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Home My WebLink AboutBLD2004-00534 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00534 Received Date 08/18/2004 SITE ADDRESS: 365 CAMBER DR Issue Date 09/29/2004 PORT LUDLOW, 98365 APPLICANT: TIMOTHY W JOHNSON PHONE: 360-437-9551 365 CAMBER LANE PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 3 Block: Lot: 18 PARCEL NUMBER: 969700018 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License: WHITEJG159DN Expires: 03/15/2005 PROJECT DESCRIPTION: FAMILY ROOM ADDITION REQUIRED INSPECTIONS: SETBACKS: /6/i7or 20 [- UFFER: /l/A Footing: O4 /d/27��y ] Foundation: ,OR /0,7/ed/fr ] Stormwater FINAL Approval: D/< 611 [ ] Underground Plumbing: /A Underground Insul tion: )J� [ ] Shear Wall : /v/L) [ Framing: OK Gy`, 1* 1 1 Plumbing: NVA [ ] Propane Tank/ Line : A) 1k Insulation: 4e / 4 eV ', ( ] Sheetrock: 7 /z/z 0/ CN _ [ ] Septic Sytem Final Approval: [ 1 Road Approach Final Approval: C—xr-l-,r,S [ ] Zoning Final Approval: ["1. Final/Occupancy Approval: r irirutl 2/3/Os 01/ 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 C• # BLD04-00534 • 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.) 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 Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4.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. 3.) 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. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) 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. 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 camber•Drive right-of-way shall be 20 feet. Minimulear and side yard setback shall be 5 feet. 12.) 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. 13.) 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 10/29/1999 Ill UILDING PERMIT APPLICASN MLLA04+00p500 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00534 Received Date: 8/18/2004 SITE ADDRESS: 365 CAMBER DR PORT LUDLOW, 98365 OWNER: TIMOTHY W JOHNSON PHONE: 360-437-9551 365 CAMBER LANE PORT LUDLOW WA 98365 SUBDIVISION: LUDLOW POINT VILLAGE DIV 3 Block: Lot: 18 PARCEL NUMBER: 969700018 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License WHITEJG159DN Expires 3/15/2005 REPRESENTATIVE: WHITEY JOHNSON PHONE 360= 5g=00®$ PO BOX 1110 SUQUAMISH WA 98392 PROJECT DESCRIPTIOI FAMILY ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 302 VALUATION 19,698.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: B43 F&W LAe quif r Shoreline A uifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Ai/QatN, r, Permit $321.25 ZAN 08/18/04 67474 Plan Check $208.81 ZAN 08/18/04 67474 SEP 29 2Cu4 State Building Code $4.50 ZAN 08/18/04 67474 Total: $534.56 Jefferson County Planning &Building Department etc‘jicett 7.----v.,-.DIT cod JEFFERSO OUNTY ....)—____.__-___...___ .__ 1441_, DEPARTMENT OF COMMUNITY DEVELOPMENTr)1 ��' - 621 Sheridan Street • Port Townsend •Washington 98368 ! I �~ I 360/379-4450w • 360/379-4451 Fax AUG 8 i qs Gip ww .co.jefferson.wa.us/commdevelopment ! 2�u it J' '•4 UN LL, , Master Permit Application ,,; .OF ;M nafrt,t TII Project Description(include separate sheets as necessary): I-/-rh/!I L' t�. ' .:2c?rtl p /CS:,:I S 1 ) Tax Parcel Property Number: 1 U-i 7.-2:'- '- /8' Size: (acres/square feet) Site Address and/or Directions to Property: 36 fz- 1 L.&' l-ot;. ;- L.tu rrt',c -1fir., Lb4 e-i024, Property Owner(s)of Record: " 4,;4- w t o .,, 2,il,- Telephone: 't'-j-t1 ( Fax email: Mailing Address: Applicant/Agent(if different from owner): (.00(-{-tom' 0,.. ,-, ,,) Telephone:-2,6 o -Het e1 (foe Fax ‘x a,J Y email: Mailing Address: GC)i,i t i i 0 t.t_L?t.{f`-e 4 r 1.1-f-, t.(_)k Gi 0?c77_. What kind of Permit?(Check each box that applies) ❑ Building ❑Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit 0 Conditional Use[C(a),C(d),or C]** /Single Family 0 Discretionary"D"or Unnamed Use Classification El Garage Attached/Detached ri Special Use(Essential Public Facilities)** 0 Manufactured Home O Boundary Line Adjustment 0 Modular ❑ Short Plat** LI Commercial* ❑ Binding Site Plan** t 1 Change of Use 0 Long Plat** ❑Address [1 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑Plat Vacation/Alteration** u Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use 0 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 design to " J±+i .-r' :.. �--,;; ;1,_,v a to act as my r�vlJ7'�. agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 8 I !Zw By signing this application form,tl e o r/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 accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to ' access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review any requ er inspe ' Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: AA-, Date: �1/ al u cl- The action or actions Applicant wi 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 in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- ble r ibi' adhering to and complying with the ESA. The Applicant has read this disc imer nd signs and dates it below. Signature: ?�-t9� 81 c- 17-c _ . Date: G:\PemutCenter\FORMS\DRD RMS\Master Permit Application 7-8-04.doc I IIIOWNER BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that are not icensed contractors-and-that they will be assuming the responsibility of the General Contractor for the proposed project I D (� P Signature: Date: L� - L . v L ',----_- ---------.-,!flfl. 1 7 GENERAL CONTRACTOR OR MANUFACTURED HOME 1NSTAt LER: PHONE: .. l,'i FAAUG i 8 2001 � L i'�� ( rt i;l) � —ov 4L (�;r,v) 7 7 9''- LjS Q)T.1.9. .56 MAILING ADDRFSS: VU l4 i_ \ Cr- ) /x (S11 DO EMAIL: Jo t r i:-i`h,,N C;.U i Y i Y CONTRACTOR'S LICENSE i C) PT, Of C•CP,`, �u v� ii 1' Y bF C1PMFr i WAINS -- .- NUMBER: t.tDi_ I Tt=J cc- I b I-) NUMBER ARCHITECT/ENGINEER: 49- P- v,X 1 , 1 d PHONE ( ) FAX: ( ) MAILING ADDRESS: ;ckCvc-t K) (/ �3 37. EMAIL Project Type: Frame Type: Bathrooms: Shoreline: T ❑ New �' WoodExisting: - , SPewer Sewage Disposal: id Addition ❑ Steel Proposed: Bank 0 Community System 0 Alteration/Remodel 0 Concrete Total: v Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Bedrooms:Demolition 0 Other: Water Supply: I Existing: 7, Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: Cam]-'Public Total: /- 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 ❑ Above ground Tank Size of Propane Tank: [7 Heat Stove ❑ Cook Stove L I Woodstove ❑ Fireplace Insert Cl Hot Water Tank ❑ Pellet Stove 0 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 Foe se r'' -} = 7 t ors :i Current Proposed ` fir: `,a ,.. ' '' e �a' t Main Floor F h # ` 2 Floor 31°Floor s Additional Section: Mezzanine: Check s Heated Basement ; � '' • x Unheated Basement r t -ru s W' Other Unheated '✓ xdn ; ._. S S A w..'. c .', °$,- ._ id s.. ; V Garage/Carport Decks • , ^'kN, y 11 pih t '4 -.7. ...„ :. ,.:,; Other t . .,:. ,::...: ii.. ,r.]{ om' ! y 7 -.� { . .,...,::.-.;1..:::',..,..:,: ESTIMATED COST(REQUIRED) ,. "' giv , Y ,� *Fair market value of all labor and materials foundation to finish ri T .w. 7 G:\Pen iteenter\FORMS\DRD FORMS\Master Peanit Application 7-8-04.doc