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HomeMy WebLinkAboutBLD2011-00249 BUILDING PERMIT APPLICAAN MLA11-00200 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00249 Received Date: 9/12/2011 SITE ADDRESS: 1670 SHINE RD PORT LUDLOW, 98365 OWNER: BRUCE T JENSEN PHONE: 360-437-0331 TERI L JENSEN PO BOX 134 PORT GAMBLE WA 983640134 SUNSET HAVEN SHORT PLAT SUBDIVISION: Block: Lot: D PARCEL NUMBER: 721031022 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 7/7/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 18,030.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 672 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 R9uting Date: -_ Type -- mount Paid Bv: Date: Receipt: Approved/Date Permit $279.25 LYK 09/12/11 128109 Plan Check $181.51 LYK 09/12/11 128109 APPROVE) State Building Code $4.50 LYK 09/12/11 128109 Total: $465.26 NOV 101l Jefferson County Planninc & Building Department Jefferson County Building Dilion Permit Num! BLD11-00249 Applicant: JENSEN 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 Post Holes ( _ - 12 l_ Footing Drains Straps(hold downs) Framing f (L _ l G Blocking Drywell/Alt Drainage Address Posted � � 1 Z 9z-- -"? A Dpr'e ".:, 1ti9. FINAL INSPECTION I`(I I.2_ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i • CONDITIONS for Building Permit# :BLD11-00249 1.) 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. 2.) 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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. 5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Building setback from driveway right of way is no less than 20 feet. Side and rear setbacks are no less than 5 feet. III • ,�4� °r¢gON C. ,� JEFFERSON COUNTY 4 ` 2i DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax tgs ,,e. wwww.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: l I -)0; Project Description(include cpparatte sheets as necessary): Co vs-4rv,c\-to A 1 Gri 't'Z Pc-4 ;‘r•(wte dcl-Fc(hccl,i.�2uc • Tax Parcel Number: 7 Z.I.U 3\O ZZ Property Size: 1. Z 5 A . (acres/square feet) ('Site Address and/or Directionsl to Property:( / /6,7�0 rSil/ .)/F 12tD. P RS �.uAiow/, IAJA R83‘5 j. //_ f ' Fi:zoh• SR-104 oN tJlcS-V 7:cic vT !4 oo C tm( '✓!'tAg¢ r "[men Sotel-L co 5t,i.►c.rZQ.OAS �`wte iL-I,, L)._ Property Owner(s)of Record: Srtnta ,)ctnscvt V -� Lt„J4 Vrcw. Telephone: 3(O- L(37- 0331 Fax: email: Mailing Address: TO li3oe I314 l'ork GAt... 10 F 4,IA '1 3�y Applicant/Agent(if different from owner): 13r(ah 1Z70re- s Tat+4vt 1(6IA%,-"Irl ?0S; Fr,Vt.. t~;iai Telephone: tin'-143 - /555 Fax: NZr 711 j- ' L/37$' email: fermi Ts iern,.��„I},cor•-, Mailing Address:ItoSZ1 N1.1 91 5a-tc C Hy..,tencl , WA 9803-1 What kind of Permit?(Check each box that applies [Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/t chedd 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"orUrsrf4m sg tass}'fat�r ❑ Commercial* ❑Special Use(EssentialRt tittLEW,Iii \J t ❑ Change of Use ❑ Boundary Line Adjistnnt-- ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan M ❑ Propane ❑ Long Plat** 0 Sign ❑ Planned Rural Restidential.Development(PRRD)/Ame n s** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration"I ❑Stormwater Management El Shoreline Master Program ExerribtibriaerW visi _ ** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Managenent Spbstantlel'Doiia "II IN I ❑Temporary Use ❑Shoreline Managenieariance ❑Wireless Telecommunication* ❑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: DESIGNATION OF AGENT I hereby designate \ Ot,in 4. r.t,.,-� y- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE / Date: lv`-'l 20 1 1 By signing this application form,the owner/agen 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 attomey'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 inspection . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application e r she w nts for notice. 1 �U Signature: Date: 6 ZO% 1 The action or actions App' ill undertake a 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 ., .fiance with t fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res.on 'bil for adh: . and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. i Signature: ce% 1-a.� t` _ r,; t . . Date: t 6t�3cqZO\ G:\PermitCenter\###FORMS###\DRD FORMS\Master ermit Application 5-29-08.doc a III . 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 _N"T" =^: PHONE: FAX: TO LAO 416ORA t..n-I-ry Pa5E Fr.rtnc 1;t4t din s (qL57?4l3 - /555— (yZS)?t{Z- 1-137$ MAILING ADDRESS: U9S2-' 1A,,31 5A St..;irc Clow wbo EMAIL: ertM. CONTRACTORS LICENSE Q p� ���'� " �� _ � `t5D3 1 WAINS 1 NUMBER: 1 own1CPFCaS LT NUMBER ARetlffEef/ENGINEER: -Vs t�GtruEERlfll& -rrry Ps,c1\ PHONE (9zs) ysI-/o(ooI FAX:( ) MAILING ADDRESS: 12r- �6 Clff'NS� 1 ',I JA 1 O1 EMAIL oodl..,i , t Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: II( New ❑ Wood Existing: Z. ❑ Sewer ❑ Addition ❑ Steel Proposed: 0 B nk 0 Community System El Alteration/Remodel ❑ Concrete Total: Z Hei ht: 'j Individual System IJ Repair 0 Masonry SEP Permit# 0 Demolition 'i Other: ?ask Bedrooms: Water Su I Fr4 Existing: Z Setbac pP y Private well 0 Two Party Type of peat: Proposed: _0._ X Public 't4/A Total: Z Name of System: PLu'(i Ir trans s a Commercial Project you must answer the foil In \ rr E II Number of Parking Sp ces: Current: Pro b girl r - �j+CurWber cf A1A ParkingSpaces: Number of occupants(incluaes-owners,tenants,employees,.etc) Current posed IBC Occupancy: IBC Typ- � aeon tction: ' ,.-< Will you hay F Service? Yes / No If this is a Propane Tank and/or Appliance Instalia ilbn-errnit mark all items below that 6 pd vlt I Underground Tank I Above ground Tank t SizeofPropane Tank: L� i Heat Stove I Cook Stove I Woodstove I Fireplace Insert L-j-Hot.Water'-'i-enk I Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home?I�'Yes ,/ Not I When applying for a permit to install a propane tank ybu-mUUt-also=sub'mif-a-site planrshrowin all o uildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic syste onents, including the reserve area. 'ftf,jam era ,Is , ' " e: „ 'lie '4,r t in, 1 :,''"1 � :rat: Square Footage Current Proposed _(*b �f' , . �_r#A• ''o. `1060 L'_.,:.4:1 Main Floor Heated alf fi;" EH Bid App Review: - n 2"0 Floor Heated t� Consistency Review: r Other Heated ` r ; Base fee. ,�/ Mezzanine � 0„.,-, Additional Section: . 1/5....Yt I Heated Basement . Plan Check fee: 5 1 Unheated Basement 17.:,;Vi.14W$.0 State Surcharge fee: C-Z) Other Unheated w,� �,F ': , Pot Water Review fee: t 1i e i �� ) Garage/Carport (0-17,_ {' ;'�.V. SUBTOTAL �• i Decks '` I r 911/Rd Approach fee: j-- Other - }�r?. �� �n r f. . r TOTAL: $ I.�) _ .1 • Receipt Number: I S I V I -t f ' Cash/Check Number: t1}� -x Il) y ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish ` . 1(9,.5-Gt.) Initials: ' C� --Th G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc iminiumii rs 1OWf '& UOLt11tr® Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 Ple 4e Check After DoingSite Plan; I!d Se tic and drainfield (21•Cot size 9 Y Y P Draw North Arrow in C '1 POST FRAME BUILDINGS Everett:(425)258.4171 Puyallup:(253)840-9552 roperty dimensions 0 Sewer•-lines-•-- ®'Elevation of property - DIVISION OF Administrative Headquarters: (425)743-1555 i 4fisting buildings ®rSetbacks of proposed&existing buildings 2 Bodies of water insisimc --IL FAX: (425)742-4378 Toll Free: 1.800-824.9552 PERMABILT E reposed building ©Mein road with name ©-Floorplan Contractor's Lic.C TOWNCPF099LT Quality:Our Future Depends On h.' O Easements 0/Access to proposed building O'Slopes&Contours(5'incremehts) ,.' Job Name: U-OSE Cx-AmCAE, Job Site dress: �16�1 L7 rQ� Tax Account#: 7� 0 31 o a 2• Legal Description: \T ` �R7 L l/ ) .!)W I l9 A 5Y 33 't=5dt L_cvf"/ `51fZ t- : 14ZciiC. , I r ()fZAw 1rJ& 02.0 rA1Zcc7 -r 12.,'{A..,) 13 aRt t,IT`<-rt.if e fftA frit CCN57-R C-Tlaki , A/o sTo 6 kPYLE5 I105�t 1At.ry '1cl +tAj< C- O 57'or m vJATER To FL-o -J -ro &rrTUU S 1 9o'4)1\1;5Pb u-r5,, `AZ -- 7r-13- l rj 5-`5- S?1-A Site 15L oc,k5., o = 00was1,.)ti-t;- �j = (J11 c'1-1ort of" RwJoFzF 194 I ID • 74, 51at>JE ;— I._._.-_ _ _ _ — — - _ - /,• EE11 ST N . _/i P, RVla.u5 • f7 13LoaS', 2.64fo 0 --_ - _ _ pLt a A-e 55 t e.70 0 _- „ \ L t IaF_ i f Exts•tINC,� 1`130 i . I �, SPA ,`_ I 1 1.5 10 r ?�� c \ .... sr lb ..ti '`"p --. fistli• Cv •132 4 • � I N 2lq ,o •. of . N ° I� iD- I� Ii • I Z: i U" 01z1vEW14'1( I EastritNI" I i i I . To S P . iA, )7Q,f'�.,iz k-IN D Z`tAZ)-.i `` (� .fl I fs C .'r• � ,� - 1 pC 1`1 f(f . i i :,,, v-a ('7 CD T rn0 ,+ IM :mi9 o `' ` - oci O m„Li � rn a ..... rC -n UVtt, , o z ..., , .., .....J i 7 . , DO NOT SIGN INCOMPLETE SITE PLAN! Customer has verified and approved the location o the building,orientation of the building to a North,and verifies that all White-Customer Copy White-Office Copy t utilities are shown on this drawing in the correct loc n ...,-• *.'J"7U"� 1 CUSTOMER SIGNATURE '1`r` `'~ ------� ---. LEAD# / I II�I'� IEI'�I II ©1995 Perma-Bilt Industries FR-34 6/07 O II , ,