HomeMy WebLinkAboutBLD2006-00100 0 0
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00100 Received Date 03/7/2006
SITE ADDRESS: 54 CHERRY AVE Issue Date 03/23/2006
CHIMACUM, 98325
APPLICANT: E SUZETTE BROWNFIELD PHONE: 360-732-025,2\
DALE A BROWNFIELD
PO BOX 1201
PORT HADLOCK WA 983391201
SUBDIVISION: IRONDALE ORCHARD TRACTS BLOCK Block: 3 Lot: 7+
PARCEL NUMBER: 963000315 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW CARPORT ATT TO EXIST POLE BLDG -
EXTENSION OF EXISTING ROOF LINE W/OPEN SIDES AND
GRAVEL FLOOR
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 0/ - 4,---0-�0e
UFFER:
Footing: 4 a `„f6
Foundation:
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: 9—2 S --D6 _
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
SPECIAL CONDITIONS APPLY - SEE REVERSE
• •
SPECIAL CONDITIONS FOR CASE t BLD06-00100
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
4.) The building height is not to exceed 35 feet.
5.) 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.
6.) 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.
7.) Minimum setback from Cherry Avenue right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
I:\F_BLD_Perm it_Bu ild ng.rpt 10/29/1999
06
Iii ILDING PERMIT APPLICAAN MRL Review Type:
i
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00100 Received Date: 3/7/2006
SITE ADDRESS: 54 CHERRY AVE
CHIMACUM, 98325
OWNER: E SUZETTE BROWNFIELD PHONE: 360-732-0252
DALE A BROWNFIELD
PO BOX 1201
PORT HADLOCK WA 983391201 IRONDALE ORCHARD TRACTS BLOCK
SUBDIVISION: Block: 3 Lot: 7+
PARCEL NUMBER: 963000315 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW CARPORT ATT TO EXIST POLE BLDG -
C.x-c 61,- fm C l t nQ w 1 p(li,r,cLA.AAD 9 ra-va 16OR)
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,476.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 837 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: )G
Type Amount Paid By: Date: Receipt: A J?P f 2 / V E C'
Permit $237.25 LYK 03/08/06 79143
Plan Check $154.22 LYK 03/08/06 79143 MAR 3 2006
State Building Code $4.50 LYK 03/08/06 79143Jefferson County Planning.
Total: $395.97 & Building Department
, 4ON cad JEFFERS3J COUNTY
' DEPARTMENT OF COMMUNITY DEVELOPMENT
1-3 'a 621 Sheridan Street • Port Townsend • Washington 98368 f„4 006
�, ., 360/379-4450 • 360/379-44m5 Fax ° ' 7q p www.co.jefferson.wa.us/comdevelopment
Master Permit Application MLA: Ott,- 1 O 1
jP'�rojecgpt Description (include separate she is as^necessary): A Ca e- """",'t w. // hJ c- /4r�z'//'J/ f ' err, e-.r,.sfr,b,,f•
/'-}/c_
13�4,6-417:�o, Tfw, /I b( e?/, eel tee-7/IO,7 [�'1- C-'.�t/S/..y /re 1" /bv,T+ :t's'Ili cl,e.-" j.-...el,r fir. .lysdwt'/ x•xe-,,,,,.
tJ Property
Tax Parcel Number: Li�,_3 - C,O c — 3/5— Size: , 23 i ccit;Ys , 3cc,5y2 v,r(acres/square feet)
Site Address and/or Directions to Property: '' / Che cry' /lt).' • ( /i,irn, Ca m
Property Owner(s)of Record: allc. A: aricd € . .5iirc IV. Ret'[t',i Fir/e/
Telephone: (SC.C) 7.2 L -C, 5., 7 Fax: email: S'kZr,fle /e$p 'a. (o.y..
Mailing Address: PC, f7 C r $2.C,/ Pr f aci e e k - LCee. S'1+ 3 3`I
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]**
❑ Single Family. ❑ Discretionary"D"or Unnamed Use Classification
iitGarage i ttached° Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address S'Y ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
El 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).
QWNER 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.
Signature:y
rL it •C,s;.,-,.^Z:r 4.,? Date: `' /" ._ r
The action or actions Applicant wil 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 responsibility for atering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ,/ ...)GrkiVe. Date:/
/ J. �-/ _ e� Cc,
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 assuming the responsibility of the General Contractor for the proposed project.
Signature: l7. . . ,Py .i.;', " Date: ,5 -/_. C''fr
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 7 5P0._>0,1 3 G f�J. ",,e, '/i�r L j?C • NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: ,`si I /) ./Ps,`% 2 d, 2_ EMAIL
Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New rvi Wood Existing: ❑ Sewer
Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel El Concrete Total: t1 t-' --- / ��{ ❑ Individual System
❑ Repair El Masonry 1�fl SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: [1 Private well [i Two Party
Type of Heat: Proposed: [1 Public
>;t ,� Total: /t L'it< /i 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 I 1 Above ground Tank Size of Propane Tank:
❑ Heat Stove C] Cook Stove [I Woodstove I I Fireplace Insert ❑ Hot Water Tank Li Pellet Stove 11 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 Proposed For Office Use Only .Amount Revision
Main Floor Heated EH Bld App Review: j Cl /'`//
2n°Floor Heated Crpnsistency Review: G
Other Heated Base fee:
-, n(« a3-7.a
Mezzanine riAN '-'"`' Additional Section: _
Heated Basement Plan Check fee:
r rt;`` t C�
Wit k', ')L\ -a.
kk
Unheated Basement State Surcharge fee: `'t'i ,5 o
Other Unheated Pot Water Review fee:
Garage/Carport ` SUBTOTAL
6
Decks __-__.1 911/Rd Approach fee:
Other TOTAL: $ t 4 i ,Q�`1
Receipt Number: 1 CI 1 I,5
Cash/Check Number: I 11
ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to finish `�`r C)("
Initials: c `
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
Marvin Windows and Doors Vashington . • MARVINt1
22718 58th Place South Windows and Doors
Kent, Washington 98032 Made for you.`
www.marvinwa.com www.marvin.com
253-859-0500 1-800-523-9787 Fax 253-395-9116 Order Fax 1-888-401-9898
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