HomeMy WebLinkAboutBLD2004-00618 0UILDING PERMIT APPLICON MLA04-00574
Review Type: !
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00618 Received Date: 9/30/2004
SITE ADDRESS: WOODRIDGE DR
PORT LUDLOW, 98365
OWNER: WILLIAM A EMERSON TRUSTEE PHONE: (253) 639-2400
BARBARA B EMERSON TRUSTEE
14613 SE 247TH ST
KENT WA 98042-3329
SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 25
PARCEL NUMBER: 999700025 Section: 21 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365
Contractor's License PORTLAL994L8 Expires 05/02/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI` NEW SFR W/ATTACHED GARAGE & DECK(S) & DETACHED 280 SQ
FT UNHEATED STORAGE
ALSO A/G 120 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 286,173.00 MAIN: 2,782
CODE EDITION: 2003 ADD'L: HEAT TYPE: HTP
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER: 400
GARAGE: 892 SHORELINE:
CONST TYPE: SETBACK:
DECK: 270
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
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
Routing Date: /0 _0 F&W Landslide
Shoreline _Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A P P d/ t r
Permit $2,040.95 KAS 09/30/04 67769
Plan Check $1,326.62 KAS 09/30/04 67769 OCT 1 3 2004
State Building Code $4.50 KAS 09/30/04 67769 Jefferson County Planning
Potable Water Application $52.00 KAS 09/30/04 67769 & Building Department
Total: $3,424.07 /1 ' 1 _Pin c t-
st2,pi C105r—Li.(1)
•
BUILDING PE
RMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00618 Received Date 09/30/2004
SITE ADDRESS: 531 WOODRIDGE DR Issue Date 10/13/2004
PORT LUDLOW, 98365
APPLICANT: WILLIAM A EMERSON TRUSTEE PHONE: (253) 639-2400
BARBARA B EMERSON TRUSTEE
14613 SE 247TH ST
KENT WA 98042-3329
SUBDIVISION: WOODRIDGE VILLAGE DIV 1 Block: Lot: 25
PARCEL NUMBER: 999700025 Section: 21 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE:
70 BREAKER LN (360)437-2101
PORT LUDLOW WA 98365
Contractor's License: PORTLAL994L8 Expires: 05/02/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK(S) & DETACHED 280 SQ
FT UNHEATED STORAGE
ALSO A/G 120 GAL PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS HAT AP LY TO YOUR PROJECT.
SETBACKS: Qe p� p1, ///7/�
UFFER: /� 1/ /9 oft'
Footing: At . - ,, //f1
Foundation: i ' .NSi6W /ego ,��
Stormwater FINAL Approval: rBrnuc DR,i�� 14ur //,(4 ,
Underground Plumbing:
Underground Insulation:
Shear Wall : dX 05 ,d" -�
Framing: at 125A5 in/7Q S �Y
Plumbing: DK 3A-05 (/
Propane Tank/Lines: Die 3A-5/65/
Insulation: At 4A-VoS a
Sheetrock: 4 ' pV/'. /
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: l - i
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 CAE A BLD04-00618 111
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 inrthe design and operation of stormwater
and drainage control systems.
2.) A Small Parcel Erosion and Sediment Control 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 Woodridge Drive right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
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 10/29/1999
•
OWNER BUILDER STATEMENT •, ' I C-
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 wititeamuntng the'responsibttity of the General Contractor forihe proposed project. 0 C P 2
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
for/ J"%uJ SOc/Q/Ps 7 L e- (360 ) y3 7- 2/0/ (36 o) y,3 7-23-z 2_
MAILING ADDRESS: 7O lJ�eQ k eA (Qt7e-r , - Lu//Oui, EMAIL:
CONTRACTORS LICENSE (AU 9 83 6,5 WAINS
NUMBER: /a0 if TL,q L 99V Z 8 NUMBER
ARCHITECT/ENGINEER: /, deho tih f,,ogSSo eiQ C 1 Pam- PHONE (4/80) 911//-OBYo FAX:(5'S0 )qV 9-/0 y/
MAILING ADDRESS: $/3e, At/. 86/h A�/ SCD-l7,see/e, /9z EMAIL
$525e
Project Type: frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal:
V New Cor Wood Existing: -&- I 'Sewer
❑ Addition Li Steel Proposed: .3 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: .3 Height: ❑ Individual System
❑ Repair [] Masonry SEP Permit#
Water Supply:
pp y:
0 Demolition ❑ Other:
Existing: 9--
Setback: ❑ Private well ❑ Two Party
Type of Hea : Proposed: 2
/1-t/P,2 u.,� Total: 2 N'Public
Name of System: O u>5=
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑ Underground Tank IVAbove ground Tank Size of Propane Tank: /20 qQ l•
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert L7 Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /S
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage e � 7; w 3, f z�,
i , -a , �,4 s g,
Current Proposed a 14 �` `# i , e., o " , v
Main Floor 1g f y' i' r,,,ftl� kr-.� o. it+ -�w� ,
— V Z ? a 7tt ?r; yyy tF }4-v �`i 4 �.t• f ,' .,'4. V�7
i Jrr E L ,k ¢; a ..ram` yrr a 3 aT ,� '�V
2Nu Floor • #.- ,tir Fs�r t � ` ' ; ,1 �r y e c g
�� { 1./F bb t ! FiJ. ',+k k 'Y f' � �<, A� .tt .y 1 �b. ;&
??'' 'st�ri46 " 7µi`. 5 :;:•; , °�'�o ?#+c,„ 1r '$f t 2'r{
3n3 Floor E et!, ,,=i , x ;, 5 ., i' 4,! -,-2�R Fu zg
Mezzanine: i N:7-`, ,, *r._ k ',k y
Heated Basement _. I�� ` > ra �Sra}� t, r c Y
.. C - '� 4z` .yr-qt .im _ , Y .,,,E 4.1i t# -6 4,d t.4 y�i'•1
.t i:id '� a y; _ < �i,,. h as¢ ', n _fir i tir• '` t .ry„4 u f .t
Unheated Basement �7 s� ±N „,,tt ��kk,
Y" v rt ,1.Y :t } "' -s� �`'�' �r's `z tits -
'c-,. `!a,Rt .?t 1�-, ,ITT' �, d .a'0 14}o`` , t a�
�,V,j!v the i x # s. , c r.y s_ °, � s,. 2;4 r, .z ip tt
Other Unheated �, 'tY ; e ,, i c". ,tt a Bpi lly a rw i 't,e;.••pr� q i�
J Sri: �4 �"`
/ 2 O gtyA bf* ! tt ;�, e.,i;T x.r'i'+j'� 1 '' ^Cr "^,>r.•n: -f't ,�a r`g+�zzy.�,.1M
' •: is .b to ,. ri P x < zk `,a'X :7 A wr $` sa g•, ti`yiA4. "i*u
Garage/Carport , h , M k x s, . „,
`� a ���hh �< Sri�cr.. ctrt �:4.� L''`;y��� ;�' �t.� ��M <��.r. �� �� , .,�fi�.s�l��'L� }
Decks ft�9 � r�,��yy,,� � " TIC
�� >-*:�. _r,;, u��1:t' 'Irr''. t a
Z�� :,yaztr EM it d` -
{fI,,�Ml'I & 1 6' �'k ' `3'a r":':' s: F- n,,+�,.a':i F:i.. a++.j
1\401116 54-ac cz' 2g0 _.. Ana
.,ty bi, qhr .,:A,' i- k"' ;
`�M� .�Q�11R10p R `' f r'Z. Kt C U k rP i '5
ESTIMATED COST(REQUIRED) ^ r6':a+.r,t, r ",1 r}�` ,3 ' �,'
1 ri i ce ., .Y , _' 7,�. dR ;,,,-t <;
.Fair market value of all labor and materials foundation t• nls �; y *� " £' *rr ,4• s t fr c t oM
-Jr Z9s
1 y a n., .-...rr l iAs.41i`i.t:.5. :t4. :: �l
tax• �. �'!�,,,�-.�- ..
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
Sep i'3 U4 1 1 : '2 a Barb a Enrers4 n- 253-639-2400 P. 1
09/22/2004 14:35 FAX 36043725 �1r-y�P T(X.•iJDLOW' ASSOCIATES., 0 RL1002
tI`!�I ...:• .• - _
N Co6. JEFFERSON COUN'iY 1 / �'el ZS
�, DEPARTMENT OF COMMUNITY DEI/ECUPMENT C CmeiS So-ri
)
.._ • 21 Sheridan Street•P rt Tawasend_itiashingtor,941, s.368-- Gus/�'J
y 360/379-4450- 360/379-4451 Fax
www.co_jefferson.wa us/ evelopment ,
Master Permit Application MLA:
Project Description(include separate sheets 1 as necessary): / / J
Neu) .s%� �e / nJ,i /i res, 7PYIce_ w/o c 1ac,4e( cha e _
Tax P Property ✓S� ZJ�S -
Number: 999- 7Ob- 0.25 Sore: ( square feet)
Site Address and/or Directions to Property: Of)c/ry e D�, LQr/ Lcep/ow/ C) /&. (es
Property Owner(s)of Record: " ' rt. — `m1: r
Telephone:253 3 t az/6 :Fax. email: .
416 Mailing Address: l I( 13 SE a4 7411 S-► ,kpnt tit - 9At D
Applicant/Agent(If different from owner); Port /�..'<( ilASSGC/2 feS Z 1 c j�/e/ ✓Dn,G 64.-
Telephone: (360) y39--2/O/ Fax: (360) 93 7-ZS2 Z email:
Mailing Address: 70 e..A/c e'S /a r'e, Part LaWow, )#9 9 S3 S
What kind of Permit?(Check each box that applies)
191Bullding ❑Variance(Minor,Major or Reasonable Economic Use)
0 pemolition Permit ❑Conditional Use[C(a),C(d),or C]"
FfSingle Family Discretionary"0 or Unnamed Use Classification
(lGarage Attached/Detached a Special Use(Essential Public Facilities)"
0 Manufactured Home 0 Boundary Line Adjustment
0 Modular 0 Short Plat"
❑Commercial• 0 Binding Site Plan"
0 Change of Use 0 Long Plat"
9"Address 0 Road Approach 0 Planned Rural Residential Development(PRRDyAmendments"
Cl Propane 0 Plat Vacation/Alteration`•
❑Mowed'Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions"
0 Stormwater Management 0 Shoreline Management Substantial Development'*
0 Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Variance
0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
O Wireless Telecommunication• o Jefferson County Shoreline Master Program Amendment
o Forest Practices Act/Release of Six-Year Moratorium
•May require a Pie-Apprfceffon Conference "Requkes a The-Application Conference
Please identify any other local,state or federal permits required far this proposal,If known:
• , DESIGNATION OF AGENT
I hereby designate \4 Z✓/�i,, /42A to act as my,�ag�ent in matters relating to this application for permit(s).
OWNER Slaw /t�l�c •� L r. t q .A 9
na�(i t� I _.vrc_ �` �X'LI�C-C�.�4'. � 1 u�X'^-+Date: � �
By signing this application form,the awrterfagent attests that the Information provided herein,and in any attachments,is true and correct to the best of
Ns,her or it's knowtedoe_ My material falsehood or any omission of a material fact made by the ownerfagent with respect to this application packet
may result in this permit being null and.vold_
I further agree to save,Indemnify and hold harmless Jepson County against al FiablhSes.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 or this permit.
I further agree tp ptovtde 'and ' t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of apple ation
review and any required I s A and c of o this property shall be requested and shall occur only dilating
regular business
Sutgnafure: /k' � ` Date: q(7 Lt 0
f
The action or actions Applicant will undertake as a result of the Issuance of this pemnit may negatively impact upon one or more Itwsatened or
endangered species and could lead to a potenttal'iake*of an endangered species as those berms are defined in the federal law known as the
'Endangered Species Acr 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 reganang your
actions)even if you are - -= with the Jefferson County development code.The Applicant acknowledges that he,she or It bonds individual
and non-transferable •_ 'comet/b1 • to and complying with the ESA- The App cant has read this disclaimer 7 signs and dates II below.
Signature: ! •,i j� Date: h/
CrAPosuitCe eArroRMS\DRD FORMS\Mvter Permit Application 7$04.doc
,-�t c/a3-/� f 3:_ P