HomeMy WebLinkAboutBLD2011-00182 ILDING PERMIT APPLICA1N MLA
Review Type:
54
I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00182 Received Date: 7/12/2011
SITE ADDRESS: 2616 ANDERSON LAKE RD
CHIMACUM, 98325
OWNER: THOMAS M EGAN PHONE: 360-732-6886
LILY EGAN
2616 ANDERSON LAKE RD
CHIMACUM WA 98325-8764 DUNCAN SHORT PLAT
SUBDIVISION: Block: Lot 2
PARCEL NUMBER: 901104002 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW ATTACHED GARAGE TO EXISTING - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 15,132.00 MAIN:
CODE EDITION: 2009 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
GARAGE: 564 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount-MC-1v: Date: Receipt: A proved/Date
Permit $265.25 LYK 07/12/11 123696 '' P ROVED Plan Check $172.41 LYK 07/12/11 123696
State Building Code $4.50 LYK 07/12/11 123696 AUG 1 2011
Total: $442.16 Jefferson County Planning
& Building Department
Jefferson County Building Division Permit Number: BLD11-00182
Applicant: EGAN
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 GUTTERS, DOWNSPOUTS AND SPLASHBLOCKS TO A 50
FOOT VEGETATED FLOWPATH
Foundation Footing
„Straps(hold downs) / ` // ( i
�.l l 7
-Ext�Shear Wall Nailing 0t 4- 0
Framing
Wallboard Nailing /a _/_ (/ F5
Address Posted jD // 17
FINAL INSPECTION /) //
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD11-00182
1.) SPLASH BLOCKS MAY BE USED FOR DOWNSPOUTS DISCHARGING TO A
VEGETATED FLOWPATH AT LEAST 50 FEET IN LENGTH AS MEASURED FROM THE
DOWNSPOUT TO THE DOWNSTREAM PROPERTY LINE, STRUCTURE, STEEP
SLOPE, STREAM, WETLAND, OR OTHER IMPERVIOUS SURFACE. SENSITIVE
AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT OF ALL DISPERSION
SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD.
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.) 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.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
7.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
8.) The building height is not to exceed 35 feet.
9.) Setback from the private utility and access easement is 20 feet, rear setback and side
setbacks should be no less than 5 ft. If an environmentally senstive area (ESA) is
present, than the more restrictive setback shall apply.
10.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
11.) Exterior flashing, moving, or blinking lighting is prohibited, except as required by local,
state, or federal standards.
12.) Lighting fixtures shall be designed* hooded to prevent the light source from fig
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.
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
0..4ox Cob, JEFFERSON COUNTY
' '� DEPARTMENT OF COMMUNITY DEVELOPMENT
0
o_ 621 Sheridan Stre t • Port Townsend •Washington 98368
360/379-4450 ax
' �. www.co.jeffers . . opment
Master Permit Application MLA: t, ( " ..mot' I
Protect Description(include separate sh is as necessary):
KU) Uk"-JtekOa '1 ' ae --- t t LGH4 ,o(-) 001131•
Tax Parcel Number: .CCj//0 O ' ,Jf a. Property Size: („ 02 9 ,&.., a square feet)
Site Address and/or Directions to Property: 6 4 44/../ea`.5o i G,4.E e .6�--
a !i/fiiA cv r , 1_14. /3„2 S.-
Property Owner(s)of Record: ✓.-i 1 j i..(.� 'u,er.,Ai
Telephone: 3 3 —6 g -‘ Fax: / J email:'T/si Tom E5 o"✓C9r401 co,,,..,
Mailing Address:
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address: .
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
ilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ')Et:Qarage Attache /Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home . .0 Modular . - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑Propane ❑Long Plat**
❑Sign -- • 0 Planned Rural Residenti v ra.r Q 7 inel�ts***
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❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration t (�
❑Stormwater Management 0 Shoreline Master Progr ptio erm
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management 4ntial Development**
❑Temporary Use 0 Shoreline Management ri ce ,J(frc 1 2 i1
❑Wireless Telecommunication* 0 Comprehensive Plan/U /La d Use arc Amen
❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shor i e M ster Program Amendmen
*May require a Pre—Application Conference ❑Tree Vegetation Requ t 1EFFERSO COUNTY
**Requires a Pre-A licat_fipple
Please identify any other local, state or federal permits required for this proposal, if known: J
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 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
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time of the application that he or she,wants prior notice.
Signature: /"'— o _ Date:
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-transferable responsibilityyfor adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
✓Signature: .✓6.2"----'N C%--- • Date:
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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: ./ ee-* Date: 6 — v2-O//
�-�-�-\-
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHON : FAX:
( ) ( )
MAILING ADDRESS: 6/4 ANeigPsa� L/4 e ,eJ EMAIL: 7.77 Tarr e y, ti�®�p/r Gv/►�(
CONTRACTOR'S LICENSE Chi IMALIJyM C/1i4 ? ,1- ,r WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE (34,) 7 _od‘FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: , Shoreline: Type of Sewage Disposal:
Newood Existing: ❑ Sewer
ddition ❑ teel Proposed: /57_
Bank ❑ ommunity System
❑ Alteration/Remodel ❑ Concrete Total: Height: �(Individual System
❑ Repair ❑ Masonry SEP Permit#
Bedrooms: Water Supply:
❑ Demolition ❑ Other: PP y:
Existing: l/ Setback: 0 Private well 0 Two Party
Type Proposed: % ubof
Total: �,1 Na a 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 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/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. 3 yy y
Square Footage Current Pro osed 4 :! e .,__.� .s,.j . , ! .- l*'attr"( , ". ��a_.. a.'4 ,;��-�,`in-='
Main Floor Heated - • EH BId App Review: / . ._
�_";kx
2"d Floor Heated t, Consistency Review: 4
Other Heated 1; Base fee: f cc`
Mezzanine i` ,... Additional Section:
Heated Basement t(' r Plan Check fee: 4
Unheated Basement ,, State Surcharge fee: 1 C;
Other Unheated ' '.7-7-.- Pot Water Review fee: . 1).
mp)
Garag arport �, "� - SUBTOTAL ri 2,6 lc()
Decks 'F 911/Rd Approach fee:
: --- 1 it)tea(, /1�1�6C` ��5
Other -' TOTAL $fils .1 v
t Receipt Number: I,` .l
,------ Cash/Check Number.
ES ATED COST(REQUIRED)
• Cl/��)G Date:
it market value of all labor and materials foundation ish -`1
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