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Home My WebLink AboutBLD2011-00191 tILDING PERMIT APPLICATA" MLA1 Review Type:Type:9 I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00191 Received Date: 7/19/2011 SITE ADDRESS: 141 PINE DR PORT TOWNSEND, 98368 OWNER: PATRICIA L MEACHAM PHONE: 360-385-5190 GEORGE E MEACHAM II 304 EDDY CT PORT TOWNSEND WA 98368-5948 CAPE GEORGE VILLAGE DIV 4 SUBDIVISION: Block: Lot: 50 PARCEL NUMBER: 940800049 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 9,766.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 364 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 11050 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 LYK 07/19/11 127921 Plan Check $117.81 LYK 07/19/11 127921 APPROVEL State Building Code $4.50 LYK 07/19/11 127921 AUG 15 2011 Total: $303.56 Jefferson County Planning & Building Department • Jefferson County Building Division Permit Number BLD11-00191 Applicant: MEACHAM 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 I ;\-- Erosion Control 2)) Foundation Footing C )1 Footing Drains Foundation Stem Wall 10,E_ i Straps(hold downs) I I Ext. Shear Wall Nailing Framing Blocking WaNboac4Na4I ng- Drywell/Alt Drainage 7 DRYWELL Address Posted z f 6)1 Z FINAL INSPECTION _ lie IZ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00191 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.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS. DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET(4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 3.) 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. 4.) 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. 5.) 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. 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) Not more than 2 unlicensed vehiclikall be stored on any lot unless totally sued 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.) The building height is not to exceed 35 feet. 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.) Setback from Pine Drive right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. "----Nc • ir-sp,° JJEFFERSON C UNTY' DEPARTMENT OF COMMUNITY DEVELOPMENT 414 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax ' " www.co.jefferson.wa.us/commdevelopment sz° . Master Permit Application MLA: . 1 -{`_ 1()-.'1 Pro ect Description(includ separate sheets as necessary;: I "lark AA . !✓LAC - I_ ( (tkk' . c 6�6 Tax Parcel Number: !j( 0 el 0 C U Y 3- Property Size: /1 r ,....., � (acres/s uare feet)) ) Site Address and/or Directions to Property: ` /'L7� 1 N e_ 15r•. 67 '1L 169LJ►a5e-,,,) k1 ' (C Cy' ("G'Orfe V;`1.tfe\) Property Owner(s)of Record: ec e i a- •'e ,a 4. c-ka Telephone: 3 es-- 5 / 'O Fax: email: a,/ .v I • ' #eioi.47 Mailing Address: 3 0 L/ IFe)d y Gt Ip e,t j wN J e •--c} Le).4- 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 JBuilding 0 Critical Areas Stewar • PI ❑ Demolition Permit 0 Variance(Minor, Maj r'or R aso .,-'Emil)AIL igi ❑Single Family I.Garage Attache /Detach 0 Conditional Use[C(a) C,(�� ❑ Manufactured Home. .0 Modular . - 0 Discretionary"D"or n rued Use Classification ❑ Commercial* 0 Special Use(Essenti I?tlib Facilities)** ❑ Change of Use 0 Boundary Line Adjust ;Einj I, di.,L 1 9 cu i j ❑ Address 0 Road Approach 0 Short Plat** l ❑ Home Business ❑Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** JEFFERSON COUNTY ❑Sign • -- 0 Planned Rural Resid tial D ** • ❑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 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 time of the app' tiono-that he or she wants prior ice. Signature: ! Date: 7"/ y /( — The action or actions Applicant will ndertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to&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-transfe tie responsibility for adhering to a complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: s /X' 4 Date: 7 -'!. 7 — // • 0 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 as ming the responsibility of of the Gen f Contractor for the proposed project. Signature: `_ `'^^ Date: GENERAL CONTRA TOR OR MANU ACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL P_ reject Type: game Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: //I Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: Li Height: ❑ Individual Syst ❑ Repair ❑ Masonry SEP Permit# Udipi '( 'D O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Proposed: i/4 ❑ Public Type`101 Total: Name of System: If this is a Commercial Projectyou 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. F Square Footage Current Proposed asp - �t .>.r �1_44 _5:k -a4.-: Main Floor Heated Y >. EH Bid App Review: /� /G c ,F —e Floor Heated mot•' , Consistency Review: 13`" Other Heated vi,- Base fee: 3 jj Mezzanine , 'ti Additional Section: -- Heated Basement ;k Plan Check fee: I 17 g Unheated Basement A`"` State Surcharge fee: 4 ,, -"--) ,,,,,,,,,,, .. ,..; . Other Unheated cz' ,—„,,-` .f Pot Water Review fee: ter /i�a Garage/Carport G y =�,. - ; SUBTOTAL Decks 911/Rd Approach fee: ,yam U - Other '.hf TOTAL: $,5 ) s5() — Receipt Number: ialc �: • Cash/Check Number: Lf1 1CI ESTIMATED COST(REQUIRED) Date: r I rr f of it market value of all labor and materials foundation to finish • ..•+-={-�..,.____ Initials: 1 1\ r6 n / ,s, , \5. i v.\ LA u Is, 6, ...-,-,,,:1\ q . 1\—,0- aye ;- C:7 c)i . r ,,. 1 V_Ei, _ f. — c 0-1 . . 5 S e. v7( \ \ f��1-? c2.0 10 1 p • r" \ 1t --.---..-- --- - \ -.' LXt51- - vs s- - \ \ \ \- ip t z k o tA \ , 1 — Qr \\\\\ \ t Q_.) A (D , V., ''),‘. \.„ \\04 , \ \ \ -!--'`' ,., ..-- ,:, _______,),, _lr__L_I___-------------- c-, m` ,,__ // - --Nk ...-..:--- I-:\' ‘; m C O 00 m 4 • v 0 iii L a d �d i.R4 1-R dI a -0.0 Ei g _ J 1 ; 1 -Pro posed arQ.4c GL ,*•IOVJ i 1-z, r ill 94 Fi VI -- Dri �e - for -re, ) v sept� ,�� c 0 O �- �� 11 Z.. .0 we . d V; 11 1, -0 z 7 uw t. 4- gzi(9 S'r, 0 o 117 I6fo ter �fo0 7 I 2 . 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