HomeMy WebLinkAboutBLD2008-00146 BUILDING PERMIT APPLICATION ML 177
Rev iew iew T Ty ype:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00146 Received Date: 4/11/2008
SITE ADDRESS: 153 DENA LN
CHIMACUM, 98325
OWNER: JEREMIAH C VAN NESS PHONE:360-808-3867
153 DNA LANE
CHIMACUM WA 983258710
BISHOP HEIGHTS DIV II
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 933500007 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW DETACHED GARAGE - NO HEAT, NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 25,431.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
UNHEATED: #.OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
GARAGE: 1,008
CONST TYPE: SETBACK:
DECK:
HEIGHT:
IG HT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: 4 11 tog
CC.f
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $401.35 CJZ 04/10/08 97124 APPROVEr
Plan Check $260.88 CJZ 04/10/08 97124
State Building Code $4.50 CJZ 04/10/08 97124 JUL 7 2008
Total: $666.73 Jefferson County Planning
&Building Department
II
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#: BLD08-00146
APPLICANT: JEREMIAH C VAN NESS PHONE: 360-808-3867
10345 RHODY DRIVE
CHIMACUM WA 98325-8710
SITE ADDRESS: 153 DENA LN Issue Date: 07/7/2008
CHIMACUM, 98325 Final Date: 6/19/2014
SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 7
PARCEL NUMBER: 933500007 Section: 35 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NEW DETACHED GARAGE - NO HEAT, NO PLUMBING
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes
THE PROJECT PASSED ITS INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/19/2014
\\tidemark\data\forms\F_BLD_Occupancy.rpt 6/19/2014
1
` 0 , JEFFERSON COUNTY
•
DEPARTMENT OF COMMUNITY DEVELOPMENT.,
`_ 621 Sheridan Street• Port Townsend •Washington?983g
360/379-4450 . 360/379-4451 Fax A�R ZQdB
.„t ote. www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( .-j''1 "
Project Description(indude separate sheets as necessary):
Tax Parcel � �2����b� property '
Number: -.5J Sr ze: �,S(. [i I tug (acres/square feet)
Site Address and/or Directions to Property:
S3 °C,A, L atNt, cln'\ eU WN. , Witt 1 432 S
Property Owner(s)of Record: v C fcinnt&k1■, U0.v■0 CS<3
Telephone: 3420 — gel 3S6`7 Fax: t-3 ik email: is i is
Mailing Address: k 53 Skinck 1.--awc, Cb.A a C ki-vim W ik '
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
Wh3t kind of Permit?(Check each box.that applies
M.: ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑Single Family Garage Attached Detache ❑ Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)**
❑ Commercial* ❑Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address ❑Road Approach ❑Binding Site Plan**
❑Home Business ❑Cottagelndustry ❑Long Plat**
❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Sign ❑Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetation Request
*May require a Pre Application Conference **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 appf lion teat he or shainrants prior notice.
Signature: .......�....-- Date: t- n 1 0%
The action ons 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 Acts 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-transfe ble responsibly or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ..-----------r/ Date: �t� Ic c
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12.19-2006.dne
• 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 responsity of the General Contractor for the proposed project.
Signature:
k.),.....----......00" Date: ikk -7I Cg
GENERAL CTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE • WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Prject Type: Fra9e Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New 1hood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System �y
O Repair ❑ Masonry SEP Permit# Cxe'' 4
Bedrooms:
❑ Demolition ❑ Other: Existing: Setback: Water Supply:
0 Private well• ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System:
If this is a Commercial Prolect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(indudes 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 I 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.
S.uare Foota.- Current Pro••sect , F b t .tF
Main Floor Heated -, EH Bld App Review: 10
2"0 Floor Heated Consistency Review: `5-1
Other Heated k Base fee:
Mezzanine ' ." Additional Section:
3
Heated Basement H , Plan Check fee: j� .•
Unheated Basement mss a State Surcharge fee:
Other Unheated _Pot Water Review fee:
Garage/Carport SUBTOTAL 901.3 113
Decks z, k • /Rd Approach fee: n A
Other ' !',,.71;17:1
TOTAL: $
�,
F5 ,t6
Receipt Number: a, - ,..,,, ,,,..„ Cash/Check Number: r�
1
ESTIMATED COST(REQUIRED) Date: .e, i 0(Q6
•Fair market value of all labor and materials foundation to finish ( !
4 as1 S b2.8 OD Initials:
G:\PemutCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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Jefferson County Building Division Permit Number: BLD08-00146
Applicant: VAN NESS
BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2006 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 (_ag C(
Foundation Footi,ngg -- O �_ q�
V4�� U— ails-wi 1-91z_Lfn,cc-KQv.a,.1BW
Footing Drains q/I y/ 1
Foundation Stem Wall
•
Straps(hold downs)
Ext. Shear Wall Nailing $ d/ 9t.... PAl o Nn 1Sc, Alit-EA-6
Framing 4l(5jir 9—
Blocking /
Wallboard Nailing
Drywell/Alt Drainage /j7 10z
Address Posted
FINAL INSPECTION j 9
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
I
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CONDITIONS for Building Permit# :BLD08-00146
1.) ONE DRYWELL IS PROPOSED AS APPROVED BY JEFFERSON COUNTY ON
FEBRUARY 27, 2008 BY THE DIRECTOR AND PLANNING MANAGER. THE
DRYWELL WILL BE CONSTRUCTED TO 8'X 8'X 5' HOLDING UP TO 12 YARDS OF
b GRAVEL. THE DRYWELL SHALL BE A MINIMUM OF 10 FEET FROM ANY
GIB FOUNDATION.
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 autormobile 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 requriements 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.) Minimum setback from Dena Lane and Kevin Lane rights-of-ways shall be 20 feet.
Minimum north and south setbacks shall be 5 feet.
7.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
8.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
9.) The building height is not to exceed 35 feet.