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Home My WebLink AboutBLD2004-00069-1 °BUILDING PERMIT APPLIC1 ION MLA04-00065 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00069 Received Date: 2/5/2004 SITE ADDRESS: pit'it-TALA SHORE DR PORT LUDLOW, 98365 OWNER: GERAL ADAMS1 Z a5 k iinnes1a.0 a PHONE: (509) 577-0632 J U D ADAM S a'►g -p,r4 c,,,, e.- 4 FECHTER RD AKIMA WA 98908-2434 SUBDIVISION: TALA SHORES#3 Block: Lot: 30 PARCEL NUMBER: 998200329 Section: 15 Township: 28 N Range: 01 E CONTRACTOR: CAMPBELL CONSTRUCTION PHONE: 385-1655 120 CURTISS ST PORT HADLOCK WA 98339 Contractor's License CAMPBC*111 LR Expires 4/9/2002 REPRESENTATIVE: JOE CAMPBELL PHONE: (360) 385-1655 120 CURTIS ST PORT HADLOCK WA 98339 PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE & DECK(S) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,850 VALUATION 183,000.00 ADD'L: lr 1/13 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 1/ HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 62`7 716 7r7 CONST TYPE: DECK: - , _ SETBACK: SEWAGE DISPOSAL: F�Qaar 8><6=if0 30 9' BANK HEIGHT: WATER SYSTEM: PWELL Rule 12x22.26� PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide ��'/0 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,458.55 KAS 02/05/04 62607 Plan Check $948.06 KAS 02/05/04 62607 , State Building Code $4.50 KAS 02/05/04 62607 JUN ` 7 2005 Potable Water Application $52.00 KAS 02/05/04 62607 f"fferson County Planning Total: $2,463.11 Buildi artment F I Ow Jefferson I ! ,I Ol iflent of Calu nIy Development ° s6213herid�Street, ' r Townsend WA 08388[360]370-4450 W \ti r3 0 p cir mil?, i,;;A _,_, _ 0 , 0 4, ,,,0 jg p,, , casvijon ,...ii_xN., B ilding Type: Pr-ject Type: Frame Type: lEt Single Family New P"--Wood El Garage Attached/Detached 41 a ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial LW ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ )Sewer ❑ Community System ❑ Electricity ❑ 9il Proposed: - Proposed: Individual System ❑ Woodstove Pr Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Witter Supply: I ❑'( Private well ❑ Two Party Well ElPublic:Name of water system: Square Footage: Office Use For Office Use Only Main Floor 10S 0 12_0 t 7( 'Consistency Review � „o0 2ND Floor Base fee /4 SO, SS 3rd Floor Plan Check fee 91 E'. a Htd Basement State Surcharge fee £4- SD Unhtd Basement p Subtotal p�LLI 59 1 1 Garage/Carport 110 1 6 O/40 • k'2— ZS Pot Water Review fee S Decks u)e ci ake i 13 911/Rd Approach fee LO►Ai 7 kt Commercial O' Industrial Z — - S TOTAL c&stilt r I I I , 1 Receipt# 6 ° 1 Other Cash/Check# 7( C( Initials /j/ Date (J �s1 Q f Estimated Cos ` (ZIA ODD If within 200'the Sh ine, Distance to Bank or Ordinary High Water Mark a a: ft.Bank Height )LI 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 attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. � r Signature: (1M4r& M2Date: 1'1 I ) C' OVER ► G:\PermitCenter\FORMS\BLDG,FORMS\BLDPermit Application.doc 01/08/2004 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00069 Received Date 02/5/2004 SITE ADDRESS: 770 TALA SHORE DR Issue Date 06/7/2005 PORT LUDLOW, 98365 APPLICANT: GERALD ADAMS Po kx.5 1<Vinn-sta4 PHONE: (509) 577-0632 JUD ADAMS �`t8( -Pcc,ra_ci (San 4 1 FECHTER RD AKIMA WA 98908-2434 SUBDIVISION: TALA SHORES#3 Block: Lot: 30 PARCEL NUMBER: 998200329 Section: 15 Township: 28 N Range: 01 E CONTRACTOR: CAMPBELL CONSTRUCTION PHONE: 385-1655 120 CURTISS ST PORT HADLOCK WA 98339 Contractor's License: CAMPBC*111LR Expires: 4/15/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK(S) CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: Ok 004 1 UFFER: Footing: Foundation: /X 06/0,4P / Stormwater FINAL Approval: b`7-� i*✓ Underground Plumbing: Underground Insulation: Shear Wall : err sHei4 Q,� /2-0 iD6 crtr Sheathing: Ok 2i 6� Framing: oe � l . ri&P�ft../E" 15;04 Lam 6x shot, g " Plumbing: /Pk 3 �NTdrR,t�2,,, � 25�� 1� "1 i11 t? Fes' Propane Tank/ Lines:r ;le-) [t. /� 1151 gi Lt,Y17 fL- PEA 1, 14.4 44‘ 1 Insulation: AR (... Q O z)ik'GJAt[s 4.,P,tICb',P /, f/: Sheetrock: 41* /0 / Septic Sytem Final Approval(If not n sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ®K Cr elo 5Jt2,6 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 CAP BLD04-00069 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top or toe of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 8.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 10.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For.proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) Minimum setback from topof'nk to foundation shall be 60 feet. Septic and drywells p yw s are not allowed within this setback area. 13.) A stormwater plan has been submitted and apprcved 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. 14.) A minimum of two (2) on-site parking spaces are required for the single family residence. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Tala Shore Dr right-of-way is 20 feet. Minimum side setbacks are 5 feet Minimum setback from the top of the shoreline bank is 60 feet. 18.) 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. 19.) 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. • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 j01 ��1STI,sG InJbw 100, Pt I t-1 kuo Df Vj6t,v 'ri frKr t,tr-Ati VKO AA -po5tvN b-f aTfAov's 31o,�a' �DV ode I-S DRt✓E 'tD 30 DG5I G- t- f' �7 �MtNI , � *� Frl�nIAG Cjl/� _= _ SEPARk'tE �z 1 3z8 , Zto' - - - - - - -. - � iW>% '50t4 GO - YARGEI, �.' q 9 8G oo3�Cl S Me, f D-DRE615 - -7-7 O -t-A L A S Ho PLe -D?- I T F: -PLf� �l 9, 51 Z CA25 ATTf )( ' �� I T 1pFiY1 I To-p 0 / ME 1 Yo FKfl� t+ APPROVED — — — — / SITE PLAN JUN - f � 2005 1F JEFFE ON COUN f DEFT. OF CO ny V SIGNATURE: 4" APPROVE,) STORMWATER PLAN JUN - 1 SIPS DFPT OF .041 JSyQjN COUNn, SI(;.1ATvRF: M(T Ivry DFVP��...._ r w In6o(f� f�R W#�y0u 4 J UDY kkAA,5 APPROVED BY i SCALE I %2(� DRAWN BY DATE y—r, �j �V �/ REVISED ORA LNG NUMBER ors