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Home My WebLink AboutBLD2006-00142 - CANCELLED THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. II ILDING PERMIT APPLICAN MLA06-00139 ReviewType:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD06-00142 Received Date: 3/28/2006 SITE ADDRESS: 445 LARSON LAKE RD CHIMACUM, 98325 OWNER: GARY W USA PHONE: 847-223-9471 DONNA G USA 17 N LAKE AVE THIRD LAKE IL 600309011 MT TOWNSEND VISTA SUBDIVISION: Block: Lot: 20+ PARCEL NUMBER: 801105014 Section: 10 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW POLE BLDG/GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 9,274.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 576 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date:3 3// Type Amount Paid By: Date: Receipt: a!' 1: ROVED Permit $181.25 LYK 03/28/06 79297 Plan Check $117.81 LYK 03/28/06 79297 MAY 10 2006 State Building Code $4.50 LYK 03/28/06 79297 Jefferson County Planning Total: $303.56 &Building Department t$* _ If/i. (C>)-tfir3 Lik-AZ (1/57 ? . ail Cevr kt (trek e' l- ct.q e.c,,,,-11-ex--- wrif<../(-- Lexrse,-1 L-4-ge..- la, Lt C-Lr l..exf'sc-rkl 1-tike )Ci, 46 ( 0-0 zA- CA/vY...a_c,,l,kel■ 1 r )2,c' 7 ) Z.- 0 -) 4/3 O 0,/ tos--Oict , 1 ._ (>-,-,---e , 11.0-....-Ageb?...a - - ---■pv--04).., -....... --2- 1111W4--Qt--"--Wl. 47., - f.. 1:2 --... _ ilict '%. fill Y,•14/ , ri-xie 'ft Pp-le....- I. frerA C3 )1[' t / '''; . ., ROVED :... — -1-- ------- '1-°-'N ...... ...... .., ir. - •r.,„........... *3r. STORMWATER PLAN / APR 19 2006 JEFF • t r ;IS NT DEPT OF 0 Jiaidi•EvE .11 1 I - N .N. .'' '. SIGNATURE. ..4`op..........w4, Ai \ 'kJ k \ \ \ 'N, Stormwat-r 4P'1 ! _ . . ' _ _.---------------- k!, \„__. Require 40, i, ,A. \--c. ......;:,. . MAR 28 2006 .,_..., ... ___ ,..._:, ...- .._ \( ,., ,e PERMIT # MI .,/ i (5- 0 6 - 0 1 4 2 1 JEFFERSON COUNTY DCO ( / , .=--.--------- -_______, ------:-------- ( \.., /' .--0 Lar son Lcdc_c _,............ _ _ - - .._ • OWNER 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 the General Contractor for the proposed project Signature: '/ Date: �z`�v`r GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX ( ) MAILING ADDRESS: Ewa_ Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: CI�New f1�Wood Existing: 0 ❑ Sewer . ❑ Addition ❑ Steel Proposed: O Bank ❑ Community System ❑ AlteratloNRemodel ❑ Concrete Total: d Hei [t ndividual System ❑ Repair ❑ Masonry SEP Permit# O ^ 7�(o Bedrooms: ❑ Demolition ❑ Other. Water Supply: Existing: Q Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 0 ❑ Public Akmi6 Total: �_ 'v/r Name of System: If this is a Commercial Protect you must answer the foliowinri: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,emplo yees,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: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace•Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance beinst 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 she,distances from the pro pane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For ftice Us `Only ,I I Current Proposed r,xE a• Main Floor Review: ` �� X *� onsis_tenc + � j 2NO Floor Base fee: 3m Flooridditional-"Section: Mezzanine: Plan Check fee: Heated Basement ¢"� State Burchargeee Unheated Basement Pot1f11Ra 1' # - • 1 ,•" Other Unheated V` 9f'l�`ld. flee; E Garage/Carport •TOTAL $ ` Decks ipt Number• tltq Other ,81i/t�! s t ® b i ESTIMATED COST(REQUIRED) I Date: •Fair market value of all labor and materials fou •= • i la 8 2006 G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-i.... oc i.E LO P h1 E{V7 — i) i i4i N Cod, 177-7-- � �' DEPARTMENT OF OU COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •1 — ashington 98368 360/379-4450. 360/379-4451 Fax MAR 2 8 vq„ .<. • www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA, , , ,z- r • 1'6 C.\ Project Description(include separate sheets as necessa ): / ol S 7/-.. Poc a na � I J rla p Ivo,101 n,0 . Tax Parcel Property Number: - go`/ Di-0Iy Size: 6, / AcA.cis 4(acres/squarefeet) Site Address and/or Directions to Property: /// LAIlsoa L i 47 /Q` �I MA Cur- / IA1l'3, 1832 Property Owner(s)of Record: G14,2y J.-.1, 034 ✓iun Dr3,c44_,4 C. //.5il Telephone: gLI7- 22 3- 9971 Fax: email: 9 d usa l e CoMC 1,;lief Mailing Address: 17 N, L4 kW A'/r-. ' 7•1)/i,o Liir• i .IL, 6003 0 Applicant/Agent(if different from owner): A4214 1-i. C.42.76-2 Telephone: 3 6 0°732.- 073 7 Fax: email: Mailing Address: 1 y.s.. JA4saw 1Arii 2D, C/4r.n✓a cli.., ,,r.1.a What kind of Permit?(Check each box that applies) ItV�uilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or Cj** ❑Single Family ^ ❑ Discretionary"D"or Unnamed Use Classification [t74arage Attached Detached Pots BAR-Li ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use D Long Plat** ❑Address ❑ Road Approach ❑Planned Rural Residential Development(PRRD)Amendments** ❑Propane ❑ 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 *May require a Pre Application Conference **Requites a Pie-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate J f4.r0 y /L7-62 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE (,I tea-. Date: /2 C,/0`S 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 it's 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 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 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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. 214-#--- J Signature: p Z Date: / / 6/D 8— 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 • •,,de telgpn pp ode.The Applicant acknowledges that he,she or it holds individual and non-transferabll pons'bility for adhering to and core. twin the The Applicant has read this disclaimer and igns and dates it below. Signature: _�� ia-o� Date: V2 C; b,S G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • �. BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00142 Received Date 03/28/2006 SITE ADDRESS: 445 LARSON LAKE RD Issue Date 05/10/2006 CHIMACUM, 98325 APPLICANT: GARY W USA PHONE: 847-223-9471 DONNA G USA 17 N LAKE AVE THIRD LAKE IL 600309011 SUBDIVISION: MT TOWNSEND VISTA Block: Lot: 20+ PARCEL NUMBER: 801105014 Section: 10 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW POLE BLDG/GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE REVERSE r SPECIAL CONDITIONS FOR CASE# BLD06-00142 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code(UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) 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. 12.) 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. 13.) Minimum setback from Larson Lake Road right-of-way shall be 20 feet. Minimum south property setback shall be 5 feet. Minimum north (rural forest land adjacent) setback shall be 76. Minimum east(commercial forest land adjacent) shall be 20 feet per approved variance request by Stacie Hoskins on May 4, 2006. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 A-- -4 Z' V-1 f"q IW X�FFERSON COUNTY DCO BUILDING PLAN REVIEW 0 APPROVED AS SUBMITtED O� APPROVED AS NOTED 13 REJECTED Oats �-'V� Reviewer 90—TICE., Plans arg app(oved 6xceptillg any errors or 0111185lons. All work must P339 InsPOction In Collfulinancre with all OPPlicablo Codes and requlatlot,3. 4COntac4 the Building DoriMmettf at 379-44,so prior to rnaking chang&� cr revisions to the approved pWiq R319.3 Fasteners. 2003 IRC Fasteners for pressure treated wood shall be of h dipped galvanized steel, stainless steel, si,*Me bronze or copper. Exceptic One-half inch diameter or greater st Z 1"'14 %411—a C-) ,1 .'J OF� MAR 2 8 2006 Ur