HomeMy WebLinkAboutBLD2004-005641 •UJLDING PERMIT APPLICAtON MLA04-00527
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD04-00564 Received Date: 9/7/2004
SITE ADDRESS: 141 CONDON LN
PORT LUDLOW, 98365
OWNER: W D HOLLOWAY PHONE: (260) 489-5294
LISA K HOLLOWAY
1310 WOODLAND CROSSING
FORT WAYNE IN 46825-7241
SUBDIVISION: PORT LUDLOW#1 AREA 2 Block: Lot: 30
PARCEL NUMBER: 990400230 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325 pp
Contractor's License PARADBD141KW Expires 363/29/200545
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt NEW DECK ADDITION COVERING EXISTING DECK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT
VALUATION 45,000.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 230
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 3 Wetland Erosion
Prop: Prop: Seismic Streams
Total: 2 Total: 3 Flood Way Floodplain
Routing Date: F&W Landslide
S/8/161. Shoreline Aquifer
Forest: Commercial Rural
I Type Amount Paid By: Date: Receipt: A r PR d/ E
Permit $593.25 KAS 09/07/04 67613
Plan Check $385.61 KAS 09/07/04 67613 OCT 1 4 2004
State Building Code $4.50 KAS 09/07/04 67613
Jefferson County Planning
Total: $983.36 & Building Department
•
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT #: BLD04-00564
SITE ADDRESS: 141 CONDON LN Issue Date: 10/14/2004
PORT LUDLOW, 98365 Final Date: 7/2/2012
APPLICANT: W D HOLLOWAY PHONE: (260) 489-5294
LISA K HOLLOWAY
3735 CHEROKEE DR S
SALEM OR 97302-9712
SUBDIVISION: PORT LUDLOW#1 AREA 2 Block: Lot: 30
PARCEL NUMBER: 990400230 Section: 9 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: REMODEL EXISTING RESIDENCE - NO CHANGE IN FOOTPRINT & NEW
DECK ADDITION COVERING EXISTING DECK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes Mg,.
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/2/2012
\\tidemark\data\forms\F_BLD_Occupancy.rpt 7/30/2012
•
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00564 Received Date 09/7/2004
SITE ADDRESS: 141 CONDON LN Issue Date 10/14/2004
PORT LUDLOW, 98365
APPLICANT: W D HOLLOWAY PHONE: (2C0) 180 6201
LLIIISA ODLLLOWAY 3135 Cf{ s,K,E.. w2 J°3 - 5e(..• 47G,4a
FOR SAL‘-"I A- O & 9 1 30
SUBDIVISION: PORT LUDLOW#1 AREA 2 Block: Lot: 30
PARCEL NUMBER: 990400230 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
(360) 437-7845
Contractor's License: PARADBD141KW Expires: 03/29/2005
PROJECT DESCRIPTION: NEW DECK ADDITION COVERING EXISTING DECK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ,Cx/s: i
Footing: �D5-r F-6o7,41G S OK /940/y 6'4//eo ld'EionS /4ja4/;OK, ft/ /v
f earrdat
Stormwater FINAL Approval:
CirelowounelPittnii,44+‘
Framing: A'//dtO<ttok $/ #
Plumbing: ,0( /�p/Dzf /r
Insulation: 4e 2. /g es e "
Sheetrock: ) I 1� j A
Septic Sytem Final A proval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: ,
Final/Occupancy Approval:. -1I r z, 1&- ccrie'd
kl
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 CA5E # BLD04-00564
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 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 landslide hazard area 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.) 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.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
10.) 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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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).
13.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Minimum setback from Condon Lane right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet. If and ESA is present, then the more stricter setback
shall apply.
16.) 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.
17.) 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.
18.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
-�-D 48"HT GONG
•`�� V PLATFOKM
OCT 18 20J4 EXIST Tc
JEFFERSON COUNTY DCD ASS—— A IN
IS
�DEGK ABOVE
FIREPLACE
FOUND
I ,
I
I
I
I
I
STORACCEi
— _EXIST
09-16-04/\ —
36
724" SQ X 10" DP 36" SQ X 10" DP FTG U/c
FTG U/(3)"4 EU <U/(4) *'4 EU
— — I \L —
1
`- k NEU 4X6POST N
IN U —
ALL ALIGN ,NE
W/ POST ABOVE-- A\
UNEXCAVATED
EXIST 4}
VoikerZ/t/d c4VT/
..._._ NOTE: 8A,S
sCAG • het" _ 14 0° EXCEPT FC
to f ri /0.1. NEEDED Tc
FROM A5C
WALLS NO1
• OWNER BUILDER STATEMENT ir= k.� (fir r��"
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,tl?t i41,-,:::eyare not licensed contractorsa that
they will be assuming the responsibility of the General Contractor for the proposed project. II
1
Signature: Date: `!E 4`
. ! ..
L.
I
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: t
` PHONE: l L I FFAx. - t.(,,.).''.-IV.
pa i-t4)(-E y 0E` 6,.) Ca\IS't roc-pc: .\ (it, ) i rp OF CO - iE 17 �c,(r
MAILING ADDRESS: P p pjx fj 4Cj'G hF-1 N?A 0I~r1�w i(�j a s' EMAIL:
CONTRACTOR'S LICENSE 7 WAINS
NUMBER: 12Ap, 5P13 I41 14-
NUMBER
ARCHITECT/ENGINEER: MA - R.. ¶ECI S PHONE (3(o p)54 4-3 -F. x:(3 6 b)344-3t o MAILING ADDRESS: 211 0 WA5 +NG(i71/1 SI kjtj'I ST41) q d3 EMAIL �'y ,r @ c- b(c..Gf r,( , 40
Project Type: Frame Type: Bathrooms: (/ Shoreline: T
❑ New Wood Existing: ' ype of Sewage Disposal:
Sewer
❑ Addition
0 Steel Proposed: a Bank Or Community System
QARepair
llteon/Remodel 0 Concrete Total: 3 Height: Individual System
LJ pa t 0 Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Su I
Existing: 2 Setback: pp y
Type of Heat: Proposed: p 0 Private well ❑ Two Party
Total: 2 Public
Name of System: OLYM('>l
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:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove [I 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.
ISquare Footage For Office Usd'Only I
Current Proposed Amount
Main Floor Consistency Review:
1 X -Dtir
I,7 l
2"u Floor
Co 76 Base fee: ilt
3`"Floor Additional Section: 51
Mezzanine:
Plan Check fee: ` b'1
Heated Basement .
B 8
•
State Surcharge fee:
Unheated Basement
4 Pot Water Review fee:
Other Unheated
,. 911/Rd Approach fee:
Garage/Carport 40 V-'*u-,3" ^,-��{_��;� �(l�j (1
U l aG oc0' • TOTAL: $ Q .Decks 1
Other . 23q/ i -4 Receipt Number: /- � r_I i. 1
}
1 l!1 ((J 19 ,
+. Cash/Check Number. q/_
ESTI D COST(R UIRED) per,
..F - market value of all labor d materials foun..-I I. finish Date '7/0 TT_ .,
_$ 45 oO J 4 • n(41 Initials C>Z6z ,
G: '[Center\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
(--,.
ON c06. JEFFERSON•UNTY _ Ill_
, IA "DEPARTMENT OF COMMUNITY,pEvELOP IAEN7 " 1
` `� 621 Sheridan Street • Port Townsend Washington 98368-. I 1 ,
360/379-4450 • 360/379-4451 ,ax . 1
Lqo, O' www.cojefferson.wa.us/commOevelopment •
Master Permit Application -- - i,-, 1�lY MLA: Q� — �
Project Description(include separate sheets as necessary) YC:LPT;Or '::_, 0EVLOrMEi i '.
'DOIT100S -i 17Of,JS ..x.lsnr - 'as)tx.lcc_..-
Tax Parcel Property
Number: 99c 400 23o Size: O,349 Pc_R_cS (acres/square feet)
Site Address and/or Directions to Property: 14( CONfrtJ l-/,,ro o� - ?oFe)/ fb{L-r Luot-o v/,G G 133G5
Property Owner(s)of Record: DAB.'i D - Li so. (-bt_i_o,44.$
Telephone: 26,0-4 -G294 Fax: email: harrgiiraiiS 1..4t4`'AOL.cor✓t
Mailing Address: \. 10 WO'0L,eis.1O c(eo (r-IC / f rzr vvx r4E, IQ DiA.Nlft 4G8 �
Applicant/Agent(if different from owner): ES I Lt.- 1 2vserrJ
Telephone: A S7- 93 44 Fax: 4 37-7845" email:
Mailing Address: Po. I3X 54 G/-{(M Acow1/ Wh/d 15325
What kind of Permit?(Check each box that applies)
ll'Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
o'Single Family ❑ Discretionary"D"or Unnamed Use Classification
LI Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
[I Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane El Plat Vacation/Alteration**
❑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 ❑ 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 3 r LA TRW t t" to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date: < /ZD t D I'
By signing this application form,the owner/agnt 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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requir d later inspecti ns.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: \ Date: g D-v/O
The action or actions 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"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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans fera th fesponsi 'Iffyfor dhering to and complying with the ESA. The Applicant has read this dis lai er an signs and dates it below.
Signature: Date: IC)--V b
G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
.... ____- ,_ y1
r i-:-- p
r,
i C-.
c/L CONDON LA
A.
m o -� - - J O
N 5°5`�" E ---__.
o 80.48^
�,77 CA I I dt
I
r
r Ci r r I
C7 CA) —a r LA
N O 62 r r l f
11 m4 I - - r I
•
•
..,_. \ .
,....,
___._ .. ,.t... 1011.3 _,,,........_____,-
a, I -Y ' ��►
--1
o I �` - - -1
,p 'iL' ji / 1`
O \ \ 1 I 1
co
t\ 0:1$1V
'Tim
cri
„LL-EFT,...+- '; �, 1 H N
( 0.4i .‹.•
0
c. `IH
<�< n ` Sn
TI co
GJ Corn ` . Xm m i�
� < XrC 5 co
\, I O - > I O
R —I - S20
m n sv o � of a cn N r. •
__ _
CO
Hmb1! U1rWfl
gfi I I m
1 > FE,
Fri
IIIIIIIIM
iii
�,m iv Im • cad
z
,, I. „„ , , , ,„ ,„
��. UTILITY c, ' '' -i":91"I o b
2 J
Og6,,qgA EoX .
EASEMENT o r.�
.:.
IV CD
O O illiii!.1
rr � �� � m � , ill
_-{
tll
f pb N ' o
),
\ ,.„..,
01/ Siql 8V1 q f I z }tsi
$ ,, TOP OF BANK — I,/
� S I
$ 0.32 -
0.4 1111 g i!ii 1
.=_. 19 4 :
91; i 'i 9ea 1
M 1 ;11
.; I li 01
i 0 tfl 11 li ig v ligi . 4
1V I ;hi 1 !1; . Aclice ; Tr. r
_ p
If 1
r ' Ac1M
4 A h
A g r w• 4,
. a