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Home My WebLink AboutBLD2004-00601 •B Review UILDING PERMIT APPLIC.ION M e T0560 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00601 Received Date: 9/22/2004 SITE ADDRESS: 1 YAWL LN PORT LUDLOW. 98365 OWNER: HAROLD MOE CONSTRUCTION INC PHONE: (360) 437-7994 104 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 87 PARCEL NUMBER: 990700087 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-7994 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 07/21/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW SFR W/ATTACHED GARAGE ALSO 120 GAL A/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 136,157.00 MAIN: 1,428 CODE EDITION: 2003 ADD'L: HEAT TYPE: PRO HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: 1 CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 628 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: SEW BANK HEIGHT: WATER SYSTEM: LUDLOW PARCEL TAGS: YES _NO_ BEDROOMS: BATHROOMS: STORMWATER: YES_ NO___AREA _ Exist: Exist: Wetland_ Erosion Prop: 2 Prop: 2 Seismic Streams _ Total: 2 Total: 2 Flood Way _ Floodplain Routing Date: F&W Landslide_7�le 04 Shoreline _Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A P PROM a 1 E Permit $1,245.75 KAS 09/22/04 67713 Plan Check $809.74 KAS 09/22/04 67713 NOV - 4 20U4 State Building Code $4.50 KAS 09/22/04 67713 Jefferson County I'lanninn Potable Water Application $52.00 KAS 09/22/04 67713 & Building Department Total: $2,111.99 Lour\ Owe_ &COOCCJ6L • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00601 Received Date 09/22/2004 SITE ADDRESS: 12 YAWL LN Issue Date 11/4/2004 PORT LUDLOW, 98365 APPLICANT: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-7994 104 MATS VIEW RD PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 87 PARCEL NUMBER: 990700087 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-7994 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License: HAROLMC074N3 Expires: 7/21/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO 120 GAL A/G PROPANE TANK CALL IN FOR THE REQUIRED 7SPNIONS THAT APPLY TO YOUR PROJECT. 7E I BACKS: elk /z`,/7 UFFER: /i705/f Footing: Old /27/7f 1/ Foundation: c ( /0// // vdz oosfr Stormwater FINAL Approval: Underground Plumbing: Underground Insulatiop: Shear Wall : '2f( /,j/ 1 Framing: �x C0I1e' 4005 3/914 Plumbing: ae A/S Propane Tank/Lines: Insulation: 0,/ 3// DS Sheetrock: cie tdiGe/a-Zreur .�/i,s/4�f' Septic Sytem Final Approval (If not on sewer): �7` Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: pK -.-r LIA �J//C�;•,�/,f,�,.> S /n., 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 CAS, BLD04-00601 • 1.) 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. 2.) A Stormwater Site 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Minimum setback from Yawl Lane right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 8.) 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. 9.) 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. 10.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 11.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's)shall not be allowed in the MPR-SF zone. I:\F_BLD_Permit_Buildng.rpt 10/29/19 OWNER BUILDER STATEMENT The signer of this statement does hereby certify that re the Owners of the parcel referenced herein,tha are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project_. Signature: ' �..�, 5`dr 'k Date: i — 7 L _'%`- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRFSS: / , , — h f r J'L"� �'f� �4 ',.r s ( r,!/Cf r EMAIL: CONTRACTORS LICENSE Nit ' WAINS NUMBER: 7,4 pp Mc CS 7 f.L. ,, 2 'a 06a. NUMBER ARCHITECT/ENGINEER: `"7-4.10,4 r- {r te.k. p,� �1.t N. 6,�"e_) ! PHONE (3j;0 ) 5.' 8 FAX:( MAILING ADDRESS: An(% t rb t!I,-)e....�,~` ,, 4 4 EMAIL Pjject Type: F Type: Bathrooms: Shoreline: Type of Sewage New Wood Existing: Disposal: 0 Addition 0 Steel Proposed: ❑� S er 0 Alteration/Remodel 0 Concrete Total: i imiduait Systemem Height: ❑ Individual 0 Repair Cl Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Su Existing: Setback: Supply: Type of Heat: Proposed: ❑ P�'vate well 0 Two Party Total: .`, ,J�'t'ublic Name of System: b(.tfi tt!al c! 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: 0 Underground Tank ,,B`rAbove ground Tank Size of Propane Tank: /2 0 Heat Stove ,'Cook Stove ❑ Woodstove ' replace Insert IT-Hot Water Tank 0 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 tse Only ;;'; ,i`e*. +4 :. v! ' -t Current Proposed 7r , x c r."t3'+ ` .,, .' Main Floor '"'^ : �� '° at } 1 P /.J 5 onsistency Review ,�" ': -4 'S..e ,r { `�' ��t ,F,f 2 Floor ',B. { , t. t +n a 3 Floor Additional Section: i► 1 . Mezzanine: 4-�Check war' ". f F Heated Basement s ment W IF.d� /' B Unheated Basement f' f _ r� ? 4t� 1 ' � ; r � «�r`. � Other Unheated -, t Garage/Carport i s -i s . � eta . ~a ... Decks i _ k '.s � , Other 1 , w ,1t yA 441', tk U ESTIMATED OST(REQUIRED)^1 � �"-' � ' �. :C .Y �: ,� ,v., ! 1.t k*:.: ELF i •ey '` `` 1 Y .Fair market lue of all labor and materials f d to finish ° �'- . .t, s , \Pem'tCentcr\FO FORMS\ emit Application 7-8-04.doci Nam, :_ rm '.PT.(ii Gt;l,- . ':ice{it dt:_.Ui 1 4,,' ' co�� JEFFERSON ( 1NTY , , � t : 1 + DEPARTMENT OF COMMUNITY / PMENXIII► 44, I 621 Sheridan Street• Port Townrtd Washington 98368 360/379-4450 • 360/379-4451 Fax pEp 2 2 LO:;i ,gSNp�p www.co.jefferson.wa.us/commdeik/elopmen w Master Permit Application f�i rt i''` 4 ` �I' r I CA -S(00 Project Description(include separate sheets as necessary): ... t r Tax Parcel >) Property i -, Number: 1 ' 0a 6 Size: f -"' ' (acres/square feet) Site Address and/or Directions to Propertyr L „rr p 7 w / . t' ! Property Owner(s)of Record: '-41-X/4 0r Af DE E . 'Telephone: 4 ? • Fax email: Mailing Address: !C'/ V r# r\ \j l F''..) '�(i` i r NC Applicant/Agent(if different from owner): 7~ !' ,x.- Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) 'B puilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ D molition Permit 0G ❑ Conditional Use[C(a),C(d),or C]** ingle Family ❑ Discretionary"D"or Unnamed Use Classification arage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ,.[t- dress 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ropane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis [_1 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 provid access and,right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requi e later ins .Access and right of entry to this property shall be requested and shall occur only during regular business hours. ` ("+ , Signature: f Date: 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 lake"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-transferable r ponsibi ity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: d `717Cry Date: 2 ?.-, LJ cr G:\PemmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc