HomeMy WebLinkAboutBLD2012-00374 MLA12-00256
tILDING PERMIT APPLICATIN Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00374 Received Date: 11/19/2012
SITE ADDRESS: 242 N WATER ST
PORT HADLOCK, 98339
OWNER: ROBERT& PATRICIA MILLER PHONE: 360-385-0480
JOHN SHOLD TRUSTEE
PO BOX 395
PORT HADLOCK WA 98339-0395
SUBDIVISION: Block: Lot: T 51+
PARCEL NUMBER: 901012001 Section: 1 Township: 29 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLES1150LF Expires 6/6/2013
REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156
DENNIS KELLEY (360) 385-3115
260 KALA POINT DR
PROJECT DESCRIPTIOr NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 37,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 1,016
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Pro :
Total: 0 Total: 0
Routincc Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $512.45 LYK 11/19/12 139762 APPROVED
Plan Check $333.09 LYK 11/19/12 139762
State Building Code $4.50 LYK 11/19/12 139762 FEB 2 0 2013
Total: $850.04 Jefferson County DCD
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CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT #: BLD12-00374
SITE ADDRESS: 242 N WATER ST Issue Date: 02/20/2013
PORT HADLOCK, 98339 Final Date: 5/14/2013
APPLICANT: ROBERT& PATRICIA MILLER PHONE: 360-385-0480
JOHN SHOLD TRUSTEE
PO BOX 395
PORT HADLOCK WA 98339-0395
SUBDIVISION: Block: Lot: T 51+
PARCEL NUMBER: 901012001 Section: 1 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION: J 13
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/14/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 5/14/2013
Jefferson County Buildingvision Permit Number: BLD12-00374
2 00374
Applicant: PATRICIA MILLER
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next 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 L124 13 i L E, ( 1‘-- 3
-14-93
Erosion Control
Foundation Footing Z 2...
5--{1 W�+3 r 6-1/2 77 -)I-jj
Footing Drains
Foundation Stem Wall Z5A k3 W i-1t �i I° F 3--Gk (-
Ext. Shear Wall Nailing
Framing
1Z7I/3 )1- 'tee) tieing sic:s G. ,,,..-izeci.w,
Insulation: Walls 114f/3 ' --
Insulation: Ceiling
14yi 3
r--
Wallboard Nailing
_?.1/3 /S
Drywell/Alt Drainage
;(/ /.3
Address Posted
FINAL INSPECTION 4413 O
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00374
1.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
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 the road easement are no less than 10 feet. Side and rear
setbacks to property lines are no less than 5 feet. Shoreline setback is 30 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.) Shoreilne slopes and bluffs shall remain naturally vegetated. Should slope disturbance
occur during construction, the Unified Development Code (UDC)Administrator shall
require replanting with native vegetation. No alterations shall be made to the Shoreline
slope without prior authorization by the UDC Administrator.
\\tirlamark\riata\fnrmc\F RI r) Permit Rhin rnt 7/2noni4
4,,- JEFFERSO COUNTY
fi ' ``a DEPARTMENT OF COMMUNITY DEVELOPMENT
ki .,,
►1 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
4' ,spy www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MLA: I a rZ.96 CIO
Project Description(include separate sheets as necessary): r
io
Tax Parcel Number. 90 012, DO( Property Size: (acres/square feet)
Site Address and/or Directions to Property:
zA-2-" Lt.'/.-TIi? 51-. (--"jr. I-1-t I.- v-'/4 cl 3 '_ i
Property Owner(s)of Record: .,)Citir- -r. S[ o r
Telephone: 16 c -3`S'S -C 4`50 Fax email:
Mailing Address: (b 1 S/ r�r- I i- f>i ci'.tr ,.t.//1 9 3 I
Applicant/Agent(if different from owner): V- LLei ,(/-II 0,9 S I r-e-
Telephone: 3 -3C,-a - 11 5G,, Fax '.2jvO -3-5 -zit 15 email: A 5 rc/d S tv 0 f y 1114. ,ti L•
Mailing Address: 2 0 \L1- PT- . PA. t PT ._ '1t3tJ/✓Se>�V l,�►4 9 36 `. [
,
What kind of Permit?(Check each box that applies
38uilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major-or-R..-: _•"• _ •..1•,ui Use
❑Single Family '�3arage Attached/Detached 0 Conditional Use[C(a) C(� ]
❑ Manufactured Home 0 Modular 0 Discretionary'ID"or Unnah>tE o O' 1 f L
❑ Commercial* 0 Special Use(Essential Pu41iF Facrifies)—�-" 1
❑ Change of Use ❑Boundary Line Adjustment, . ff
❑ Address El Road Approach 0 Short Plat** 201
,U 1, I I
❑Home Business 0 Cottage Industry 0 Binding Site Plan** ' I g I!
❑ Propane ❑Long Plat'* ' - H
❑Sign ❑Planned Rural Residential Dev�+T,0� ; CCU Ty
er�ment **
❑Allowed`Yes"Use Consistency Analysis 0 Plat Vacation/Alteration nr�r nr r ;" ,�,
❑Stormwater Management 0 Shoreline Master Program Exemptior>F� �efitT**
❑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 b`v5 as my agent in matters relating to this application for permit(s).
>' OWNER SIGNATURE 7 Date: 1( - t Z - I
By signing this appl" n 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 kn ge. 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 ccess and right of entry to J-fferson County and its employees,representatives or agents for the sole purpose of application
review and a uired ir inspections. Staffs of entry will be assumed unless the applicant informs the County in writing at the
time of the pplicati n e or shewants prior cad
k Signature: -,�J_I:L _ i-';� Date: I( — I -Z— f 2--
The action or • ns Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endang 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 Ad'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 mpliance with the Jefferson my dee�code.The Applicant acknowledges that he,she or it holds individual
and non-tragferable sibility for ring to and 1r� a ESA. The Applicant has read this disclaimer and sgns and dates it below.
y Signature: '� ��.tr t..irt- Date: ( I — 2— — / /------
..,'
11
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• .
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 Con orforttie proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
V-eLLG-i ,SN/t> 5 I -" -. (;(at)•%a -rn sC; ( ik.k:,) 4'sS -3ti
MAILING ADDRESS: + EMAIL: •
24.,Ca 4-Al• 1 - 912- r.lt" () e�tom)d c (p 01,. „lei;5. A ea
CONTRACTOR'S LICENSE WAINS t�
NUMBER: 1/4=1 51 I✓o Lf NUMBER
ARCHiTECT/ENGINEER: yi.tssz‘.__,_St r)C_ PHONE ( ) FAX:( )
MAILING ADDRESS: ' EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: ❑ Sewer
❑ Addition o Steel Proposed: i Bank ❑ Community System 1..2
• Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair 0 Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat Proposed: 0 Public
'O tJ rJ 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:
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 Sto [c �\./J f r�—
Is this appliance being installed in a Manufactured I Mobile Home? Yes / No LC' �`i 1
When applying for a permit to install a propane tank you must also submit a site plan showi Aqf the L buildings,all property
Peml
lines,tank location and size,distances from the propane tank to all property lines,buildings septic system components, i
including the reserve area. :kJ I L
Square Footage Current 'I=x- y k4- -�- r J
Proposed e , f , L T - f r
Main Floor Heated -1 App — JEFFERSON COUNTY ~�rnI EH Bld Review
2° Floor Heated "'me; (� _- WEPT n r�';'All',1?Y QFJE np°gcNT
' s Consistency Review: 9
-
Other Heated Base fee: I S
Mezzanine `..r-, �, y
Heated Basement -. n Check fee: `fit
W— 2~ CJ
Unheated Basement _. • State Surcharge fee:
Other Unheated 4- Pot Water Review fee:
, _%',-',Wzta__--__v-, no alp,
P
Garage/Carport . SUBTOTAL
IIorto - 1lc,(c)6 .oL
Decks 911/Rd Approach fee:
Other
TOTAL $ I(A0(4.,_ Cal
r W-.- Receipt Number. t 17(4o2_
Cash/Check Number.
--� (" ) I ai
ESTIMATED COST(REQUIRED) Date: (�
Fair market value of all labor and materials foundation to finish I--t '"I —
Initials• "
G:\PermitC rater\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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