HomeMy WebLinkAboutBLD2006-00164 tILDING PERMIT APPLICAT N ML Revviewiew T Tyy 159
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00164 Received Date: 4/5/2006
SITE ADDRESS: 161 COLMAN DR
PORT TOWNSEND, 98368
OWNER: ANN L MULLIN PHONE: 360-344-4141
51 SEQUIM PL
PORT TOWNSEND WA 983689441
CAPE GEORGE COLONY DIV 7
SUBDIVISION: Block: 14 Lot: 45
PARCEL NUMBER: 939601444 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DETACHED GARAGE W/ BATHROOM UNHTD
TAA., 06
TYPE OF WORK GAR SQUARE FOOTAGE: oZ �e� r ` dr1'
TYPE OF IMP NEW e0`hx-pcbsaefil
J�`�'e
VALUATION 25,456.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE: UH
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,080+�. SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 1
Total: 0 Total: 1
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $401.35 LYK 04/05/06 80945 t ^
Plan Check $260.88 LYK 04/05/06 80945 MAY3 2006
State Building Code $4.50 LYK 04/05/06 80945
Jefferson County Planning
Total: $666.73 & Building Department
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SPECIAL CONDITIONS FOR CCE A BLD06-00164
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.) 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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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).
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) Minimum setback from Colman Dr right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
9.) The building height is not to exceed 35 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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BUILDER STATEMENT
The signer of this sta ement does hereby certify that they are the Owners o the parcel referenced herein,that they are not licensed contractors and that
they will be ass the r onsibility of he en Coctractor for the proposed project.
Signature: Date: 44° 1.47 b
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 0 Wood Existing: ❑ Sewer
0 Addition ❑ Steel Proposed: I Bank Height: 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: I 0 Individual Systemy.I 3 /b
❑ Repair ❑ Masonry In/i SEP Permit# 0140• �
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: I Private well 0 Two Party
Type of He Proposed 0 Public A
i to h • Total: 0 n io N e of System: CM 111
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:
0 Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank I I Pellet Stove I I 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.
Square Footage Current Propoaed For Office Use Only Amount Revision
Main Floor Heated EH BId App Review:
2nd Floor Heated Consistency Review: _
Other Heated Base fee: (� qil /D /C
Mezzanine Additional Section:
Heated Basement Plan Check fee: aU�"V• S
0G14 1.44 4�
G"
Unheated Basement State Surcharge fee:
Other Unheated g ce
i PA.4, Pot Water Review fee:
Garage/Carport - SUBTOTAL
1 oito 051-`b, '[ Cl). L1,'1i
Decks ----_ __.,,_ :_-}--Approach fee:
Other TOTAL: $ bLt i `l D
�'''' R ceipt Number: 6 Lt5
76 '¢ ash/Check Number: cq'q-
ESTIMATED COST(REQUIRED) Date: 15���
•Fair market value of all labor and materials foundation to finish LI
4 O- 00 O Initials:-t' ;
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
4 oN eo,,. JEFFERS*COUNTY y II
W A DEPARTMENT OF COMMUNITY DEVPPP OP' ENT
`� 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
p www.co.jefferson.wa.us/commdevelopment
&ING nn
Master Permit Application MLA: - )5`�
Pro-jeft Description (' clud sepa to sh is as necessary):
Ill P�J 1P�1-A-c A9 k IN)4e w �$ \ - 011 h2aisP
I I Property /1M
Tax Parcel Number: 93at_ (901 119 II Size: I DOX jTV (acres/square feet)
Site Address and/or Directions to Pro erty:
Property Owner(s)of Record: i G
Telephone: 3 Fax: email:
Mailing Address: • V P1 .
Applicant/Agent(if different from ow er):
Telephone: Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies)
I 1 Building ❑ Variance (Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]'"
7 Single Family ❑ Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
ii 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 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 require teil-in ctions. ess n right e Ty tt3 this property shall be requested and shall occur only during regular business
hours.
Signature: Date: 4"4ig.V to
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 pem'iit
has been issued will not violate th 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 cornnce wi he Jefferson Cou development code.The Applicant acknowledges that he,she or it holds individual and non-
transferable resp bi for a erin a mp g d'ith the ESA. The Applicant has read this disclaimer and signs and dates below.
`Signature: Date: LI " — O
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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