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Home My WebLink AboutBLD2004-00565 ,t` CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD04-00565 SITE ADDRESS: 192 BRIDGEVIEW PL Issue Date: 10/21/2004 PORT LUDLOW, 98365 Final Date: 5/10/2005 APPLICANT: VIVIAN G CARD PHONE: (360) 697-7906 THURMAN W LOWANS JTWROS PO BOX 3792 SILVERDALE WA 98383-3792 SUBDIVISION: BRIDGE VIEW ESTATE TRACTS Block: Lot: 8+ PARCEL NUMBER: 821355008 Section: 35 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE/ALSO HEATED SHOP, DECK(S), COVERED PORCH THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/10/2005 (4 . � C/'r ) S l f Off Building Official Signature Date I:\F_BLD_Occupancy.rpt 10/29/195. O • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00565 Received Date 09/7/2004 SITE ADDRESS: 192 BRIDGEVIEW PL Issue Date 10/21/2004 PORT LUDLOW, 98365 APPLICANT: VIVIAN G CARD PHONE: (360) 697-7906 THURMAN W LOWANS JTWROS PO BOX 3792 SILVERDALE WA 98383-3792 SUBDIVISION: BRIDGE VIEW ESTATE TRACTS Block: Lot: 8+ PARCEL NUMBER: 821355008 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: OLY HOMES INC PHONE: (360) 340-1251 19860 VIKING AVE NW POULSBO WA 98370 (360) 598-5716 Contractor's License: OLYHOHI967J1 Expires: 4/21/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE/ALSO HEATED SHOP, DECK(S), COVERED PORCH CALL IN FOR THE REQUIRED N PE •NS THAT APPLY TO YOUR PROJECT. SETBACKS: 9k ail,- olz• UFFER: No Footing: Og ///z/oy/ Foundation: i>J< Jf//q 1611, Stormwater FINAL Approval: eV 27/0fralok Underground Plumbing: Underground Insulation r Shear Wall : /41..) /7 r /r,,s' / Zf 15, Framing: 4/ It/ ZprlefiZtor! Vg.OS. .I Plumbing: Die !d/COI14/teeli /j3 5 1 N Propane Tank/ Lines: a t/«,, Oyes (5sE BLD OS-�SLJ • Insulation: , � zillaS / Sheetrock: L k' Q Septic Sytem Fin Ap rova (I not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: OK -cor 0 S//%S'041/ 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 A BLD04-00565 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 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.) 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. 7.) 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. 8.) A Medium Plan 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lo 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). 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 exceed 35 feet. 13.) Setback from Bridgeview Place right-of-way is no less than 20 ft., setback from Paradise Bay Road right-of way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 14.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 15.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 INUILDING PERMIT APPLICA N MRAOW00p 30 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00565 Received Date: 9/7/2004 SITE ADDRESS: IT) BRIDGEVIEW PL 11 PORT LUDLOW, 98365 OWNER: VIVIAN G CARD PHONE: (360) 697-7906 THURMAN W LOWANS JTWROS PO BOX 3792 SILVERDALE WA 98383-3792 SUBDIVISION: BRIDGE VIEW ESTATE TRACTS Block: Lot: 8+ PARCEL NUMBER: 821355008 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: OLY HOMES INC PHONE: (360) 340-1251 19860 VIKING AVE NW POULSBO WA 98370 • (36Q) 5598, 716 Contractor's License OLYHOHI967J1 Expires 4/21/200 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE/ALSO HEATED SHOP, DECK(S), COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,790 VALUATION 291,352.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: 286 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 60 SHORELINE: CONST TYPE: GARAGE: 364 SETBACK: DECK: 240 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD I PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA ' Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain F&W Landslide Routing Date: /01 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /� VF Yp !'1� .1 ' Permit $2,068.95 KAS 09/07/04 67616 Plan Check $1,344.82 KAS 09/07/04 67616 OCT 2 1 2OC,i State Building Code $4.50 KAS 09/07/04 67616 Potable Water Application $52.00 KAS 09/07/04 67616 Jefferson County Plan Building Department Total: $3,470.27 /1 / a 'CC` co �� JEFFERSOISUNTY • r----- I _�_ ' DEPARTMENT OF COMMUNITY DEVELOPMENT u �� t r - 621 Sheridan Street • Port Townsend • Washington 98368 1 F.' . . 360/379-4450 • 360/379-4451 Fax - - ] i ' <yS, NG .O www.co.jefferson.wa.us/commdevelopment i�` I Master Permit Application MLA: `�t tii 10.1Y_o",.'�r.,r Project Description clude sepa e sheets as necessa S wi Tax Parcel t7 ,% — � Property Number: vv�� L OO J Size; /,�, 7 g/- (acres/square feet) Site Address and/or Directions to Property:? -- e �_ Property Owner(s)of 'Record: /-kJ(-A-l At OJ 37Z-1t I /V1/4 xJ' j'� t., d Telephone: ` -,d-- �91- /3 Fax: email: 4L414 rt 5' G-1 WO V - t,:.laic- Mailing Address: I3:=�s�v ..-c, t{,L & /F�J7 - 2 tt"n, Applicant/Agent(if different from owner): /7C 9 /7.4fE.s> _�A,4_ Telephone:'2 •- Y` 0 /d Fax: 72,-6,0 L 4' - _ `t- email: 1-r-V f2. Mailing Address:/�" l0!1 AZ iZ) r/e Litt •rI ,C i (//4 ' i c / What kind of Permit?(Check each box that applies) ❑ Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑pemolition Permit ❑ Conditional Use[C(a),C(d), or C]** Single Family ❑ Discretionary"D"or Unnamed Use Classification 16 Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** C] Manufactured Home ❑ Boundary Line Adjustment LI Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan'' ❑ hange of Use ❑ Long Plat** Address C] Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**O Propane ❑ Plat Vacation/Alteration** Of Mowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** VStormwater Management ❑ Shoreline Management Substantial Development** ite 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: .,, ,..m. DESIGNATION OF AGENT I hereby design re /'/ to act as my agent in matters relating to this application for permit(s). - OWNER SIGNATU -._ / r_...6_,./,e„,2 Date: /q ` 7/6V 1 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 attome s fees and expenses which mayinY XP 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 requi ate cti .Access and right of entry to this property shall be requested and shall occur only during regular business hours. Date: 9 /V Signature: ,, 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 Spepi "or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will t violat9 ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your actions)even if you are in co pliaK larth the Jeff on County development code.The Applicant acknowledges that he,she or it holds individual and nontransferable resp�ra aering to complying with the ESA. The Applicant has read this disc m an signs and dates it below. Signature . 2 so Date: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRALTO OR MANUFACTURED HOME INSTALLER: PHONE:( FAX: MAILING ADDRESS: / Z c 40Zi "Pe ,r f�,l 4:4 ) EMAIL:/� /��= Pr C4-‘ Z,eiK . 1 CONTRACTOR'S LICENSE WAINS NUMBER: j)L- y/iW/l 6'/ J / NUMBER ,�,,(1.. ' -•S ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr sect Type: Fryrie Type: Bathrooms: Shoreline: Type of Sewage Disposal: LV New V Wood Existing: 0 Sewer O Addition ❑ Steel Proposed: Bank ❑p°m munity System ❑ Alteration/Remodel ❑ Concrete Total: H gI� Individual System ❑ Repair CI Masonry N f SEP Permit# ❑ Demolition Cl Other: Bedrooms: Water Supply: Existing: Setback: ❑yrivate well ❑ T o P� T e of Heal!) Proposed: �� Public `�C� �� e Total: 9. �' �* Name of System: VC If this is a Commercial Proiect 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 [I Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove Cl Woodstove ❑ Fireplace Insert LI Hot Water Tank ❑ Pellet Stove ❑ 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: �{ "7 to a 2""Floor .E� / Base fee: a uo 8. 9S - ► 3`°Floor Additional Section: 0 Mezzanine: �; Plan Check fee: r 2 4-� Heated nt .5i-It)P 6 a 4(.34.I$ State Surcharge fee: Unheated Basement Pot Water RevienNfee: 8 S —* Other Unheated 911/Rd Approach fee: Q Garage/Carport TOTAL: $ T OD1 • Decks ! f10 12 Receipt Number: &7 Co ) rj Cash/Check Number: ESTIMAT D COST(REQUIRED) 6. . •to: /7 /n , •Fair mark] alue of all labor and materials found- ••n ! inish 3 —1 ! L V -� gi nitials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc