HomeMy WebLinkAboutBLD2011-00336 •UILDING PERMIT APPLICA•N MLA11-00255
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00336 Received Date: 12/13/2011
SITE ADDRESS: 2191 HASTINGS AVE W
PORT TOWNSEND, 98368
OWNER: HENRY W MILLER TRUSTEE PHONE: 360-385-0023
PATRICIA E MILLER TRUSTEE
2191 HASTINGS AVE W
PORT TOWNSEND WA 98368-8845
SUBDIVISION: Block: Lot: T 66+
PARCEL NUMBER: 001054010 Section: 5 Township: 30 N Range: 01 W
CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199
2727 HASTINGS AVE
PORT TOWNSEND WA 98368
Contractor's License STAPFC*249J8 Expires 6/3/2012
REPRESENTATIVE: RICH STAPF JR PHONE: (360) 301-6184
211 SOUTH JACOB MILLER RD (360) 385-6722
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOr NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 42,720.00 ADD'L: HEAT TYPE UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE 1,068 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
---
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $573.05 LYK 12/13/11 128392 APPROVEDPlan Check $372.48 LYK 12/13/11 128392
State Building Code $4.50 LYK 12/13/11 128392 WI tot
Total: $950.03
Jefferson County Planning
& Building Department
• •
CONDITIONS for Building Permit# :BLD11-00336
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.) 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.
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Building Setbacks from Hastings Ave and Jacob Miller Road are no less than 20 feet.
Side and Rear setbacks are no less than 5 feet.
Jefferson County Building Diion Perrr,i1 Nu : BLD11-00336
Applicant: MILLER TRUSTEE
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
jIL
Erosion Control I
Foundation Footing7ti I
IL
Footing Drains
Foundation Stem Wall 2
Straps(hold downs)
Ext. Shear Wall Nailing I 7�`.
Framing 7�`
I I FL, Fu L k:l n i - ---
Drywell/Alt Drainage
Address Posted ,41 t.L
11" '31n gt-l:
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
' ert
6N C . JEFFERSON .OUNTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
In '� 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
kq O� www.co.jefferson.wa.us/commdevelopment
S�NO�S
Master Permit Application MLA: I a 3'J
Project Description(include separate sheets as necessary):
NE+n/ 1)ETACIf c 74I0AGE/ S-ol`•!•G6. P Uit_Pti3J
Tax Parcel Number: 00 i — 051-1 —0 10 Property Size: g,69 A R-E 5 (acres/square feet)
Site Address and/or Directions to Property:
Z 191 1-6Trows AVE t~J . Pair T►JNSE.�7 , cJA- g834:8
Property Owner(s) of Record: FAT►zIGI A M tLLts4.5"
Telephone: (360'I 385 - 602-3 Fax: email:
Mailing Address: 2-i ci I (+t5114c,S Ave . cJ .
Applicant/Agent(if different from owner): F-1Gff 57a(- -9F GD4STP-44GTlaki IijC_ _
Telephone:(360) 301 - 6 t i3`i Fax: (3b0) 38S- 31 qq email: ST%rFcmu s i r,uc_E
Mailing Address:
('A&ems tJ:v,cvM
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building
0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family Garage Attached/ etache) 0 Conditional Use[C : , _ **
❑ Manufactured Home Modular 0 Discretionary"D"o `-. T . ±� ;for�
I ❑ Commercial* 0 Special Use(Esse 'i: �•, �. '.,44 - S
❑ Change of Use 0 Boundary Line Adj . .'t
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry ❑ Binding Site Plan D Ec 1 3
0 Propane 0 Long Plat**
❑ Sign ._ 0 Planned Rural Re.i.e I: -velo•merit(PRRD)/A -• . -nts**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alte ation*" JEFFERSON COUNTY
❑Stormwater Management 0 Shoreline Master •roe rattilEOMIP,P 8 •ns*
❑Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Substan la t �-
❑Temporary Use ❑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 rgt5.14
STA P� too�act as niy agent in matters relating to this application for permit(s).
OWNER SIGNATURE il�C� A 0 a7T7_�/ / / QOD� / J3 /I
r
�i�., , 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 ss and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any require ater' spection taffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatio hat or she w prio notice.
Signature: Date: /�,�fii
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 ill of 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 e in mpliance it the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabl re ,n/sibility fo a•i to and complying with the ESA. The Applicant has read this disclaimer a si s and dates it below.
Signature: _// . %�
Date: /zAJi/
• •
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 OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
STAPF Coo s -u -wi I IJC. (360 ) 30I- 618' ( )
MAILING ADDRESS: z1( 5DaFt UGaB MILL g EMAIL.: cow F.c4,4GTl►.ILca cAgas -c,.Cc'
CONTRACTORS LICENSE WAINS
NUMBER: SSA P FC Z'1 I Li C K NUMBER
ARCHITECT/ENGINEER: I1 l jug E STe rr 1 KtRK MI VA PHONE (360 ) 365:,.....!ti i_ FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
.New kr.Wood Existing: ❑ Sewer
• Addition ❑ Steel Proposed: Bank 0 Community System
• Alteration/Remodel ❑ Concrete Total: C., _ Het 0 Individual System , l
❑ Repair ❑ Masonry h SEP Permit# IV'A _
• Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 9 Private well ❑ Two Party
Type of Heat: Proposed: 0 Public
Total: 0 Name of System: iti'A
If this is a Commercial Protect 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.
.
Square Footage f Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
• 13
- 2n0 Floor Heated Consistency Review: n(5—
--�.-Other�Heated- _.._...---- -- . -BiiTe f -�....—___.__. 5O(!3 (:;,�
Mezzanine Additional Section:
Heated Basement Plan Check fee: S n^ LI p
Unheated Basement State Surcharge fee: /p5 b
Other Unheated. ' .. Pot Water Review fee: ro Pi ry)5
Garage/Carport I o6 n SUBTOTAL .03
, 1 aav
Decks j� 911/Rd Approach fee:
Other TOTAL: $ I 9.fto U3
Receipt Number: l 2g5i°a
Cash/Check Number: CAS
ESTIMATED COST(REQUIRED) Date:
.Fair markat value of all labor and materials foundation to finish `
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