HomeMy WebLinkAboutBLD2004-00510 0 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-0051 0 Received Date 08/3/2004
SITE ADDRESS: 385 S BAY LN Issue Date 08/30/2004
PORT LUDLOW, 98365
APPLICANT: DELOS W DUNN PHONE: (360) 437-0377
JUDI A DUNN
385 S BAY LN
PORT LUDLOW WA 98365-8785
SUBDIVISION: LUDLOW POINT TRACTS Block: Lot: 6
PARCEL NUMBER: 969300004 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: WATERFRONT CONSTRUCTION CO INC PHONE: (206) 548-9800
205 NORTHLAKE WAY#230 NE
SEATTLE WA 98105
(206) 548-1022
Contractor's License: WATERI*225L1 Expires: 11/13/2004
PROJECT DESCRIPTION: RAMP AND FLOAT- NEW
REQUIRED INSPECTIONS:
SETBACKS: OK 11404 fiti
[ ] UFFER:
Footing: OK/ap/jd4I Pee ` i-ie( <Rail AkUJ
[ ] Foundation:
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
Framing: ok nfr%ft
I 1 Plumbing:
[ ] Propane Tank/ Lines:
[ ] Insulation:
I 1 Sheetrock:
[ ] Septic Sytem Final Approval:
I 1 Road Approach Final Approval:
btiZoning Final Approval:
Final/Occupancy Approval: 44' 4 sr w^.( I i/t6/c�
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 # BLD04-00510
1.) 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.
2.) Boats that are occupied shall not be permitted to moor at the facility longer than (3) days
unless pump-out facilities are available in the immediate vicinity.
3.) The design, location, and construction of the dock facility as well as its subsequent use
shall avoid adverse effects on fish, shellfish, wildlife, marine vegetation, water quality, and
geohydraulic processes. Construction methods shall minimize the use of materials
hazardous to the environment.
4.) All lumber and other materials treated with preservative shall be sufficiently cured to
minimize leaching into the water or shore bed, in accordance with the Best Management
Practices approved by the Washington Department of Fisheries and Wildlife. The use of
other suitable materials, such as steel or high strength plastic is encouraged.
5.) The facility shall be designed and constructed to minimize hazards to users and to be
capable of withstanding the historic extremes of wind, wave, and tides at their location.
6.) Railings, if provided, shall be of clear or open framework design and conform to the
Uniform Building Code where required.
7.) Utility service on the facility shall be placed on or under the deck. Overhead utility service
is prohibited.
8.) Lighting shall be shielded to prevent unnecessary glare off-site and to minimize hazards to
navigation
9.) The structure shall be marked as necessary to avoid hazardous conditions for water
surface users as specified by the U.S. Coast Guard.
10.) The total length of the structure shall not exceed 115-feet in length from the Ordinary High
Water Mark.
11.) The float/pier structure shall not extend more than three feet in height above the water nor
exceed eight feet in width.
12.) Total individual float area shall not exceed 160 square feet in size.
13.) Prior to issuance of the Jefferson County Building Permit, the applicant will be required to
submit a small parcel Drainage and Erosion Control Plan as required by the Jefferson
County UDC and described in UDC 3.6.10.f. Once the subject permit has been issued,
the applicant shall fully implement the provisions of the submitted Drainage and Erosion
Control Plan.
14.) The applicant shall adhere to the submitted re-vegetation plan as submitted in the
Biological Evaluation. The Plan indicates native plant species to be used for the purpose
of shore bank retention. The applicant shall submit timeline for installing the proposed
plantings.
15.) Proper disposal of construction debris must be on land in such a manner that debris
cannot enter the water body or cause water quality degradation of state waters.
16.) In order to minimize visual impact, the stairway shall be constructed to harmonize with the
local shoreline environment to the maximum extent practicable.
17.) Construction shall be in substantial compliance with the site plans submitted to Jefferson
County during the permit process as they exist now or are hereafter amended by
Jefferson County and/or the Washington State Department of Ecology.
18.) No fill or other material may be placed in the waters or intertidal areas of Jefferson
County.
19.) Work within the jurisdiction of the Shoreline Program other than as described above shall
receive separate review from this office.
20.) Substantial progress towards completion of the project shall be performed within two
years of the issuance of the permit.
21.) Prior to construction, the proponent shall contact the Jefferson County Department of
Community Development at(360) 379-4450 with estimated project timelines for
monitoring and plan compliance.
22.) Prior to the onset of construction, the applicant shall provide the Department of
Community Development with the name and address of the contractor carrying out the
project.
23.) The applicant shall comply wihe provisions of Hydraulic Project Approvasued on
February 18, 2004 under Log Number ST-F7591-02. The permit expires on February 14,
2005.
24.) Prior to commencing development activity, the proponent is responsible for obtaining a US
Army Corps of Engineers Permit.
25.) A joint use agreement defined by a mutually accepted and legally enforceable joint use
agreement that shall address, at minimum the following:
a. Apportionment of construction and maintenance expenses,
b. Easements and liability agreements, and
c. Use restrictions.
26.) The applicant shall obtain a Water Quality Certificate from the Washington State
Department of Ecology.
27.) The shoreline proposal was reviewed under the State Environmental Policy Act(SEPA) by
Jefferson County acting as lead agency. A Final Determination of Non-Significance (DNS)
was issued on February 10, 2003.
28.) The site plan as submitted with the shoreline application on 5/13/03 and with the building
permit application on August 3, 2004 has been reviewed for consistency under the UDC,
and has been approved on August 16, 2004 by Jefferson County Department of
Community Development. Any modifications, changes, and/or additions to the stamped,
approved site plan shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
29.) The applicant shall adhere to all of the conditions set forth through the Hearing Examiner's
Decision dated 3/16/04.
I:\F_BLD_Permit_Buildng.rpt 1 0/29/1 999
0 BUILDING PERMIT APPLIC 'ION MLA04-00477
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00510 Received Date: 8/3/2004
SITE ADDRESS: 385 S BAY LN
PORT LUDLOW, 98365
OWNER: DELOS W DUNN PHONE: (360)437-0377
JUDI A DUNN
385 S BAY LN
PORT LUDLOW WA 98365-8785
SUBDIVISION: LUDLOW POINT TRACTS Block: Lot: 6
PARCEL NUMBER: 969300004 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: WATERFRONT CONSTRUCTION CO INC PHONE: (206) 548-9800
205 NORTHLAKE WAY#230 NE
SEATTLE WA 98105 gg
Contractor's License WATERI*225L1 Expires (1061 355/ 002 22
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP RAMP AND FLOAT - NEW
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 61,874.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 820
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: J /oi
F&W Landslide
&•
L,t Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $727.75 KAS 08/03/04 66636 APPROVE:
Plan Check $473.04 KAS 08/03/04 66636
State Building Code $4.50 KAS 08/03/04 66636 AUG 3 0 2004
Total: $1,205.29 Jefferson County Pfan,l.r,
& Building Depart' I
1
�� SON 6� 411)3 ;i '�,
,.3 DEPARTMENT OF COMMUNITY DEVELOPMENT I I`, ' i
`4 621 Sheridan Street • Port Townsend •Washington 98368 LI1 AUG — 3 2001 .• ,,f
360/379-4450 • 360/379-4451 Fax
�qS, 0 www.co.jefferson.wa.us/commdevelopment
$ING
Master Permit Application Lpj. OFCUh°Mtjrttlr bEVELOPMEt;'_.
MLA: C —A rn
Project Description(include separate sheets as necessary):
-):;irTr vc� ;er , ki h Cr; P C�-q S�� 3 -� (�QS
Tax Parcel /}to(i 3 ,0 oo`l cii G Property _ / _ (QC-
Number: `1 y/`� 1/ -1 1 lU J � Size: a 7 J /
` q � I (acres/square feet)
Site Address and/or Directions to Property: 3g5 j5 h „Y Line poi, Lva 'V'.-d_->
Property Owner(s)of Record: De1c� " ,s Qa, �� �V
Telephone:3)00-e{37-03-1-1 Fax: 3i0-- 3 i •0a;lel email: de\ Ccl,\'') ieCeek•C '\
Mailing Address: - 1(1\e
Applicant/Agent(if different from owner): CV et
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ❑Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
CIModular0 Short lat,,
CI Commercial* ❑ Binding Site Plan**
0 Change of Use ❑ Long Plat**
❑Address [I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Propane ❑ Plat Vacation/Alteration**
0 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).
OWNER 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 attomey's fees and
expenses which may in any way accn gai t Jefferson County as a result of or in consequence of the granting of this permit
I further agree to provi r ss and rig a to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an wired er iv( s.Access arid right of try to this pperty shall be requested and shall occur only during regular business
hours. ._
Signature: ?_ .
Date: C f
I.r
The action or acti Applicant will 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_"E&A Jeffe on County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been iss 11 not violate e SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)eve - you are i wittrthr=:iefferson County development code.The Applicant acknowledges that he,she or it holds individual
and no ansferabte r I '' or adherin tg'and omolying with the FAA. The Applicant has read this disclaimer and signs and dates it below.
Sig tore' � t-2
to /
Le(--/— Date:
G:\PermitCenter RMS\D • RMS\Master Permit Application -8-04.doc
OWNER BUILDER STATEMENT r r P \,w7 'P
The signer of this statement does hereby certify tha. ey are the Owners of the parcel referenced herein,that t1L/, (enat`tf*ensed tontractors'and
they will be assuming the responsibility of the General Contractor for the proposed project. i i I i j
Signature: hi Pc Date: i AUG " 3 2Od ' L.`1
GENERAL CONTRACTOROR MANUFACTURED HOME INSTALLER: PHONE: ° JfAX''. vN [LLU l %pp t�� i
1\ U\-��cgvv CQ `T'�V�l-DA (M),9)548-(iSIC6 . OFg(G �v)I '1 EIV' L_
,
MAILING ADDRESS: 2,Qs IN e mkr*h tG,14e, 'Ny 4;2)Q S A-k It EMAIL: ckecif\( )ci\_e( T QQc 1�(LX.ii v). (4 fl
CONTRACTOR'S LICENSE \ e'�1t�; WAINS
NUMBER: YV R - \ E-R ,— 2 L� NUMBER
ARCHITECT/ENGINEER: P.�C,,f ` PHONE (Z ')g�Z e)--3 1� FAX:(zoo 0-gg 4
MAILING ADDRESS: 150-1 t0►^k e'66\ TNeik66,cn bAjsc_ qS ,10 EMAIL r Gi\D:AGI,Z @ yr sfl.0 0c\
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ❑ Wood Existing: ❑ Sewer il in
EP Addition ❑ Steel Proposed: Bank ❑ Community System
0 Alteration/Remodel Concrete Total: Height: ❑ Individual System
0 Repair 0 Masonry SEP Permit#
❑ Demolition lY Other: Bedrooms: Water Supply:
CnlvM;CNt>lY1 Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
iTotal: Name of System:
'� Yes
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:
1] Underground Tank LI Above ground Tank Size of Propane Tank:
I 1 Heat Stove [I Cook Stove 1 1 Woodstove [I Fireplace Insert 1 1 Hot Water Tank I] Pellet Stove I.l 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 For Office Use Only
Current Proposed Amount
Main Floor Consistency Review: /1 2
2Nu Floor Base fee: �[ �5
3rd Floor Additional Section:
Mezzanine: Plan Check fee: 1 3 "per{'
Heated Basement State Surcharge fee: - -.1
Unheated Basement Pot Water Review fee: =_•'
Other Unheated 911/Rd Approach fee: ,
Garage/Carport TOTAL $ i
Decks Receipt Number: 3
Other h. Cash/Check Number:
ei, (ctlm , -E g2-0 1%(50
ESTIMATED COST(REQUIRED) Date: 0/C
�
•Fair ma nd materials foundation to finish (� J---
(Q , I g.-7 Initials:
G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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