HomeMy WebLinkAboutBLD2005-00019 - CANCELLED THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
• BUILDING �
PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00019
SITE ADDRESS: 193 S GARY AVE Received Date
01/10/2005
Issue Date 02/18/2005
PORT TOWNSEND, 98368
APPLICANT: MICHAEL REGAN
291 W KINKAID PHONE: (360) 385-7368
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE
PARCEL NUMBER: 962113006 Block: 130e:
Section: 34 Township: 30 N Ran Lot: 22/23
CONTRACTOR: 9 01 W
OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION: MANUFACTURED HOME
CALL IN FOR THE RE-5;2UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: "- �� T46_54 , r>
UFFER:
Footing:
Foundation` , -/
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing:
Plumbing %®o
Propan Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED
TO FINAL
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY Y RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS
Office Hours 9:00 a.m. -4:30
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
• •
SPECIAL CONDITIONS FOR CASE t BLD05-00019
1.) The road approach permit (RAP02-00075) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff at 360-385-9159 for the road approach inspection.
2.) 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 Water withdrawn from wells on each property shall not be used for watering of lawns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 Ground water withdrawn from each property shall be restricted to a rate of three (3)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.
3.) 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.
4.) 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.
5.) 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.
6.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
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.) Pre-existing legal al lots of recorq"less than one acre in size in Rural ResidentiaTdistricts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Setback from Gary Ave. right-of-way is no less than 20 ft., setback from Hilton St.
right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. The
setback from lot 22 to the manufactured home is no less 5 ft. If an environmentally
sensitive area (ESA) is present, then the more restrictive setback shall apply.
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.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
I:\F_BLD Permit Buildn .r t 10/29/1999
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4143 •
UILDING PERMIT APPLICAON MLA05 00014
Review
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00019 Received Date: 1/10/2005
SITE ADDRESS: 193 GARY AVE
PORT TOWNSEND, 98368
OWNER: MICHAEL REGAN PHONE:
291 W KINKAID
PORT HADLOCK WA 98339
(360) 385-7368
SUBDIVISION: IRONDALE Block: 130 Lot: 22/23
PARCEL NUMBER: 962113006 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: SHANE RYAN PHONE: (360)379-5675
193 GARY AVE
PROJECT DESCRIPTION MANUFACTURED HOME
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 500.00 ADDI: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
�Q`��"B
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Pri •'•/ tV
ED
Permit $157.00 BAC 01/10/05 69056
Potable Water Application $53.00 BAC 01/10/05 69056
FEB 1 8 2005
Total: $210.00
Jefferson County Planning
& Building Department
CAQP Qr p 0
,..e13c ,
• OWNER BUILDER STATEMENT 4110
The signer of this statement does hereby ce r^% that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass • i - respo '.ility=of "_ neral Contractor for the proposed project.
Signature: ' f ' -i� .1. . A Date: I / .�
0 '.�
t r
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
if .
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS ,, I 'l
s 0 LOO5
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Pro ect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: 0 ❑ Sewer
❑ Addition 0 Steel Proposed: , . Bank ,„❑ Community System I ``
❑ Alteration/Remodel ❑ Concrete Total: Height AIndividual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: .2 .. Public
. ice vi--• c'.. Total. a Name of System: Pa 0
If this is a Commercial Protect 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 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 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.
"F �^ r�' "y T7� s" X 4...!,,,,,4.1
Square Footage k 1Q +fit Y zito `;- 4,�4�
Current Proposed tr `;Iry
� '
in Floor ;.?!..;10':: ::.:,s t� � `� . - ;t i -
3f0 Floor\ _' �,z , k,.-.-:,,,3,-2i&;..-
i .1. ., �.T:
Mezzanine: = -,‘F.-.:..,4.-f - '- .l.-- -' '
•Z,'.:5.( � y .j.. .��. �-� y�j�� L4 . �• 3't°' rte*-S>
Heated Baseme(1t .,, C h '� ;''t
�S
Unheated Baseme �I�z� � �r.�� �.�� �, ,� � �»�` � � ` � $ �`�:
Other Unheated z. k� z : - ,a ---,
t
k � 7 tea`"~ ,;. -+F +PY ` 'y 4
Garage/Carport � � i,a - - V ,f � ,
Decks . ���..: _ � -, .
Other \ Chti
it i ?s. ,, Ski. * ',4 r.
ESTIMATED COST(REQUIRED) vt �, r,,4,01 • , ,,
•Fair market value of all labor and materials foundation to finish • ) - : 1 g : " 0-1-0-4t
fir. }� -. 44, o4
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
��g,SoN Co�� JEFFERSON CNTY
•
' DEPARTMENT Oik
F COMMUNITY DEVELOPMENT
'4 621 Sheridan Street • Port Townsend •Washington 98368 ~x ?en's 360/379-4450 • 360/379-4451 Fax
44
�<y6, 0� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: (}cA 114-
Project Description(includeseparatesheets as necessary):
( 1 Ft gv l
Tax Parcel ft)Number: Z 113 0OG Property
Size: (acres/square feet)
�
Site Address and/or Directions to Property: g 4 1 ` .
Property Owner(s)of Record: nil�( �� ��e4 ai,1
Telephone: `� Fax:,/
-
' email:
Mailing Address: J V r ‘.Qi ,(
Applicant/Agent(if i rent from owner): ., kuLe y
Telephone: 37? (7$ Fax: / email:
Mailing Address: AM, ,/'-e
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]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
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 ❑ 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:
� DESIGNATION OF AGENT
I hereby designate )r rtA. Ry C to act as my agent in matters relating to this a li tion for permit(s).
OWNER SIGNATURE ' )/( / A Date: �7 ( 0�By signingthis a lication form,the owner/agent attests that the information
PP g 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, erson County and its employees,representatives or agents for the sole purpose of application
review and any required i ctionseAcce an 'ght of entry to this property shall be requested and shall occu only durin regular business
hours.
Signature: 6,/,
Date: / `_
r
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 Jeffe..on County development code.The Applicant acknowledges th. he,she or it holds individual
and non-transfera• - r.... sibility for a4hering4o -'f. complying with the ESA. The Applicant has read this disd -gns,er and ns and dates it below.
Signature: A , Date:
,/11' Far v, /
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
JACK WESTERMAN III • Jefferson Couse'ourthouse
ASSESSOR Po Box 1220, Port Townsend, 11'11 98368
13601385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME/MAILING ADDRESS:
NAME: CM;Cy (.('e f r U
t
ADDRESS:
PHONE NO. 73 6 40"
L l o rt
The purpose of this questionnaire is to obtain information regarding either the
current location of a mobile home or the previous ownership and location of a mobile
home. This will help our office determine whether the mobile home is already on the
tax rolls in Jefferson County or if it has been moved to this county from another area.
1)MOBILE HOME DATA:
•
(A)MAKE rie.e4leir21,4 (B)MODEL 8/4 RR (C)YEARN
r
(D)LENGTH (E)WIDTH / T (F)SERIAL #
(G)YOUR PURCHASE PRICE (Do not include sales tax) - PURCHASE DATE4C`/Fti?
2)PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MO• VETO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE 8,1/
/ /! /d- /6-
ADDRESS (ADDRESS
(II)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR gap No
If Yes, Previous address of mobile. i ?US F
H No, What County was Mobile assessed in last year.
3)WHERE MOBILE HOME IS TO BE LOCATED: CON"!
(A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No
(B)IF LOCATED IN MOBILE HOME PARK:
NAME &ADDRESS OF PARK Lot/Space#
(C) IF NOT LOCATED IN MOBILE HOME PARK: /,)
NAME OF LAND OWNER: , ;4/1.4;e1� �(
LOCATION ADDRESS /7 4 -e
(ct,ci P�ZJ 5 ec ip
REAL PROPERTY PARCEL #/DESCRIPTI N /e'2 /7 6'
S27rj/
are of applicant
THANK YOU FOR YOUR HELP!
6JOD8,3 C�SsI COSSELL, Property Technician
JACK WESTERMAN III • Jefferson Coan•ourthouse
ASSESSOR PO Itox 1220, Port Townsend, W:11. 98368
43600385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME/MAILING DDRESS:
NAME: /111:C4to /r U
ADDRESS: / r h
PHONE NO. -1 a �
M •
The purpose of this questionnaire is to obtain information regarding either the
current location of a mobile home or the previous ownership and location of a mobile
home. This will help our office determine whether the mobile home is already on the
tax rolls in Jefferson County or if it has been moved to this county from another area.
1)MOBILE HOME DATA:
(A)MAKE Pee,4-47-rf-d (B) MODEL 6t1 ( 7
(C)YEAR
r
(D)LENGTH 1 (E)WIDTH ( tit` (F) SERIAL #
1:43(G)YOUR PURCHASE PRICE (Do not im >id+r1ales tax - PURCHASE DATE/S 7 )Z
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE 8 (� /e)/4/ C4
ADDRESS
(B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR No
If Yes, Previous address of mobile. kr ``1'YY4l
4
��
If No,What County was Mobile assessed in last year.
3)WHERE MOBILE HOME IS TO BE LOCATED:
(A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No
(B)IF LOCATED IN MOBILE HOME PARK:
NAME &AbDRESS OF PARK Lot/Space#
(C) IF NOT LOCATED IN MOBILE HOME PARK:
NAME OF LAND OWNER: AvinutPr
LOCATION ADDRESS /q5 63,„ ( i9 ,, T)
REAL PROPERTY PARCEL#/DESCRIPTI N 76'2 0
�S27wJ are of applicant
THANK YOU FOR YOUR HELP!
JODI COSSELL, Property Technician