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BLD2003-00737
UILDING PERMIT APPLICL4!"ON MLA03-00630 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00737 Received Date: 11/24/2003 SITE ADDRESS: PIONEER DR PORT LUDLOW, 98365 OWNER: THOMAS M SAYRE PHONE: (630) 466-1501 PO BOX 874 131 TERRY DR SUGAR GROVE IL 60554-0874 SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 235 PARCEL NUMBER: 990603235 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-7994 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 7/21/2004 REPRESENTATIVE: PHONE PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE & BY BREEZEWAY GUEST ROOM TYPE OF WORK RES SQUARE FOOTAG -_—' - TYPE OF IMP NEW ,Y VALUATION 150,000.00 MAIN: _. CODE EDITION: 1997 ADD'L: oK HE TYPE: PRO OCCUPANCY: R-3 HEAT BA - \.HEAT TYPE: OCCUPANCY: UNHEAT - #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 506 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic Streams Total: 4 Total: 3 Flood Way Floodplain Routing Date: / F&W Landslide a / Qa/DC03 Shoreline Aquifer JJJ Forest: Commercial Rural Type Amount Paid By: Date: Receipt: w. .. VED Permit $1,273.75 KAS 11/24/03 60441 I Plan Check $827.94 KAS 11/24/03 60441 JAN 1 4 2004 State Building Code $4.50 KAS 11/24/03 60441 Potable Water Application $51.00 KAS 11/24/03 60441 Cvii, - ° ---g Narc sia C :,671 L, .„,-,-,,,n;‘,;: . Total: $2,157.19 ! '11_,/ 1.(jAMN . , cil le ej ozv • JetEer=en I artment of C nuiity Develoment *� ' C)6 Er E : ' i Th-1, 621 Sheridan Street,Port Townsend WA 88388 ENE 378-4450 Ir a 4. . �' � NOVA©rm Ap : © .. _ -i Project Description: J�PT OF CC V' o� ,..... O t , "f_ B ding Type: Project Type: Frame Type: Single Family $New X Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition , fl Other: ❑ Industrial . ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing ❑ Sewer SCommunity System ❑ Electricity ❑ Oil Proposed: 4 Proposed: ❑ Individual tem ❑ Woodstove X Propane Total Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP 52 a -( Water Supply: 1� ❑ Private well ❑ Two Party Wel Public:Name of water system:(5(11 M f.0 Square Footage: \ For Office Use Only Main Floor 17'SO 47.00 Consistency Review 2ND Floor Base fee 1 , 'a t_?b 11 S ' 3rd Floor Plan Check fee—65% )art , Htd Basement State Surcharge fee *� 58 oC Unhtd Basement f �� Subtotal 1 5 3 . 19 Garage/Carport 5 qab Pot Water Review fee 8a , Decks 911/Rd Approach fee / --1. t Commercial c2 v TOTAL a - s 19 Industrial Receipt# (/0 04VA I Other Cash/Check# 8 81, Total Valuation: Initials • Or ) Date i •4 3 Estimated C t: /5e) If 0 If within 200 . e horeline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 acces right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to t applicant's roperty or structure shall be requested and shall occur during regular business hours. Signature: An 1#0.1* Date: //1103 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00737 Received Date 11/24/2003 SITE ADDRESS: 850 PIONEER DR Issue Date 01/14/2004 PORT LUDLOW, 98365 APPLICANT: THOMAS M SAYRE PHONE: (630)466-1501 PO BOX 874 131 TERRY DR SUGAR GROVE IL 60554-0874 SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 235 PARCEL NUMBER: 990603235 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-7994 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License: HAROLMC074N3 Expires: 07/21/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & GUEST ROOM REQUIRED INSPECTIONS: [ ] SETBACKS: Ok 1/36/6 [ ] UFFER: QIIC 1/36/bi{ [ ] Footing: ok. V36frif ' [ ] Foundation: '/K /yr/c [ ] Underground Plumbing: OX <Cu /1mcsE 2/i/off 0/ [ ] Underground sulatio : y / [ ] Shear Wall : 7/ [ ] Framing: 6} ccodifion 4/l4/4 1 1 Plumbing: DX 4/4/{-IV [ ] Propane Tank/ Lines: Err GAs OK 445//9f /,"ram CAs Lu,,,e- OK 4/1444 ' [ ] Insulation: CG/4Z ) c . 5! /y e 1 1 Sheetrock. Cv/[g,,,a S,O/o/ [ ] Septic S em Final Approval: 1 Zonin F royal: 4 r O 4 D [ ] mal/Occupancy Approva . AL DEPARTMENT 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 CAE # BLD03-00737 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 2, 2003 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Osprey. 2.) The applicant is proposing to create or add 3,240 square feet of impervious surface and 3,240 square feet of land disturbing activities. 3.) A Medium Stormwater Site 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. 4.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 5.) The site plan as submitted with the single family residence with attached garage and guest room building permit application on November 24, 2003 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated December 2, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a single family residence with attached garage and gueast room only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 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.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Pioneer Drive right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. 12.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 13.) Per MPR Code Section 3.107, Accessory dwelling units (ADU's) shall not be allowed in the MPR-SF zone. 14.) An address of 850 Pioneer Drive has been assigned to the lot. Pioneer Drive is a county local access road (C540009). 15.) The lot was created through the Port Ludlow No. 2, Area 3 subdivision on May 19, 1969 under AFN 200294. 16.) Per email dated December 9, 2003 from Jeff Davis, WDFW, the proposal will not have an impact on the existing osprey nests. 17.) The lot is subject to Port Ludlow sewer and water. 18.) A road approach permit (RA03-0259)will be issued with the building peg,. I:\F_BLD_Permit_Buildng.rpt 10/29/19