HomeMy WebLinkAboutBLD2011-00248 eviewIPUILDING PERMIT APPLICA N R 00195
Review MType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00248 Received Date: 9/8/2011
SITE ADDRESS: 4042 HASTINGS AVE W
PORT TOWNSEND, 98368
OWNER: ROBERT E LUNDGREN JR PHONE: 714-824-9415
NANCY L LUNDGREN
PO BOX 2635
ORANGE CA 928590635
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001072005 Section: 7 Township: 30 N Range: 01 W
CONTRACTOR: SITE SERVICES LLC PHONE: 360-542-8301
1500 E COLLEGE WAY STE A-289
MT VERNON WA 98373
Contractor's License SITESSL945CZ Expires 2/9/2012
REPRESENTATIVE: SITE SERVICES LLC PHONE: 360-542-8301
JOHN LEE 360-854-0536
1500 E COLLEGE WAY STE A-289
PROJECT DESCRIPTION NEW ATT GARAGE TO M/H - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 43,560.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,014 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total:
Routing Date:I 7"
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $583.15 LYK 09/08/11 128100 APPROVED
Plan Check $379.05 LYK 09/08/11 128100
State Building Code $4.50 LYK 09/08/11 128100 OCT ) 2011
Total: $966.70 Jefferson County Planning
& Building Department
• •
Jefferson County Building Division Permit Number: BLD11-00248
Applicant: LUNDGREN JR
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
Foundation Footing I I t (t
Footing Drains 9tz
Foundation Stem Wall
Straps(hold downs) 1,--2C._1l
1`
Ext. Shear Wall Nailing IZ i I r
Framing / ( '� (� r(-113
Blocking /( -(33 r `6
Wallboard Nailing ,1• 0,
Drywell/Alt Drainage
Address Posted 2-1 13I 1Z -
FINAL INSPECTION 'er-1 t3I I)--
,/
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
! •
CONDITIONS for Building Permit# :BLD11-00248
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.) 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 road approach permit RAP11-00030 must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
4.) A StormwaterPlan 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.) The building height is not to exceed 35 feet.
8.) 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.
9.) 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.
10.) Hasting Avenue W setback is 20 ft, side and rear setbacks should be no less than 5 ft. If
an environmentally senstive area (ESA) if present, then the more restrictive setback shall
apply.
11.) 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.
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• •
/41.)1:
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Cb JEFFERSON COUNTY
�} DEPARTMENT OF COMMUNITY DEVELOPMENT
`d 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�qS,�N www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( ( ( {�j
Project Description(include separate sheets as necessary): j�r�r`"?is , C �t`» ej c-;, ,t (/-,_,L.16,(1 lit f/e2C1,-.-,(f -e S%4-1� 4'1-* e-/L-1a(, ---.J 1I 1�1
Tax Parcel Number: C( /C; 2,.c, C:S Property Size: cres/square feet)
Site Address and/or Directions to Property:
`%� `-lam /711Y fz7L J- /`.-f (�%. /c�' f Tr it S-E,4.ir ( f-? 4- 36 3'
Property Owner(s)of Record: /' t,�e f /-_(.-(./L.,( -c -/(_
Telephone: -7/ L(- ;�- `( - t/ (S Fax: ✓ email:
Mailing Address: () L{3--,) c( i(.,- ),)(-_i t r: )^(---iv t Sr-it +& /lrt('-- C,(4- `j Z 7 c S^
Applicant/Agent(if different from owner): r: (tLt ( t' ( ',S;'f e ec✓rctS, L_L_C' (-r.,, C-L-, 7,_ -zLc-1zv-
Telephone: 6(;-- 6,C(— 6-I 34-y Fax: 36'C' (
MailingAddress: /SC> � ���� _�"5�6 email: � c � ✓ r5 C(C ��15.
o is. (c((e7 L,.;cLy1 ..c,L;�fi (4 -.fib' (i )ncL-�f O -•,r1, 1).= Ft a:,2-7 3
Xqat kind of Permit?(Check each box that applies
uilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit � 0 Variance(Minor,Major or Reasonable Economic Use)
0 Single Family M‘rage ached -.Pletached 0 Conditional Use[C(a),C(d),or C]**
0 Manufactured Home 0 Moduul 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address -- nQad Appro ❑Short Plat**
0 Home Business C— I tas M ❑Binding Site Plan'"'
❑Propane ! 1 i os 0 Long Plat**
❑Sign ; , /, 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use CbnSiS(ency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management I , - ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval A vancelDetermination(SPAAD)* J 0 Shoreline Management Substantial Development**
❑Temporary Use is 0 Shoreline Management Variance
rpi
❑Wireless Telecommu icatioi1i o Co NTY Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/ elease of 4nN1 PAENT Jefferson County Shoreline Master Program Amendment
*May require a PreLAppl`t f. 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 -- ,-L,..„ ( ' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE_ ': , ./'�= / i s,-.. Date: (,:._,/.__//___7.fr/7Z_4. /.
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 application>that he or she wants prior notice.
Signature: . ' :
( ). .l�J.c ,. � Date: � � a
777 The action or actions Applicant will undertake as a result of the'issuance of this permit may negatively impact pon 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,responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: I /(. i-
`
/ Date: r�� / l/
/
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• •
BUILDER STATEMENT `) I 0 [ 1 IJ \J L I `,
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 I I
they will be assuming the responsibility of the General Contractor for the proposed project. rrrrr�����, c C
Signature: Date: 1 O L P _
-.4 I',-. A
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: i
Sik . -n(cc- LC_ L_ (mac' ) 6•6I- (-Cs(-LE 4F,: an-
MAILING ADDRESS: / // { 1C EMAIL: /J f�[pT. I DE1'EI�P1K4 h1
}liL;' . Cel(t« (.:4y ,.S./Z.-li /'- -c,2!1 f GI,,*` It rl-CS --1t'(tx,SL.(._ . SAS
CONTRACTOR'S LICENSE IiLc c.,.t-(-✓t,,'6-- rL'C c µ. yj-2.?,? WAINS'
7-
NUMBER: S ( C S 5 L (I(`J ( 7 NUMBER Le, L "7 7-f C a j ( (- ,
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: Sewer
❑ Addition ❑ Steel Proposed: / Bank 3 Community System
LiAlteration/Remodel ❑ Concrete Total: Height: 0-Individual Sy4e0a
E. Repair C.] Masonry SEP Permit# C5-1-;_1�
C Demolition E Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well D Two Party
Type of Heat: c Proposed: 3 Public
i- Total: Name of System:
gf/f)C•E.--
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:
I Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I 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.
Tririlf AfF ` s aSquare Footage Current Proposed iI S ri e } ; _ mo snt .: . f
Main Floor Heated EH BId App
Review: l-75
3 5
2°Floor Heated I i!'.',b 1 Consistency Review:
Other Heated k1e { Base fee:
Mezzanine " '' ' f f -_
x ,� ;i � ": Additional Section:citt4M0
x:
Heated Basement 1--g,_:NtSie Plan Check fee: 37i C5
Unheated Basement ' s^ toa_ State Surcharge fee: 5D
` 3 ,,- .
Other Unheated `i{.�I Pot Water Review fee: p
I n10)
Garage/Carport 9,6 se 3( ,t rt ` „r SUBTOTAL '
(7�-,Lj( l /C/ y Y.f 1 ;
Decks ., 911/Rd Approach fee:
Other ;. $ ; TOTAL: $ I�9.5� 0
i:il t :Ft xy Receipt Number: ) 8 'O
�, s ,,, ` Cash/Check Number: �c� i
lv , ( ,
ESTIMATED COST(REQUIRED) ' Date: Ci.g 1
-.Fair market value of WIlabor and material foundation to finish
V3/ s_�r. Initials: r
G:\PetmitCenter\###FORMS###\DRI FORMS\Master Permit Application 5-29-08.doc
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