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HomeMy WebLinkAboutBLD2005-00155 - CANCELLED •UILDING PERMIT APPLICA M R0 w00 3 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD05-00155 Received Date: 3/15/2005 SITE ADDRESS: 205 SAINT JAMES PL PORT TOWNSEND, 98368 OWNER: JAMES M PIVARNIK PHONE: 360-385-4753 CHRISTINA ANNE PIVARNIK 1924 HOLCOMB ST PORT TOWNSEND WA 98368-7703 SUBDIVISION: MARVIN GARDENS Block: Lot: PARCEL NUMBER: 001345004 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: TRUMAN CONSTRUCTION LLC PHONE: 360-871-2676 4500 FOSS RD SE PORT ORCHARD WA 98366 Contractor's License TRUMACL974N8 Expires 8/28/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW GARAGE - UNHEATED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,500.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 638 SHORELINE: CONST TYPE: DECK: SETBACK: • BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date / /05 Type Amount Paid By: Date: Receipt: A P Permit $307.25 BAC 03/15/05 71624 �„J �/ Plan Check $199.71 BAC 03/15/05 71624 APR 2 7 State Building Code $4.50 BAC 03/15/05 71624 Jefferson c20 Total: $511.46 Building Department t 9 partment 1014t4 " ')SCE .."SON ��, JEFFEROUNTY jj ' j DEPARTMENT OF COMMUNI'1Y`DEVE `'ME 2005 t. '4 621 Sheridan Street. Port Townsend-Washington 98368 360/379-4450. 360/379-4451,,Fax G www.cojefferson.wa.us/cotrundevelopment , _ - Master Permit Application MLA: I" "L 1 Project Description kiidude separate sheets as necessary): Tax Parcel Number: 00,3't3"oo9 size: 6 Abz (acres/square feet) Site Address and/or Directions to Property: Z.©„&"" <SV ...� Property Owner(s)of Record: </Aai' C le C r, q 7yx0Ge.46 Telephone it2-3,95-- 4'Z t r Fax emaa: iss f ) /v- Mailing Address: /$2I ,�t,e-en et �7: : 7awA41- , t�,0�g�- 4 1 Applicant/Agent(if different from owner): Telephone: Fax email: Mailing Address: WhatJckid of Permit?(Check each box that applies) (ding 0 Variance(Minor,Major or Reasonable Economic Use) n Der eliition Permit 0 Conditional Use[C(a),C(d),or Cj** vie Family 0 Discretionary`D"or Unnamed Use Classification n-Garage Attached/Detached 0 Special Use(Essential Public Facilities)** 0 Manufactured Home 0 Boundary tine Adjustment ❑Modular 0 Short Plat** 0 Commercial* 0 Binding Site Plan** ❑Change of Use 0 Long Plat** ❑Address 0 Road Approach ❑Planned Rural Residential Development(PRRDyAmendments** ❑Allowed"Yes`Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stommwwater Management 0 Shoreline Management Substantial Development'* o Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Telecommunication* 0 Comprehensive P1 'JDC/Land Use District Map Amendment 0 Jefferson County Shoreline Master Program Amendment 0 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 pemhit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is We and correct to the best of his,her or is knowledge. Any material falsehood or any omission of a material fad 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 attorneys 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 -,. 1., of entry to this property shall be requested and shat occur only during regular business hours. �� O�- Signature: ._`.. � .� Date: 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 spedes 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. My individual,group or agency can file a lawsuit on behalf of an endangered species regarding your adion(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and r-i•"- ~.• ;.1 i, for to and complying with the ESA. The Applicant has read this disdainmer ` 4 _ signs and dates it below. Date: c3// 5 G:\PaaritC«rter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc onememeeeme■emm • • 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 of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED How INSTALLER: PHONE: FAX: _:75A70:er/4740( Cessi40421/424440,1 4 Z-C— (AO )97/--024 7 . ( ) MAL!NG ADDRESS: i3-640 JC:b S:r ' ,C0. 71.47‘ceelistirmAiL: CONTRACTOR'S LICENSE 9r/4c WAINS NutABER: TR a,t2092 z..2764d9 NUMBER ARCHITECT/ENGINEER: 1/4 - 164. PHONE (1100 1,387-54TFAx:( ) MAIUNG ADDRESS: /092. 6o4Or.•fri zaa. iriekeditt EMAIL Pro oZt'lype: Fe-Type: Bathrooms: Shoreline: Type of Sewage Disposal: b****Wood Existing: 0 Sewer O Adclition 0 Steel Proposed: .- Bank- f.;.=nity System O Alteration/Remodel 0 Concrete Total: . Height SYebain o Repair 0 Masonry SEP Pernik g O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: Oargbuivacte well El Two Party "r-ria■of Heat , Proposed:, N _ - Total: _ - Name of System: p this is a Commercial Proieet you must answer the following: Number of Parking Spaces: Current Proposed: Number of W.4 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 Agolialce installation permit.mark all items below that atoll,: O Underground Tank 0 Above ground Tank Size of Propane Tank: O Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 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 properly lines,buildings and septic system components, includi . the reserve area. 11111011111- . I-Vs;P,7774„;:9-,'---.'-,.--'-'7',.1:,j7-',-^.i:V1';*::--3.1"7:-.;:le.4-4"."-4 4•45:1'''.h''-',,,'..f.';',-,.-.,-.,-pa-..-..:,1:- -.,_ ---,4--;-',3 MEr= Mr=. I Main Floor c :4,, .•=.,,,, ..r...•-•1. 'a.',Z,'t ....1,..41...., `‘,..: ..4,.. ,;.....• ^.... 1.T,...WP, -....-1.tr.:L...L.A- L.— ,.._„:.,z.-__ „„,_;„-,_,:--,, . 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'Z!'-.." ;.;-.. 4101# 1 Apainitcenter ..! i 6\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#: BLD05-00155 Received Date 03/15/2005 SITE ADDRESS: 205 SAINT JAMES PL Issue Date 04/27/2005 PORT TOWNSEND, 98368 APPLICANT: JAMES M PIVARNIK PHONE: 360-385-4753 CHRISTINA ANNE PIVARNIK 1924 HOLCOMB ST PORT TOWNSEND WA 98368-7703 SUBDIVISION: MARVIN GARDENS Block: Lot: 1+ PARCEL NUMBER: 001345004 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: TRUMAN CONSTRUCTION LLC PHONE: 360-871-2676 4500 FOSS RD SE PORT ORCHARD WA 98366 Contractor's License: TRUMACL974N8 Expires: 8/28/2005 PROJECT DESCRIPTION: NEW GARAGE -UNHEATED CALL IN FOR THE REQUIRED INSPEZIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ierk SA 9/«S UFFER: No Footing: /,e.s/i cis A Foundation: a/45./8fr.'S Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane 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 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 A- SPECIAL CONDITIONS APPLY -SEE REVERSE ` GluT . .k-*W\ • • SPECIAL CONDITIONS FOR CA # BLD05-00155 • 1.) The road approach permit(RAP05-00008) 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 the Department of Public Works at 360-385-9160 for the final road approach inspection. 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.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 4.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site.until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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.) The building height is not to exceed 35 feet. 9.) Setback from St. James Place right-of-way is no less than 20 ft., setback from Marietta Loop right-of-way is no less than 20 ft., setback from the ingress/egress/utility easement right-of-way on the southern portion of the parcel is no less than 20 ft., side setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19