HomeMy WebLinkAboutBLD2011-00128 *JILDING PERMIT APPLICATSJ MLA11-0008
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00128 Received Date: 5/24/2011
SITE ADDRESS: 2055 ANDERSON LAKE RD
CHIMACUM, 98325
OWNER: DENIS E FISK PHONE: 360-732-0518
LYNETTE FISK
PO BOX 867
PORT HADLOCK WA 98339-0867
SUBDIVISION: Block: Lot: TX 66
PARCEL NUMBER: 901103004 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: ELDRIDGE HOMES INC PHONE 437-2120
561 OLELE POINT RD
PORT LUDLOW WA 98365
Contractor's License ELDRIH1110CL. Expires 4/29/2013
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW 2 STORY DETACHED GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 64,392.00 MAIN:
CODE EDITION: 2009 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 1,200
GARAGE: 1,200 SHORELINE
CONST TYPE: SETBACK:
DECK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: G-77-
Routinq Date: �—
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $748.75 LYK 05/24/11 123526
Plan Check $486.69 LYK 05/24/11 123526 A P P H O V E P
State Building Code $4.50 LYK 05/24/11 123526
Total: $1,239.94 JUL 'P 1U11
Jefferson County Planning
& Building Department
•
Jefferson County Building Division Permit Num. BLD11-00128
Applicant: FISK
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 1—.9-2._u re
Erosion Control
Foundation Footing "')_32_t.t y
Footing Drains ((
Foundation Stem Wall 7 Z7 / / ( ii
��
Straps(hold downs) iFt_Zg_/ F �73
p,,14. i (Ext. Shear Wall Nailing 2,7t3
Framing )2-12- Ao
Blocking
Wallboard Nailing 7 /7_(L Pr75
Drywell/Alt Drainage 1 )-24
e- ((„-
Address Posted . (z—
Lull( ci& 1- )-712— ( t_ — (g i`y\ Up S 1 at/ S vi\ (/ s
FINAL INSPECTION '� - /2 ( (/ 4z3
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD11-00128
1.) 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.
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.) Building setbacks from Anderson Lake Road is no less than 20 feet. Side and rear yard
setbacks are no less than 5 feet.
9.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
10.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT
FACILITIES -
Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any
other source of water that is upgradient(above) or on the same contour MUST be setback
a minimum of 10' from any septic system dispersal area (drainfield) and 5' from any septic
tanks.
Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any
other source of water that is downgradient or lower MUST be setback a minimum of 30'
from any septic system dispersal area (drainfield) and 5' from any septic tanks.
Surface drainage, roof run-off, splash blocks, etc. must be directed away from ALL septic
components.
¢s0N e
Off, JEFFERSONtOUNTY III
rzi'4' �1� DEPARTMENT OF COMMUNITY DEVELOPMENT
•
~' ":\ 4? • 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
.,4S0� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( ( ` L4
Project Description (include separate sheets as necessary):
GARAGE WITH WORK SHOP ABOVE
Tax Parcel
Number: 901 103004 Property Size: 120,000 SQ.FT APPROX. (acres/square feet)
Site Address and/or Directions to Property: 2055 ANDERSON LAKE ROAD CHIMACUM,WA 98325
Property Owner(s)of Record: DENIS AND LYNETTE FISK
Telephone:360-732-0518 Fax: email:
Mailing Address: P O BOX 867 PORT HADLOCK,WA 98339
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
Whit kind of Permit?(Check each box that applies
lluilding ❑Variance(Minor, M .- r ��•a s(PI cRAP,/Cl' : --1'\
❑ Demolition Permit 0 Conditional Use[C ? elo, w"
❑ Single Family 0 Garage Attaelod/Detached ❑Discretionary"D"o i Ted Use Classification
❑ Manufactured Home 0 Modular 0 Special Use(Esse i lic Facilitie **
❑ Commercial* ❑Boundary Line Adju t iMAY 2 4 2011 '
❑ Change of Use ❑Short Plat** U L, 1
❑ Address ❑ Road Approach 0 Binding Site Plan'"` L.:))
❑ Home Business ❑Cottagelndustry ❑Long Plat** JEFFERSON COUNTY
p
❑ Propane ❑Planned Rural Resi entia m~l6Rlp) rdmen's**
❑Sign ❑Plat Vacation/Altera
❑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 0 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:
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 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 attomey'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 pr ide access and right of ent efferson County and its employees,representatives or agents for the sole purpose of application
review and an uire later inspections. S s a ss and ri t of entry will be assumed unless the applicant informs the County in writing at the
time of the a plication t at he or she an nor i J
Signature: . - Date: .i "7G, - //
The action or actions Applicant vet undertake as a resul f the iss/nce of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"tak of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson Count 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)eve . ou e in compliance with J erson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tr sferable sponsibility or e' o d co plyin with the ESA. Th Applica has read this disclaimer and signs and dates it below.
Signature � Applicant has
• Date:
/� —//
C:\l�,cuments and Settings\clral\Local Settings\Temporary Internet Files\O1.K86\Master Permit Application 12-19-2(IUG.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: N!M Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX.
ELDRDIGE HOMES INC. ( 360)437-2120 ( )
MAILING ADDRESS: 561 OLELE PT.RD.PORT LUDLOW,WA EMAIL: 561 OLELE PT.RD.PORT LUDLOW,WA
CONTRACTOR'S LICENSE WAINS
NUMBER: ELDRIHn 1OCL NUMBER
ARCHITECT/ENGINEER: MARK WELLER PHONE (425 ) 488-9868 FAX:(425 ) 486-6715
MAILING ADDRESS: 21925 8TH PL W BOTHELL,WA.98201 EMAIL
Project Type: Fr me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
1 New fal Wood Existing: ❑ Sewer
❑ Addition LI Steel Proposed: N/A Bank ❑ Community System
❑ Alteration/Remodel II Concrete Total: Height: ❑ Individual Syste
Repair ❑ Masonry SEP Permit# 0 �I 3
I Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well Two Party
Type of Heat: Proposed: N/A El Public
NONE Total: 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,employees, etc) Current Pro osed
IBC Occupancy: IBC Type of construction: Will you ha e-F r r rr?�iY�s(U
If this is a Propane Tank and/or Appliance Installation permit,mark all items below tha V� L� u v
❑Underground Tank 11Above ground Tank Size of Propane Tank: ! i
❑Heat Stove 0 Cook Stove El Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pell t �We j�I�Qt?er 2 4 2011
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No I I M HH
When applying for a permit to install a propane tank you must also submit a site plan 114Vdrig all of the buildings,all rote
lines,tank location and size, distances from the propane tank to all property lines,buildings and swt -somponent
including the reserve area GEPT.OF C0;1 v1U'.JiTY DC1'CLOP"1FNT
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review '73-
2`d Floor Heated Consistency Review C9--1 3
Other Heated Base fee: 7113 .`715
Mezzanine Additional Section: ----
Heated Basement Plan Check fee: Lig(0• 61
Unheated Basement State Surcharge fee: ,Li.. 50
Other Unheated Pot Water Review fee:
t, \� (� a
Garage/Carport 32II9 SUBTOTAL w f 1 IJ•'
1200 1575 q`f
Decks 911/Rd Approach fee:
a.t S i •De)
Other 1200 321%09 TOTAL: $ 62,5 .94
Receipt Number: I a:3
to4392«) Cash/Check Number: cA 1
ESTIMATED COST(REQUIRED) Date:
.Faint value of all labor arad materials foundation to finish
OD a Initials:
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