i.� _town �,ountry. ��i Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 Please Check After DoingSite Plan: Q Septic and drainfield Draw North Arrow in C POSY FRAME BUILDINGS Everett:(425)258-4171 Puyallup:(253)840-9552 p ©"Lot size 'tHeadquarters: (425) QR:roperty dimensions Elltriterfines O'Elevation of property DIVISION OF Administrative 743-1555 0I Xlstin buildings 6 PERMA BI LT FAX (425)742-4378 Toll Free: 1-800.824.9552 g g 0/Setbacks of proposed&existing buildings El Bodies of water worm- C Contractors Lic.#:TOWNCPFO99LT r'('roposed building "`fylain road with name ©'Ploorplan C Quality:Our Fucure Depend On IC. Easements [)Access t0 proposed building [�Slopes&Contours(5'increments) 98/ ®I 5'd Job Name: .5EAM/MIS Job Site Address: 0 'p-oz.e — A eels sr Tax Account#: Legal Description: FM IdC.r) AIT try 7124IL. diZt II I G°RG : I = E L . 6,0 ' L or s r7 6 ; 1. 1 iik. 4Lt I 7411111lIl40h.. oPos£D 4/>/'/69vED SeiarIc De " Pi eLo 7-RE5E WE (,5l -, . SEQN. o�, - 00101 (1, 1 ��\i' '*U Z. N a.- ' cx1 —‘ ‘( , C icv • e. --------------- --- 5. f ( 1 . a 1 r i a / y �,� I f `'' ' 1 0 1 v , iikCPryQSLL�� / i / t i 1 •. • ' t , ) Y'� 1 mk . 1 i Z. ! t 1aC• "!•‘O+r\ oC te}rt.- +o-.,nr k I / c) -.1 �� r� N o SE� 0 r�a •OtO� I t < k �\sa. .1k ' r , frt A dv5' is '` \ Ie.1` . UsR10 - OOQ2.c `` . - .- �'� / '" . — \ , , ,, VJ1 / 6 \ Posr FAME G4NS7�/�uc77o) l 4:1-4,RdvIcArATEle. A-To F�a \ Th GAT , 100wwsPotirs, � ArzEol 4F . °1 1 A•oPoSED ` MIPetev/ociS: �� d e -t G.: \(7 2. ,�Z1. �� , A cc€S5 : USING E1(:tsnpsi Ce i .X/ST7N0- /4 ,0,64y/ooS: w, / 8I-DG(s), No E. �� 60 ' AI T .T. Access : 'C'4 /ta .3°cam ' .. evri � = rA 45 . r-s-f co-: C.< r�'.�— "` c =t ��..yy c toy mewl —� — rs Q COVOT SIGN INCOMP=SITE PLAN! Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy utilities are shown on this drawing in ecoyect locatio '• 1 CUSTOMER SIGNATURE (" �� -./7J° - ,t 1 LEAD# �j �1(l,7 / ©1995 Perma-Bilt Industries FR-34 6/07 I III IIIII III(