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Home My WebLink AboutBLD2011-00185 "UILDING PERMIT APPLICAk MRLA1ew00p156 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00185 Received Date: 7/13/2011 SITE ADDRESS: 500 ARABIAN LN PORT TOWNSEND, 98368 OWNER: DAVID H SCHROEDER PHONE: 360-385-3489 MARGARET D MC GEE 500 ARABIAN LN PORT TOWNSEND WA 983689614 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001064008 Section: 6 Township: 30 N Range: 01 W CONTRACTOR: VAN VAN BEUZEKOM PHONE: 161 CENTER ROAD CHIMACUM WA 98325 Contractor's License VANBEBC964QS Expires 6/22/2013 REPRESENTATIVE: ERIK VAN BEUZEKOM PHONE: (360) 821-9285 161 CENTER RD CHIMACUM WA 98325 PROJECT DESCRIPTIOP NEW CARPORT - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,600.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 400 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: ed Permit $153.25 LYK 07/13/11 127904ApVH v Plan Check $99.61 LYK 07/13/11 127904 11 ,,�.� State Building Code $4.50 LYK 07/13/11 127904 AUGs Total: $257.36 Jefferson County Planning &Building Department Jefferson County Building Division Permit Number: BLD 11-00185 00185 Applicant: R BUILDING PERMIT iNSPECTION APPROVALS applicable Code: 2009ROEDE 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 Foundation Footing r Framing ( C' ► / Drywell/Alt Drainage J ,Zi 1 DOWNSPOUTS, GUTTERS AND SPLASHBLOCK Address Posted l l- 1 /Z(/) FINAL INSPECTION i ' � , ' 1617 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00185 1.) 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. 2.) 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. 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.) A Stormwater Site 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. 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.) The building height is not to exceed 35 feet. • • 9.) Arabian Lane setback is 20 ft, side and rear setbacks should be no less than 5 ft. If an environmentally sensitive area (ESA)if 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.) Lighting fixtures shall be designed and hooded to prevent the light source from being 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. 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. 4v.orii--- ok&.50/s7 C JEFFERSON COUNTY • "t4 DEPARTMENT OF COMMUNITY DEVELOPMENT ` 621 Sheridan Street • Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelop ment 8INd Master Permit Application MLA: ( � (`3Lo Project Description(include separate sheets as necessary): Tax Parcel Number: / "71 el.( Property Size: (acres/square feet) Site Address nd/or Directions to Property: �" r�(C� Lk) �'( ' Property owner(s)of Record: ()FAA-- ./V'j— '�,,e - Telephone: Fax: fn)r :C�,J C M 1 1\ Mailing Address: 'JG 't 17v.. L'z-t 1 .� i Applicant/Agent(if different from owner): E✓.1,,,,_ �2n- 1) I Telephone: ,-� — 2- ... Fax: ( I�rnail U 3 l'�'1 Mailing Address:. (� J JJ L h t kind of Permit?(Check each box that applies ❑Lot or Road Segregation JEFFERSON COUNTY ullding I-- 0 Critical Areas Ste arils ( rc0MMUNfTY DEVELOPMENT Demolition Permit �� r 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ,'Garage-�Detached� 0 Conditional Use[C(a),C(d),or C]** O Manufactured Home • .0 Modular . - - - ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 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 0 Long Plat** ❑Sign -- '- 0 Planned Rural Residential Development(PRRD)/Amendments** . ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration*" ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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: DESIGNATION OF AGENT hereby designate VA6Cu 7� ( to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: r- ^ // l By signing this application form,the owner/agent attests that the information provided herein,and in any attac ents,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 time of the applicati n t r she w nor notice. --? Signature: Date: L. 1 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-transfera -eTens 'ify for adhering to and complying with the ESA. The Applicant has read this dis er nd si s and dates it below. Signature: Date: ' i � I III • BUILDER STATEMENT The signer of this statement ereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a in r spo ility of the General Contractor for the proposed project. Signature: s •� Date: .-7-- lI GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: Si`,L4- A- ,;7;, i Yam\ ( ) ( ) MAILING ADDRESS: 00 CC:,. e-v- �,k EMAIL: t�Q(, G�fr J 4 ee,. 'f, j,,i;i , CONTRACTORS LICENSE \ WAINS CJ �( NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 7( New Cf_t_ �� X Wood Existing: 0 Sewer ❑ Addition P , El Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Water Supply: ❑ Demolition ❑ Other: Bedrooms: pP Y: Existing: Setback: ❑ Private well 0 Two Party Type o Proposed: ❑ Public Ile*:t: t` i--(1 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 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 I 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. i)6a ''n • 4''2s - p 4 3. 4 5.�F�"„fit .l'-�i y Square Footage __ Current Proposed ; face Us a 1 :: . f:; ,. L" ,r i.it; ' , . /ilott: Main Floor Heated EH BId App Review: 2"d Floor Heated x' Consistency Review: Other Heated4 Base fee: 25 Mezzanine Additional Section: Heated Basement Plan Check fee: • 9 9- / / Unheated Basement ' State Surcharge fee: ,(/ (� Other Unheated Pot Water Review fee: _____.__-- , ` SUBTOTAL Gar a/Carport) p 3 6 SY 3- Decks 911/Rd Approach fee: Other C TOTAL: $ 5—Y3. — / Receipt Number: ,7j �r L _------- ... _ _ Cash/Check Number: �_�� — TV RE(IUIRED Date: a ESTIMATED COS ( ) � , 1 *Fair market value of all labor anrt�matenals foundation to trnish _-� Initials: CT� ��o _ / _ .- .---3 - 11"1" 11 • ' • - f . - . • ---"-- - L,J - I , 4.--.... C:) CV = CD C, crp.. . . i .--- I , gg - ...., , -- 1* ' 4 N '- -...i , . ... __i__ , („.„...).) . ...p.„ "' 0 ,. - . \ r ,, ____________ , ...., (51, , , I (Ni-- .. , k2 / Z •C, 1 1.0 De '-.... . / 'Z < -- C. • LL1 re . - I ...-' • 1-• ,---,.1- ' . 1 gz...,_ . , ..-......) 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