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HomeMy WebLinkAboutBLD2004-00695 BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00695 Received Date 11/3/2004 SITE ADDRESS: 384 SUGAR HILL RD Issue Date 02/24/2005 CHIMACUM, 98325 APPLICANT: FELTON LLC PHONE: 360.340.3512 BOB TOZER 17011 LEMOLO SHORE DR POULSBO WA 98370 SUBDIVISION: SUGAR HILL ESTATES Block: Lot: 8+ PARCEL NUMBER: 901135008 Section: 13 Township: 29 N Range: 01 W CONTRACTOR: FELTON LLC PHONE: 17011 LEMOLO SHORE DR POULSBO WA 98370 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Ins I tion: Shear Wall : t on Framing: Plumbing: Propane Tank/ Lines: Z eze/X,u Dfr /�el Insulation:( —U 2/2-, Sheetrock:pie 'Z(ZD/5 Septic Sytem Fina ApOrov (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 CAE � BLD04-00695 • 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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). 4.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) The building height is not to exceed 35 feet. 6.) Minimum setback from Sugar Hill Rd right-of-way is 20 ft. Minimum side yard setbacks (adjacent land designated Rural Forest) are 100 ft. Minimum setback from the northern boundary(adjacent land designated Commercial Forest) is 250 ft. 7.) A stormwater plan for a medium project 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. 8.) A minimum of two (2) on-site parking spaces are required for the single family residence. 9.) The wetland, wetland buffer and open space shown on the plat shall be maintained in their naturally vegetated state. This shall mean that vegetation within the wetland protection area shall not be disturbed or mowed. All wetland stakes in the field shall be maintained and replaced as necessary. 10.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 11.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 12.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. I:\F_BLD_Permit_Buildng.rpt 10/29/19 •UILDING PERMIT APPLICATN MRLA04 00627 Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00695 Received Date: 11/3/2004 SITE ADDRESS: ,,,SUGAR HILL RD .CHIMACUM, 9-:25 OWNER: ARRY P' •PERTIES LLC PHONE: (206) 232-3510 • R• SIMPPSON 972. '1 36TH ST STE#400 ME'C - LAND WA 98040 SUBDIVISION: S GAR HILL .TATES Block: Lot: 8+ PARCEL NUMBER: 901135008 Section: 13 Township: 29 N Range: 01 W CONTRACTOR: FELTON LLC PHONE: r41( 17011 LEMOLO SHORE DR )1/4•p L iu.�.>� POULSBO WA 98370 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,571 VALUATION 130,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 440 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL 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: / F&W Landslide �l/e/ot Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,161.75 BAC 11/03/04 68702 APPROVE' Plan Check $755.14 BAC 11/03/04 68702 State Building Code - $4.50 BAC 11/03/04 68702 FEB 2 4 2005 Potable Water Application $52.00 BAC 11/03/04 68702 Jefferson County Planning Total: $1,973.39 &Building Department At/cr • 0 0- a gyp. `'`p ela im / \ tzttp \ I/ tt te ISM 14/ • 0 I f \ .ii s ,,,,,, , ..,v. . .„:„. �- \ \ \ it Via. J \A ny4Y r / .,,Y .... ,......._i 0 ----N ...t. .....„.._ 109!Fl ±t, SN l / T.,-:.‹.? 3"1 -- '$ '1'ri e \ r r'o P. A t OWNER BUILDER STATEMENT • 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 will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: A,.<6a1 Ltd OP° )346 -3 12_ MO)ACI4-3Ct114A MAILING ADDRESS: iflO 11 l I &) S c k .'r JtAX_(�I\NI_O EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: re.A.10 L * C1t-0r�_ �J 0 c NUMBER ARCHITECT/ENGINEER: 1 PHA ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New VC Wood Existing: Cl Sewer � Addition 1113 Steel Proposed: 2 Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Height Individual System ❑ Repair 0 Masonry EP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: X Private well ❑ Two Party Type of Heat: Proposed: .8 El Public Etec iris f•cea A.;r Total: ...'i Name of System: 34 -2,2_2. 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 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert Cl Hot Water Tank ❑ 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 For Office Use Only Current Proposed Amount Main Floor ,�R i � ®Consistency Review: f> 10a 8o 2ND Floor Base fee: 3ftl Floor Additional Section: Mezzanine: Plan Check fee: 755, 1 Heated Basement State Surcharge fee: Sd Unheated Basement Pot Water ReVlew fee: 8 b. _._, Other Unheated 911/Rd Approach fee: Garage/Carport 0 l Lt ate. �. =- TOTAL: $ a !} &i ..3ci Decks ��� Receipt Number. Other X Cash Check Number 11 g OS:(o ESTIMATED COST(REQUIRED). D #; NOV -3 / .Fair market value of all labor and m als(oundation to finish it `3/0 4 1`�?Q Initials: 1. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc rik6 sox e JEFFERSO COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 1 360/379-4450 • 360/379-4451 Fax NOV - :j 2004 q �p� www.co.jefferson.wa.us/commdevelopment 81N Master Permit Application MLA: MLA -'(0 Project Description(incl a separate sheets as ne essary): IUs�►,) p rafmttlt cr ►7 � Tax Parcel Property Number: ��� SS OO Size: 'load5• ,,5 t (. peS (acres/square feet) Site Address and/or Directions to Property: L'j' ^ Cj Asa& H►11 Property Owner(s)of Record: Ptinr`y 9 1►e.% L.LC. Telephone:?(i o— 2`3 " 21.6 to " Fax: `}1u — '� —q g 1C! email: Mailing Address: (112 5 S. �, 3Q'h S Si a►b 40e)± _ L me ► W A 4 o4 o Applicant/Agent(if different from owner): FA/GA I L.C. Telephone:.3 4©- 61 2_ Fax:,',lob 3 Ia email: ze h�,', ►C• tl2i Mailing Address: I 7O I1 turffid r) &row ft'• - cbtsmv, ti a k q 48 3110 What kind of Permit?(Check each box that applies) ❑ Building 0 Variance(Minor, Major or Reasonable Economic Use) 0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** Single Family ❑ Discretionary"D"or Unnamed Use Classification 10 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 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane 0 Plat Vacation/Alteration** Li Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** O Stormwater Management ❑ 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 attorney'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 an required late inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: k 4CINA Date: ��i(It8JO4- 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-tra( le ,spon�sibility for adhering to and complying with the ESA. The Applicant has read this disclaimerai and signs and dates it below. �Signature: ‘ Date: ►add G:\PcrmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc