HomeMy WebLinkAboutBLD2012-00241 eUILDING Review PERMIT APPLICA1N 00173
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00241 Received Date: 8/7/2012
SITE ADDRESS: 31 UPLAND CT
PORT HADLOCK, 98339
OWNER: ADAM J SUKERT PHONE 360-344-3456
JAMIE R SUKERT
31 UPLAND CT
PORT HADLOCK WA 98339-9419 CHIMACUM CREEK ESTATES DIV 2
SUBDIVISION: Block: Lot: 45
PARCEL NUMBER: 943700046 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 24,209.00 MAIN:
CODE EDITION: 2009 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: 1296 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Totaf:— 0- -�
RoutinDate: �—
Type Amount Paid By: Date: Receipt: Approved/Date
P Permit
Check $391.25 LYK 08/07/12 135075 APPRO\/Er
la $254.31 LYK 08/07/12 135075
State Building Code $4.50 LYK 08/07/12 135075 SEP IO 2012
Total: $650.06 Jefferson County Planninc
& Building Department
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Jefferson County Building Division Permit Numb: BLD12
-00241
00241
Applicant:
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 (7 / ,2 r-.„-R
C JErosion Control1 /(,�'� �,��
Post Holes .G^(_ / z
Straps(hold downs)
Ext. Shear Wall Nailing
Framing
-IJ $.1-
Blocking
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• I
CONDITIONS for Building Permit# :BLD12-00241
1.) 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.
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.) Builidng Setbacks from Upland Ct. is no less than 20 feet. Side and rear setbacks are no
less than 5 feet.
6.) The building height is not to exceed 35 feet.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc. JCC 18.30.050
#15 allows coverage over 25% for lots under one acre.
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ON JEFFERSON COUNTY•
440 rDEPARTMENTOFCOMMUNITYDEVELOPMENT
'� 621SheridanStreetPortTownsend • ashington 98368
4q``BING`ZO * www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: , — L13
Project Description (include separate/sheettss+as necessary):
A c i,J Decictc ,f C �4STax Parcel Number: 9 y3 7 odv (/6 Property Size: /C3 5 3 (acre square fee)�Site Address and/or Directions to Property:3r O i C,oti, � rbr1 6/&c//o t„�� , �8.j�'?
Property Owner(s)of Record:
Telephone: (34O) ;.y��- � 1 C Fax: /it.J4 email: JtlA
Mailing Address: .2/ t,(�-/ d �r ;s(4- NadiD4LG ?if.33Applicant/Agent(if different from owner): AJ,,dTelephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑ Lot or Road Seg1Iments
g
*Building ❑Critical Areas Stis p: riE0
❑ Demolition Permit❑ Sin le ition ❑Variance(Minor, — r>��..v
9 y ■Garage Attached,�etachee ❑ Conditional Use❑ Manufactured Home .❑ Modular ' (d),or
❑ Discretionary"D' ffamed Use Classification
❑ Commercial* ❑Special Use(Ess I;Publ acilities)**
❑ Change of Use ❑Boundary Line Aument 2012
❑ Address ❑ Road Approach ❑Short Plat** 1' `❑ Home Business ❑ Cottage Industry ❑ Binding Site Plate *
❑ Propane ❑ Lon Plat** 11- JEFFERSON COUNTY
❑Siyn0 Planned Rural Resin TV❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** men **
❑ 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 ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference ❑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 applicatio th he or she wa is pr note
Signature:
Date: 7 f 2 ` / Z.
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 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-transferab a responsibility her- to a comp 'ng with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:
Date: ' ' /L - l 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 the responsibility o he G eral C ntractor r the proposed project.ct
Signature: Date: / - 7 Z — /
GENERAL CONTRACTOR OR MAN'ACTURED HOME INSTALLER:
PHONE: FAX:
01.A4herr (360) 341/-395"K ( )
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:
R New ■ Wood Existing: c Sewer
Addition L Steel Proposed: iAPi,, Bank dI
❑ Alteration/Remodel ❑ Concrete Total: UV Community Systemem
❑ Repair ❑ Mason — Height: � Individual
Masonry SEP Permit# SE P g0- OC ILS
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: E Private well ❑ Two Party
Type of H 4at Proposed: f II Public
tin h u Total: i A- Name of System: Pi U,,j_
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:
l 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 [ irrent Proposed For Office Use Onl.
Main Floor Heated B y Amount Revision
EH Bld App Review:
2n°Floor Heated Consistency Review: TO —
Other Heated 22
Base fee: a
Mezzanine ` I`O5
Additional Section: ------
Heated Basement Plan Check fee: 2 I
Unheated Basement � J
State Surcharge fee: CJ- b
Other Unheated Pot Water Review fee:
(6arag)Carport � P r P)
IFak gu:d cli► 1,z 9 , 2,4 2r SUBTOTAL of qg Div
Decks 911/Rd Approach fee: '/10
Other t.S i ST 1 ►i(4.
TOTAL: $010 0(e
Receipt Number: 135-r)
Cash/Check Number: o?oO
rr
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish
S1 00 0 Initials: C —�,�
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