HomeMy WebLinkAboutBLD2004-00587 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00587 Received Date 09/20/2004
SITE ADDRESS: 564 TOTEM RIDGE RD Issue Date 12/6/2004
PORT HADLOCK, 98339
APPLICANT: HARVEY WINDLE PHONE: (360) 732-0348
SUSAN WINDLE
P O BOX 1482
PORT HADLOCK WA 98339
SUBDIVISION: W E SETON SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 901114024 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR:
PROJECT DESCRIPTION: DETACHED GARAGE
CALL IN FOR TH EQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SE 1 BACKb:
UFFER:
Footing: /jpk/V Q/O5"
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing: /✓ 4'040�
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: i
Final/Occupancy Approval PiriS
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 COPE # BLD04-00587
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 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.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs)and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
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 25%. 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 Totem Ridge right-of-way is 20 ft. Minimum side and rear
setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks.
12.) A minimum of two (2)on-site parking spaces are required for the manufactured home.
13.) A stormwater plan for a medium project 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
M LA04-00553
alCUILDING PERMIT APPLIC N ReviewType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00587 Received Date: 9/20/2004
SITE ADDRESS: .),OTOTEM RIDGE RD
PORT HADLOCK, 98339
OWNER: HARVEY WINDLE PHONE: (360) 732-0348
SUSAN WINDLE
PO BOX 1482
PORT HADLOCK WA 98339
SUBDIVISION: W E SETON SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 901114024 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 480 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: F&W Landslide_
PI/çj6ç Shoreline _Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date 1
State Building Code $4.50 MZL 09/20/04 67704 APPROVE
Plan Check $136.01 MZL 09/20/04 67704
Permit $209.25 MZL 09/20/04 67704 DEC 6 2004
Total: $349.76 Jefferson County Planning
EGeAcr
Building Department
ro,
,/ ON t^��� JEFFERSON�UNTY _- rr-t r j ..r. , }
DEPARTMENT OF COMM )r__...._
ti UNITY DEVELOPMENT M t ' ,
621 Sheridan Street • Port Townsend •Washington 98368 i r
360/379-4450 • 360/379-4451 Fax SEP 2 p 2004.
�qSbi7 G�O� www.co.jefferson.wa.us/commdevelopment
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Master Permit Application M 4iiL =_... ._ _____..5 '3
Project Description(include separate sheets as necessary):
r-Afc,A-cf,.6,
Tax Parcel Proty
Number: 10 I ( 1 LA C .2, per
1 0;f Z cr)square feet)
•
Site Address and/or Directions to Property: DKr v`(c),4,y /fi, ' C 1-L L c /_L 6 gc we s,pc C R /}r-tp%o�,ilk Pi tx,6,
Property Owner(s)of Record: /lFI r2 vE 1 /A ti(r) -Su.SA w t( r' L. C.: i o
Telephone: 3h0 '71-2. e) '3L-t- Fax: emaiL:r[rccrtero,s(-- ,,f(":4.„e
Mailing Address: TO i3ox ( `{%2 t 0P:i j-/el ram 4-0C"1< I, (_c.1AT Cr c 3 [ • "`
Applicant/Agent(if different from owner):
Telephone: )( Fax: x
email: x
Mailing Address: )L
What kind of Permit?(Check each box that applies)
Building I Variance(Minor, Major or Reasonable Economic Use)
[I Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
0 Single Family ❑ Discretionary"D"or Unnamed Use Classification
I arage Attached/Detached ❑ Special Use(Essential Public Facilities)**
0 Manufactured Home 0 Boundary Line Adjustment
0 Modular 0 Short Plat**
0 Commercial* 0 Binding Site Plan**
0 Change of Use 0 Long Plat**
0 Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
0 Propane 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
I 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 1-1" E-L F to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE n} ��—
1t Date: `1 1 I j /0 y
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 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 re �r ed later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
�—Signature:
[ Date: ck l( l ` O i
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-transf e esponsibility for adhering_ to and complying with the ESA. The Applicant has read this disdaime and Sins and dates it below.
Signature ��— Date: I j �V '-{
G:\PermitCenter\FORMS\DRD FORMS\Master Pemvt Application 7-8-04.doc
110 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 assu ' the responsibility of the General Contractor for the proposed project.
Signature: �'! Date: Cf J 17!C`(
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
( ) ( )..
MAILING ADDRESS: EMAIL: ---
CONTRACTOR'S LICENSE WAINS
NUMBER: ,i" NUMBER
ARCHITECT/ENGINEER: `' PHONE ( ) FAX:( )
MAILING ADDRESS: = EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Iii• New R- Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: / ❑ Individual System /
Repair ❑ Masonry 7 SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public /
Total: Name of System:
If this is a Commercial Protect 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 Cl Above ground Tank Size of Propane Tank:
LI Heat Stove ❑ Cook Stove ❑ Woodstove O Fireplace Insert ❑ Hot Water Tank LI Pellet Stove Li 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:
2Nu Floor Base fee: acc J 9• 3
3r0 Floor `Additional Section:
Mezzanine: Plan Check fee:
/�_ L 2(0r 6
Heated Basement ['State Late Surcharge fee: '4k bp
Unheated Basement i� Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport / TOTAL8 $ qq . ``1 W
Decks - Receipt Number. — (.0:0-40 ...
Other Cash/Check Number
5t 39
ESTIMATED COST(REQUIRED) Date: c, ' O q
.Fair market value of ll labor and materials foundation to finish
7 5-Do Initials: cy,
G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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