HomeMy WebLinkAboutBLD2004-00610 I •UILDING PERMIT APPLICAON MLA04-00569
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00610 Received Date: 9/27/2004
SITE ADDRESS: 1372 THORNDYKE RD
PORT LUDLOW, 98365
OWNER: PAUL LE MAY PHONE: (360)626-2104 6
LAURIE LE MAY
PO BOX 2530
POULSBO WA 98370-0965
SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 11+
PARCEL NUMBER: . p #6 ,/". Section: 16 Township: 27 N Range: 01 E
c15c.) 100AV3-7
CONTRACTOR: OWNER/BUILDER l PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW GARAGE/OFFICE U \16-le .
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 47,517.00 MAIN:
CODE EDITION: 2003 ADD'L: 1,008 HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,008 SETBACK:
DECK:
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
`t
Routing Date: C �Z� �� !� epF&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: A FRYV E C r
Permit $623.55 KAS 09/27/04 67765 /"'�r r" 1 ` V �'""+
Plan Check $405.31 KAS 09/27/04 67765 OCT 2 5 2004
State Building Code $4.50 KAS 09/27/04 67765
Total: Jefferson County Planning
$1,033.36 & Building Department
Co 1 C
•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-0061 0 Received Date 09/27/2004
SITE ADDRESS: 431 SEATTLE DR Issue Date 05/9/2005
PORT LUDLOW, 98365
APPLICANT: PAUL LE MAY PHONE: (360) 626-2104 (I)
LAURIE LE MAY
PO BOX 2530
POULSBO WA 98370-0965
SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot 45
PARCEL NUMBER: 950100437 Section: 16 Township: 27 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW GARAGE/UNHEATED STORAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
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 C A BLD04-00610 •
ASE
1.) The road approach permit(RAP05-00096) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this garage with unheated storage. Contact Terry Duff at 360-385-9159 for the road
approach inspection.
2.) 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.
3.) MANDATORY MEASURES OF HIGH 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 he 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.
4.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
5.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
6.) 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.
7.) The project shall comply with C3nstruction Stormwater Pollution Prevention WPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Setback from Seattle Dr. 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.
13.) 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.
14.) 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.
15.) 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.
I:\F_BLD_Permit_Buildngspt 10/29/19
i
• OWNER BUILDER STATEMENT111
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they aklibt II4enset ._'INV that1
they will be assuming the responsibility of the General Contractor for the proposed project. I 1 I I-- ki,J7 W, tr.:, ni i t►
r py.y. 1 k :S ..1 f 1
Signature: 4t :v.'4 M ` Date: -'t 1 l I ' f l
SEP 2 7 2004 ±1 U.) I
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: I AX: I
0� s1G�C- ( ) JEF L . UiiCti ' ( ,'
MAILING ADDRESS: EMAIL: pL, 1. OF L `+1, MIJNIT\ f, , rufff
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ') FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New C Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: .- Height: ❑ Individual System
❑ Repair ❑ Masonry N 1 li- SEP Permit# A)(✓l
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: & iv 1 ri- Name of System: t)/4-
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 ❑ 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
2Nu Floor LJ 1 J � 1 � Base fee:
0.,0100g a3798.s 423 .sc
3`I Floor _ Additional Section:
Mezzanine: Plan Check fee: o5,3
Heated Basement State Surcharge fee: .4 �1
Unheated Basement _ Pot Water Review fee:
Other Unheated 911/Rd Approach fee ........•
Garage/Carport
r B O S 237 - TOTAL $ to I t•2 /
/v
Decks n...( 1-/J 2. pt Number ( 1 110 G.
Other Cash/Check:Number r— �
ESTIMATED COST(REQUIRED) Date q
.Fair market value of all labor and materials foundation to finish !. 2� (�
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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� JEFFERSON NTY �j ((LI 0.1 c- �i/ r ...-,
�} DEPARTMENT OF COMMUNITY DEVELOPMENT —ill 11
` '.4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax LA( SEP 2 7 ! Lµ.
O ..> www.co.jefferson.wa.us/commdevelopment
Master Permit Application M :D 9 _ 1. ,-, : '-'`!_of=,r f�
,, ,i..j
Project Description(include separate sheets as necessary):
6-a rt,41-& t GO i'44, 3,-e4 5:+0 rly Cif- '6e
Tax Parcel Property
Number: / 9 S D 1 OO k 3(.' Size: I`j) y 00 (acres/square feet)
Site Address and/or Directions to Property: y S j -�.�Y-t C u
Property Owner(s)of Record: -tpcL,.i.1< /t_o ..1."(P. Le tiV,.Lj
Telephone: 3 k U -7-1`1-(s S I`i Fax: 3 Go Y 6i- L: y ( 3 email: 11 e r- 0.,E p f, c . ,,,:.
Mailing Address: f o 8.0,.. .D s 3 ,PU , . ,...:),1- «r 3-7 0
Applicant/Agent(if different from owner): c, - f
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Ig Building ❑Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
0 Single Family ❑ Discretionary"D"or Unnamed Use Classification
[Garage Attached to ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
0 Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑Change of Use ❑ Long Plat**
0 Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
0 Propane ❑ 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
❑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 attorneys 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 a any equired later spections.Access and right of entry to this property shall be requested and shall pccur onl during regular business
hours. I •
Signature: Date:(--1 - [-)
The action or actions Applicant will undertake 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 if you are in .mpliance with the Jefferson County development code.The Applicant acknowledges that e,she or it holds individual
and n -tran erab a •.Iibiij\t�f r hering to and complying with the ESA. The Applicant has read this di r� an rgns and dates it below.
Signatur • " ! ly Date: GI r 1
G:\PermitCenter\FORMS\DRD FORMS\Mast�c3 Permit Application 7-8-04.doc
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