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HomeMy WebLinkAboutBLD2004-00544 � MLA04-00513 illiUILDING PERMIT APPLICATrflN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00544 Received Date: 8/27/2004 SITE ADDRESS: 4.( JEFFERSON AVE PORT LUDLOW, 98365 OWNER: JOHN N MIILA CLAIRE MITCHELL `�TCHELL � `r2 c `� PHONE: (360)437-9847 PR704 0L DGE DR �t p`4"L�'1 y NJ� LUDLOW WA 98365-9555 SUBDIVISION: OLYMPUS BEACH Block: Lot: 107+ PARCEL NUMBER: 978900104 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE W/BREEZEWAY-ALSO DECK(S) ALSO 500 GAL UG PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,677 VALUATION 280,009.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,560 SHORELINE: CONST TYPE: DECK: 140 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: . BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date /20 /0 F&W Landslide /LJ ` Shoreline Aquifer { Forest: Commercial Rural u al Type Amount Paid By: Date: Receipt: �^�p�e�(pate, Permit $2,007.35 KAS 08/27/04 67493 r'�.JJ ((O VV Plan Check $1,304.78 KAS 08/27/04 67493 State Building Code $4.50 KAS 08/27/04 67493 SEP 2 8 2004 Potable Water Application $52.00 KAS 08/27/04 67493 Jefferson County Planning Total: $3,368.63 & Building Department n _ ,,,,Nii $ON L, • Jefferson Community mmunit �w�" °6. 121 Sheridan Street,Poll Towseed WA 113 11 P©rmo? 450 pii004act000n . NO ! Project Description: 1 .. Building Type: Project Type: _...__ Frame Type: ig Single Family $ New IK Wood Ea Garage Attached/D..tad...d ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • ❑ Commercial ❑ Repair ❑ Masonry 1 ❑ Multi-farnily/#of Units ❑ Demolition (X Other. 1'T 4 BE-Pori% ❑ Industrial i ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: . Choose one: Existing Existing. ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: ffil? Proposed: >Individual System ❑ Woodstove JPropane Total: Total: If not sewer,fill out the following: ❑ Heat Pump P ❑ Conventional ❑ Alternative ii.Other l-4e tt'.vr e- Pemut# SEP Cc -ce 74 ►)4 -L,. -c,c _• Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: ?�j For Office Use Only �[ Main Floor c �' 7 aJ (i 9� 1�p.5 i Consistency Review i 2 2ND Floor Base fee O? &o il , 3rd Floor Plan Check fee-65% 1 301. ..1. Htd Basement /, I State Surcharge fee '9% 0 Unhtd Basement 0 Subtotal 3 ', CA , o3 Garage/pert �1 _,, ,- 3lpt 16P1 3ot Water Review fee (J 5 Is Decks i 4 0 3 96151• 1/Rd Approach fee pet 4 Commercial p�+� (aCk •TAL 3 Et '3.�3 Industrial p�,1) !t . Receipt# Other �— Cash/Check# Total Valuation: Initials Or Date % 0 Estimated Cost: i 9,.C`‘ CC•C If within 200' of the Shoreline, 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 access and right ofeatry to Jefferso County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry e ap litany ors to hall be requested and shall occur during regular business hours. Signatur Date: / J H:HOME\PL NTR\IN FOBLDG\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 #: BLD04-00544 Received Date 08/27/2004 SITE ADDRESS: 400 JEFFERSON AVE Issue Date 09/28/2004 PORT LUDLOW, 98365 APPLICANT: JOHN N MITCHELL PHONE: (360)437-9847 PRISCILLA CLAIRE MITCHELL 704 OLYMPIC RIDGE DR PORT LUDLOW WA 98365-9555 SUBDIVISION: OLYMPUS BEACH Block: Lot: 107+ PARCEL NUMBER: 978900104 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE W/BREEZEWAY- ALSO DECK(S) ALSO 500 GAL UG PROPANE TANK REQUIRED INSPECTIONS: j SETBACKS: _11/S__L4 �{ O -.,___ [( UFFER: eV< /a/y/ev c] Footing: IV /ely/cl -• ,r N Foundation: 4/lay Lcc7e gt.C- La-/f,-p* f-Lis[s Uie /14'0/A 4 Stormwater FINAL Approval: ele. I zY 4' rc, Underground Plumbing: /l) A. N] Underground Insulation: /0 A '[ Shear Wall : eeX 4,/'/? 05 pe )4 Framing: DK 03/S .,= ,,d fitt Plumbing: dk 4- i iz 4//g/a5 #YDk'-vit'- Iris et- 5 05#, PitR � (� // / > fisfr-s #xs/ Propane Tank/Line?: !-� t�"'blA.'K i 0 f �7vE ,t'/X iz/s3/G ft poo Insulation: Dg. 413/5 31 $. Sheetrock: Ok .0/..As: _ • Septic Sytem Final Approval: Road Approach Final Approval: [ ] Zoning Final Approval: /�/ Irlt Final/Occupancy Approval: (7k -cer- 4'/0 in////0.4 ram" FA-re-fee-5x'1 ( ) .5k-C4(Ref-v a'rv`"k -D- Pb--enrr 1,l1c.c_ de.= e=C1'PPD p ' D/ ,1, /.p»-, 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 COE II BLD04-00544 • 1.) PRIOR TO THE FINAL INSPECTION FOR THIS BUILDING PERMIT CONTACT TERRY DUFF AT 360-385-9159 FOR A FINAL INSPECTION OF THE ROAD APPROACH PERMIT. 2.) 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 of the Landslide Hazard Area. 3.) 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. 4.) 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." 5.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 6.) 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. 7.) 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. 8.) 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. 9.) 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. 10.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. • 12.) The building height is not to•eed 35 feet. 13.) The setback from the property line adjacent to Jefferson Avenue shall be at least 20 feet. The setback from the property line adjacent to Oak Bay Road shall be at least 20 feet. The side setback from the property line shall be at least 5 feet. 14.) 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