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Home My WebLink AboutBLD2004-00460r 16 BUILDING PERMIT APPLICAON MRLA04-00 Yp424 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00460 Received Date: 7/7/2004 SITE ADDRESS: 1372 THORNDYKE RD PORT LUDLOW, 98365 OWNER: PAUL LE MAY PHONE: (360) 626-2104 (\i LAURIE LE MAY PO BOX 2530 POULSBO WA 98370-0965 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 11 PARCEL NUMBER: 950100409 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330 1308 ALEXANDER AVE E FIFE WA 98424 Contractor's License REALIHI984CN Expires 2/15/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,767 VALUATION 158,376.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BRIDGEHVN PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: / y f-- F&W Landslide / q/ fie Shoreline Aquifer f ( 1 Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A P PR d/ V EID Permit $1,324.15 KAS 07/07/04 66471 Plan Check $860.70 KAS 07/07/04 66471 SEP - 9 2004 State Building Code $4.50 KAS 07/07/04 66471 Jefferson County Planning Potable Water Application $52.00 KAS 07/07/04 66471 & Building Department Total: $2,241.35 -,t,-(`-csacexicsit • BUILDI NG PERMIT Jefferson County Department of Community Development' 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00460 Received Date 07/7/2004 SITE ADDRESS: 1372 THORNDYKE RD Issue Date 09/9/2004 PORT LUDLOW, 98365 APPLICANT: PAUL LE MAY PHONE: (360) 626-2104 (1 LAURIE LE MAY PO BOX 2530 POULSBO WA 98370-0965 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 11+ PARCEL NUMBER: 950100409 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330 1308 ALEXANDER AVE E FIFE WA 98424 Contractor's License: REALIH1984CN Expires: 02/15/2006 PROJECT DESCRIPTION: NEW SFR REQUIRED INSPECTIONS: KQ SETBACKS: Dk /1�I77,1, " (V] UFFER: A/I A E- -51N] Footing: O/( /Z/7/f # y/ II.] Foundation: ()K w/P.AdeborS 101/t :J, [4 Stormwater FINAL Approval: Underground Plumbing: Underground Insulation. Shear Wall : Ok IA 05 /urfriw. GW8 51,121-60,p,Jsss/ s ak Woltz -I' Framing: 44' 74 os// �,y ' 4 Plumbing: 4 /d Z401,- if S 1 •Ok [ ] Propane Tank/ 7s: t Z � f'h &_Z --z IA Insulation: IX AAditiph 3 3o as I' ` Sheetrock: as,ff,c- 0.. Septic Sytem Final pproval: Road Approach Final Approval: [ ] Zoning Final Approval: 'f Final/Occupancy Approval: a< -4ial- 46 Y27--A5 ,, 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 r SPECIAL CONDITIONS FOR CASE # BLD04-00460 • 1.) 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. 2.) 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. 3.) 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. 4.) MANDATORY MEASURES OF HIGH 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. w 410 5.) MANDATORY MEASURES FOR HIGH RISK 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 requirements: a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106 for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a groundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Thorndyke Rd right-of-way is 20 ft. Minimum setback from Seattle Dr right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. 11.) 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. 12.) A stormwater plan for a medium project 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. 13.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 I . , SON co • Jefferson Co. It of Community Development 621 Sheri Street,Port Townsend WA 88368(360)318-4450 o Perm 'll-4-. -• '`'''''',..* Apt [Icat ..„., , HINO J Building Type: t Project Type: Frame Type: ri. Single Family `� New . Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular 0 Alteration/Remodel ❑ Concrete O Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial O Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: XI Sewer ❑ Community System 14 Electricity ❑ Oil Proposed: �./ Proposed: 3 jSr Individual System ❑ Woodstove 0' Propane Total: ;), Total: 3 If not sewer,fill out the following: ❑ Heat Pump g Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well Public:Name of water system: Square Footage: (Ace Use For Office Use Only Main Floor 1-1 lcl 1%$37� Consistency Review 4 8.0d 2ND Floor Base fee I'324. 15- 3rd Floor _ Plan Check fee O -10 Htd Basement State Surcharge fee 4•S0 Unhtd Basement Subtotal 22 31• 35 Garage/Carport Pot Water Review fee 8 S. 00 Decks _ 911/Rd Approach fee Qi a o4—t7-�Q 1 Commercial — TOTAL 4 l23.22 3 22�-/ • 3 S' —Industrial Receipt# 6b Other Cash/Check# nbgG I Initials Pie Date 1(-t( " Estimated Cost: s If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark hN 1 ,, ft.Bank Height n1 I '' 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. Signature: Date: OVER ► G:\PermitCenter\FORMS\BLDG FORMS\BLDPernut Application.doc 01/08/2004