HomeMy WebLinkAboutBLD2006-00210 ILDING PERMIT APPLICATN MRL Review Ty 199
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00210 Received Date: 4/26/2006
SITE ADDRESS: 181 N STROMBERG AVE
PORT TOWNSEND, 98368
OWNER: GREGORY M COATES PHONE: 360-379-2776
PO BOX 327
QUILCENE WA 983760327
IRON DALE
SUBDIVISION: Block: 143 Lot: 15-19
PARCEL NUMBER: 962114324 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI CONVERT HTD 2ND FLOOR GARAGE TO ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 569
VALUATION 16,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date:
'4 . . . • .�
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $265.25 LYK 04/26/06 81123 APPRc \/ED,
Plan Check $172.41 LYK 04/26/06 81123
State Building Code $4.50 LYK 04/26/06 81123 JUN E3
Potable Water Application $55.00 LYK 04/26/06 81123
Total: $497.16 Jefferson County Planning
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LOT AREA 12,435 SF
COVERAGE 2,304 SF
IMPERVIOUS STROMBERG AVENUE
IMPERVIOUS SURFACE 3,.4949 4 SF
LEGAL DESCRIPTION: LOTS 15-19, INCLUSIVE, BLOCK 143, IRONDALE AS PER
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PLAT RECORDED IN VOLUME 2 OF PLATS, PAGE 139, RECORDS OF JEFFERSON i ...-St a ' `�
COUNTY, WASHINGTON: SITUATE IN THE COUNTY OF JEFFERSON, STATE OF j')
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APPROVED
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0 5 20 _�50 MAY 1 6 2006
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TPROJECT 711LE DEPT.0 i�RT� PROJECT N0.
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Architects+Designers+Planners LOTS 15-19 . :-E--- 01/08/03
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_Pier 56,1201 Alaskan Way,Ste.-200 Seattle,WA 981ot'-TEL 206 623:3344- FAX 206 623.7005 COPY RIGHT®2001 MITHUN,INC. -
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JEFFERS COUNTY 0
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`k_ DEPARTMENT OF COMMUNITY DEVELOPMENT
~' n `� 621 Sheridan Street • Port Townsend • Washington 98368
Ix, 360/379-4450 • 360/379-4451 Fax p� www.co.jefferson.wa.us/commdevelopment
HIND rid L,)%)U s
Master Permit Application MLA: O ' I v1C
Project Description (include separate sheets as necessary):
65'A/ell- {ices-- ` a -fz .4'bu
/ Property
Tax Parcel Number: %:2_11 /2�� Size: (acres/square feet)
Site Address and/or Directions to Property: rJ , cr. J ✓r,Fu,L, t
Property Owner(s)of Record: =ei—rti y Al- ( c,� l . '
Telephone:_.,..?66", 47 76, Fax: email:
Mailing Address: pr. A- C`' a rsfr ce ie, ° 4 9s'1.3 7G,
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
0 Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
El Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ 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 El 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 **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known: I
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 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 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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. _—----, 1
Signature:
D a t e: 3/3C16(<,
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-
transferable responsibjjtty for adh i9g to and omplying with the ESA. The Applicant has read this disclaimer and sins an dates it below.
Signature: — L. l -,1-,, r- Date: -3 30 06,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.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 assumin `the resp(0,13§ibility of theme General Contractor for the proposed project. `
Signature: .-e-., t Date: 31. /C (.
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New g Wood Existing: G) ❑ Sewer
❑ Addition ❑ Steel Proposed: _i____ Bank Height: ❑ Community System
JA, Alteration/Remodel ❑ Concrete Total: / WA, gi Individual System O
❑ Repair ❑ Masonry RI SEP Permit# 0 -O
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: i �l $j Public
e-ie r-;c, 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove N Cook Stove ❑ Woodstove ❑ Fireplace Insert g,Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes ,M,:ii
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 EH Bld App Review: (0501,-
2nd Floor Heated Consistency Review: i
Other Heated Base fee: 1
Mezzanine Additional Section: �----
Heated Basement Plan Check fee: �-/
I •4-
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: (10 CO
Garage/Carport SUBTOTAL rit_ J 1(0
Decks 91./Rd Approach fee: /
)New-fie t�O NV-Lk (-- 3,00
Other /itc� fcc.-1 CtIre..ce SO S f TOTAL: $ l
A �i.) J Receipt Number: Q 1 1233
Cash/Check Number: 1 0 r70
ESTIMATED COST(REQUIRED) Date:
I+ .
.Fair market value of all labor and materials foundation to finish
',t Initials: -
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00210 Received Date 04/26/2006
SITE ADDRESS: 181 N STROMBERG AVE Issue Date 06/13/2006
PORT TOWNSEND, 98368
APPLICANT: GREGORY M COATES PHONE: 360-379-2776
PO BOX 327
QUILCENE WA 983760327
SUBDIVISION: IRONDALE Block: 143 Lot: 15-19
PARCEL NUMBER: 962114324 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: CONVERT HTD 2ND FLOOR GARAGE TO ADU
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: Lam"` SK- �`�
' 4,6r1 114A "
Propane Tank/ Lines:
Insulation: ty- 7 r( '.'�
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval: n
Final/Occupancy Approval: Alt■ Co
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIR-"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
SPECIAL CONDITIONS FOR CASE # BLD06-00210
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.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) 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.
4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
5.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
6.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
7.) 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) Minimum setback from North Stromberg Avenue right-of-way shall be 20 feet. Minimum
side and rear yard setbacks shall be 5 feet.
12.) 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.
13.) 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.
14.) The building height is not to exceed 35 feet.
15.) A minimun of two (2) on-site parking spaces shall be provided for the ADU.
ICI
I:\F_BLD_Permit_Buildng.rpt 10/29/1999