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HomeMy WebLinkAboutBLD2004-00660 BaDING PERMIT APPLICATIO" MRLA04N00p6e:I 04 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 I #: BLD04-00660 Received Date: 10/19/2004 DRESS: 154A LANDS END LN PORT TOWNSEND, 98368 R: DENIS KEYES PHONE: (206) 365-5494 CATHE CLAPP 721 NW 125TH ST SEATTLE WA 98177-4441 DIVISION: Block: Lot: T 9 :CEL NUMBER: 101333006 Section: 33 Township: 31 N Range: 01 W )NTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW ADU ALSO A/G 250 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 780 VALUATION 53,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Floodplain F&W Landslide Routing Date: /Q/QC)/ 0 1- Shoreline Aquifer J Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $664.78 KAS 10/19/04 67878 APPROVED Plan Check $432.11 KAS 10/19/04 67878 State Building Code $4.50 KAS 10/19/04 67878 DEC - 6 2004 Potable Water Application $52.00 KAS 10/19/04 67878 Jefferson County Planning Total: $1,153.394t_l wilding De art ent 1po • BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00660 Received Date 10/19/2004 SITE ADDRESS: 154A LANDS END LN Issue Date 12/6/2004 PORT TOWNSEND, 98368 APPLICANT: DENIS KEYES PHONE: (206)365-5494 CATHE CLAPP 721 NW 125TH ST SEATTLE WA 98177-4441 SUBDIVISION: Block: Lot: T 9 PARCEL NUMBER: 101333006 Section: 33 Township: 31 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW ADU ALSO AIG 250 GAL PROPANE TANK CALL IN FOR THE R7UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: �, C__.- UFFER: :3�/0/63-- Footing: n? ,✓O3Q, ,'7/e7 Foundation: Stormwater FINAL Approval: Underground Plumbing:z- 3//0: r'4L%0tr 7 L,;,e-s ,7J/ Underground Insulation _ 3�ii-, Shear Wit:: Framing 7`7/ l Plumbing: 6ft Dt. Propane it-- / Lines: /A1T-'G>GT- 0.- s-"//L Insulation: ;L C,.. c Sheetrock: .L_-(G -23 --c ' Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval -'1 -03' 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 COE # BLD04-00660 • 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 hazard area 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.) 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. 8.) 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. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 10.) MANDATORY MEASURES II 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. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Lands End Lane right-of-way shall be 20 feet. Minimum side yard setbacks are 5 feet. Minimum shoreline setback as depicted on the submitted site plan is 574 feet. 18.) 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. 19.) 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. 20.) A minimum of two (2)on-site parking spaces shall be provided for the accessory dwelling unit. 21.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) 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. 22.) The proposal was reviewed for consistency with the Shoreline Management Master Program Secion 3.402.5 and found to be consistent. The proposal is (1) an accessory dwelling unit, (2)doe not exceed 35 feet in height, (3) does not involve over-water construction and is located landward of the OHWM, (4)and meets all required setbacks as set forth is said SMMP and UDC. 23.) The ADU will need to utilize the existing septic tanks or a designer will need to be consulted and a tank only permit will be required by the county. I:\F_BLD_Permit_Buildng.rpt 10/29/19 i �¢ cowJEFFERSO OUN � � } , - rDEPARTMENTOFCOMMUNITY DEVELOPMENT; ��/,. I 621 Sheridan Street--Port Townsend •Wasbingtol7 98368 �, , 360/379-4450 •• 360/379-4451 Fax ' n t �Iq�, e�p'v www.co.jefferson.wa.us/commdevelopment OCT 1 9 2ttn,'; IMaster Permit Application ( MLA: Project Description(include separate sheets as necessary): , . A'cc.rc, s c.v., 13)wc.l(......., kg._ -t i Tax Parcel Number: Property 13 3 3 O O (p Size: 5 ' 77 acV se S (acres/square feet) Site Address and/or Directions to Property: t S 4 L.attid S E' c\ t.ck.ti•e I FeN•t- -to c,,)-,,� Smrnek III Property Owner(s)of Record: Clst i S k..e y-e s t G-k„A-‘,0e C l..i Telephone: th( 3 -5-11-`1`1 Fax:�O1,-3(,5-gC`I7 email:CLCDCK PAe1.. Com*'I Mailing Address: 12.I IV IA) I. M ST $ ER—TTL, +AlR Applicant/Agent(if different from owner): Telephone: Fax: [�Building email: Mailing Address: What kind of Permit?(Check each box that applies) ❑Variance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** [�Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** I ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)Amendments*- ❑Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site 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: 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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and y r uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ,_Signature:�_,L :,c..- (. c-1`14.1% Date: ) ()//,j/GI f 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)ev_enit ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera le responsibif for d ering to and complying with the ESA. The Applicant has read this disdaii er and signs and dates it below. '� Signature: ` , t Date: /G/ / / 11 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 t4 r@`not.licensed contractors and they be sutninglbe.resporsibititg�f The Genet"d ractortor the proposed Project. i 1 ttttttr Vt) i Signature: I y.A,,., C'- f Date: i (1( i `� OCT 1 9 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) rw(. ( ) -_..`. MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER - ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal: d New of Wood Existing: ['Sewer ❑ Addition ❑ Steel Proposed: i Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: L Height: Individual System ❑ Repair 0 Masonry SEP Permit# $•9-SB ❑ Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: -- G7'Public r r.`7 ic.H`Q Total: ____I______ Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank TK Above ground Tank Size of Propane Tank: 2 ❑ Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert ,V'_Hot Water Tank Cl Pellet Stove 0 Other IJ �7 f' Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to Install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. • s s ,c-' + .` ' s r F''ka �a e "S•uare FOOta! ', ' . tam ' r + ', — m <t �rat, Y ,' ' .' VI 11, h, ? ,,Current Pro.*sod � q i i rx' 4 `Main Floor ` dip F i 7 , r s C +k , `".' t �" ?„" *.# 1 a , Y , t6 �t , Y']8 r a i u ` -, r*"4 aN,,io h2""Floor z 1` A5 •3 Floor o-�' t -, f .F r . i f' i - `-:try 4 , F FTR 1 `+ 5 e1,2100. .E rf. . r • six °P YMezzanine: r • . 4 c.. f sv S "`£+ s*4" a' ' �4. „ " �x ' r , s,T 4 m is .f s • t * aHeated Basement t§. . k a r • � � I a •- ' ' ''''' Unheated Basement , �,: ,• +f�,py� R W s,I }��"�2.!'{-•-..Zl�, �, ,`.�Y fi tt hr j ' ?, 1 *`:. Other Unheated x - V--t t,'� r E •a. +< ' . ! r 7) t a-",r 3 r"� x Garage/Carport f`'nw Y E�� y rF F r}t ' �^4 y n0 ,fx ,ls' d., .r,• ,r v rag •p °,• ,-4 , '" �Fr �r kg, Decks , „ ` w ��t' :'4r t▪ ° Tr, • �'4V5 ,�Z f� C� ' ..t s }4,1 �, 1'...1a =A ..,',2+£a - eT 3$.sr-3 s 'k4;gc, Other , e fS� $r rnMa a t,7s s , ,ga c iv-44, r a -, c.�. '% sc r e{` L f ,: �„l i ... A -R 3u, ,.. 7C r F� R � 1.- ESTIMATED COST(REQUI ) �_ �F s� r ' • �` V. 9`-, ' a `,, '• rr� •� 3 r - .fir -a i' r -1-- " �. _n rg{".?:..2< •Fair market value of all labor d7 ells foundation to finish x } ' . � } f 9 3/ 4)d t� r . ,ar. ' ' G. ' , .. ,i- ..,ij 4i'F .. G:\PermitCenter\FORMS\DRD ORS\Master Permit Application .doc w v C Ca m (C...) i>— Co q C7 V i MC CO3 OWNER: Denis Keyes and Cathe Clapp, 154 Lands End Lane,Port Townsend,WA Ca.. 'i ARCHITECT: PTF Architects,30002 Issaquah-Fall City Rd.,Fall City,WA 425-222-0744 Ail PROJECT LOCATION: 154 Lands End Lane,Port Townsend,WA LEGAL DESCRIPTION: Tax Lot 9,Section 33,T.31,R1W JEFFERSON COUNTY ASSESSOR'S PARCEL NUMBER: 101333006 NUMBER OF STORIES: 1 ZONING: LOT AREA: 5.77 AC BUILDING AREA: EXISTING HOUSE &DECK: 3115 NEW ACCESSORY DWELLING UNIT: 780 SF o ryiEiNt 1° lY 0 { '�—_- (oP o� BANKS — — — -- S — — — — — — — — w'•K'1 o. v c0 I M - Iv ir 43.9' Z 5' f I — I I _ i II • gl E.)(15T. REhIVE1.1c.E a Q i `Azov Ii! p MNlil II V, • • e _ I T 7 - d ;` vEGE jATION r rRces(Pr / � i Q �1 V ce vp.R,1-1ADI�NA.} lig C O ( 1 1.td.11vE sr1E5 © $0 ® ` SET6A Lu APPROVED _-- _�;_=--r°'Y Rig SITE PLAN _ •rc+.vEL r P•IVE Ay 1JEw Ex14 a) //, AP Li NOV — 3 2004 - 5'1r s o JEFFERS OUNPnc t�� �. (�� 15"tL N DEPT.OF.CO D V Itet�'"1a SIGNATUR TALIKS © /'►f 8 n ELEc.. of Q SFbRNh 1 Stormwat is — TO GI WA. Ms l.I 11 To ° Required '—s �'" " L.A, i DS p_tp. 1✓4, i e Ft- 373.9' — 30'w1v6 RcAp sITE PLALI . IT t u� TY 6 ME1..1'r il1_Lic)1 NOTES: 22'x20'Gravel Parking Area. ® LP Gas Tank—Locate per County setbacks. ) Exist Oil Tank. ® Exist Rainwater Storage Tanks(underground) m Area of Disturbance(footprint of house and parking area)cleared in 1999. ® Foundation excavation temporary storage. Cover with visqueen within 2 days. Excavated dirt to be used for final grading around house.