HomeMy WebLinkAboutBLD2006-00006 BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00006 Received Date 01/30/2006
SITE ADDRESS: 513A ARCADIA WEST Issue Date 02/28/2006
PORT TOWNSEND, 98368
APPLICANT: JANET E PERKA PHONE: 360-379-4584
2219 W SIMS WAY
PORT TOWNSEND WA 983682266
SUBDIVISION: Block: Lot: T 79+
PARCEL NUMBER: 001171031 Section: 17 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
RELOcATE.) LD►t(.
PROJECT DESCRIPTION: FOUNDATION PERMIT FOR EXIST ADU
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: -jg -
UFFER:
Footing: —l�—QG
Found ati : OK 9/2-5/4 G
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: c.- ic-1 --0
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 INSPECTION
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 CE BLD06-00006
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.) 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
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.) The building height is not to exceed 35 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.) Minimum setback from Arcadia West right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
IJ Review ILDING PERMIT APPLICAAN M T0032
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00006 Received Date: 1/30/2006
SITE ADDRESS: 513A ARCADIA WEST
PORT TOWNSEND, 98368
OWNER: JANET E PERKA PHONE: 360-379-4584
2219WSIMSWAY
PORT TOWNSEND WA 983682266
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 001171031 Section: 17 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION FOUNDATION PERMIT FOR EXIST ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 23,866.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 918 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 1
Total: 2 Total: 1
Routing Date: /)I I V 10(0 4..... V
Type Amount Paid By: Date: Receipt: o
E Li
Permit $377.25 LYK 01/27/06 79032 � . / t
Plan Check $245.22 LYK 01/27/06 79032 FEB 'AS
2006
State Building Code $4.50 LYK 01/27/06 79032
Potable Water Application $55.00 LYK 01/27/06 79032 Jeiiersx COUflt/Planning
Total: $681.97 ` Diking it p'ti1'ntunt
Orr co
o�,� JEFFERa COUNTY I
�� A DEPARTMENT OF COMMUNITY DEVELOPMENT
ti d 621 360/379 Sheridan4450 St• 360/379-4451 Fxort nd Wa�h,inCtar9836> �
O� www.co.jefferson.wa.us/commdevelopment
$IN
JAN 2 7 2006
Master Permit Application MLA: D j
Project Description(include separate sheets as necessar
y):
j O a tt Cho\ .r it PO - -C SCiStincj 9/8 sg P: c og
Property
Tax Parcel Number: 00/ / -/ 03 / Size: 5• 9/ (acresquare feet
•
Site Address and/or Directions to Prope y: Of GC) �(2 7Dr-'f �j/A')''1 SP
Property Owner(s)of Record: O)1..e/- ' e Q
•
Telephone: -34Q 37-9 eS e Fax: ?6O 38..5 / 4, email:?P r-h lit pi O/ _hen•C
Mailing Address: .2 i 9 Gc}P ]�- S/nii lc /a t d r f —j l)Lc49set",- ' G i 9 r�,36
Applicant/Agent(if different from owner): /�
Telephone: Fax: Al/Tf- email:
Mailing Address:
- What kind of Permit? (Check each box that applies)
❑ Building ❑ Variance (Minor, Major or Reasonable Economic Use)
I Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
,Single Family ❑ Discretionary"D"or Unnamed Use Classification
CI 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:
DE IGNATION OF AGENT
I hereby designat to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE -RA I,3-,. 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 ma
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 fired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: /
The action or acti s 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 permi
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 pliance with the Jeffe on County development code.The Applicant acknowledges that he,she or it holds individual and non-
transferable respo sibility for adheri g to nd omp Ing with the ESA. The Applicant has read this disclaimer and 'gns and tes it below.
Signature: J1...-41 Date: / Z., v
fr
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• BUILDER STATEMENT •
The signer of this statement does hereby certi at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumi.• the responsibility of the e�- -ral C ntractor for the proposed project
�Signature: .1 ' . , i i Date: 1/2-7/6c61
GENERALCONTRAC aR OR MANU URED H E INSTALLER: PHONE: FAX:
we`f . ('3t o) 3 9 '5 r (34.6)3,Y.s= 59/9.
MAILING 'DO-ESS: /9 /� Sin ,� �Q EMAIL: , e rka /Qo/V f7 e • C.rsri^
CONTRA OR'S LICENSE OL-t �_U uM S _ / WAINS SST
NUMBER: / NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New `f3(. Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: ij Bank Height: ❑ Community System
D Alteration/Remodel ❑ Concrete Total: I 'Jndividual System
❑ Repair ❑ Masonry 41474 SEP Permit#SF P9' +- o,
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Co Setback: ❑ Private well \14Two Party
Type of Heat: Proposed: _2,_ ❑ Public ,�
ct�� Total: p9. Name of System:l�I I t Per4c
If this is a Commercial Project you must answer the following: A i
Number of Parking Spaces: Current: Proposed: IVl7\ 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 V Above ground Tank Size of Propane Tank: ��) Q a 1
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 subm= • ate 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 Offiv 'USTOMV '1 4. Ex �: .,.: . _ t. .Y¢, _ 7 , Q-.; L)1.ff" ` : y
Main Floor Heated "• i EH Bld App Review:
2 76 _ ' JAN 2 7 2006 ' ,5.cb
2na Floor Heated Consistency Review:
Other Heated Base fee: _7
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 1 c_.
Other Unheated Pot Water Review fee:
Sack En4r 8 CI 0, DU
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
AO L 5r OD
Other TOTAL: $ q, CI'7
9/8 5 i(t7l,((j pj
r0�rl� -f-u,y-- ecei Number:
(> : _r Cash/Check Number:
/0 ( ;: )6
ESTIMATED COST(REQUIRED) Date: OI
•Fair marketvalluuee of all labor and materials foundation to finish a J(6
Sei
'POI- _/C 1 i tSYN # 1"OOO . d0 Initials: /.,...`_o
l Zi
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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