HomeMy WebLinkAboutBLD2004-00687 OP
DING PERMIT APPLICA MLA04-00621ReviewType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
'ERMIT #: BLD04-00687 Received Date: 10/29/2004
SITE ADDRESS: 74 PETERSON RD
PORT TOWNSEND, 98368
OWNER: LYNN W STRANDSKOV PHONE: (360)732-4041
PO BOX 382
CHIMACUM WA 98325-0382
SUBDIVISION: BROWN LARGE LOT SUB-DIV Block: Lot: 2+
PARCEL NUMBER: 801065002 Section: 6 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,404
VALUATION 91,653.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL I
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
Routing Date: l `�O1 F&W Landslide
�l Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $937.75 KAS 10/29/04 67895 APPROVED
Plan Check $609.54 KAS 10/29/04 67895
State Building Code $4.50 KAS 10/29/04 67895 NOV 2 3 2004
Potable Water Application $52.00 KAS 10/29/04 67895
Total: $1,603.79 Jefferson County Planning
& Building Department
ow-ii- ' „79 .ciaz,ZRL-1A--- C1:LQ,
0110
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD04-00687
SITE ADDRESS: 74 PETERSON RD Issue Date: 11/23/2004
PORT TOWNSEND, 98368 Final Date: 5/26/2005
APPLICANT: LYNN W STRANDSKOV PHONE: (360)732-4041
PO BOX 382 '
CHIMACUM WA 98325-0382
SUBDIVISION: BROWN LARGE LOT SUB-DiV Block: Lot: 2+
PARCEL NUMBER: 801065002 Section: 6 Township: 28 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/26/2005
ACIrLa.± 6.,, Y0749/acco 5
Building Official Signature kliA6 Date
31114-046.—
.
I:\F_B LD_Occupancy.rpt 10/29/19.c
. _ BUILDING PERMIT •
Jeffeo Couy pmi
621 rs n Sheridan nt De Streetart, Portent of Townsend,Commun Wty ADevelopment 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00687 Received Date 10/29/2004
SITE ADDRESS: 74 PETERSON RD Issue Date 11/23/2004
PORT TOWNSEND, 98368
APPLICANT: LYNN W STRANDSKOV PHONE: (360)732-4041
PO BOX 382
CHIMACUM WA 98325-0382
SUBDIVISION: BROWN LARGE LOT SUB-DIV Block: Lot: 2+
PARCEL NUMBER: 801065002 Section: 6 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : ak 3/-�/q'Q`L
Framing: a!( w/onai�&As 3/�‘
Plumbing: DEC&J/a I&ifs V›,06-
Propane T nk/L. e : N/A
Insulation. ---le
Sheetroc :40i< t{4 A'
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval. 5/ 4/oc
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 'E BLD04-00687 •
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Minimum setback from Peterson Rd right-of-way is 20 ft. Minimum side yard setback is 5
ft. Minimum setback from the western boundary adjacent to the commercial forest is 250
ft.
11.) A minimum of two(2) on-site parking spaces are required for the single family residence.
12.) The project shall comply with Construction Stormwater Pollution Prevention (SW PP)
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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
0410
1 ne signer of this statementDWNER BUILDER STATEMENT
they
will be assuming the does hereby ce
Fbihty of e Contractor are the Owners of the Parcel refe
renced herein,that they a .
Project.
z— 7 •
�?nsea can and mat
Date: 1 C , ..\k i
GENERAL __.
CONTRACTOR
MANUFACTURED HOME INSTALLER: r i
i i�'. ,
MAILING ADDRESS: PANE:
FAx:
CONTRACTORS LICENSE )
NUMBER: EMAIL:
....:-..-..
NUMBE ARCHITECT/ENGINEER: WAINS
NUMBER ._ • •...... ._�_,
MAILING ADDRESS:
PHONE ( )
FAx
Project Type; EMAIL ( )
1$ New Frame Type;
❑ Addition Wow Bathrooms:
Existing: Shoreline: Type of Sewage
❑ eratloNRemodei ❑ Steel Disposal:0Concrete
❑ RepairTotal: —Z— Bank
0 Demolition 0 Masonry
--�_ Height: 0 Community System
0Other: Bedrooms: Individual System
Type of Heat: Existing: S P Permit# _
—L Proposed: �— Setback: Water Supply:
Total: �- A Private well 0 Two
❑ Public Party
If this is a Comore Name of System:
Commercial Pro Oct u —�_
Number of Parking Spaces: must answer the followin :
Number of occupants Conant:
pants(includes owners,tenants, Proposed:-- Number of ADA Parking
employees,etc) Current
Spaces;
If this is a Pro are Tank and/orna A IBC Occupancy: IBC Type of construction:
Proposed
❑ Underground Tank liance Installation Will You have Food Se❑ Above ground Tank wit mark all items below that a i ? Ye— s
❑ Heat Stove ❑ Cook Stove 0 yy
Is this a Hance oodstoveSize of Propane Tank:
bein installed in a Manufactu 0 Fireplace Home?Inser 0 Hot Water Tank
When applying for a Permit to install a red/Mobile Yes / � ❑ Pellet Stove
lines,tank location and size propane tank you must also submit a site ❑ Other
includin r the reserve a ,distances from
area.
the Propane tank to all plan ld showing all of the buildings,
Property lines,buildings se g 'all property
S a uare�ware Foota._ : IY6 y�y g septic system components,Floorormient
Floor I • . c `//��, -.t "F r i + i ,�t, c 11 `"• }w a p,. 1 y y �¢��
3 ' Floor m gy'- « r ', .; Mti � �
ti
Mezzanine: =: x,. _• F• ''r6onal p t.n �; 1`, Ivr ; .o-
_.�" �Yi
{�L'y t. "�'t a c�l., Check h3'vtty���-Z_P��VC?y �- '1' ��. "il"
eated Basement , n fee: 4"'w „n ae i'•3 C s 'na tX Y
.i•.. �'F'M1'' x Ly I t h e Fi t ' a+ `..'' ti:[?
nhBasement
s r aH- 1 x 'F {r
Bated Ba$e r F a » `�, id
er Unheated5.J. s
arage/Ca 911/Rd �; 3* .,.�
'-';,`-:!• .,,,c`'''').,:'ytk..z..-.43 ,..4_,,,,q,,v.i.Aie,.▪ -lt,,,..,, ,,,,.`' : ... :Y,-..':,-.:
TIMATED h/ or
i '` r r i t i-' ; i 3 ' Y .4 -
'irmaiicetvalueOof�%SQUIRED) Nf ttt t t.', �,�3`
�bor and materials foundation b -+ "ter' „
_mac 9 finish
s g S yT titer c@ S a�ci
�� //j/� d'Sc.-:a ivrt o .,�ur4 —...t.
V O a • , j,� , d :
FCenter\FORMS\DRD FORMS u stag .1 t`,�' t : - i
RMS\Master P Application :
p�� •3'r w�A �y
Permit� �7�� .doc / ..+."C" r t�-i
°N 1
,�4� °� JEFFERSUNTY !' ,11
f `' DEPARTMENT OF COMMUNITY DEVELOPMENT l.�' 1
621 Sheridan Street• Port Townsend •Washington 98368 - „_.
360/379-4450 • 360/379-4451 Fax u ' 9
��q�, •Oo www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA_ OA ----4,a1
Project Description(include separate sheets as necessary):
(3 to ; ( da E---t o to e
Tax Parcel e /�-, Property
Number: W t 06 S 00 Size: Sr S I Gk. (acres/square feet)
Site Address and/or Directions to Property: s.' £'i t'r S p I-L RQ U el
Property Owner(s)of Record: L..l v^ y , S*t"a ,^ cis Fto v
Telephone:3 C.D '7 3Z I-0 41 ., `lt 3rs'Q 2 r) I 0 8 i
email:
Mailing Address: 'P nr 130, 3 87 ; vr.a c 4., „,.. WA R Z t\--
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
❑ Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C)**
Jit Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home 0 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 ❑ 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)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
El 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:
0 DESIGNATION OF AGENT
I hereby designate A t�ti W tI✓Z I' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE z �� ��/_ �`� Date: 7- I D - 0 1--
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 pemtit 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.Signature:rd0 Date:• -• /0 — d 4-
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 cable res • ility f ern to and plyin with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: -_ // / ':�.' -t^''."--- Date: '7—/ 0 ^ Q 4,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc