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HomeMy WebLinkAboutBLD2012-00215 WILDING PERMIT APPLICA1J MLA12-00156 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00215 Received Date: 7/11/2012 SITE ADDRESS: 42 SLEEPY HOLLOW RD PORT TOWNSEND, 98368 OWNER: DEDRICK G DALGARNO PHONE: 360-385-5300 SALLY J SPENCER DALGARNO 114 MARILYN CT PORT TOWNSEND WA 98368-9539 WOODLAND HILLS NO 1 SUBDIVISION: Block: Lot: 36 PARCEL NUMBER: 001275028 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: MARTIN KITHCART PHONE: 360-379-6652 PO BOX 1031 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOr NEW DETACHED HTD GARAGE - NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,160 VALUATION 299,290.00 ADD'L: 720 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 P - Total: Total: 0 Routing D te: __ 1-1— I 1- 12 - ---� Type Amou 'aid By: Date: Receipt: Approved/Date Permit $2,113.75 LYK 07/11/12 134982 APPROVEDPlan Check $1,373.94 LYK 07/11/12 134982 State Building Code $4.50 LYK 07/11/12 134982 AUG? 2012 Total: $3,492.19 Jefferson County Planning & Building Department \\firlcmnr4\rlef,\forme\F RI f1 Ann PIA rn+ 7/11/9f119 Jefferson County Building Dion Permit Num : BLD12-00215 Applicant: DALGARNO 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 8! '„-IZ Erosion Control d`i! Foundation Footing �- ( V Footing Drains Foundation Stem Wall ��� Straps(hold downs) / ,,r, -/ .L r% 723. Ext. Shear Wall Nailing l0 Framing /a_jg_/c e- i"I A Insulation:Walls Insulation: Floors G� o /7 1194/U iz ( 0 Insulation: Ceilingri -le 6 `. l Wallboard Nailing Drywell/Alt Drainage Address Posted IZ, sOL- 1, 1,-14 FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR s . CONDITIONS for Building Permit# :BLD12-00215 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 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.) Building setbacks from Sleep Hollow Road are no less than 20 feet. Side and rear setbacks are no less than 5 feet. 7.) The building height is not to exceed 35 feet. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. \\tiriemark\riata\fnrmc\F RI n Parmit Rlrin rnt R/9n/9n17 44w;/ 3a3�\ JEFFERSO OUNTY q� ,� DEPARTMENT OF COMMUNITY DEVELOPMENT • A ''4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �q p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: k3' p Project Description(include separate sheets as necessary : ' ZA) -Herfreb , no roe) Tax Parcel Number: OQ(Z"T -j'8, Property Size: (acres/square feet) Site Address and/or Directions to Pro erty: 42 t--b I I 6l .yrtsen� ().A. 9 831Og Property Owners of Record: Telephone: - Fax: email: Mailing Address: ( 1 a t.l'.j n D A- r yt c c 1,tp& Applicant/Agent(if different from oJvner): —Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation 1Building ❑ Critical Areas S d l ❑ Demolition Permit 0 Variance(Minor ((�� t •{_..±.r I�Pm' iin s ❑ Single Family ,i 1 Garage Attached/Detached • 0 Conditional Use[Q( ,IC(d),or C] ❑ Manufactured Home .0 Modular - 0 Discretionary"C" ,named Use Classificatio I + I ❑ Commercial* 0 Special Use(E 4n i PubJcifac;litigs)** i ❑ Change of Use ❑ Boundary Line )uStrinent ?012 i� ❑ Address 0 Road Approach 0 Short Plat** U U 1 i I ❑ Home Business 0 Cottage Industry 0 Binding Site PI n** t 0 Propane ElLong Plat** JEFFERSON COUNTY ❑Sign 0 Planned Rurai r.. { ments** • ❑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 ❑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/7A-2/ ✓ /�j�j/}044-7 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE "...AC-N Date: e1_(l z o I i Z t By signing this application form,the own agent attests that the information provided:herein,and in anyattachments, is true and correct Pe.t 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 attorneys 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 r she wants p' r notice. Xignature: ,r Date: 1Z The action or actions Applica ill 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 ompliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable lit nnsibi y for adhering to and complying with the ESA. The Applicant has read this disclaimer 'a d sig s and dates it below. \Vignature: Date: 1/ SO�I Z • • 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 tte responsibility of the General Contractor for the proposed project. ignature: (7 Date: 3�' ' Z. GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: " PHONE: FAX: • ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer E Addition G. Steel Proposed: - Bank ❑ Community System C Alteration/Remodel ❑ Concrete Total: Height: , Individual System Li Repair C Masonry SEP Permit# _ 11 Demolition C Other: Bedrooms: Water Supply: Existing: - Setback: ❑ Private well C Two Party Type?f a t: Proposed: 0 Public 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 I Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove i Woodstove 1 Fireplace Insert i 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated C t(CO Z24`(o721) EH Bld App Review: 2""Floor Heated 72zD 7422�0 Consistency Review: 22z— Other Heated Base fee: j 113 IS Mezzanine Additional Section: Heated Basement Plan Check fee: r*� i_3 50(4 Unheated Basement State Surcharge fee: 1- 1 • Other Unheated • Pot Water Review fee: ro T I me) Garage/Carport SUBTOTAL 3`NN • 19 Decks 911/Rd Approach fee: Other TOTAL: $ 5 7Ofj •I Receipt Number: 13q9g2•, 790 Cash/Check Number: 7 ESTI�COST(REQ Date: rf ' ("1 Z •Fair market value of all labor andmaterials o dation to finish 7 'o Initials: i-,n _...C__.__\uuJlr/lnLfcuLFu\nn n cflnl.rc\r.._-__-nnn r.____\ir._.. n. . . . t- ......,, . , , , , 15' 11'-6' xx! e , , , I , , , HDU2 ON DBE_ 2x STUDS W/SSTB20 AB l HDU2 ON DBL 2x 1I STUDS W/SSTB20 AB BALLOON FRAME WALL ,-(2)2x6 KING STUDS �I� W,2z6 OF�2 STUDS O 1' 16 O.C. 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