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Home My WebLink AboutBLD2011-00169 ILDING PERMIT APPLICA1N M Reviewview eT0138 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00169 Received Date: 6/28/2011 SITE ADDRESS: 567 MIDDLEPOINT RD PORT TOWNSEND, 98368 OWNER: ALAN J JOHANSON PHONE: 360-385-9648 567 MIDDLEPOINT RD PORT TOWNSEND WA 98368-9647 SUBDIVISION: Block: Lot: TX 23 PARCEL NUMBER: 001052023 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: TIMBER AND IRON ERECTORS LLC DAVID RICHARDSON PHONE: 360 670 6227 Tiered PO BOX 516 CARLSBORG WA 98324 Contractor's License TIMBEIE905OT Expires 9/30/2012 REPRESENTATIVE: TIMBERAND IRON ERECTORS LLC PHONE: 360-670-6227 DAVID RICHARDSON Tierectors@hotmail.corn PO BOX 516 PROJECT DESCRIPTIOP NEW ATTTACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 19,000.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 600 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: - I ( , Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $307.25 LYK 06/28/11 123648 Plan Check $199.71 LYK 06/28/11 123648 APPROVED State Building Code $4.50 LYK 06/28/11 123648 Total: $511.46 AUG 2U11 Jefferson County Planninti & Building Department • — II Jefferson County Building Division Permit Numb BLD11-00169 ( Applicant: JOHANSON BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 //x..)J . l? /C"1' l s /3✓F SL i-v bit Control C'i,/ Post Holes /V _ /( iv''? Footing Drains Straps(hold downs) FramingI;Z /(,1-7/ Ad- Gr ( S Blocking Wallboard Nailing 'Z /7// Drywell/Alt Drainage Address Posted - it 9.r- FINAL INSPECTION /4a11 11 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00169 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.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) 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. 5.) 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. 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. • • • 10.) The building height is not to exceed 35 feet. 11.) Building setback from Middlepoint Road is no less than 20 feet. Side setbacks are no less than 5 feet. Rear or Shoreline Setback is no less than 100 feet. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 'g,SON , 0 �.4i, o� JEFFERSON COUNTY w ' DEPARTMENT OF COMMUNITY DEVELOPMENT ►•3 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax Sys DSO www.co.jefferson.wa.us/commdevelopment $INS Master Permit Application MLA: I ( - (5� Project Description,(include separate s eets as necessary): u.' Cal c11_0 Tira(f ft- t(,1 fz( r"\. I .fP) Tax Parcel Number: C)O i- D., 0�3 Py t l#u" •0 n -71- i . (acres/square feet) Site Address and/or Directions to Properly: v �l 5 G 7 M( n d)c, Pc>i,tom^ RD, cPo'R i'1 Property Owner(s)of Record: A LA iNS ��Lt d ,N5•z:5 RN 2 8 2011 Telephone: 6o."3 -9(S.4-- - Fax: email: Mailing Address: Applicant/Agent if different from owner): Telephone: 70 — 7 Fax: 1l C Q email l�/I - (3 Mailing Address: Po6 SL 6 Gff,eoG ` 1 G6 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 1Y4Garage -.f De::, e. ❑Conditional Use[C(a), C(d),or C)**❑ Manufactured Home .0 Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑BoundaryLine Adjustment ❑ Address 0 Road Approach ❑ Home Business 0 Cottage Industry0 ShortindiPlSite ❑ Propane g ❑Binding Site Plan** ❑Sign ❑Long Plat** 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)*❑Temporary Use 0 Shoreline Management Substantial Development** ❑Tempos Telecommunication* 0 Shoreline Management Variance ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑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: I herebydesignate !J t , DESIGNATION OF AGENT g t rC kt w e.r ii) to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ,�-�— Date: 41.7 g I iI `' 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 ins: ins. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati that he or s pno^r�r vice. .,,---Signature: ' " - . Date: 4-1/ �3(St 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 detined 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 co lance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tranrab e responsibilit r ad ring_to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ----Signature: �a—.. .,,—, '}f a.81` Date: • • 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: 7#1BER :flr o0 fREG�(Or-.s I-cf �j, ()eo)00-a� 4j5 0 ) 60 7f/Cj MAILING ADDRESS: `ok 6)/, 6iQ CAM-I t'. t)6i rs1, a�1 76c3 ,P-I EMAIL: "�'f AR G`rDe,ce149/�l(L, I GO AI, CONTRACTOR'S LICENSE � WAINS NUMBER: lrt i1 kk i f 7sA CV NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL ject Type: Frame Type: Bathrooms: Shoreline:.-- Type of Sewage Disposal: New i Wood Existing: 0 Sewer Addition ❑ Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: Height: 0 Individual Sy em ❑ Repair ❑'Masonry SEP Permit# LI 0-0-46 O Demolition 0 Other: Bedrooms. Water Supply: Existing: Setback: //Private well 0 Two Party Type of Het: Propos : I❑�,ublic U t-)hi 4-0 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 Proposed IBC Occupancy: IBC Type of construction: Will you have FoodSeniice? 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/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. Virt Square Footage Current Proposed v;� c, I q1 �.. ., f =.. ...�71` , , • i►:� �.. i,', ati AMate,; a " k,"t1Yq Main Floor Heated y fi _ EH BId App Review: .---rJ-- 2"°Floor Heated <�0, >` Consistency Review: Other Heated i;: }' Base fee: �� k 7 Mezzanine t Y,3.. Additional Section: a„� �r t Heated Basement ]3 ,` Plan Check fee: - Unheated Basement ,` ,- State Surcharge fee: 21 `r Other Unheated ol.tV 1�,it~,— � ¢ ; Pot Water Review fee: —Garage/Carport .' SUBTOTAL Decks :..i a 911/Rd Approach fee: ' ST?41Other , TOTAL: $ _,. , Receipt Number: ' D J(C(4,� �� ' Cash/Check Number: C,If i ‘'N'T-.ESTIMATED COST(REQUIRE Date:lll• ,(' arntarket value of aab materials foundation to finish . 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